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TOTS Training ®

In this cutting edge continuing education course, participants will learn the E3 Model of Care® for tethered oral tissues.  This includes relevant background information on how tethered oral tissues affect oral function from birth to maturity.  The course format includes lecture, video/photograph examples, case studies, pre and post assessment activities, demonstrations, and hands-on application of techniques in an interactive atmosphere where questions and discussion are welcomed.  This course is a specialty training that is targeted for the oral function professional including  Speech-Language Pathologists and Assistants, Occupational Therapists and Assistants, Orofacial Myofunctional Therapists, and Lactation Consultants and Counselors.  However, this training is appropriate for other professionals including Pediatricians, Physician Assistants, Nurse Practitioners, Nurses, Dental Hygienists, Dentists and Assistants, Dietitians, Early Intervention Specialists, Osteopaths, Otolaryngologists, Chiropractors, Applied Behavior Analysts, and Psychologists to learn about tethered oral tissues and make appropriate referrals.  Participants who complete the training in its entirety with optional listing on the Chrysalis Orofacial® website as a “TOTS: Tethered Oral Tissues Specialty Trained®” professional.  Participants who complete the training in its entirety will be granted permission to use and display “TOTS: Tethered Oral Tissues Specialty Training®” logo, as a designation to the public of their completion of the training.

Tethered Oral Tissue Specialty

How TOTS Training® Helps


TOTS Training® welcomes Dentists to be an integral part of identifying and treating tethered oral tissues.

Occupational Therapists

TOTS Training® provides tools for Occupational Therapists working with feeding and postural asymmetries related to tethered oral tissues.

Speech-Language Pathologists

TOTS Training® aids Speech-Language Pathologists diagnose articulation and feeding disorders related to tethered oral tissues.

Orofacial Myofunctional Therapists

TOTS Training® teaches orofacial myofunctional therapists how to assess oral functional ability related to tethered oral tissues.


TOTS Training® helps physicians to adequately assess and treat patients understanding the link between tethered oral tissues and other symptoms.


TOTS Training® assists Bodyworkers in understanding how tethered oral tissues impact the body.

Lactation Professionals

TOTS Training® enables lactation professionals identify and address infant feeding problems attributed to tethered oral tissues.

Our Method:  The E   Model of Care®




TOTS Training® provides the protocol for doing a complete evaluation of all types of tethered oral tissues.  Be confident in identifying tethered oral tissues with our model.



Educating clients and fellow medical professionals on this topic is challenging.  TOTS Training® demonstrates ways to educate for the best outcomes.



TOTS Training® guides professionals in building an effective treatment plan for tethered oral tissues.  Our model and techniques yields outcomes for optimal oral function and dissipation of symptoms.

What Our TrainedProfessionals
Have to Say

"Great class. I'm happy that we have high quality TOTs training for all disciplines."

Michelle Emanuel, Occupational Therapist

TOTS Training Final Logo TM.png


Our training comes with exclusive benefits.  With our training:

  • You can use the TOTS Training® seal as a designation of your training

  • You earn continuing education credit in your field

  • You get added to our directory of practitioners which can lead to referrals!

The Syllabus

Schedule may vary based on location. 

Day 1


Introduction, Background, & Pre-Assessment Activities 


Embryology, Anatomy, Physiology, & Developmental Milestones




Embryology, Anatomy, Physiology, & Developmental Milestones




 History, Theory, & Research


Principles and Introduction of E3 Model of Care


7:30 - 8:00 AM

8:00 - 9:30 AM

9:00 - 10:15 AM

10:15 - 10:30 AM

10:30 - 12:00 PM

12:00 - 1:00 PM

1:00 - 2:45 PM

2:45 - 3:00 PM

3:00 - 3:30 PM

3:30 - 4:30 PM

Day 2














Conclusion, Questions, & Post-Assessment Activities

7:30 - 8:00 AM

8:00 - 10:15 AM

10:15 - 10:30 AM

10:30 - 12:00 PM

12:00 - 1:00 PM

1:00 - 1:45 PM

1:45 - 2:45 PM

2:45 - 3:00 PM

3:00 - 4:00 PM

4:00 - 4:30 PM

Learning Outcomes/Objectives:


By the end of this course, participants will be able to:

  • Define various tethered oral tissues

  • Dispel common myths regarding tethered oral tissues

  • Describe normal embryology, anatomy, physiology, and developmental milestones for optimal oral function

  • Reference current research regarding tethered oral tissues and correlated conditions

  • List signs/symptoms of tethered oral tissues and correlated conditions

  • Evaluate for presence and impact tethered oral tissues have on oral function, including specific evaluation protocols, proper oral exam and report writing

  • Educate and communicate with patients, family, and other medical professionals regarding identification and treatment of tethered oral tissues, including educational tools and resources

  • Execute a treatment plan for optimizing oral function in the post release of tethered oral tissues, including active wound management and specific treatment techniques

Credentials and Accreditation

Speech-Language Pathologists

This course is offered for 1.4 ASHA CEUs (Intermediate Level, Professional Area). It is recognized by The American Speech-Language Hearing Association (ASHA). Please make sure to have your ASHA member number available if applicable. Satisfactory completion requires full attendance on both days.  For in-person courses, there will be a sign-in and sign-out sheet. For online courses, the CE Assistant Director/Administrator will check usernames at the beginning of each day and periodically throughout each day and link them to the attendance roster.  Each attendee who completes the course in full will receive a certificate of completion/attendance.  Any other entities/organizations/professions vary by requirements and state boards of licensure.  Please check with your individual governing body for requirements.  We will do everything in our power to provide you with documentation needed to qualify for continuing education credits.

Lactation Professionals                   

Please review the Individual CERPs Guide here.

Occupational Therapists

Please review the following links and contact your licensure board and certifying organization:  Licensure and Renewal

Dental Professionals

Please review the following links and contact your licensure board and certifying organization:  CE Submission Guidelines

Medical Professionals

Please review the following links and contact your licensure board and certifying organization:  CE Booklet


This course is an approved CE course for the IAOM.

This course is not approved for partial credit. Participants must attend the course in its entirety to receive continuing education units. All disciplines in attendance will receive a certificate upon completion of the course in its entirety for 14 hours of continuing education.​


Policies and Disclosures


Cancellation - Registrants may cancel their registration up to 7 days before the course start date to receive a 75% refund minus non-refundable eventbrite processing fee  or their registration may be  transferred to another participant or rescheduled to another course/date with at no additional charge, with written request and subject to availability. No-shows or cancellations received less than 7 days prior to the course are non-refundable, but can be rescheduled for a future course date or transferred to another participant with written request and subject to availability at no additional charge.  Chrysalis Orofacial® reserves the right to cancel any course at any time. Chrysalis Orofacial® is not responsible for any expenses incurred by registrants (i.e. non-refundable travel arrangements).

Special Accommodation Requests - If you require special accommodations, please notify Chrysalis Orofacial® at the time of registration, so that necessary accommodations may be arranged.

Complaint Policy - When taking courses, Chrysalis Orofacial, LLC students are encouraged, at all times, to communicate their concerns to course creators and/or the administrative team by emailing If a situation arises in which a student had a complaint or grievance regarding instruction or other topics related to his or her course, the student is to adhere to the following procedure:

1. Within 72 Hours: Discuss the matter with his or her online course instructor(s), if applicable. If not resolved,

2. Within the following 72 hours: Discuss the matter with the CE Director. The CE Director has the responsibility of reaching a decision that is in balance with the best interest of both the student and the organization. If a written response is needed, the student will be notified in writing within 5 business days of the CE Director’s decision. A student or any member of the public may file a grievance about this organization with the Better Business Bureau by calling (864) 242-5052 or by completing a complaint form, which can be obtained on the bureau’s internet web site (

Technical Issues - Please note that Autumn Henning and Chrysalis Orofacial are not responsible for acts of God or technical difficulties on the end of the participant including organizational firewalls that may block the downloading of our materials. For any technical difficulties, please contact your ISP or local IT department for support.


Content - This presentation will focus exclusively on the E3 Model of Care® for tethered oral tissues.

Financial - Autumn R. Henning, MS, CCC-SLP, COM, IBCLC is the owner of Chrysalis Orofacial® and receives a salary, speaking fees, and royalties for presenting continuing education courses.  Lunch may be sponsored.

Non-financial -  Autumn R. Henning, MS, CCC-SLP, COM, IBCLC is currently appointed and in good standing as an Assistant Professor within the voluntary faculty series in the Department of Communication Sciences & Disorders at the University of Kentucky College of Health Sciences.  She is a former Founding Board Member for the International Consortium for Oral Ankylofrenula Professionals (ICAP) and has personal experience with tethered oral tissues.  She is a a member of IAOM and AAPPSPA.

Disclaimer - Chrysalis Orofacial® does not endorse the use of any particular product.  Any product shown during the course is for educational purposes.  All participants are cautioned to practice within their legal and ethical scope of practice.

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