Module 1: Anatomy & Physiology This first module is ‘going back to basics’ and looking at the anatomy and physiology, specifically in relation to the tongue and oral cavity. This module will discover the definition of a 'tongue-tie' restriction, and what that translates to mean in practice. Provide a baseline understanding of the structure of the tongue as an organ and collection of muscles, and their functions. To examine the oral cavity anatomically Explore variations in anatomical structures Study embryological foundations to the lingual frenulum Increase your knowledge base around tongue-tie and its potential impact on infant feeding. Quiz 1 Module 2: Implications of Untreated Oral Ties In module 2 we explore the wider impact and longer term health considerations associated with untreated oral ties. A brief history of tongue-tie treatment, and its impact on health. Understanding the difference between a tongue-tie as a normal anatomical structure and a tongue-tie restriction. Delve into embryology and look at stages of lingual frenulum development. Explore the impact on physical health, particularly in relation to: Digestions and feeding ability, Sleep, Speech, Breathing, Orofacial growth, Posture. Holistic health concerns: Emotional, Social, Financial Common misunderstandings and myth-busting.  Quiz 2 Module 3: Oral Assessment & Tools Awareness This module concentrates on the assessment process, learning about and acknowledging the different tools available and the importance of 'differential diagnosis' When is the 'right' time to consider a frenulotomy procedure? How to choose an approved &/or preferred tongue-tie practitioner. Acknowledging there is a difference between a visual oral assessment and a functional motility exam, and who is qualified to perform this. Anatomical variations of the oral cavity. Differential diagnosis-Could it be something else? Exploring what is meant by the term 'faux tie' An overview of some of the assessment tools used globally: Assessment Tool for Lingual Frenulum Function, Coryllos Classification tool, Tongue-tie and Breastfed Baby Assessment Tool, Kotlow Classification of Ankyloglossia, Martinelli Neonatal Tongue Screening Tool, Bristol Tongue Assessment Tool. Quiz 3 Module 4: Body Therapies & Interdisciplinary Support This module addresses how body-therapies may help influence adverse feeding behaviours, that may have been caused by a tongue-tie restriction or differential diagnosis. What is body-therapy? How can body-therapies help infants? The different types of body-therapies available. Revisiting Fascial anatomy and its importance in optimal tongue function. Longer term benefits of body-therapies, revisiting: Sleep, Digestion and swallow, Speech, Breathing, Orofacial growth, Posture. Homebased supportive techniques to strengthen and relax bodily tensions. Quiz 4 ​ Module 5: Risks of Surgical Procedures This module looks at the known risks associated with infant frenulotomy procedures for families to consider in advance of undergoing a surgical release. It also provides an awareness to different techniques or instruments that providers may use and also discusses conservative management of feeding symptoms in the absence of surgery. Methods of a ankyloglossia surgical release. Who to refer to provide tongue-tie surgical release. Conservative management options to support infant feeding. Risks of the procedure: Pain, Infection, Bleeding, Oral injury to surrounding oral structures, Oral aversion and decline in feeding ability, Reformation / Re-occurence, Incomplete surgical release, Poor response to frenulotomy, or nil improvement, Thermal injury (lasers). Quiz 5 Module 6: Aftercare & Long-Term Management This module looks at how and what you may do to support families in the weeks following their procedure. Aftercare management, exercises, and supportive techniques. Stages of normal wound healing. What hinders wound healing, Pre-habilitation and re-habilitation, Enabling success Encouraging optimal outcomes Quiz 6

Video lectures with slides Quizzes for knowledge review Peer discussion group Reflective case study assignment Certificate of online attendance once all modules have been completed Certificate of Accreditation once all elements have been submitted for assessment. 15 CPD points accredited by Advantage 8 L-CERPS for IBCLCs 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 OF LACTATION CONSULTANT EXAMINERS®, IBLCE®, INTERNATIONAL BOARD CERTIFIED LACTATION CONSULTANT®, and IBCLC® are registered marks of the International Board of Lactation Consultant Examiners.

A dedicated course discussion feed is available throughout the learning journey for sharing: Questions & comments to facilitate discussion Articles, Podcasts and updates to aid learning Peer and educator interaction

Accredited by 'Advantage-Independant Accreditation in Learning' & IBCLE (International Board of Certified Lactation Examiners) ✔ Pass all 6 quizzes (80% pass mark required) ✔ Submit one reflective case study following a patient journey. Participants are requested to document a reflective case study using the optional template provided. This is to follow a patient journey, looking at the feeding journey holistically from initial point of contact, assessment, treatment options, referral for specialist services and follow-up aftercare and support for the infant but also the mother dyad and household network too. ✔ Receive a Certificate of Online Attendance. ✔ Receive a Certificate of Accreditation. Note: This course does not license you to diagnose or treat tongue-tie, but it enhances your knowledge to better support families in your role.

Access: Lifetime Self-paced, on-demand video modules Estimated Study Time: 10 hours + additional reading/self-guided study Support: Online discussion feed via learning platform Recommended Duration: Minimum 4 weeks

As your course tutor, I bring a strong blend of clinical knowledge, practical experience, and a deep commitment to improving outcomes for infants and families affected by oral restrictions. My work in the tongue-tie field has centred on evidence-based assessment, clear communication, and collaborative care, and I am dedicated to helping professionals build both confidence and competence in this complex area. Over the years, I’ve supported countless families through the challenges of feeding and oral function, and that hands-on experience informs every part of this course. My teaching approach is grounded, structured, and supportive—focusing on clarity, critical thinking, and real-world application. My goal is to ensure you leave not only with a stronger understanding of tongue-tie and its impact, but also with the practical skills needed to make informed, compassionate, and effective clinical decisions.