Tethered Oral Tissue Release

TOTS stands for “Tethered Oral Tissues.” It refers to a group of conditions in which the oral tissues in the mouth are restricted or attached in a way that can affect oral functions and development. The two main conditions that fall under TOTS are tongue tie (ankyloglossia) and lip tie.

Types Of TOTS


Tongue Tie (Ankyloglossia)

This condition occurs when the strip of tissue (lingual frenulum) that connects the tongue to the floor of the mouth is shorter or tighter than usual. As a result, the movement of the tongue may be restricted, impacting functions like breastfeeding, eating, speech, and oral hygiene.


Lip Tie

This condition involves a tight or thick band of tissue (labial frenulum) that connects the upper lip to the gum line. Lip tie can affect breastfeeding in infants and, in some cases, lead to spacing issues between the front teeth as the child grows.

TOTS Challenges

TOTS can be present at birth and may cause various challenges depending on the severity of the restriction. While some infants and individuals with TOTS may not experience significant difficulties, others may encounter problems with: breastfeeding, speech, oral hygiene, and even dental health.






Oral Hygiene


Dental Health

London Tongue & Lip Tie Centre

We conduct assessments for tethered oral tissues (TOTs) and associated symptoms during both the new patient examination and each recare visit. Additionally we offer several screening clinics for the public; including a clinic with a Oromyofunctional therapist! As TOTs can have a widespread effect on the body, we can assist you in seeking out supportive therapy within our Airway Advocate Network. Call us today at (519) 663-9900 or book an appointment online.

Book An Appointment Today!


163 Commissioners Road West, London, ON N6J1X9 Canada

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Office Hours

Monday: 8:30 AM - 4:30 PM

Tuesday: 9:00 AM – 7:00 PM

Wednesday: 9:00 AM – 5:00 PM

Thursday: 10:00 AM – 6:00 PM

Friday: 8:00 AM – 2:00 PM


Office Hours

Monday 8:30 AM - 4:30 PM
Tuesday 9:00 AM – 7:00 PM
Wednesday 9:00 AM – 5:00 PM
Thursday 10:00 AM – 6:00 PM
Friday 8:00 AM – 2:00 PM



163 Commissioners Road West, London, ON N6J1X9

For emergencies and same day appointments please call us at (519) 663-9900 for immediate attention.

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