It seems everywhere you turn, parents and professionals are discussing, concerned about, and asking questions about tongue and lip-ties. With so many opinions, objections, and success stories, it’s hard to cut through the noise. This evidence-based and clinically-informed presentation will clarify the real struggles and quality of life issues a restricted tongue or lip can impact. Dentists are well-positioned to screen for, diagnose, treat, or refer these patients with a team-based approach to manage these common conditions. A review of the relevant literature, clinical cases of all ages, diagnostic criteria, assessment techniques, treatment videos, and recommendations will be discussed in this comprehensive lecture. Dr. Baxter will share the knowledge, successes, and struggles from his practice and experience in treating thousands of patients with these conditions.
IBLCE Detailed Content Outline: (I, II, III, VI, VII)
Infants born with cleft lip, cleft palate, or cleft lip and palate have a distinct anatomical profile that can impact breastfeeding success. Most notably, difficulty separating oral and nasal cavities to generate adequate oral pressure. Feeding challenges associated with cleft lip and/or palate include insufficient milk transfer, slow growth, and prolonged feeding time, all of which can leave families feeling anxious and worried.
IBLCE Detailed Content Outline:
1 L Cerp (I, II, III, V, VI VII)
With an emphasis on visual diagnosis using more than one hundred clinical photographs, this presentation focuses on clinical features of the newborn head and neck, emphasizing normal variants where reassurance is appropriate and pathologic findings in which further evaluation and management is warranted.
IBLCE Detailed Content Outline:
1 R Cerp (I, III, VII)
When parents are not appropriately educated or prepared regarding the unique needs of their late preterm infant, or Early Bird, the situation often deteriorates for them by week one or two weeks after birth, resulting in a baby who’s not thriving and/or a parent who’s not thriving, plus all the emotions of “what am I doing wrong?” This can be avoided, and late preterm dyads can be better protected with an optimization plan so that lactating parents can meet their own infant feeding goals despite having given birth prematurely. The late preterm infant frequently has physical limitations which prevent them from feeding from the chest/breast effectively, which can also lead to problems with the maintenance of adequate milk production if parents are not properly informed about these potential risks. However, with the proper information about Techniques to use to support progress in feeding, knowledge about expected Timelines for progress in lactation with a late preterm infant, and suggestions for what to Teach the parents of a late preterm infants, clinical lactation care providers can improve their ability to facilitate the ability to sustain lactation in this population.
IBLCE Detailed Content Outline:
1.5 L Cerp (I, IIII, V, VI, VII)
Latch pain has long been a significant reason for the premature cessation of breastfeeding. Globally, the percentage of women who experience nipple pain and damage upon discharge has remained largely reduced in the last 20 years. In this presentation, Avery Young will present an innovative, reflex-based approach to latching, based on her own observations working with infants, that has reduced nipple pain and damage in an overwhelming majority of the families she has supported, even when nipple damage is severe and has been persisting for months.
IBLCE Detailed Content Outline:
1 L Cerp (I, III, VI, VII)
Jessica Boyce
Dr Jessica Boyce is a speech pathologist and lecturer in Melbourne, Australia. She has clinical expertise working with infants and children born with cleft lip and/or palate. Her research has led to several scientific publications in this area, including the AMB Guidelines for Breastfeeding Infants with Cleft Lip, Cleft Palate, or Cleft Lip and Palate.
Christine Staricka
Christine Staricka is an IBCLC and trained childbirth educator with over 22 years of lactation experience in the hospital and the community. She is the host of Evolve Lactation Community, a membership and coaching program for aspiring and new lactation consultants. Christine also hosts Evolve Lactation Podcast and writes a blog on Substack called Evolve Lactation. She is the facilitator of the first licensed Baby Café to open in California.
L. Avery Young
Avery Young is a passionate enthusiast about empowered feeding and is on a mission to help make feeding feel better. Over the last few years, she has been observing, studying and experimenting with engaging the reflexes that infants use when feeding, to help make the latching progress work better. This work has transformed her practice and her ability to make profound changes in the families she supports. She has a master's degree in Biology, a Master's Degree in Science Education and has been supporting feeding families for almost a decade.
Charlotte Lewis
Dr Lewis is currently professor of pediatrics at University of Washington School of Medicine and attending physician at Seattle Children’s Hospital. Dr Lewis leads the Seattle Children’s Multidisciplinary Infant Nutrition and Feeding Team and attends in the Newborn and Progressive Care Nurseries at the University of Washington Medical Center, where she teaches, supervises trainees, and provides patient care.
Richard Baxter
Dr Richard Baxter is a board-certified pediatric dentist, Fellow of the AAPD, and Diplomate of the American Board of Laser Surgery. He is an internationally recognised speaker on tongue-tie, instructor of the acclaimed online course Tongue-Tied Academy, and lead author of the bestselling book Tongue-Tied: How a Tiny String Under the Tongue Impacts Nursing, Speech, Feeding, and More. He is passionate about educating parents and healthcare providers about the effects a tongue-tie can have throughout the lifespan. He is the founder of the Alabama Tongue-Tie Center where he uses the CO2 laser to release oral restrictions. He had a tongue-tie himself, and all of his three girls were treated as infants, so this field is a personal one.
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