LAUNCHING 12/1/2025!
Plot the TOT: Collaboration as the Driving Force for Optimal Outcomes is an interdisciplinary course designed for healthcare professionals addressing tethered oral tissues (TOTs). Led by speech-language pathologist Autumn Henning, MS, CCC-SLP, COM®, IBCLC, and pediatric dentist Dr. Ann Bynum, this course guides participants in implementing the E3 Model of Care® — Evaluate, Educate, Execute — a structured, collaborative framework for identifying and managing TOTs in patients of all ages.
Participants will gain a comprehensive understanding of the anatomical, functional, and developmental impacts of oral restrictions, the importance of coordinated team care, and evidence-based intervention strategies before and after surgical release. Through detailed case studies of infants, children, and adults, learners will discover how multidisciplinary collaboration optimizes outcomes in feeding, speech, sleep, and overall health. It covers the complete patient pathway including referral, evaluation, treatment, surgical procedures, and follow-up.
This course empowers clinicians to strengthen interprofessional relationships, improve diagnostic precision, and provide patient-centered, functional care that enhances quality of life across the lifespan.
At the end of this course, participants will be able to:
• Classify tongue, lip and buccal ties
• List the goals and rationale for therapy prior to surgical intervention
• Name three tools available to professionals to improve tethered oral tissues knowledge and skills
• Identify considerations for safety of surgical intervention
• Describe ways professionals can track patient outcomes and progress post-surgical intervention
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.
She has affiliate partnerships with Amazon, Ninny, Lee Lee + Me, Liper, Breather, Ark Therapeutics, Fend, Picky Eaters, Silverette and Simple Practice and receive a commission if her links are used.
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
Ann Bynum, DDS is the owner of The TOT Spot, a Diplomat of the ABPD, a member of the SSPD, the AAPD, and the ADA. She receives speaking fees and royalties for presenting continuing education courses.
DISCLAIMER - Chrysalis Orofacial® or the TOT Spot 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.
Plot the TOT officially launches on 1/3/2026!
This course is recognized by the American Speech-Language Hearing Association (ASHA). It is offered for 0.75 ASHA CEUs (Advanced Level, Professional Area). Any other entities/organizations/professions vary with requirements and state boards of licensure. Please check with your individual governing body for requirements. This course is not approved for partial credit. Participants must attend the course in its entirety to receive continuing education units.
Satisfactory Completion - To receive ASHA CEU credit learners must: (1) View every section of the course in its entirety and (2) pass the quiz at the end of the course with at least 80% correct. Hours will be reported the month after all course completion requirements are met.
This course is divided up into 13 separate sections. A copy of the PowerPoint slides is available for download in the Introduction section and supplemental resources are provided throughout the course. Please view each section in its entirety prior to moving on.
It is highly recommended to take TOTS Training® to learn about the E3 Model of Care® prior to taking this course. Plot the TOT focuses on implementing this model in professional practice.
To learn more about Autumn Henning, CCC-SLP, COM®, IBCLC and Chrysalis Orofacial please visit our biography page. To learn more about Ann Bynum, DDS, please visit the following link: https://www.thetotspotsc.com/meet-dr-ann-bynum-frenectomy-doctor
Full Powerpoint Slides
Welcome Introduction
Meet Ann Bynum, DDS
Meet Autumn Henning, MS, CCC-SLP, COM, IBCLC
Our Chosen Teammate: Our Story
The E3 Model of Care
Reference List
Pit Crew: Collaborative Providers
Ann's Tool Box
Autumn's Tool Box
Referral Pad
Assessment Tools
Measuring Tool
Functional Evaluation Part 1
Functional Evaluation Part 2
Structural Evaluation
Weekly Exercise Sheet
Weekly Measurements
Start Your Engines
Medical Quick Reference
Check Mirrors & Blindspots
New Patient Form
Release of Information Consent
Consent Form
Consult with Procedure Note
Procedure and Diagnosis Codes
Dental Claim
Medical Claim
Green Flag
Post Op Under 2
Post Op Over 2
Yellow Flag
Checkpoint: Therapy Session Following Procedure
Final Lap and Crossing the Finish Line
Infant Written Therapy Evaluation
Infant Evaluation and Pre-Therapy
Infant Evaluation Video
Infant Intake Form
Infant Consent
Infant Narrative
Infant Narrated Surgical Video
Infant Surgical Video
Infant Post-Therapy and Outcome
Infant Outcome Video
Child Written Therapy Evaluation
Child Evaluation and Pre-Therapy
Child Evaluation Video
Child Intake Form
Child Narrative
Child Narrated Surgical Video
Child Surgical Video
Child Post-Therapy and Outcome
Child Outcome Video
Child Consent
Adult Written Therapy Evaluation
Adult Evaluation and Pre-Therapy
Adult Evaluation Video
Adult Intake Form
Adult Narrated Surgical Video
Adult Surgical Video
Adult Outcome and Post-Therapy
Adult Outcome Video
Adult Consent
Victory Lane
Detours: Alternative Options When it Doesn't Go to Plan
Contact & Connection
Plot the TOT Competency Quiz
Course Evaluation
If you would like us to submit CEUs for Plot the TOT to ASHA, please complete the following information (note: all questions will need to be answered for us to submit).
