Friday, February 6, 2026

Ann Bynum, DDS
Keynote Friday, 8:00 am – 9:25 am
The Plot Behind the TOT: What’s Hot and What’s Not!
1Abstract
Tongue tie (ankyloglossia) has long been associated with breastfeeding and speech concerns, but current research reveals its broader impact on sleep, airway development, and long-term health. This keynote presentation, “The Plot Behind the TOT: What’s Hot and What’s Not” explores the evolving landscape of diagnosis, treatment, and interdisciplinary care. Attendees will gain an updated understanding of how restricted tongue mobility contributes to sleep-disordered breathing and craniofacial growth, as well as how collaborative care models drive better outcomes.
Using a “hot vs. not” framework, this session will highlight what’s working in the field — evidence-based screening, team-based care, functional training, and outcome tracking — while calling out outdated or ineffective practices such as “snip and send,” guesswork assessments, and isolated treatment approaches. Practical pearls on integrating tongue tie evaluation into daily practice will be shared, along with strategies to enhance leadership, teamwork, and patient communication.
Attendees will leave with a clear sense of direction: what to adopt, what to avoid, and how to better serve patients by combining clinical excellence with collaborative care. This presentation blends research, real-world cases, and practice-growth strategies in an engaging, memorable format
1Biographical Highlights
Dr. Ann Bynum is originally from Ocala, Florida. She completed her undergraduate training at Florida State University. She then attended dental school at the University of Iowa, where she met her husband, Dr. Matt Bynum. She did two further years of training in Pediatric Dentistry at the University of Texas Health Science Center in San Antonio, Texas.
Dr. Ann moved to Greenville, South Carolina, in 1997 and opened her practice in Simpsonville. She has three children of her own (all boys!!) and understands and appreciates the arts of pediatric dentistry and parenting!
Although she had used lasers for much of her dental career, in 2013, Dr. Ann began her journey to learn about TOTs and how best to treat them. She has been helping families in the Upstate of South Carolina and surrounding areas for over 6 years with the help of a wonderful, supportive team of SLPs, IBCLCs, OTs, PTs, COMs, and DCs.
Dr. Ann is a Diplomat of the ABPD, a member of the SSPD, the AAPD, and the ADA. She has lectured and written numerous articles on customer service, marketing, leadership, and teamwork over the years. She enjoys spending time with her husband and their three boys, Matthew, Luke, and John, as well as working on her practice and traveling.

Ben Miraglia, DDS
Keynote Friday, 9:30 am – 10:35 am
Sleep-Disordered Breathing: The Silent Epidemic and the Power of Early Intervention
1Abstract
Sleep-Disordered Breathing (SDB) has become one of the most under-recognized health challenges of our time—affecting millions of children and adults, often without a clear diagnosis. Its earliest warning signs are frequently dismissed as “common” childhood issues: ADHD-like behaviors, bedwetting, teeth grinding, anxiety, depression, and chronic fatigue. But these are not “normal”—they are red flags pointing to a compromised airway and poor sleep quality. This keynote will explore how we arrived at this epidemic, tracing lifestyle, environmental, and medical shifts that have shaped craniofacial growth patterns and airway health. More importantly, we will focus on what we can do about it now—highlighting prevention through early diagnosis and airway-centered intervention. With compelling case studies, we’ll show how timely treatment—combining tethered oral tissue releases, myofunctional therapy, and expansive orthodontics—creates the foundation for healthy children who grow into healthy adults. Attendees will leave with a deeper understanding of why SDB is not just a sleep issue but a whole-body health concern, and why early, comprehensive intervention must become the standard of care if we are to reverse this silent epidemic.
1Biographical Highlights
Dr. Ben Miraglia, a graduate of the State University of New York at Buffalo School of Dental Medicine, is a member of the ADA, the AGD, the NYSAGD, and the Ninth District Dental Society. He has been in private practice for 25 years and currently maintains a family practice in Mount Kisco, NY, with a focus on sleep and airway, TMD and occlusion, and full-mouth restorative dentistry, including Invisalign® and dental implants.
Dr. Miraglia lectures nationally on sleep-disordered breathing, GP orthodontics, TMD, occlusion, and comprehensive dentistry. He is on the board of directors for the American Academy of Physiological Medicine and Dentistry. Dr. Miraglia is a frequent guest speaker at the Dawson Academy, presenting viable solutions to increase oral volume capacity to reduce/eliminate symptoms of sleep-disordered breathing and TMD. In 2015, he was recognized as a “Leader in Continuing Education” by Dentistry Today Magazine and was recently honored with a position on the President’s Council of Northern Westchester Hospital in Mt. Kisco, NY.

Andrew Cohen, DMD
Keynote Friday, 10:40 am – 11:45 am
Options for Adults: Education Leads to Action, Action Leads to Change
1Abstract
Adult sleep disorders are common, underdiagnosed, and frequently multifactorial, contributing to significant morbidity, impaired quality of life, and increased risk of chronic disease. Effective management requires moving beyond symptom-based treatment toward a structured, mechanism-driven approach that identifies the underlying contributors to disordered sleep. This lecture presents a practical framework for evaluating the adult sleep patient, emphasizing identification of anatomic, circadian, and metabolic factors during the clinical encounter. The presentation will review key components of a sleep-focused history and physical examination, highlighting clinical findings suggestive of upper airway obstruction, craniofacial contributors, neuromuscular factors, circadian misalignment, and metabolic dysfunction. Treatment strategies will be discussed along a continuum, ranging from anatomic interventions to circadian-based therapies—including light exposure and behavioral timing—as well as metabolic and lifestyle interventions targeting weight, nutrition, and overall systemic health. By the end of this session, participants will be equipped with a structured, integrative approach to sleep disorder management aimed at improving patient health and quality of life through targeted education, evaluation, and treatment.
1Biographical Highlights
Dr. Andrew Cohen is a family dentist in Jenkintown who specializes in dental sleep medicine. Believing that clarity leads to the best decisions, he helps patients understand complex issues related to sleep disorders and provides solutions that positively impact their lives. Embracing the motto “I make suggestions, you make decisions,” Dr. Cohen offers a collaborative approach that sets him apart in his field.
Holding a DMD from Temple University, Dr. Cohen earned diplomate status in dental sleep medicine from the Academy of Clinical Sleep Disorder Disciplines (ACSDD) in 2019. He serves on the ACSDD board of directors and is nationally recognized for his lectures on sleep disorders and comprehensive exams. As a visiting faculty member at Spear Education since 2011, he mentors dentists worldwide, sharing his expertise in dental sleep medicine. Outside of dentistry, he enjoys family time, playing tennis, and pursuing his passion for photography.

Peter Vitruk, PhD, MInstP
Breakout Session I Friday, 1:00 pm – 1:45 pm
Non-Ablative and Ablative CO2 Laser Applications and Introduction to the Hands-On Laser Wet Labs
1Abstract
The differences between Non-Ablative and Ablative CO2 laser settings will be discussed with respect to LightScalpel CO2 laser applications ranging from frenectomies to soft palate tightening and more. For Non-Ablative applications, the histology of the remodeled tissue will be discussed along with clinically relevant laser settings, techniques, and principles. For Ablative applications, the Depth of Incision and the Depth of Coagulation/Hemostasis will be discussed. A brief introduction to hands-on simulation and practicing of Ablative and Non-Ablative procedures during the upcoming wet labs will also be presented.
1Biographical Highlights
Dr. Peter Vitruk was born and raised in Ukraine. He earned his PhD degree in Physics from the Moscow Physics and Technology Institute, Moscow in the late 1980s in the former USSR. In the 1990s he held a Research Scientist position with The Academy of Sciences in the former USSR and then a Royal Society Visiting Research Fellow position at Heriot-Watt University in Edinburgh, Scotland, UK. He later worked as Senior Scientist with Synrad Inc. in Seattle, WA, and then as Chief Scientist with Luxar/ESC/Lumenis also in Seattle, WA. In 2002 Dr. Vitruk founded Luxarcare LLC – an exclusive certified Luxar laser service and accessories provider for 12,000+ surgical Luxar laser installations around the globe. In 2005 he founded Aesculight LLC and LightScalpel LLC – the only American-based designer and manufacturer of surgical CO2 lasers for small office out-patient market. Dr. Vitruk has authored 10 patents and over 20 articles on CO2 lasers, and is a Member of The Institute of Physics, UK. In 2017 he founded the American Laser Study Club, an educational platform that helps physicians, dentists, veterinarians, and practice staff members to excel at the efficient and safe application of laser energy in everyday practice. He is married to his wife of 39 years Natasha and they together have two children, Olga and Alexander.

Piya Gandhi, DDS
Breakout Session II Friday, 1:00 pm – 1:45 pm
Pediatric Airway Development: Knowing Normal to Identify the Abnormal
1Abstract
Assessing pediatric airway health requires a comprehensive, multi-factorial approach. A solid understanding of normal structural and functional development is essential for appropriate screening, diagnosis, and timely intervention. Without a clear grasp of what “normal” looks like, clinicians may miss subtle red flags or fail to ask the right questions. This lecture will explore key milestones in pediatric airway development, highlight early warning signs of dysfunction, and provide a framework for identifying when and how to intervene. Attendees will leave with the tools to better recognize deviations from normal, understand the hierarchy of treatment priorities, and collaborate effectively within interdisciplinary teams.
1Biographical Highlights
Dr. Gandhi is a recipient of the 2024 Kumar Patel Prize in Laser Surgery.
Dr. Piya Gandhi is a board certified pediatric dentist specializing in functional pediatric dentistry. Her practice screens all patients for airway, sleep, speech, feeding and growth and development disorders. She specializes in treating infants and children with airway disorders including the diagnosis and treatment of tongue and lip tie. Her passion for tethered oral tissue (TOTs) was born from her personal experience and struggles with her older daughter, Cyrah. Dr. Gandhi’s goal is to avoid the same experience for her patients and their families.
Dr. Gandhi has done extensive training beyond her residency in airway development and the diagnosis and treatment of tethered oral tissues. She screens all her patients for airway disorders and oral restrictions which could impact growth, development, and healthy sleep. She believes in a comprehensive team approach by using the Function First Model. She has worked to develop a network of practitioners in the greater Houston area as well as in her practices. Her in house team currently consists of a speech language pathologist, myofunctional therapist, pediatric chiropractor, and international board-certified lactation consultant. This allows the office to provide both convenient and comprehensive care.
Dr. Gandhi is passionate about sharing her knowledge with other practitioners. When she is not seeing patients clinically, she is usually meeting with local practitioners to further collaborations or lecturing nationally to increase the training and awareness about airway disorders and tongue ties.

Patricia Berg, IBCLC, CST-D
Breakout Session III Friday, 1:00 pm – 1:45 pm
Ankyloglossia and Cranial Nerves – How They Are Interconnected
1Abstract
Ankyloglossia has the potential to disrupt cranial nerve functioning. Cranial nerve dysfunction can contribute to the symptoms of ankyloglossia. As we dive deeper into the systemic strains of ankyloglossia and continue to share cross modalities we understand how many of the bodies systems are impacted. To my knowledge, one aspect that has yet to be explored is the involvement with the cranial nerves. It is likely that cranial nerve dysfunction may cause symptoms that have been misinterpreted due to a lack of understanding of the cranial nerve involvement. We are going to take an in-depth look at the intrinsic reciprocal connection between ankyloglossia and cranial nerve function.
1Biographical Highlights
Patricia Abby Berg is unique in being both an International Board Certified Lactation Consultant (IBCLC) and a Diplomate Certified CranioSacral Therapist. She has published and spoken locally and international on both and also on how the two can and should work together. She has a private practice in Connecticut, both as an IBCLC and as a CST-D.


Loeta Robles, DDS; and
Brooke Edgar, RDH
Breakout Session I Friday, 1:50 pm – 2:35 pm
The Buccal Tie Debate: Loosen Up, Let’s Talk
1Abstract
Examine whether releasing buccal ties improves patients’ opening range of motion. Through pre- and post-procedure assessments, we evaluate changes in mouth opening and symptom improvements. Our findings provide insight into the clinical impact of buccal tie release on patients’ range of motion.
1Biographical Highlights - Loeta Robles, DDS
Dr. Loeta Robles brings years of experience as a dentist and a deep understanding of oral development to Somnia. She is passionate about helping people of all ages breathe better, sleep soundly, and live their best lives. Dr. Robles is committed to patient education and creating a warm, welcoming environment where everyone feels heard and understood.
Dr. Robles believes in a team approach and collaborates with providers from various disciplines to offer a holistic and comprehensive approach to healthcare.
She understands that airway health is intricately connected to overall well-being, and she is dedicated to helping patients achieve a balanced and vibrant life.
2Biographical Highlights - Brooke Edgar, RDH
Brooke Edgar is an Oral Myofunctional Therapist (OMT) dedicated to helping people of all ages breathe better, sleep soundly, and live their best lives.
Brooke is committed to patient education and empowering individuals with the knowledge and tools to thrive. She believes in a collaborative approach and works closely with Dr. Robles to provide a comprehensive and compassionate approach to airway health.
Brooke is passionate about building relationships with her patients and helping them achieve their optimal oral health and overall well-being. She is committed to creating a positive and encouraging environment where everyone feels supported and empowered to make positive changes.

Bret B. Christensen, DDS, MS
Breakout Session II Friday, 1:50 pm – 2:35 pm
He Broke My Face and I Liked It
1Abstract
A comparative study between skeletal expansion with a MARPE and dentoalveolar expansion with a Schwartz
The correction of sleep-disordered breathing, including obstructive sleep apnea (OSA), through maxillary skeletal expansion has gained significant attention in adult populations. This study compares the volumetric effects of two expansion protocols: the Mini-implant Assisted Rapid Palatal Expanders (MARPE) and the traditional Schwartz appliance. Three-dimensional volumetric imaging revealed that the MARPE achieved nasal airway expansion ranging from 3 to 8 cubic centimeters, representing a substantial increase in skeletal passage volume. In contrast, the Schwartz appliance demonstrated a more modest volumetric gain of 1 to 3 cubic centimeters, reflecting primarily dentoalveolar adaptation rather than true skeletal change. These findings suggest that skeletal expansion with MARPE provides a more effective enhancement of nasal airway volume in adults compared to conventional tooth-borne expansion. By promoting skeletal growth rather than dental tipping, MARPE may offer a superior treatment pathway for addressing airway compromise and reducing the severity of OSA. Further longitudinal studies are warranted to correlate volumetric increases with clinical improvements in sleep quality and respiratory outcomes.
1Biographical Highlights
Dr. Bret Christensen, DDS, MS, is a board-certified orthodontist and Diplomate of the American Sleep and Breathing Academy. Since 1999, he has focused on treating sleep-disordered breathing and airway-related orthodontic conditions in patients of all ages. With advanced training in bio-progressive orthodontics and dentofacial orthopedics, Dr. Christensen addresses the root causes of airway obstruction—such as underdeveloped jaws and tongue-tie—through growth guidance and non-surgical treatments.
A Fellow of the American Laser Study Club and a sought-after national lecturer, Dr. Christensen regularly speaks on airway development, sleep medicine, and tethered oral tissues. His comprehensive, health-focused approach integrates advanced imaging and diagnostic technologies to help clinicians achieve optimal outcomes in airway and facial growth.

Leah Whitley, IBCLC
Breakout Session III Friday, 1:50 pm – 2:35 pm
Build Your Frenotomy Dream Team: How to Find & Vet the Right IBCLC—So Your Laser Results Stick
1Abstract
Frenotomy is a swift procedure aimed at alleviating breastfeeding challenges associated with ankyloglossia. However, without comprehensive post-operative lactation support, many families continue to experience difficulties such as nipple pain, poor milk transfer, and feeding inefficiencies. Evidence underscores that the success of frenotomy is significantly enhanced when coupled with structured IBCLC involvement.
Randomized controlled trials have demonstrated that frenotomy combined with lactation consultant support leads to substantial improvements in breastfeeding outcomes, including reduced nipple pain and increased breastfeeding self-efficacy within one week post-procedure. Conversely, the absence of IBCLC engagement has been linked to higher rates of reattachment and suboptimal feeding outcomes.
From an economic perspective, integrating IBCLCs into post-frenotomy care is cost-effective. A cost-benefit analysis revealed that breastfeeding support interventions, including professional lactation support, yielded a benefit-cost ratio of 2.82 over two years, primarily due to decreased infant illness and hospitalization rates. Additionally, analyses suggest that providing lactation consultant services can result in net savings for healthcare systems by reducing the need for formula supplementation and mitigating breastfeeding-related complications.
This session will equip healthcare providers with a strategic framework for recruiting, contracting, and collaborating with IBCLCs to optimize post-frenotomy outcomes, ensuring both clinical efficacy and economic efficiency.
1Biographical Highlights
Leah Whitley, IBCLC founded SOS Lactation, a decade-strong Houston practice that has guided 3 000+ families and partnered on more than 300 laser releases annually. She blends bedside mastery with clinical skills and data for optimal outcomes post release. Leah’s lively keynotes turn clinical pearls into bottom-line gains for release providers.

Najmeh Hannanvash, DDS, MSD
Breakout Session I Friday, 2:40 pm – 3:25 pm
Oral Restrictions in Pediatric Patients: Functional Impact and Clinical Implications
1Abstract
As pediatric dentists, we see children moving through our practices every day, yet many signs and symptoms of oral restrictions and sleep disordered breathing are often missed or misdiagnosed. This presentation will explore the wide-ranging effects of functional oral restrictions, including challenges with breast and bottle feeding, breathing, airway health, and more. When left untreated, these restrictions can lead to anatomical, functional, structural, neurological, and developmental issues. The goal is to increase awareness and improve recognition in order to better support the long-term health and well-being of our pediatric patients.
1Biographical Highlights
Dr. Najmeh Hannanvash, DDS, MSD, is a board-certified pediatric dentist and the owner of Little Star Pediatric Dentistry & Orthodontics and Little Star Breathe in San Diego.
Since 2013, she has focused on providing exceptional pediatric dental care with a special interest in oral restrictions, airway health, and functional growth modification. Dr. Hannanvash is known for her expertise in treating oral restrictions using advanced laser technology. Her work in this area has profoundly shaped the direction of her career, leading to a dedicated specialty clinic for this patient population.
Outside of her professional life, Dr. Najmeh enjoys spending time with her son, traveling, and exploring all that San Diego has to offer.

Jenna Katz Schwibner, DMD, FAGD
Breakout Session II Friday, 2:40 pm – 3:25 pm
It’s Not a Fad… How Airway Focused Dentistry Improved Outcomes in All Specialties
1Abstract
Airway health is a hot topic in dentistry and is something that all Dentists need to be aware of. We have the unique perspective of treating patients of all ages and identifying sleep-disordered breathing (SDB) and obstructive sleep apnea (OSA) warning signs and symptoms. It is our responsibility to ask more questions and see beyond the teeth of our patients. In this course, we will discuss the signs and symptoms to look for and give you easy checklists and action items to arm you with the ability to make a difference in the health of your patients’ lives on Monday when you return to your office. We will also discuss how undiagnosed SDB and OSA can wreak havoc on restorative dentistry and lead to an increased risk of failures and breakdowns if not identified prior to treatment. You will gain a deeper understanding of the “why” behind many common, frustrating problems we see every day, such as fractured teeth, acid erosion, abfractions, crowded teeth, tooth wear, temporomandibular disorders, and anterior open bites.
Case studies will be provided to show you what is possible in interceptive orthodontics to treat SDB in children, as well as what you can do for your fully grown adult patients who suffer from snoring and/or OSA using orthodontic appliances and myofunctional therapy. You will be shown that it is possible to expand the palates of patients of all ages to prevent the need for premolar extractions and make more room for the tongue in your patients’ mouths so that it is no longer obstructing airways and impairing breathing.
Take your practice to the next level by solving problems that others do not even know exist while helping your patients live longer and healthier lives by looking beyond their teeth.
1Biographical Highlights
Jenna Katz Schwibner, DMD, FAGD, is a co-owner of Dental Partners of Vero Beach and the founder of Foundation First Dentistry, Airway & Sleep Education®, a platform that provides resources and valuable information on airway health and sleep disordered breathing. Dr. Jenna is recognized as a leading expert in her field, specializing in Airway Health-Focused Dentistry and Airway Orthodontics. She strongly believes that all dentistry outcomes improve by prioritizing airway health and focuses on the connection between oral health and overall health. To achieve this goal, she incorporates the latest advancements in medicine and technology into her evaluations and treatments to provide patients with “Complete Dental Care for Complete Health.”

Lisa Paladino, CNM, IBCLC
Breakout Session III Friday, 2:40 pm – 3:25 pm
From Breast to Breath: Can Early Feeding Choices Prevent Airway Disorders?
1Abstract
This presentation explores the vital role of lactation consultants in supporting optimal oral and airway development through breastfeeding. Attendees will examine how early feeding choices influence structural development in infants, with a focus on the long-term implications for airway health. The session will also highlight the risks associated with a bottle-feeding culture and underscore the need for early, interdisciplinary collaboration in infant care. By connecting the dots from the first days of life, participants will gain a deeper understanding of how feeding practices can lay the foundation for lifelong health.
1Biographical Highlights
Lisa Paladino, CNM, IBCLC is an internationally recognized lactation consultant, midwife, and educator dedicated to improving infant health through breastfeeding support and airway development education. She is the founder of Tongue Tie Experts, where she leads a thriving online community, produces the Tongue Tie Experts Podcast, and creates educational content for both parents and professionals. Through her courses, lectures, and social media outreach, Lisa empowers healthcare providers to recognize and manage tongue tie and related feeding challenges.
In her private practice, Lisa specializes in tongue tie evaluation and management, while also supporting individuals with hormonal, thyroid, milk supply, and fertility concerns using a functional medicine approach.
Before establishing her private practice in 2015, Lisa spent 28 years at Staten Island University Hospital, serving as a Registered Nurse, Certified Nurse Midwife, and International Board Certified Lactation Consultant. During her time there, she co-founded and coordinated the hospital’s Breastfeeding Initiative and partnered with the NYC Department of Health for eight years on Baby-Friendly Hospital efforts.
Passionate about collaborative care and lifelong health, Lisa continues to educate and advocate for evidence-based, inclusive breastfeeding support—starting from the earliest days of life.

Suraj Vatish, DDS, M Imp Dent RCS(Ed)
Breakout Session I Friday, 3:40 pm – 4:25 pm
Optimizing Post-Operative Healing Following Frenectomy: Integrating Biologics and Therapy for Enhanced Recovery
1Abstract
Successful frenectomy outcomes depend not only on precise surgical technique but also on optimizing post-operative healing to prevent complications and maximize functional benefits. This presentation will explore a comprehensive, evidence-based approach to post-frenectomy recovery, incorporating wound management, body work, myofunctional therapy, and innovative adjunctive therapies such as serrapeptase and red light therapy. Serrapeptase, a proteolytic enzyme, has shown potential in reducing inflammation and minimizing post-surgical fibrosis, while red light therapy supports tissue healing, enhances circulation, and reduces discomfort. Drawing from extensive clinical experience in tongue ties and airway-based dentistry, I will discuss the integration of these modalities alongside early mobilization exercises, nutritional support, and a collaborative approach involving lactation consultants, speech therapists, and myofunctional therapists. Attendees will gain practical strategies to enhance healing, reduce reattachment risk, and improve long-term functional outcomes for patients of all ages.
1Biographical Highlights
Dr Suraj (DDS Imp Dent RCS(Ed), Cert Perio RCS, Implant Surgeon with special interest in Oral Surgery & Periodontics) started providing Frenectomy releases at our practice 3 years ago and has carried out 500+ procedures to date, with great success using the CO2 laser we have in house.

Eric Armakan, DDS
Breakout Session II Friday, 3:40 pm – 4:25 pm
Foundations for a Successful Functional Frenuloplasty in the Child and Adolescent Population
1Abstract
Appropriate tongue space, function, timing, and compliance are common factors/challenges when planning for a frenectomy or functional frenuloplasty. When evaluating and treating children and adolescents for tethered oral tissues, adequate tongue space and post-operative compliance can be challenging and prevent us from having favorable outcomes. Release providers are faced with the challenge of either placing sutures or relying on parents to be able to complete wound healing exercises along with therapy.
1Biographical Highlights
Dr. Eric is a board-certified pediatric dentist and laser-certified professional, expert-trained provider in releasing tethered oral tissues (tongue and lip ties), and treats patients as young as a few days old and from all walks of life. He values a conservative and comprehensive team approach to optimal health and works with multiple providers to ensure the best possible outcome. He is an Ambassador of the Breathe Institute, a Tufts Pediatric Sleep Medicine Residency graduate, a Tongue Tie Academy graduate, TOTs Specialty trained, and a Verified Airway Dentist with Airway Health Solutions. He’s actively involved in the community, an avid DC sports fan, and a kid at heart. You can find Dr. Eric exploring the world in his free time with his wife and three daughters. You can follow him on social media @Dr.EricDMV to see what he’s up to.

Jenna Davis, DC
Breakout Session III Friday, 3:40 pm – 4:25 pm
Layers of Compensation: How Tongue-Tie, Oral and Airway Dysfunction Shape Neurodevelopmental Outcomes
1Abstract
Tongue-tie and oral dysfunction are often viewed through the lens of feeding, sleep, or orthodontic concerns, but their greatest impact lies in the nervous system. It is not airway restriction itself that drives behavioural or developmental challenges, but the layered compensations that emerge through oral dysfunction, retained primitive reflexes, altered neuromuscular tone and postural shifts. These layered adaptations shape autonomic regulation, cranial motion, posture, and long term neurodevelopmental outcomes – ultimately making airway dysfunction a secondary adaptation rather than the primary cause. Recognizing and correcting these foundational dysfunctions and compensatory interference restores communication between the brain and body, supporting vagal tone, cranial mobility, and developmental potential. The difference between airway-driven symptoms and nervous system-driven adaptations reframes the interdisciplinary approach to TOTs and allows for true correction rather than reliance on compensation.
1Biographical Highlights
Dr. Jenna Davis is an internationally recognized chiropractor, educator, author and speaker focusing on pediatrics, preconception, neurodevelopment, prenatal, and postnatal care. She is the creator of the P.I.P.S. Technique (Pediatric Intraoral Palate Specific Technique), an innovative approach addressing tongue-tie, pediatric TMJD, dural tension, and oromotor challenges, and has also developed unique programs in neurodevelopment and retained primitive reflexes. As owner and clinical director of Acorn Family Health and Wellness Centre and Baby Boom Creations in Oakville, Ontario, she leads a multidisciplinary team dedicated to optimizing the brain–body connection for families. A sought-after expert, Dr. Davis has presented across North America, Europe, New Zealand, and Australia to diverse professional groups including chiropractors, manual therapists, dentists, physicians, airway specialists, and oral–feeding therapists.

Elizabeth Turner, DMD
Breakout Session I Friday, 4:30 pm – 5:15 pm
Beyond the Mouth: The Full-Body Impact of Oral Restrictions and Retained Primitive Reflexes
1Abstract
Primitive reflexes are the foundational movement patterns of early neurological development—meant to be integrated as the brain matures. But what happens when oral restrictions like tongue-ties limit the movement and sensory input required for that integration?
This presentation explores the structural and neurological consequences of tethered oral tissues, particularly how they interfere with the integration of primitive reflexes and contribute to a cascade of functional issues across the body. From feeding to posture, breathing to behavior, we’ll examine how retained reflexes and restricted oral function can disrupt motor coordination, emotional regulation, and nervous system resilience.
Attendees will leave with a deeper understanding of the interdisciplinary nature of oral restrictions, how to recognize signs of retained reflexes in clinical practice, and how laser-assisted releases—paired with bodywork and neurodevelopmental support—can facilitate more complete functional outcomes for children and adults alike.
1Biographical Highlights
Dr. Elizabeth Turner is an airway-focused dentist and the founder of Untethered Airway Health Center in Lakewood, Colorado. She lectures nationally on the full-body impact of oral restrictions and has a special interest in how retained primitive reflexes disrupt posture, behavior, and nervous system regulation. As both a clinician and a mom of two, she is passionate about early intervention and interdisciplinary collaboration. Dr. Turner’s work bridges oral function, structural development, and neurodevelopmental care.



Victor Avis, DDS;
Sydney Avis; and
Abhi Sinha, DMD
Breakout Session II Friday, 4:30 pm – 5:15 pm
Helping Patients Overcome the Barriers to Airway and Sleep Disorder Diagnosis and Care
1Abstract
The Airway Revolution Foundation (501c3 not-for-profit) is in post-production of a documentary for lay people to raise awareness and educate about upper airway disorders through the power of story. Backed by programming that will be free to the lay public, we will remove barriers that range from unawareness to misconceptions about prevalence, signs and symptoms, morbidity, and treatment to help millions get the care that they need.
1Biographical Highlights - Victor Avis, DDS
Dr. Victor Avis, DDS, is a third-generation dentist and founder of The Airway Revolution Foundation, a nonprofit dedicated to raising awareness and improving care for airway disorders. A graduate of Duke University and Georgetown University Dental School, Dr. Avis leads a comprehensive restorative practice on Staten Island, New York, offering orthodontics, implant surgery, and integrative dental care.
Celebrating over a century of family practice, Dr. Avis has devoted his career to exploring the oral-systemic connection and the role of dentistry in overall health and longevity. His studies in airway health, orthotropics, and disease prevention inspired the creation of The Airway Revolution Foundation, which he co-founded with his daughter, Sydney, to advance education, research, and public understanding of airway-related conditions.
2Biographical Highlights - Sydney Avis
Sydney Avis is the co-founder and Executive Director of The Airway Revolution Foundation, a nonprofit organization dedicated to transforming awareness, education, and care for airway disorders. Her passion for this mission stems from her own health journey—after years of unexplained health challenges, she discovered that an undiagnosed airway disorder was at the root of her struggles.
With a background in yoga, Ayurvedic medicine, and certification as an Integrative Health Coach, Sydney combines holistic wellness expertise with advocacy for airway health. Under her leadership, The Airway Revolution Foundation is producing the documentary series Breathless and spearheading nationwide initiatives to improve access to airway disorder care. Through her work, Sydney is inspiring a movement to help millions breathe, sleep, and live healthier lives.
3Biographical Highlights - Abhi Sinha, DMD
Dr. Abhinav Sinha, DMD, DABPD, FAAPD, is a board-certified pediatric dentist, Clinical Professor at the University of Pennsylvania/Children’s Hospital of Philadelphia (CHOP), and a Fellow of the American Laser Study Club. A nationally recognized leader in pediatric dental medicine, Dr. Sinha specializes in laser surgery for tethered oral tissues (lip-, tongue-, and buccal-ties), helping improve breastfeeding, speech, airway function, and long-term orofacial development.
With over two decades of clinical and academic experience, Dr. Sinha has served in leadership roles at Weill Cornell Medical College/NewYork-Presbyterian Hospital and has trained countless pediatric specialists at top institutions. A sought-after speaker, he lectures nationally on pediatric laser dentistry, airway-focused care, and healthcare leadership. Through his teaching, philanthropy, and innovation, Dr. Sinha continues to advance the future of pediatric oral health.


Alayna Pagnani-Gendron, DC, CACCP; and
Jamie Smith, MS, OTR/L, BCP, CLSP
Breakout Session III Friday, 4:30 pm – 5:15 pm
Clarifying “Body Work”: Distinguishing the Roles of Chiropractic and Occupational Therapy in Tongue-Tie and Tethered Oral Tissue Care
1Abstract
The term “body work” is frequently used in the context of pre- and post-frenectomy care, yet its overuse can obscure the distinct roles and therapeutic contributions of different providers. As collaborative care becomes the standard in treating tethered oral tissues (TOTs), it’s critical that medical professionals understand how each discipline supports optimal outcomes through unique and complementary approaches.
This presentation offers a focused comparison between chiropractic care and occupational therapy as they relate to tongue-tie management. We will explore how each profession assesses and addresses neuromusculoskeletal tension, oral-motor function, and compensatory patterns commonly seen in infants and children with TOTs.
Using parallel case studies, we will demonstrate our respective clinical frameworks, techniques, and treatment goals—highlighting where our work overlaps and where it diverges. Through this lens, we aim to foster clearer interprofessional communication, enhance referral accuracy, and improve patient outcomes through truly integrative care.
1Biographical Highlights - Alayna Pagnani-Gendron, DC, CACCP
Dr. Alayna Pagnani-Gendron is the owner and doctor at HealthPro Family Chiropractic & Acupuncture, which has been serving families in the Houston area for over a decade.
Dr. Pagnani-Gendron holds special certificate training in perinatal and pediatric chiropractic as well as Acupuncture. She completed her C.A.C.C.P., certified by the Academy Council of Chiropractic Pediatrics. She has specialty training in craniosacral therapy and pre and post-frenectomy bodywork. She has lectured around the country on the importance of chiropractic care and how to best serve patients with other specialty providers. She is the Past President of the Texas Chiropractic Association and a former Board of Regents member of Texas Chiropractic College. Her goal in the treatment of patients is preventative care. She believes in a healthy living lifestyle and treating patients to help them to return to their normal state of health. Dr. Pagnani loves to treat the entire family from birth and beyond and keep everyone healthy.
2Biographical Highlights - Jamie Smith, MS, OTR/L, BCP, CLSP
Jamie Smith, M.S., OTR/L, BCP, CLSP, is a nationally recognized Pediatric Occupational Therapist and Director of Occupational Therapy at Small Steps Therapy. Board Certified by the AOTA and trained in a wide range of advanced techniques, Jamie specializes in infant feeding, tongue tie, torticollis, and neurodevelopment. As an author, educator, and international speaker, she is passionate about empowering families and advancing clinical practice through whole-body, evidence-informed care. Jamie brings a unique blend of clinical excellence and compassionate leadership to her work with infants and young children.
Saturday, February 7, 2026

Richard Baxter, DMD, MS
Keynote Saturday, 8:00 am – 9:55 am
Advancing Tongue-Tie Treatment: Protocols, Case Studies, and Clinical Insights
1Abstract
This in-depth lecture will guide attendees through the latest innovations in tongue-tie treatment, from cutting-edge research findings to new clinical protocols. Participants will learn about the latest best practices for managing complex cases and how to integrate new techniques into their practices. Case studies will demonstrate the real-world application of these protocols, with a particular focus on improving patient outcomes in infants and children. Attendees will also receive updates from our recent continuing education courses, ensuring they stay ahead of the curve in this evolving field. The session will conclude with a Q&A period to foster deeper discussions on implementation and challenges.
Keynote Saturday, 10:05 am – 12:00 pm
The 7 Habits of Highly Effective Tongue-Tie Release Providers
1Abstract
To maximize success, there are seven principles or habits that are crucial for release providers to master, ensuring the best outcomes for patients and their families. Dr. Baxter will share insights from over ten years of clinical practice in treating patients with tongue-tie. With an emphasis on best practices and clinical excellence, this practical lecture will equip attendees with the tools to enhance success rates, minimize complications, and help their patients thrive. Following these seven habits will enable release providers, as well as team members, to take actionable steps to best care for their patients, their teams, and themselves.
1Biographical Highlights
Dr. Richard Baxter is a board-certified pediatric dentist, Fellow of the AAPD, Diplomate of the American Board of Laser Surgery, and recipient of the 2021 Kumar Patel Prize in Laser Surgery. He is an internationally-recognized speaker on tongue-ties, instructor of the acclaimed online course Tongue-Tied Academy, and lead author of the bestselling book Tongue-Tied: How a Tiny String Under the Tongue Impacts Nursing, Speech, Feeding, and More. He is passionate about educating parents and healthcare providers about the effects a tongue-tie can have throughout the lifespan. He lives in Birmingham, AL, with his wife, Tara, and their three girls, Hannah, Noelle, and Molly. He is the founder of the Alabama Tongue-Tie Center, where he uses the CO2 laser to release oral restrictions. He had a tongue-tie himself, and all of his girls were treated as infants, so this field is a personal one. In his free time, he enjoys spending time with his family, running, and outdoor activities. He is a Small Group Leader at the Church at Brook Hills and participates in global missions projects around the world.

Kristen Geist, DDS
Breakout Session I Saturday, 1:00 pm – 1:45 pm
From Sores to Snores: Expanding Your General Practice Toolbox with the LightScalpel
1Abstract
The integration of a LightScalpel laser into the general dental practice is expanding far beyond traditional applications. While tongue-tie release remains a cornerstone indication, this laser offers versatile clinical benefits that can transform everyday dentistry. This presentation will highlight underutilized but highly effective applications of the LightScalpel in managing common conditions such as recurrent aphthous ulcers, periodontal disease, peri-implantitis, etc. Special attention will be given to innovative non-ablative soft palate treatments for patients with snoring and sleep-disordered breathing, showcasing how this adjunctive therapy can enhance outcomes for those struggling with sleep apnea when used in conjunction with oral appliance therapy, CPAP, or multidisciplinary care. Participants will gain practical insights into incorporating these procedures seamlessly into a general practice setting, improving patient comfort, expanding treatment options, and elevating the standard of care. By broadening the clinical scope of laser use, dentists can address both functional and quality-of-life concerns that deeply impact their patients’ health and well-being.
1Biographical Highlights
Dr. Kristen Geist, DDS, D.ABDSM, is a general dentist and Diplomate of the American Board of Dental Sleep Medicine. A graduate of Cornell University and the University at Buffalo School of Dental Medicine, she combines her background in nutritional sciences and human biology with a holistic approach to oral health and wellness.
Dr. Geist is passionate about helping patients understand the vital connection between oral health, sleep, and overall well-being. Her clinical interests include dental sleep medicine, airway health, and cosmetic dentistry. Dedicated to providing gentle, patient-centered care, she focuses on prevention, education, and conservative treatment to help patients look, feel, and sleep their best.

Gerardo Martinez, DMD (speaker);
Nancy Hastings, RN, IBCLC (co-author);
Ashley Johnson, BSDH, RDH, OMFT (co-author);
Jennifer Massotti, RN, IBCLC (co-author)
Breakout Session II Saturday, 1:00 pm – 1:45 pm
Ties and Time: Impacts of a Frequently Overlooked Risk Factor
1Abstract
The presentation is designed to show the impact of oral restrictions over a lifetime. It is a compilation of cases from different ages and backgrounds with a thread of commonality in signs and symptoms uniting them to get a broader perspective on how oral restrictions can impact growth, development, and quality of life. The sample consists of 1800 patients ranging in age from 1 day old to 70 years old. The sample was selected to undergo a frenectomy or frenuloplasty procedure based on self-reported signs and symptoms using Dr. Baxter’s assessment form, followed by a clinical exam by the frenectomy provider and supporting team of IBCLCs for infants and SLP or orofacial myofunctional therapist for older patients. The results were derived and compiled from a self-reported follow-up assessment questionnaire. Conclusions from the report show a positive correlation between frenectomy/frenuloplasty procedure and self-reported improvements in signs and symptoms of their initial concerns. The results presented do have limitations, including reporting bias, leading questions on follow-up assessment, and a lack of follow-up on many patients. Limitations notwithstanding, the overarching goal of the presentation is to highlight real-life case scenarios and their impact over a lifetime and to increase awareness of a poorly understood congenital malformation that could be the underlying cause of a plethora of other medical and psychological conditions.
1Biographical Highlights - Gerardo Martinez, DMD
I am a pediatric dentist who completed dental school at Nova CDM in 2009, AEGD at UF in 2010, and pediatric dentistry training at UCLA in 2012. I was a board-certified pediatric dentist for 8 years prior to recognizing I was missing some basic understanding of tongue function, its impacts on growth and development, and overall quality of life. In 2020, I fell asleep with my 3-year-old daughter. The entire night, I was not able to sleep due to her constant teeth grinding, tossing and turning, and gasping for air. The next morning, I woke up tired but motivated to find out what exactly was going on with her during sleep. It was not anything I had learned about in my formal training. That restless night planted the seeds for an unexpected journey of learning, collaboration, and questioning. In the past 5 years, I have taken many courses to advance my understanding of tongue ties, lip ties, and cheek ties and their impact on daily life. During the learning process, it became apparent that even among experts on the subject, there were still questions and differences of opinion as to when one should or should avoid performing a release. The compilation includes patients from newborns to 7o years old.

Robyn Merkel-Walsh, MA, CCC-SLP, COM®
Breakout Session III Saturday, 1:00 pm – 1:45 pm
What’s The Tongue Got to Do with It?
1Abstract
The anatomical connections between the tongue and the larynx have been documented. This connection is due not only to muscular attachments from the tongue and laryngeal muscles to the hyoid bone but also to attachments from the mandible, base of the skull, upper torso, and shoulders. Connections extend even further through deep fascial lines, as illustrated by extensive anatomical dissections (Meyers, 2020).
Jahn (2013) and Jahn & Cho (2024), discussed the vocal apparatus as starting in the abdomen or the pelvic floor and continuing through the larynx, pharynx, mouth and nasal cavity, connection the power of the lungs with the source at the larynx and the filter via resonators and articulators. He claims that the tongue is one of the most important components because it changes in size, shape, and location, influencing the pharyngeal air column, resonating chambers intraorally, and affecting articulation.
Participants who treat tongue-tied patients will be introduced to the possibility that muscular and mechanical connections between the tongue and the larynx could be contributing to muscle tension dysphonia (MTD). Previous literature indicates that mandibular and hyoid bone positions are affected by ankyloglossia (tongue-tie), that tension in and around the larynx can affect tongue mobility, and that treating ankyloglossia with orofacial myofunctional therapy and lingual frenectomy can improve self-perceived vocal strain and overall vocal function in professional voice users (Summersgill et. al., 2023). Attendees will learn how to screen pediatric and adult patients with oral restrictions for MTD/voice disorders and make proper referrals.
1Biographical Highlights
Robyn Merkel-Walsh, M.A., CCC-SLP, COM ® is a NJ/NY Licensed Speech Pathologist, Certified Orofacial Myologist® & Vocologist with three decades of experience in the state of NJ. She is employed full-time by the Ridgefield Board of Education and runs a private practice (Diamond MYO & Vocology) in Ridgefield, NJ. She was elected as one of the NJ Kids Top Doctors in 2012, 2013, 2014, 2018 & 2023. Robyn received both her undergraduate and graduate degrees from Montclair State University, where she was later invited to be an adjunct/clinical supervisor. She is on the adjunct faculty at Brescia University, taught at Bergen Community College, and is a clinical site coordinator for Seton Hall University. She is the proud recipient of four ASHA ACE Awards and the Ridgefield Woman of the Year 2019 in Business. She is an Ambassador and a guest of The Breathe Institute.
Robyn is a well-respected subject matter expert and advocate of evidence-based practices. Her publications include: MYOSolutions (Systematic Intervention for Lingual Elevation), Art Talk, Handy Handouts, and OPT-S Kit. She also co-authored Sensory Stix, A Sensory Motor Approach to Feeding, Functional Assessment and Remediation of Tethered Oral Tissues, and OPT Goals for Speech Clarity. She has also written multiple articles for the TalkTools® website, the ASHA Leader, and Advance Magazine for Speech Pathologists. She has been published for five consecutive years at the annual convention of the American Speech-Language and Hearing Association. Recently, Robyn has also been published in multiple journals, including Clinical Pediatrics, Journal of the American Laser Study Club, and the Journal of Oral Rehabilitation. Additionally, her four contributions in the International Journal of Orofacial Myology and Myofunctional Therapy are included in the top ten downloads of all time.

Cara Riek, DNP, RN, FNP-BC, IBCLC, FAANP
Breakout Session I Saturday, 1:50 pm – 2:35 pm
Babies, Breastfeeding, and Release: Continued Evolution of Assessment and Care for Release Consideration in the Breastfeeding Dyad
1Abstract
Our understanding of Tethered Oral Tissues continues to evolve. With more knowledge, we have a better understanding of how to provide patient care and the appropriateness of treatments. Collaboration among multiple disciplines is a necessity to ensure the correct procedure is performed on the correct patient at the proper time. This lecture looks at a multidisciplinary approach in a Breastfeeding medicine clinic that employs multiple modalities to provide care to families.
1Biographical Highlights
Dr. Riek is a recipient of the 2024 Kumar Patel Prize in Laser Surgery.
Dr. Cara graduated from Arizona State University with a Doctor of Nursing Practice degree. She is a board-certified Family Nurse Practitioner and also holds her IBCLC certification. Her practice, Arizona Breastfeeding Medicine and Wellness, has been providing feeding support to families throughout the state of Arizona since 2015. Dr. Cara has additional training as a Certified Specialist in Orofacial Myology (CSOM). In 2023, Dr. Cara was accepted as a Fellow of the American Association of Nurse Practitioners. Dr. Cara very much enjoys helping families to reach their breastfeeding goals.



Leyli Norouz-Knutsen;
Lesley Kupiec, RDH, MS; and
Sandraluz Gonzalez, RDH, OMT, COM, BBE
Breakout Session II Saturday, 1:50 pm – 2:35 pm
Beyond the Release: Integrating Research, Function, and Collaboration for Better Patient and Clinical Outcomes
1Abstract
A precise release alone is not enough. Even with expert technique, outcomes in tongue-tie and airway care can vary widely. Some patients thrive, while others struggle or require re-treatment. This session explores what it takes to achieve predictable and reproducible results: preparing the patient, restoring function, and integrating care across disciplines.
Through three interactive case simulations – a pediatric, adolescent, and adult example, we will highlight real-world challenges providers face, including complications, variability, and compliance, while showing how integrated systems of care improve growth, breathing, sleep, and satisfaction. Participants will gain a clearer understanding of why aligning research, function, and collaboration is essential and why continued discovery is the key to making outcomes more predictable.
1Biographical Highlights - Leyli Norouz-Knutsen
Leyli Norouz-Knutsen is the Co-Founder and Managing Director of The Breathe Institute.
She is known for her uniquely fine-tuned ability to streamline organizational management structures, optimize collaboration and communication, drive impactful media and branding campaigns and to inspire innovation and entrepreneurship.
Leyli has over a decade of experience in higher education, non-profit, board management, and operations as a director at both the University of California Los Angeles (UCLA) and San Diego State University (SDSU).
Since leaving UCLA’s Anderson School of Management in 2007, Leyli’s extensive background in healthcare-specific consulting and corporate strategy parlayed perfectly into co-founding The Breathe Institute and now having the honor to serve on the Board of the American Academy of Physiological Medicine & Dentistry (AAPMD).
2Biographical Highlights - Lesley Kupiec, RDH, MS
Lesley is a registered dental hygienist with over a decade of experience, balancing part-time clinical practice with roles as an educator and researcher at The Breathe Institute in Los Angeles. She holds a BS in Sport Management from UMass Amherst, an AS in Dental Hygiene from Middlesex Community College, and an MSDH from the University of Southern California (2014). Lesley is furthering her expertise in orofacial myology, focusing on health promotion and prevention through a functional approach while collaborating with dedicated medical professionals. She is a member of the American Academy of Physiological Medicine & Dentistry and the International Association of Orofacial Myology, and has served on the boards of the Los Angeles Dental Hygienists’ Society, the Academy for Sports Dentistry, and the National Center for Dental Hygiene Research & Practice.
3Biographical Highlights - Sandraluz Gonzalez, RDH, OMT, COM, BBE
With over 22 years of experience as a dental hygienist and 14 years of experience as an Orofacial Myofunctional Therapist, I’ve built a career centered on improving my patients’ overall health through a unique blend of clinical expertise and specialized care. My passion lies in Orofacial Myofunctional Therapy (OMT), where I focus on airway health, sleep disorders, TMJ dysfunction, craniofacial pain, and related conditions. As a Certified Orofacial Myofunctional Therapist (COM), I bring advanced training in the assessment and treatment of orofacial myofunctional disorders to my practice.
I’m also the founder of Southwest Myofunctional Therapy in Albuquerque, NM, where I focus on addressing conditions like TMJ dysfunction, tongue thrust, speech sound disorders, and oral habit elimination. I’m dedicated to supporting the care of infants and breastfeeding mothers dealing with tongue and lip ties, knowing how critical early intervention can be for long-term health.
In addition to my clinical work, I’m a proud member of the research and educational team at the Breathe Institute, contributing to advancements in airway health and myofunctional therapy. I’m also a graduate of their inaugural Myomastermind Course and serve as an Ambassador for this organization, as well as the AAPMD (American Academy of Physiologic Medicine and Dentistry). Beyond that, I stay actively involved in several professional associations, including, AOMT, IAOM, AAGO, and the ADHA, among others.
Every day, I strive to improve the quality of life for my patients by focusing on functional care that helps them breathe, sleep, and live better.

Dave Henrichsen, RDH
Breakout Session III Saturday, 1:50 pm – 2:35 pm
Stories That Stick: Using Analogies to Communicate Oral Dysfunction with Clarity and Compassion
1Abstract
Effective clinical care begins with understanding—and understanding starts with communication. In this engaging presentation, Dave Henrichsen explores the power of storytelling and analogy as tools for clinicians to explain complex oral dysfunctions to patients in clear, relatable terms. Drawing on years of experience in patient-centered care and interdisciplinary collaboration, Dave shares tested metaphors and practical narratives that help bridge the knowledge gap between clinician and patient. Attendees will leave with a toolbox of vivid, memorable explanations they can use in daily practice to increase patient comprehension, reduce anxiety, and support treatment adherence. Whether you’re discussing tethered oral tissues, airway issues, or muscle dysfunction, learn how the right story can spark the “aha” moment that changes everything.
1Biographical Highlights
Dave Henrichsen is a myofunctional therapist and educator known not only for his clinical expertise but also for his powerful use of stories and analogies to make complex concepts come alive. With a background rooted in clinical practice and professional education, Dave has helped countless patients—and practitioners—understand the critical role of airway health, oral function, and muscular balance in overall wellness.
In his work, Dave addresses dysfunctions related to breathing, swallowing, posture, and oral habits, but he does so through a unique lens: clear, relatable communication. Whether he’s helping a child understand tongue posture by comparing it to a car in a garage or explaining orofacial growth like building a house on solid ground, Dave uses narrative tools to break down barriers between clinical science and patient understanding.
As a speaker and teacher, Dave empowers healthcare providers to improve patient outcomes by learning how to connect—heart and mind—through language. He believes that analogies, stories, and metaphors aren’t just teaching aids—they’re bridges that foster trust, insight, and lasting change. His lectures are known for their humor, energy, and takeaway-rich content that attendees can immediately apply in their practices.
Passionate about interdisciplinary care, Dave continues to inspire collaboration across dentistry, medicine, and therapy. Whether in a clinic or on a stage, he is driven by one mission: to help people live healthier, happier lives by making their bodies—and their stories—work better together.

Hal Stewart, DDS, FACD, Diplomate ASBA
Breakout Session I Saturday, 2:40 pm – 3:25 pm
Utilization of Laser Therapy/Surgery In a Comprehensive Orthopedic Remodeling/Orthodontic/Restorative Case
1Abstract
A Full case will be presented from initial exam and diagnosis to the final restorative completion of the case over a 2-year period. The case includes laser therapy and surgery to release tethered oral tissue; soft palate non-ablative therapy; epigenetic orthopedic remodeling; comprehensive orthodontics, and minimally invasive full mouth restorations to complete the case.
1Biographical Highlights
Dr Hal Stewart has dedicated over 30 years to the practice of whole health dentistry, specialising in airway management, orthopedic remodeling, and TMJ therapy. He has pursued extensive education at renowned institutions such as the Pankey Institute, LVI, Orognathic Bioesthetics, the American Academy of Dental Sleep Medicine, and the American Sleep and Breathing Academy, in addition to completing all of the AMD levels of training under Dr Felix Liao at various AMD levels. Furthermore, he has studied and taught at The Breathe Institute, where he completed a surgical residency with Dr Soroush Zaghi in 2020. His practice primarily concentrates on orthopedic airway therapies and the related challenges that accompany them.
Dr Stewart is an Affiliate of The Breathe Institute. He has also achieved Diplomate Status with The American Sleep and Breathing Academy. He was inducted as a member into the prestigious American College of Dentistry in 2018.

Jenna Katz Schwibner, DMD, FAGD
Breakout Session II Saturday, 2:40 pm – 3:25 pm
Before the Release: Airway Orthodontics to Create Tongue Space and Optimize Outcomes
1Abstract
This course in airway orthodontics focuses on creating space for the tongue as a foundational step before considering tongue tie release. Participants will learn how orthodontic techniques can expand the oral cavity, support proper tongue posture, and improve airway health. Emphasis is placed on the importance of addressing myofunctional issues and avoiding premature tongue tie release when there is inadequate space. Unlike courses centered solely on surgical release, this program offers a comprehensive approach that optimizes structural readiness for functional therapy. By integrating airway-focused orthodontics with myofunctional principles, we aim to enhance long-term outcomes for both patients and providers.
1Biographical Highlights
Jenna Katz Schwibner, DMD, FAGD, is a co-owner of Dental Partners of Vero Beach and the founder of Foundation First Dentistry, Airway & Sleep Education®, a platform that provides resources and valuable information on airway health and sleep disordered breathing. Dr. Jenna is recognized as a leading expert in her field, specializing in Airway Health-Focused Dentistry and Airway Orthodontics. She strongly believes that all dentistry outcomes improve by prioritizing airway health and focuses on the connection between oral health and overall health. To achieve this goal, she incorporates the latest advancements in medicine and technology into her evaluations and treatments to provide patients with “Complete Dental Care for Complete Health.”


Melissa Mugno, OMT; and
Sarah Hornsby, RDH
Breakout Session III Saturday, 2:40 pm – 3:25 pm
Elevated Techniques in Myofunctional Therapy: Linking Fascia, Posture, and Oral Behavior
1Abstract
This presentation explores the evolving integration of myofunctional therapy with whole-body approaches, drawing from my personal and clinical experiences of working “tongue to toes.” Through collaboration with advanced oral appliances, posture retraining strategies, and fascia-focused techniques, I have witnessed how oral function is inseparable from broader behavioral and structural patterns in the body.
By blending therapeutic insights with lived experience, this lecture highlights how oral posture, tongue placement, and breathing habits intersect with fascial continuity and musculoskeletal balance. Attendees will learn how functional therapy can transcend the mouth, influencing alignment, movement, and long-term health outcomes.
This session also emphasizes the importance of behavioral implementation—recognizing that lasting change requires not just exercises but also patient awareness, compliance strategies, and integrative teamwork. Participants will leave with an expanded vision of therapy: one that honors oral function as both a localized and systemic influence, opening new avenues for collaboration across disciplines.
1Biographical Highlights - Melissa Mugno, OMT
Melissa is a pioneer within the modern Myofunctional Movement. Since becoming an Orofacial Myofunctional Therapist in 2014, she has improved the lives of hundreds of patients, lectured around the country, and raised the standards of the profession. Her background as a Dental Hygienist and experience in the fields of Orthodontics and Pedodontics contributes to her success. Melissa treats patients of all ages suffering from a wide range of conditions stemming from adverse myofunctional habits. She now resides in Las Vegas, where she enjoys being with her family, cooking, and being involved in her community.
1Biographical Highlights - Sarah Hornsby, RDH
Sarah Hornsby graduated with a bachelor’s degree in dental hygiene from Eastern Washington University in 2008. After practicing as a hygienist for only one year, she began to explore complementary modalities to help her patients achieve optimum oral health. She discovered the then-little-known field of Orofacial Myofunctional Therapy and pursued training with the Academy of Orofacial Myofunctional Therapy (AOMT) in early 2010.
She studied under leaders in the field, such as Barbara Green and Joy Moeller, and in 2011, she enrolled in Sandra Holtzman’s training program through the International Association of Orofacial Myology (IAOM).
Sarah opened her practice, Faceology, in Seattle and began seeing patients in 2010. In 2014, she transformed her practice into the world’s first fully online telehealth myofunctional therapy practice. She has been working with patients from across the country and worldwide since then. In 2015, Sarah opened MyoMentor, a new branch of her business designed to mentor, train, and support hygienists and dentists who want to incorporate myofunctional therapy into their practices and careers. Today, over 600 hygienists and dentists have gone through her mentoring program. Although Sarah has become a speaker, teacher, and leader in the field, it’s her journey through recognizing and treating her own oral myofunctional symptoms that makes her so passionate about the field and spreading the message about this critical component of dental health and overall wellness.

Shervin Yazdi, DDS
Breakout Session I Saturday, 3:40 pm – 4:25 pm
Contraindications for Infant Frenectomy: Preparing for Highest Probability Functional Gains
1Abstract
The current standard of care for treating infants with tethered oral tissues requires that we not only avoid rushing to surgery but also methodically review the patient’s current medical status, functional nursing status, and functional physical ability, while being very cognizant of the contraindications of this particular surgical procedure. If a surgical office is not routinely delaying frenectomy surgery to overcome the appropriate contraindications, then, in essence, such contraindications are being overlooked.
1Biographical Highlights
Dr. Shervin Yazdi, DDS, is a board-certified pediatric dentist with over 25 years of experience providing compassionate, high-quality care to children and families. A graduate of the University of California, Los Angeles (UCLA) School of Dentistry and its esteemed pediatric residency program, Dr. Yazdi is dedicated to creating positive, comfortable experiences for every child through warmth, humor, and understanding.
A returning speaker at previous Breathe and Thrive Symposia, Dr. Yazdi is known for sharing his expertise in pediatric laser dentistry and patient-centered care. He remains committed to clinical excellence and delivering the highest standard of care in a nurturing environment. Outside the office, he enjoys swimming, resistance training, ballroom dancing, and perfecting his espresso craft—recently adding matcha to the mix.

Tara Erson, DMD, IBCLC, D. ABDSM
Breakout Session II Saturday, 3:40 pm – 4:25 pm
Evaluation Secrets from a Dentist-IBCLC
1Abstract
This session is all about what happens before the laser comes out: the evaluation. As someone who is both a dentist and an IBCLC, I bring a dual lens that connects what I see and feel in the mouth with what I observe during feeding and hear from the parents’ stories. We’ll ditch the dry checklists and jump into the real-life patterns that keep showing up – the ones that truly shape treatment plans. I’ll share how I spot those sneaky restrictions, how feeding function can flip the whole conversation, and how to explain it so families not only understand but feel confident in the plan. You’ll leave with a fresher, more practical framework for evaluation that reflects both clinical precision and feeding expertise, making surgical skills shine even brighter.
1Biographical Highlights
Tara Erson, DMD, IBCLC, D. ABDSM, has dedicated her career to oral function, tethered oral tissues, airway health, and early intervention expansion. She left general dentistry in 2018 to open Smart Mouth, a Las Vegas team-based practice focused exclusively on functional evaluation and treatment, and has since evaluated and treated thousands of infants. Her passion for this work is rooted in her journey as a breastfeeding mother of three boys, navigating challenges with feeding, sleep, and airway issues. When she’s not in the clinic, Dr. Tara can be found practicing with her improv team, dancing, or planning her next trip to Hanson Day. She lectures nationally, sharing practical, experience-informed strategies to improve tongue tie evaluation and support collaborative, family-centered care.

Trish Wierenga, APRN, FNP, IBCLC, RLC, PMH-C
Breakout Session III Saturday, 3:40 pm – 4:25 pm
Perinatal Mental Health and Feeding Difficulties
1Abstract
Symptoms of depression and anxiety can occur in up to 1 in 5 mothers and 1 in 10 fathers during pregnancy or during the first year after the birth of a baby. Feeding difficulties are well-known as a contributing factor in perinatal mood and anxiety disorders (PMADs). This lecture will discuss the signs and symptoms of PMADs, introduce providers to validated screening tools, identify resources available for referral, and provide support for efficient treatment and habilitation of feeding challenges such as ankyloglossia that can potentially impact the mental well-being of our patients.
1Biographical Highlights
Trish Wierenga has been an International Board Certified Lactation Consultant (IBCLC) in central Illinois since 2011 and a board-certified Family Nurse Practitioner since 2021. She is also one of only a few practitioners in Central Illinois certified in Perinatal Mental Health through Postpartum Support International.
Trish is a member and the current Chairperson of the International Affiliation of Tongue Tie Professionals (IATP), a member of the Central Illinois Breastfeeding Task Force (CIBTF), and a former member of the Board of the Illinois chapter of Postpartum Support International (PSI). She has spoken at conferences locally and internationally on the role of the IBCLC and in the assessment and management of tongue and lip tie issues in relation to breastfeeding challenges, as well as the impact of feeding difficulties on perinatal mental health. She lives in central Illinois with her husband Brian and has four children.

Alpa Merchant, DDS
Breakout Session I Saturday, 4:30 pm -5:15 pm
Tethered Oral Tissues (TOTs) – Impact on TMD and SRBD Treatment Outcomes
1Abstract
The presentation focuses on how OMT, paired with functional frenuloplasty, affects adult RDI and AHI in patients undergoing neuromuscular stabilization and palate expansion.
The data was collected on 17 patients, four of whom are neuromuscularly stabilized. The initial results in that stabilized group are highly encouraging: they show complete resolution of the RDI and a 66% resolution of the AHI.
1Biographical Highlights
Dr. Alpa Merchant, DDS, is a Tucson-based dentist with over 25 years of experience in comprehensive, airway-focused dental care. A graduate of the University of Texas School of Dentistry at Houston, she integrates expertise in TMJ disorders, sleep and breathing, orofacial pain, orthodontics, and restorative dentistry to deliver personalized, whole-health treatment for every patient.
Dr. Merchant is a Diplomate of both the American Board of Dental Sleep Medicine and the American Sleep and Breathing Academy, a Fellow of the International College of Cranio-Mandibular Orthopedics, and the only Surgical Affiliate of The Breathe Institute in Arizona. She lectures nationally and internationally, including at the North American ICCMO Conference, and contributes to NIH-funded and TBI-led research exploring the connection between sleep, airway health, and neurocognitive function.
Dedicated to education and collaboration, Dr. Merchant co-founded the Tucson Airway Provider Study Club, uniting interdisciplinary professionals in airway and myofunctional care. Outside of dentistry, she enjoys hiking, cycling, swimming, and exploring the world with her husband.


Radhika Kapoor, DDS; and
Carmen Baker, IBCLC
Breakout Session II Saturday, 4:30 pm – 5:15 pm
The Art of Collaboration: Redefining Multidisciplinary Care in Airway and Oral Function
1Abstract
Optimal outcomes in airway, feeding, and oral functional disorders require more than procedural expertise—they demand intentional, multidisciplinary collaboration. In this lecture, Dr. Radhika Kapoor shares a holistic, prevention-driven model that integrates pediatric dentistry, laser-assisted frenectomy, myofunctional therapy, lactation consulting, bodywork, and airway diagnostics. Drawing from real-world cases across infancy, childhood, and adolescence, the presentation will explore how coordinated sequencing of care improves functional outcomes, patient satisfaction, and long-term wellness. Attendees will learn practical strategies for building referral networks, communicating effectively across disciplines, and avoiding release-centered care in favor of comprehensive, root-cause-focused treatment planning. Through the lens of the “art of collaboration,” participants will gain insights into structuring team-based care pathways that honor the scope of practice while fostering innovation, efficiency, and patient trust. The goal: to inspire providers to view collaboration not as an adjunct, but as the foundation of airway-focused dentistry.
1Biographical Highlights - Radhika Kapoor, DDS
Dr. Radhika Kapoor, DDS, is a board-certified pediatric dentist and Breathe Institute Affiliate specializing in laser dentistry, early orthodontics, and airway-focused care. A New York City native now based in New Jersey, Dr. Kapoor is known for her compassionate, patient-centered approach that combines advanced technology with a holistic understanding of child development and wellness.
A graduate of Columbia University, Dr. Kapoor completed her pediatric dental residency at the Children’s National Medical Center in Washington, D.C., gaining extensive experience in treating children with special health care needs. Inspired by her own experience as a mother navigating infant tongue-tie, she became an early adopter and educator in CO2 laser frenectomy techniques, helping infants, children, and adults overcome challenges related to feeding, airway, and sleep.
She frequently lectures on pediatric airway health and laser surgery, continuing to lead in the integration of dentistry and medicine to improve the quality of life for patients of all ages.
2Biographical Highlights - Carmen Baker, IBCLC
Carmen Baker, IBCLC, has supported breastfeeding families since 1998 and has been an IBCLC since 2005. She works in both private practice (home visits) and hospital settings, and currently manages the Lactation Program at Hoboken UMC and Christ Hospital, supporting more than 1,200 mother-baby dyads each year. Carmen has extensive experience in medically complex cases and previously counseled approximately 900 mother-baby pairs as part of a research study at Albert Einstein College of Medicine. A frequent conference speaker, she covers the first days of breastfeeding, tongue-tie and its impact on feeding, and the economics of breastfeeding. She also helps lead a New Moms Support Group and advocates for breastfeeding access through New Jersey state initiatives.

Neel Bulchandani, DC, FMDI
Breakout Session III Saturday, 4:30 pm – 5:15 pm
Floor Space: How to Address Floor of Mouth Tension to Dramatically Improve Tongue Tie Release Outcomes by Looking at Four Key Areas of the Body
1Abstract
With the remarkable advancement of the field regarding knowledge of the tongue, the palate, the orofacial complex, and the manifold benefits of proper identification and treatment of tethered oral tissues, we can celebrate the increasing awareness of these issues and solutions in the eyes of many practitioners, patients, and the public. It’s more pivotal than ever that we increase proficiency in the process — first, because it’s our responsibility as practitioners, and second, because the public is demanding it. The Floor of the Mouth is an area that deserves the spotlight, and learning how to navigate it is pivotal to understanding how to best support patients as they consider treatment pathways. While the Airway Map I’ve developed shows connections between the Floor of the Mouth and 70 areas in the body, I’ve distilled this and narrowed it down to four main areas, known as the Floor Four. It’s my belief that if practitioners can learn the connections between the Floor of the Mouth and these four main areas, they can dramatically increase success in their cases, particularly related to pre- and post- op processes for tongue tie releases. When the Floor Four are addressed — whether by manual therapy, exercises, or simple movements — we can see instant and significant reduction in floor of mouth tension. With this nuanced, yet quick, process, it’s clear how important reducing body tension is in order to see true, deep reduction in floor of mouth tension. Special emphasis will be given to complex cases related to Floor Space: mandibular tori, hypermobility, and hypersensitive tissues.
1Biographical Highlights
Dr. Neel Bulchandani is an integrative airway and feeding practitioner who merges interdisciplinary manual therapy techniques, movement, mindfulness, and modern advances in technology to optimize outcomes in patients suffering from pharyngeal arch formation issues. Entering the health care field 17 years ago as a chiropractor, Dr. Neel found his way into the airway and feeding field when his daughter was born with a tongue tie 9 years ago. He has created the Floor of the Mouth Protocol and specializes in complex cases related to tethered oral tissues, palate dysfunction, and other pharyngeal arch formation issues. He’s on a mission to inform the world about the Floor of the Mouth’s connections to over 70 areas in the body so practitioners, patients, and the public can navigate the problems we’re facing with more certainty and success. Dr. Neel lives in Santa Barbara with his wife and 3 children, and he practices in Santa Barbara, Los Angeles, and San Francisco.
Sunday, February 8, 2026

Soroush Zaghi, MD
Keynote Sunday, 9:00 am – 11:55 am
Discovery Through Research: The Evolution of Myofunctional Therapy, Lingual Frenuloplasty, and Tongue-Tie Science from Case Reports to New Frontiers
1Abstract
Research is not about producing papers for their own sake but about discovery, learning, and improving patient care. Over the past decade, studies led at The Breathe Institute, together with colleagues and the American Laser Study Club, have advanced the understanding of tongue-tie, airway health, and myofunctional therapy. Early work focused on classification and assessment, followed by investigations into tongue (muscle) tone, tongue space, wound healing, and best practices in surgical care. More recently, soft palate laser tightening has been carried forward into case reports and series, expanding the collective knowledge base.
This year’s seminar highlights how the research process itself – moving from observation to description, questioning, and systematic testing, can open new pathways of discovery. One example is the under-appreciated role of hypermobility, which carries important implications for airway stability, TMJ disorders, wound healing, and therapy outcomes. Through case examples and practical tools, we will explore how applying this same spirit of inquiry can deepen understanding, refine treatment planning, and strengthen patient-centered care.
1Biographical Highlights
Dr. Soroush Zaghi is an internationally recognized ENT and sleep surgeon, researcher, and educator specializing in the comprehensive treatment of sleep-disordered breathing, tongue-tie, and nasal obstruction. He serves as Medical Director of The Breathe Institute in Los Angeles, where he leads an interdisciplinary team providing functional and structural solutions for both pediatric and adult airway and sleep issues.
A graduate of Harvard Medical School, Dr. Zaghi completed his residency in Otolaryngology–Head and Neck Surgery at UCLA and a Sleep Surgery Fellowship at Stanford University. His pioneering research—spanning over 90 peer-reviewed publications—explores the role of tethered oral tissues, oral myofunctional dysfunction, and maxillofacial development in sleep and breathing disorders.
A sought-after speaker and educator, Dr. Zaghi lectures globally on airway health, myofunctional therapy, and laser frenuloplasty. Through The Breathe Institute, he continues to advance evidence-based, multidisciplinary approaches that bridge medicine and dentistry to improve breathing, sleep, and overall quality of life.
Don’t miss the 2026 premier gathering of airway-focused practitioners, laser surgeons, and dentists at the American Laser Study Club (ALSC) 9th Annual Symposium, themed Breathe and Thrive. The 2026 Symposium will be held February 6-8, 2026, in Las Vegas, NV.
The ALSC promotes Science-Based Laser Surgery, Dentistry, and Safety Education. The ALSC fills the void in current Laser Surgery and Laser Dentistry education (i.e., the physics of laser-tissue interaction, such as absorption, scattering, ablation, coagulation and hemostasis, soft and hard tissue ablation, laser safety, etc.) and helps Physicians, Dentists, and Practice Staff Members to excel at the efficient and safe application of laser energy in everyday practice.
*Information, terms, and conditions in this communication are subject to change without prior notice.

