Tethered Oral Tissues (TOTs) and Occupational Therapy (OT)

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Description

This capstone project and ALE focused on Tethered Oral Tissues (TOTs) and their connection to Occupational Therapy (OT), highlighting how TOTs impact more than just feeding by affecting sensory regulation, posture, and overall development. Through observation, research, and hands-on experience, I explored OT’s role in identifying and treating TOTs. I created an evidence-based educational infographic for local physician and dental offices to advocate for increased OT involvement and tracked patient referrals to assess its impact. Literature review revealed that while TOTs are commonly linked to lactation and speech, their broader effects on motor coordination, sensory processing, and posture are underrecognized. Many providers lack awareness of OT’s relevance, and a needs assessment exposed a communication gap between referring professionals and OT practitioners. This emphasized the importance of advocacy and interdisciplinary collaboration. Project methods included shadowing OT sessions, reviewing clinical cases, developing and distributing the infographic, and tracking referral data pre- and post-distribution. Findings suggested increased provider awareness and referral frequency. This project enhanced my clinical reasoning, leadership, and advocacy skills, especially in educating non-OT professionals and fostering community partnerships. It also deepened my understanding of OT’s role in treating under-acknowledged conditions like TOTs. The project underscores the importance of OT advocacy and education in healthcare, reinforcing OT’s role in early identification and holistic intervention. By increasing provider awareness, earlier and more appropriate referrals can improve developmental outcomes. Continued efforts in provider education and research are essential to support comprehensive, team-based approaches to TOTs and related occupational performance challenges.

Graduation Date

2025

Keywords

tethered oral tissues, pediatrics, advocacy

Disciplines

Occupational Therapy

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Link to presentation: https://youtu.be/6NQ4Q4oNoqQ

Degree Type

Book

Site Mentor

Lauren Walters MS, OTR/L, CIMC

Tethered Oral Tissues (TOTs) and Occupational Therapy (OT)

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