Tethered Oral Tissue (TOTs)
Tethered Oral Tissues (TOTs) is a term used to describe tight, restrictive connective tissue between oral structures. Tethered oral tissues are congenital formations that restrict the range of motion, which contribute to functional deficits. There are a total of seven frenula in the mouth: one lingual frenulum (tongue), two labial (lip) frenula, and four buccal (cheek) frenula.
What are signs and symptoms of tethered oral tissues?
Shallow or weak latch during Choking TMJ pain/dysfunction breastfeeding or bottle feeding
Constipation Headaches & Migraines
Maternal pain during breastfeeding
Excessive drooling Neck tension
GER (Gastroesophageal reflux)
Picky eating Difficulty chewing & swallowing
Noisy or clicking during breast and
bottle feeding Poor speech intelligibility Sleep quality issues such as
snoring, mouth breathing, restless
Lip blisters either breast or bottle feeding Orthodontic replacement sleeping, bedwetting & teeth grinding