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Tethered Oral Tissues (TOTs)


TOTs is a very popular topic in our community.

Understandably, parents and providers are very motivated to do everything they can to help their young children thrive. We believe releasing TOTs is a treatment that can benefit some patients who are having difficulty feeding early in life. 

We also believe that feeding challenges complex multifactorial issues. Releasing ties is just one tool in the toolbox. At this time research related to diagnosing TOTs, deciding when treatment is absolutely necessary, and determining how well treatment will help resolve problems is very limited in our opinion. For these reasons our office is very conservative is recommending the release of tissues. 

We strongly recommend parents work with a lactation consultant exploring other noninvasive options before perusing more invasive surgical options.

When we release ties we do so using a diode laser. We prefer laser treatment because it allows for quick, precise treatment. It also significantly reduces compared to a blade or scissor.


We always require a consult visit to evaluate your child's condition before scheduling release. This allows us to evaluate the child and discuss expectations with parents. If  you would like to schedule a consult give our office a call at 470-414-1350 or email

Dentist Newnan Georgia
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