Tethered Oral Tissues

By: Robyn Merkel-Walsh, MA, CCC-SLP & Lori Overland, MS, CCC-SLP

Tethered Oral TissuesGo to Link

Robyn is an author, international lecturer, and subject matter expert on the diagnosis and treatment of Tethered Oral Tissues. Red flags of TOTs may include breastfeeding challenges, maternal nipple pain, failure to progress to pureed and solid foods, delayed speech sounds, articulation challenges, voice problems, mouth breathing, open-mouth posture, and dental issues.

Robyn works collaboratively with preferred frenectomy providers as well as the inter-professional TOTs team in the tri-state area. Many patients come to Robyn for speech and/or feeding challenges without realizing they are experiencing the functional impact of TOTs. If you suspect that you or your child have TOTs, please seek a functional assessment first.