Comprehensive Frenulum Surgery Workshop
Infants, Adolescents, and Adults
Coming Soon!


In keeping with the tenet of “do no harm,” and to continue to deliver the premier education
for myofunctional therapy, the AOMT has advanced its time-table to put all of our courses online!


  • State of the art online course delivery with lectures in a library (optimal e-learning formats, quizzes to support retention, high production values, in digestible chapters and headings, supplemented by live cohort support
  • Content beyond the original course hours and details for a more robust educational opportunity: for our virtual format we are expanding each course module section with supplemental material that was not able to be delivered in the constraints of our live course formats hours (i.e. expanded anatomy, pathology, & research)
  • Continuous ongoing support
  • Register today and you will be contacted by us personally in order to schedule your training!


Should you have any further questions please contact AOMT Director Samantha Weaver at

Comprehensive Frenulum SURGERY Workshop

An intensive frenulum surgery workshop to provide allied health professionals a foundation for the revision of angkyloglossia

This workshop is designed to work towards the establishment of the 1st frenulum surgery standard of care that will be medically validated, “Myofunctional Frenuloplasty”

The focus of this workshop will be to provide clinicians (MDs, DDSs) with practical tools to use in their practice immediately, wether they use scissors, scalpel, or laser

Step by step surgical technique (scalpel and scissors, Zaghi, Myo) will be presented with both infant and adults (different procedures for both) for surgical revision of ankyloglossia

The emphasis in this workshop will be focused on a foundation based on technique beginning with and focused on scalpel and scissors

An overview of our medically validated frenulum inspection protocols will be demonstrated (Marchesan)

Learning Outcomes

• Review of tongue surgical anatomy.

• Assessment of readiness to proceed with intervention.

• Risks, benefits, and alternatives to surgery.

• Anterior tongue-tie release vs. posterior tongue-tie release.

• Understanding the Surgical Technique: Myofunctional Frenuloplasty, with surgical assist provided by a myofunctional therapist.

• Follow up and post-operative care.

• Management of difficult cases.

Ankylolglossia, a key orofacial myofunctional disorder, has gained tremendous attention from major medical meetings to mommy blogs as a potentially perilous condition.

From difficulty breastfeeding to creating a pathway to an altered craniofacial morphology, the more that is known about this condition the greater sense of the sense of urgency has arisen to identify and address this condition.

Public health milestones such the validation of frenulum inspection tools for infants (Martinelli) as well as adolescents/adults (Marchesan) and the passage of Brazil’s Teste da Linguinha/Frenulum Inspection Law (as of January 2015) coupled with recent work identifying anklyloglossia as a phenotype for OSA (Guilleminault 2016, Yoon 2017, Yoon 2017) have helped strengthen the foundation for OMT to emerge.

Much more work, however, around phenotyping, treatment standards, and the science of the mechanisms involved are needed for the field of OMT to gain a solid footing.

There is practically no consensus around prevalence of ankyloglossia, but work stemming from the Martinelli and Marchesan protocols has made clear that this is a serious condition with upwards of 21% (Martinelli 2016) of the population perhaps requiring surgical revision to avoid the potential for alterations in speech, altered craniofacial morphology (Yoon 2017), and potential for OSA (Huang 2015, Guilleminault 2016).

The fact that ankyloglossia is referenced throughout dental and medical literature, but no standard of care for its revision is, in the opinion of this institute, a scandal.

It is our aim to establish, along with our medically validated frenulum inspection protocols, the 1st frenulum surgery standard of care.




ZaghiSoroush Zaghi, MD
Dr. Zaghi graduated from Harvard Medical School and completed a 5-year residency training in Head and Neck Surgery at UCLA. He completed Sleep Surgery Fellowship as Clinical Instructor of Otolaryngology at Stanford University. The focus of his specialty training is on Sleep Endoscopy, CPAP Optimization, Myofunctional Therapy, Frenuloplasty, Nasal Surgery, Throat Surgery, and Maxillofacial Surgery for the treatment of nasal obstruction, snoring, upper airway resistance syndrome, and obstructive sleep apnea. He is very active in clinical research relating to sleep disordered breathing with over 50 peer-reviewed journal articles relating to neuroscience, head and neck surgery, and obstructive sleep apnea.

Eyal Botzer, DMD
Eyal Botzer is a DMD from the Hebrew University School of Dental Medicine. He studied in the Post Graduate program in Pediatric Dentistry. He then served as a research fellow at the NYU Dental School, training in a new technique for the treatment of cleft lip and palate at the NYU Medical Center Institute of Craniofacial Reconstructive Plastic Surgery. He then served as the Director of the Pediatric Dentistry Clinic at the Tel Aviv Sourasky Medical Center. Dr. Botzer specializes in pediatric dentistry and the treatment of neonates with craniofacial anomalies. He also co-authored several articles on Tongue Tie and & performed over 10 thousand frenotomies on newborns with breastfeeding difficulties.

Giovanni Olivi, MD, DDS
Giovanni Olivi is a Professor of Conservative Dentistry and Endodontics in the Degree Course in Dentistry and Master in “Laser Dentistry” at the University of Genoa. He graduated with honors in Medicine and Surgery at the University “La Sapienza” of Rome. He obtained a Master of the American Academy of Laser Dentistry in Las Vegas, NV. Speaker in more than 150 international conferences, scientific advisor to several magazines, author of numerous publications ,in 2007 was awarded in Nashville with Leon Goldman Award, received for Clinical Excellence.

Sanda Valcu-Pinkerton, RDHAP, OMT
Sanda Valcu-Pinkerton believes in treating people, not problems. As a therapist, she works with patients of all ages to help train the orofacial muscles to develop optimally. During surgery, she supports Dr. Zaghi in their functional frenuloplasty procedures, incorporating myofunctional therapy to optimize outcomes. Besides her 25+ years of experience working in clinical practice as a Registered Dental Hygienist in Alternative Practice (RDHAP), she has continued to increase her knowledge and skills by becoming an Orofacial Myotherapist and Buteyko Breathing coach. Sanda’s outstanding work facilitates better breathing and greater overall health.

The AOMT has been proud to have collaborated with many of the world’s foremost authorities to create such a foundation.  In our Comprehensive Frenulum Inspection Workshop, we train practitioners to use the latest validated frenulum inspection protocols (Martinelli-Infants, Marchesan-Adolescents & Adults, both of which were a foundation for Brazil passing the world’s 1st frenulum inspection law for all newborns) with hands-on training and theory from the authors themselves including leading authority Irene Marchesan, PhD, SLP, co-creator of both inspection tools & architect of Brazil’s frenulum inspection law, on theory, research, and using validated inspection

tools; leaders in pre and post treatment Joy Lea Moeller, BS, RDH on myofunctional therapy and frenulum surgery, pre- & post care, osteopathic physician Virginia Johnson, DO FAAO on the correlation to the lymphatic system, physical therapist Valerie Sinkus, PT on the correlation to posture and the fascia system; and finally surgical all stars surveying surgical approaches to revision (with pre- & post care) with pediatrician James Murphy, MD on frenotomy on infants with scissors, oral surgeon Douglas Galen, DDS on frenectomy for all ages, ENT & sleep surgeon Soroush Zaghi, MD on myofunctional frenuloplasty, a proposed standard of care for frenulum revision & current research.

This course represents the AOMT’s commitment to developing the best curriculum available anywhere, expanding on our comprehensive introductory course and diving much deeper in areas critical to a greater foundation in the field. This course contains all new curriculum and is a must for anyone working with patients with sleep disorders, TMD, or looking to advance in the field.

The AOMT is committed to providing the strongest foundation in the field of orofacial myofunctional therapy. We ground our curriculum in the latest evidence-based research. We have taught more than half of the myofunctional therapists practicing in North America. We offer further on-going assistance via the internet with professional problems you may have. We have a networked referral system for receiving new patients from doctors in your area. We schedule several courses throughout the year at various locations across the USA.

Comprehensive Frenulum Surgery Workshop
Coming Soon!