Dentists, doctors, Hygienists, Dental Assistants, Lactation Consultants, Midwives, Speech Pathologists, Chiropractor, Licensed Massage Therapists, Occupational Therapists, Naturopath, and others. Currently, only CDE and CME credits are available.'

You view this recorded course from anywhere using a computer with a high-speed internet connection. You may also access this course on a mobile device with high-speed internet. We recommend Google Chrome browsers.

Once you register and pay you will be sent a link to the recorded course. After you view the recorded course in full you will be sent a link to an exam.

Once you have passed the exam you will be sent a link to fill out an evaluation. Once that is filled out you will receive your CE verification shortly after.

There has been a recent international focus on improving breastfeeding initiation rates. Hospitals are increasingly promoting breastfeeding (via Baby-Friendly Hospital Initiatives), and as these rates of breastfeeding go

up, so does the incidence of latch pathology. Lactation consultants are becoming increasingly knowledgeable about oral function when breastfeeding is not successful, often involving dentists and otolaryngologists in the management of problems.

Neonatal ankyloglossia is an established cause of breastfeeding pathology. Emerging research has demonstrated the need for a more complete

release of tissue, but this concept is still controversial to many. Classically, frenotomy involves a minor snip of visibly tethered tissue, but ultrasonographic evidence has demonstrated that mid-tongue mobility towards the palate must be optimized for breastfeeding to succeed. The

concept of posterior tongue-tie is becoming more established in the lactation literature but still poorly understood by most dental and medical professionals.

This lecture will demonstrate the unique lingual motions during breastfeeding, appropriate diagnosis of ankyloglossia, and scissor vs laser

release of tissue. Specific emphasis will be given to demonstrating office-based release technique regardless of the tool used without the need for general anesthesia. Wound management will also be discussed. The

lecture will use high definition ultrasound and video to demonstrate the techniques needed to optimize success for the mother/baby dyad. The recent focus on breastfeeding has also brought about increased

research on the impact that tongue tie and lip tie have on longterm outcomes. With this renewed interest, practitioners are also focusing on how tongue/lip tie can impact the craniofacial skeleton. Recent research has shown the impact of ties on malocclusion, sleep apnea and speech delay. Practitioners need increased exposure to better counsel their

patients.

• Understand the unique (normal/abnormal) motions of the tongue during breastfeeding
• Understand the surgical principles of tongue tie release
• Understand methods of surgical technique including scissors/laser and anterior/posterior frenotomy
• Understand the impact of untreated tongue tie on the craniofacial skeleton
• Understand the connection between ties and future pathology like sleep apnea or speech delay

Dr. Ghaheri graduated from Ohio State University College of Medicine in Columbus, OH. He later completed his internship in general surgery and his residency training in Otolaryngology, Head and Neck Surgery at Oregon Health & Science University (OHSU). He brings The Oregon Clinic Ear, Nose & Throat - East several honors and awards, including his induction into the Alpha Omega Alpha Honor Medical Society and the Golden Key National Honor Society. He is a member of several organizations and associations, including the American Academy of Otolaryngology - Head and Neck Surgery, and the Oregon Medical Association.

Dr. Ghaheri is one of the only physicians on the West Coast offering laser treatment for tongue-tied babies. If a baby is tongue-tied, it can be difficult for the baby to breastfeed. Dr. Ghaheri’s in-office treatment releases the tie, allowing the baby to latch properly.