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D-Restricted Ltd ®
Tongue-tie School:

Specialist Infant Tongue-tie Education for Healthcare Professionals.

Fundamentals in Infant Tongue-tie Anatomy, Function and Treatment Considerations

Advance your understanding of infant tongue-tie through a function-based, evidence-informed programme designed for healthcare professionals supporting infants and families. Rather than focusing on anatomy alone, the programme explores the wider clinical considerations surrounding infant tongue-tie, including oral function, infant feeding, treatment pathways, conservative management and ongoing support.

Accredited by Advantage and IBLCE, successful completion awards

15 CPD points and 8 L-CERPs.

Why this programme was developed

Infant tongue-tie is a multifactorial area that requires consideration beyond anatomy alone. While the appearance of the lingual frenulum may provide information, understanding function, feeding, oral skills and the wider clinical picture is essential when supporting infants and families.

The Tongue-tie School programme was developed to support healthcare professionals to build a deeper understanding of infant tongue-tie, including the relationship between oral function, infant feeding, treatment considerations and ongoing support.

This programme recognises the importance of the infant–caregiver feeding dyad and the role of collaborative, individualised care throughout the feeding journey.

A function-based approach to infant tongue-tie education

Infant tongue-tie, also known as ankyloglossia, describes a variation in the lingual frenulum that may affect tongue movement and function in some infants.

A function-based approach considers more than anatomy alone. Understanding infant tongue-tie requires consideration of tongue movement, oral skills, feeding abilities, compensatory patterns and the wider clinical picture, including the infant–caregiver feeding dyad.

This programme explores the relationship between anatomy, function and infant feeding, supporting healthcare professionals to develop a broader understanding of infant tongue-tie and the factors that may influence assessment, treatment considerations and ongoing support.

Understanding the wider clinical picture

Infant tongue-tie is a multifactorial area where anatomy, function, feeding skills, infant regulation, oral motor patterns and individual circumstances all interact.

Anatomy provides information. Function provides context.

Supporting infants and families requires consideration of the whole infant–caregiver feeding dyad, recognising that feeding challenges may have multiple contributing factors and that each family’s journey is individual.

This programme explores the importance of preparing the dyad for potential intervention when appropriate, including the principles of prehabilitation, rehabilitation and ongoing support. A focus on function, preparation and aftercare helps ensure that any treatment pathway is considered within the wider context of the infant’s needs and feeding goals.

Designed for healthcare professionals supporting infants and families

The Tongue-tie School programme has been developed as professional education for healthcare professionals supporting infants and families, including those working within infant feeding, maternity, neonatal and early years settings.

It is particularly suited to professionals seeking to expand their understanding of infant tongue-tie, including those who are new to this area of practice and experienced tongue-tie providers looking to refresh and consolidate their knowledge.

The programme welcomes a range of professional backgrounds, recognising that effective support for infants and families involves collaborative, multidisciplinary care.

Suitable for:

  • Registered nurses

  • Midwives

  • Health visitors

  • International Board Certified Lactation Consultants (IBCLCs)

  • Lactation consultants and infant feeding specialists

  • Healthcare professionals supporting infants and families

  • Existing tongue-tie providers seeking refresher education

Understanding infant tongue-tie and function

Infant tongue-tie is an area of clinical practice where anatomy, function and feeding interact. Understanding the relationship between oral structures, tongue movement, infant feeding skills and the wider infant–caregiver feeding dyad is essential when supporting families.

This programme provides healthcare professionals with a deeper understanding of infant tongue-tie, including functional considerations, assessment principles, potential impact over time, supportive strategies and the importance of preparation, rehabilitation and aftercare.

Rather than focusing solely on the presence of a frenulum, the programme considers the wider clinical picture and the role of function in guiding appropriate support for infants and families.

Within this programme you will consider:

• Anatomy and physiology of oral structures
• Functional considerations in infant feeding
• Assessment principles and the role of assessment tools
• Conservative management and supportive strategies
• Frenulotomy considerations and aftercare

Specialist expertise and experience

Infant tongue-tie support sits within a multifactorial clinical landscape, requiring consideration of anatomy, function, infant feeding and the individual needs of each infant–caregiver feeding dyad.

This programme has been developed by Diana Warren, Registered General Nurse (RGN), International Board Certified Lactation Consultant (IBCLC) and founder of D-Restricted Ltd®, a specialist infant feeding and tongue-tie service.

Drawing on neonatal nursing experience, specialist infant feeding practice and extensive clinical experience supporting infants and families, Diana brings together evidence-informed education with a function-based approach to infant tongue-tie.

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Diana is also a Trustee of the Association of Tongue-tie Practitioners (ATP), contributing to the ongoing development of professional standards and collaboration within the field.

D-Restricted Ltd® provides specialist infant feeding and tongue-tie care, with a commitment to safe, individualised and family-centred support. The service has been rated Outstanding by the Care Quality Commission (CQC).

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Accredited professional education

The Tongue-tie School programme has been developed as structured professional education for healthcare professionals seeking to expand their understanding of infant tongue-tie, oral function and feeding support.

The programme is accredited by Advantage and has been awarded CERPs by the International Board of Lactation Consultant Examiners (IBLCE).

Accreditation and recognition

✓ 15 CPD points
✓ 8 L-CERPs awarded by IBLCE
✓ Certificate of completion

D-Restricted Ltd has been accepted by International Board of Lactation Consultant Examiners® (IBLCE®) as a Preferred Provider for the listed Continuing Education Recognition Points (CERPs) programme. Determination of CERPs eligibility or CERPs Provider status does not imply IBLCE®’s endorsement or assessment of education quality. INTERNATIONAL BOARD CERTIFIED LACTATION CONSULTANT®, IBCLC®, and the marks of the International Board of Lactation Consultant Examiners are registered marks of the International Board of Lactation Consultant Examiners.

​Your expertise matters

The Tongue-tie School recognises that healthcare professionals undertaking this programme bring valuable knowledge, experience and perspectives from their own areas of practice.

Learning is enriched through professional reflection, shared experiences and discussion with colleagues from a range of backgrounds. The programme encourages participants to consider how evidence-informed knowledge can be integrated alongside their existing clinical skills and experience.

Continue learning through the Tongue-tie School community support hub

Learning does not end when the course content is completed. Participants have access to the Tongue-tie School community support hub, providing a dedicated space for ongoing professional connection, discussion and resource sharing.

The hub supports peer interaction, enables participants to continue conversations beyond the course modules and provides access to shared resources and updates as the field of infant tongue-tie continues to evolve.

Following completion of the programme, participants retain access to the Tongue-tie School community support hub while the programme remains available. The hub provides an opportunity for ongoing professional discussion, resource sharing and connection with colleagues beyond the structured course content.

Explore the programme

The Tongue-tie School programme is structured across six modules, providing healthcare professionals with a comprehensive understanding of infant tongue-tie, oral function, feeding considerations and supportive care.

The programme takes a function-based approach, exploring the relationship between anatomy, infant feeding, assessment principles, intervention considerations and ongoing support for the infant–caregiver feeding dyad.

Module 1: Anatomy and Physiology

Develop an understanding of the relevant anatomy and physiology of oral structures, including the tongue, oral cavity and surrounding structures, and their role in infant feeding function.

Module 2: Potential Impact of Oral Ties and Functional Considerations Over Time

Consider the potential relationship between oral ties, function and feeding experiences over time, recognising individual variation and the wider clinical picture.

Module 3: Tongue Function Assessment Tools and Differential Diagnosis

nto commonly used tongue function assessment approaches, their role within clinical practice and the importance of interpreting findings alongside a comprehensive assessment of the infant–caregiver feeding dyad.

Module 4: Body Therapies, Tongue Exercises and Sensorimotor Oral Activities

Examine supportive approaches including body therapy, oral play and exercises, considering their role within preparation, rehabilitation and ongoing infant feeding support.

Module 5: Surgical Release Procedures: Methods, Risks and Clinical Considerations

Understand considerations surrounding frenulotomy, including informed decision-making, potential risks, the importance of preparing the infant–caregiver feeding dyad and the role of skilled aftercare support.

Module 6: Conservative Management and Ongoing Care

Understand and apply principles of conservative management, ongoing support strategies and rehabilitation approaches to support the infant–caregiver feeding dyad throughout their feeding journey.

Programme structure and completion

The Tongue-tie School programme is designed as a self-paced, on-demand learning experience, allowing healthcare professionals to complete the content alongside their existing clinical commitments.

The programme includes:

  • Six structured video-based modules with supporting resources

  • Knowledge review quizzes throughout the programme

  • Peer discussion and professional learning through the online community hub

  • A reflective case study assignment following an infant feeding journey

Assessment and completion requirements

To successfully complete the programme, participants are required to:

✔ Complete all six module quizzes, achieving a minimum pass mark of 80% for each assessment.

✔ Submit one reflective case study using the optional template provided. This encourages participants to reflect on a patient journey, considering the feeding experience holistically from initial contact, assessment considerations, potential treatment options, referral pathways, follow-up care and ongoing support for the infant, mother and wider family network.

On successful completion of all required elements, participants receive a Certificate of Online Attendance and a Certificate of Accreditation.

Learning format and access

  • Self-paced, on-demand video modules

  • Estimated study time: approximately 10 hours, plus additional reading and self-directed study

  • Recommended minimum completion period: four weeks

  • Ongoing access to course materials

Enrol on the Tongue-tie School programme

Develop your understanding of infant tongue-tie, function and feeding support through a structured, evidence-informed professional education programme designed for healthcare professionals.

✔ Six self-paced modules
✔ Approximately 10 hours of learning
✔ Accredited professional education
✔ 15 CPD points
✔ 8 L-CERPs for IBCLCs
✔ Reflective case study and certificate of completion
✔ Access to the Tongue-tie School community support hub​​​

Continue learning through professional connection

Learning does not end when the modules are complete. The Tongue-tie School community support hub provides a dedicated space for participants to continue discussions, share experiences, access resources and connect with colleagues working in infant feeding and tongue-tie support.

Through ongoing professional conversation and peer learning, the community hub supports reflection, collaboration and continued development beyond the structured programme content.

Participants retain access to the community support hub while the programme remains available.

What healthcare professionals say

Feedback from healthcare professionals who have completed the Tongue-tie School programme.

Important information

Have a question? I’m here to help

If you have any questions about the Tongue-tie School programme, accreditation, eligibility or the learning process, please get in touch.

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