Form. Function. Physiology.

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On the cutting edge of the decision of if and when to cut.

     Our first foundational principle is to put function first.  

Our second is to never introduce a simple treatment solution to a complex patient.


We are all trained on the principle of "First do no harm", but sometimes it is a challenge to know where to start in treating complex patients that are affected by restricted oral tissues
Regretfully, many providers are not trained to recognize a complex patient until  they discover that a simple treatment approach was not as effective as expected.   


The goal of educating providers on the principles and protocols of BabyLase is to provide the techniques, tips and tools necessary to:


  • Support the provider in assessing their patients
  • Referring for supportive care by additional treatment team professionals
  • Developing the skills necessary to deliver quality BabyLase Therapy in a clinical setting 


The methods utilized to educate providers include:


  • Comprehensive instruction on laser physiology and safety
  • Comparisons between different laser wavelengths,  manufacturers and techniques utilized to perform oral releases
  • Providers treating each other to benefit from their own personal OraLase/SmileLase experience 
  • Observation of experienced BabyLase providers  in a clinical setting working on a variety of patients
  • Instruction by the combination of the dentist and infant feeding specialist that have developed this very targeted therapeutic modality

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Conservative, cautious, considerate, reversible and non-invasive.


By respecting the anatomy and physiology as well as honoring the principles of natural function, providers are able to assist their patients in maximizing function before, during and after a surgical release if deemed necessary.

Multidisciplinary education for a integrative approach

 The bodies of our patients are integrated and their treatment providers should be integrative in their approach to care.  BabyLase training includes instruction on:

  • Anatomical  and structural influences of the oral environment
  • Function of the tongue and lips
  • Influence of the mandibular labial tendon and buccinator fascia
  • Role of sleep fragmentation and airway function
  • Importance of understanding retained primitive reflexes and opportunities to successfully integrate them into postural reflexes
  • Relevance of the suck, swallow, breathe reflex
  • Importance of understanding the swallow as an integrative force in neurophysiology
  • Implications of oral function on bodily function: how altering one part of the body influences the entirety of the body
  • Gently optimizing Integration of sensory processing in the context of improved structure and function

Triad. Dyad. Tongue.

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Triad

BabyLase principles and procedures address more than just the perceived tongue tie.  It is critical  when treating the infant or child to fully understand the triad of the function of the:

  1. oral environment
  2. the whole body fascial system 
  3. the neurological bi-directional feedback through the fascia and cranial nerve system 


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Dyad

The mother-baby unit is referred to as a dyad.  

BabyLase therapy involves the treatment of the mother immediately before their baby is treated.  Benefits include:


  • A mother who can experience the warmth and relaxation of the therapy that their baby will be experiencing during their procedure
  • A baby that can experience the benefits of non-surgical and neurologically integrating therapies that have been known to create many improvements in the quality of life for both the baby and their families.
  • Optimizing both form and function for mother and child provides a unique opportunity for increases in quality of life

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Tongue

Function is more than skin deep ...and dysfunction goes all the way to the core. 


The tip of the iceberg did not sink the Titanic and the visible portion of the frenum is not the only structure affecting function. 


By adding the BabyLase therapy to any type of surgical release for restricted oral tissues, you provide the patient the opportunity to access releases into the fascial tissue. 


Assessing and addressing the complicated posterior tongue tie becomes less complicated when function can be optimized through neurological integration and non-surgical fascial releases by utilizing  BabyLase Therapy.

OraLase & BabyLase

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OraLase

 

The OraLase technique is Dr. Nordstrom's innovation using the FDA approved Fotona Lightwalker Laser and the FDA approved FOX ARC 1064 (XLase)  to address neurological and structural limitations/restrictions in the oral region.

 

It is utilized to address orofacial pain and dysfunction by specifically treating the neurological and fascial systems of the head and neck.  


OraLase is a very specific application of laser  frequency and technique that achieves consistently remarkable results for patients  the age of 6 and older. 

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BabyLase

 BabyLase is the application of the OraLase/SmileLase technique as applied to children ages 0-2.  It is a highly customized form of the standardized OraLase/SmileLase protocol based on clinical experience and  feedback from parents and providers.   As a modification of dosage based on age, size and level of function,  the BabyLase protocol continues to be refined through active patient care and careful feedback from parents and  thorough ongoing functional assessments. 


BabyLase has been developed by  Dr Angie and Nicole by applying Dr. Nordstrom's OraLase principles to infants and children.   As a unique partnership of a highly trained head and neck functional dentist and a tongue  focused infant feeding specialist, they developed co-treatment protocols and procedures to achieve consistently beneficial results for their patients in the BabyLase program at Synergy Dental Solutions 

Introducing SmileLase

Playing it safe...just in case.

 

Origins of SmileLase and Trademark Issues


SmileLase is the same technique known as OraLase.  It was developed by Dr. Darick Nordstrom with the goal of improving quality of life for patients and improving treatment outcomes for ALF Therapy providers.  


Due to a competing trademark application, the term OraLase cannot be advertised without risk of legal action from the owner of the company that applied for the similar word "Orolase".  Practitioners choosing to utilize and advertise the SmileLase technique (and who have taken the appropriate training through The Synergy Academy or the ALF InterFACE Academy) can use the term SmileLase without fear of legal retribution from a competing company.  


Based on legal advice, the Synergy Academy, Inc and the ALF InterFACE Academy, Inc will not be advertising our courses as OraLase due to the potential legal and financial implications of trademark infringement litigation.   However, we will be ensuring that all trained providers are aware that this technique was developed by Dr. Nordstrom and is also known as OraLase. 


Individual practitioners may choose to use whatever name for the procedure that they choose at their own risk.  




 For more information on SmileLase, please click on the logo to go to the SmileLase website. 

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Recently released article from Today.com

 

More babies getting their tongues clipped to help breastfeed. But is it necessary?

Article: Untangling the tongue tie epidemic

 

What is a tongue tie? Defining the anatomy of the in-situ lingual frenulum.

 "The lingual frenulum is not a discrete midline structure. It is formed by dynamic elevation of a midline fold in the floor of mouth fascia. With this study, the clinical concept of ankyloglossia and its surgical management warrant revision."   Clin. Anat., 2019. 

"The Best Topical Ever"

Sockit! Gel

Safe and effective post-treatment solution if a surgical release is indicated

Sea Buckthorn Healing Lotion

Ointment to increase the rate of wound healing.

Literature references

  

E. Blechschmidt: The Beginnings of Human Life


“All modes of behavior (of life) studied with respect to an organic substrate were shown to be based on embryonic developmental processes. Hence the heredity of so-called instinctive functions. What we call instincts are direct continuations of prenatal development processes (i.e.., ontogenetic, but not phylogenetic events). Something that has not been unconsciously initiated by the body in early development could be further developed after birth and practiced later - consciously or instinctively. We recall here the sucking reflex and repeat that unless the lips of a young embryo had been rolled in as a result of its early functions, the newborn would be unable to suck instinctively.” 

Ontogeny is the developmental history of an organism within its own lifetime, as distinct from 

Phylogeny, which refers to the evolutionary history of a species. In practice, writers on evolution often speak of species as "developing" traits or characteristics.


https://en.wikipedia.org/wiki/Ontogeny

Enlow states: Characteristic features of the mature swallow are:

´  (1) the teeth are together (although they may be apart -with a liquid bolus);

´ (2) the mandible is stabilized by contractions of the fifth cranial nerve muscles; 

´ (3) the tongue tip is held against the palate above and behind the incisors; 

´ (4) minimal contractions of the lips are seen during the swallow


(Handbook of Facial Growth p.379)


What is evidence-based medicine?
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3789163/


Quantum physics: The double slit experiment
https://www.youtube.com/watch?v=U7Z_TIw9InA


Majdabadi A, Abazari M. Analysis of Laser-Fat Interaction Through Comparing 980 nm Diode Laser With 1064 nm Nd:YAG Laser, J Skin Stem Cell. 2014 ; 1(1):e17793. doi: 10.17795/jssc17793

Results: The simulation results showed that the penetration depth and temperature rise of 980 nm wavelengths were different from those of 1064 nm wavelength. It appeared that 1064 nm wavelength penetrated to deeper layers of tissue compared with 980 nm. Moreover, temperature rise during 1064 nm irradiation led to temperature increase in allowable ranges

https://l.facebook.com/l.php?u=http%3A%2F%2Fjournalssc.com%2Fen%2Farticles%2F14641.html%3Ffbclid%3DIwAR3R5WuJXnro_Ax5Grw-dcWWyk4mEbVXMalzxxD82Nvb58laKQtjCBOFP8k&h=AT3QIk2tEKzwcrSRQNCC5xvfZKtnIMQOwFm3h5mc46WOdpuYxFqRNnHNCLaO3woCDh8C7GSw0AMmAP4tiURjFBMrqCef9PCdsCQa4Xk-sfYuVATkezmZP8GilNHg4oTbljC7


Anatomy, Fascia Layers Adrianna Gatt; Sanjay Agarwal; Patrick M. Zito

https://www.ncbi.nlm.nih.gov/books/NBK526038


WHAT IS PHOTOBIOMODULATION THERAPY?
https://www.litecure.com/about-photobiomodulation/
 

https://www.youtube.com/watch?v=kn7JXDGpEfI


Photobiomodulation or low-level laser therapy

Michael R. Hamblin, Ph.D

Photobiomodulation has made, and is continuing to make, major progress in obtaining recognition from authorities in medical schools, scholarly journals, the popular press and media, medical practitioners, therapists and other bodies concerned with biomedical science. This progress was very necessary as only about ten years ago the general consensus was that LLLT was “snake oil” and only practised by charlatans. Several influential “systematic reviews” including the Cochrane Database Organization concluded that LLLT had found “no reliable evidence” for efficacy in diseases such as osteoarthritis, rheumatoid arthritis, etc. [5]. Another problem involved the prevailing use of a wide variety of different kinds of light sources (medical devices) and treatment protocols including, illumination parameters (such as: wavelength, fluence, power density, pulse structure, etc.) and the fact that there was no agreement on the treatment schedule. Unfortunately, these variations in study designs led to an increase in the number of negative trials that were published and created some controversy, despite the overwhelming number of positive clinical results that were also obtained [6].

This change in perception that has occurred in recent years can be attributed to several factors, but perhaps the most important among these considerations is the progress that has been made in understanding the mechanisms of action at a molecular, cellular and tissue-based level


https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5215795/#!po=13.8889


The histochemical structure of the deep fascia and its structural response to surgery

J Hand Surg Br. 2001 Apr;26(2):89-97.

McCombe D1, Brown T, Slavin J, Morrison WA.

The histochemical structure of the deep fascia and its interface with the underlying muscle was examined in ten pigs. This structure was also evaluated after it had been raised as a fascial flap and in another site after the underlying muscle surface had been disrupted. The deep fascial is a simple structure of densely-packed collagen bundles and elastin fibres, and has hyaluronic acid concentrated on its inner surface, which is in contact with the underlying muscle. There is no specialised lining of this surface of the fascia to account for its gliding properties. The post-surgical specimens demonstrated preservation of the structure of the interface between fascia and muscle, including the retention of the hyaluronic acid lining, if the epimysium was intact.


However, if the epimysium was disrupted, the structure of the interface was obliterated


Fascia as a Sensory Organ A Target of Myofascial Manipulation Robert Schleip Ph.D.


http://axissyllabus.org/assets/pdf/Schleip_Fascia_as_a_sensory_organ.pdf


Viscoelastic Properties of Hyaluronan in Physiological Conditions
Mary K. Cowman, Tannin A. Schmidt, [...], and Antonio Stecco

The shear rate dependence of the viscosity, and the viscoelasticity of HA solutions, depend on the relaxation time of the molecule, which in turn depends on the HA concentration and molecular weight.

Temperature can also have an effect on these properties. High viscosity can additionally affect the lubricating function of HA solutions. Immobility can increase the concentration of HA, increase the viscosity, and reduce lubrication and gliding of the layers of connective tissue and muscle.


Over time, these changes can alter both muscle structure and function. Inflammation can further increase the viscosity of HA-containing fluids…


HA is increased in concentration during inflammation, and can be covalently modified

A common observation in inflamed tissues is an increase in the concentration of HA The HA content of injured skeletal muscle is known to be elevated 

Stecco et al.  documented, with a highly specific HA-binding peptide, the deposition of HA inside the loose connective tissue in three different fasciae of the body: fascia lata, rectus abdominis sheet and sternocleidomastoid (SCM) fascia. 

Stecco et al. 20 also documented an increase of the thickness of the loose connective tissue in the SCM fascia in patients complaining of chronic neck pain syndrome. 


If the HA content of fascia is increased, the viscosity and elasticity of the HA-containing fluid would be increased, and its fluid film lubricating properties reduced

 

Raising eyebrows on neuroinflammation: Study finds novel role for 'skin plumping' molecule
Neuroscientists identify surprising brain action of cartilage component hyaluronic acid
 

FLORIDA ATLANTIC UNIVERSITY

NEWS RELEASE 11-JUL-2019

"We normally think of hyaluronic acid with respect to cartilage formation and also for its role in many processes including cancer progression and metastasis," said Quan. "However, what we have uncovered in our study is a completely unique role for this molecule. We have been able to document a connection between the blood cells and the brain cells, showing that the activating signal passed between these cells is hyaluronic acid.“


https://www.eurekalert.org/pub_releases/2019-07/fau-reo071119.php?fbclid=IwAR0zx73ly_d9hdQZMKo0fr65knB86sRwMVdy_9qxM-Amu1QUHyOnD4KM9as


Hyaluronan Concentration within a 3D Collagen Matrix Modulates Matrix Viscoelasticity, But Not Fibroblast Response
S.T. Kreger and S.L. Voytik-Harbin



Fascial manipulation aims to interrupt the ‘memory’ of the superficial and deep fasciae with regards to muscular trauma and internal dysfunctions.

J. Stubes et al


STECCO, C., PORZIONATO, A., MACCHI, V., STECCO, A., STERN, R., DE CARO, R.. Analysis of the presence of the hyaluronic acid inside the deep fasciae and in the muscles. Italian Journal of Anatomy and Embryology, North America, 116, Nov. 2011.

Any intervention in the fascial system may have an effect on the autonomic nervous system and on all the organs which are directly affected by the autonomic nervous system.

Recent study showed a layer of hyaluronic acid between fascia and muscle and inside deep fascia, in particular inside the loose connective tissue separating the fibrous sub-layer of the fascia. This means that the fascia thus provides an extracellular matrix that is a gliding lubricant over muscle, permitting the free contraction of muscles, but also a unique matrix for its repair and regeneration.



The American Academy of Pediatric Dentistry Policy on Obstructive Sleep Apnea

https://www.aapd.org/media/Policies_Guidelines/P_SleepApnea.pdf 


Trigeminal, Visceral and Vestibular Inputs May Improve Cognitive Functions by Acting through the Locus Coeruleus and the Ascending Reticular Activating System: A New Hypothesis

https://www.frontiersin.org/articles/10.3389/fnana.2017.00130/full 


Trigeminal Cardiac Reflex: New Thinking Model About the Definition Based on a Literature Review  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4602726/ 


Trigeminal Cardiac Reflex and Cerebral Blood Flow Regulation

https://www.frontiersin.org/articles/10.3389/fnins.2016.00470/full


Treating the Phobic and Anxious Dental Patient:

Introduction to Havening Therapy

https://www.havening.org//media/articles/dr_ruden_phobia_article.pdf 


The Limbic System - Ronald A. Ruden, M.D, Ph.D.

https://www.havening.org//media/articles/04c490_3b3c1a76d73f4b849027ed7fd2ce8b24.pdf 


Increased Cerebral Blood Flow Velocity in Children with Mild

Sleep-Disordered Breathing: A Possible Association with Abnormal Neuropsychological Function

https://www.ncbi.nlm.nih.gov/pubmed/17015501 


Not all sleep is equal when it comes to cleaning the brain

https://www.sciencedaily.com/releases/2019/02/190227173111.htm 


Spinal CSF flow in response to forced thoracic and abdominal respiration

https://fluidsbarrierscns.biomedcentral.com/articles/10.1186/s12987-019-0130-0 


Meaning of the Solid and Liquid Fascia to Reconsider the Model of Biotensegrity

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6126780/?fbclid=IwAR38nbgJiy06GCzeqvIqJygZgyxLKU7G7c6Ra9ef6LGkeZmOV3QQ5cO2WB4 


A New Pain-sensitive Organ Has Been Discovered in Our Skin

https://www.technologynetworks.com/neuroscience/news/new-pain-sensitive-organ-found-in-skin-322891?fbclid=IwAR0wAiz2hIIuQZBLyGrc7wrUBd5A0rWL5QtnLHBBE9wjepi6ZVW4f_R8lyk 


Stretch force guides finger-like pattern of bone formation in suture

https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0177159 


Etiology, clinical manifestations and concurrent findings in mouth-breathing children.

https://www.ncbi.nlm.nih.gov/pubmed/19060979/?fbclid=IwAR3R4abCZbL2wXI2pDm5WYEG-khQ9j7XC-4_6YUKU2Hp4Apn3ZrT30RHujA 


Adults with sensorimotor disorders: enhanced physiological and psychological development following specific sensorimotor training

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4406001/


More babies getting their tongues clipped to help breastfeed. But is it necessary?

Tongue-tie and upper lip tether release surgeries have increased dramatically in the U.S. without clear data that it helps breastfeeding.

https://www.today.com/health/tongue-tied-babies-more-babies-getting-their-tongues-clipped-it-t158181


Untangling the tongue-tie epidemic

http://medicalrepublic.com.au/untangling-tongue-tie-epidemic/10813

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