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Chiropractors’ Role in Tethered Oral Tissues

This was held April 6 in Houston, TX

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As we learn more about tethered oral tissues (TOTS) and their effects on the body, chiropractors play an important role in helping to identify, treat, and educate families about the implications of TOTs on the body. In the course, you will learn how to identify tethered oral tissue through function and exam, chiropractic techniques pre and post-release, and how to implement this work into your practice. You will also hear from one of the leading frenectomy providers, Dr. Piya Gandhi, about how a frenectomy is done and the importance of chiropractic care to ensure better outcomes for her patients. We will also hear from Dr. Peter Vitruk, creator of the LightScalpel laser, which innovates how frenectomies are performed. This course is designed for all chiropractors to help expand your knowledge in the field of Tethered Oral Tissues and how we can better serve this patient population in our practice.


  • Alayna Pagnani-Gendron, D.C., CACCP
  • Piya Gandhi, DDS
  • Peter Vitruk, PhD, MInstP, CPhys

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CE Credits

6 Credit Hours will be provided for Chiropractors.

Tuition $400 (USD)

ALSC members receive $50 off automatically if logged in during checkout. LightScalpel users ask us for your coupon code to receive an additional $50 off. Register now.

Learning Objectives

  1. How to identify tethered oral tissues
  2. Pre and post-frenectomy care
  3. How to implement TOTs care into your practice

Laser Curriculum

The laser curriculum for this course has been developed by the American Laser Study Club (ALSC). Laser instructions will be assisted by the guest speaker, Peter Vitruk, PhD, MInstP, CPhys, a laser physicist who founded the American Laser Study Club and LightScalpel Inc.

Breakfast and Lunch are included. Space is Limited Register Today!


*Information, terms, and conditions in this communication are subject to change without prior notice. The American Laser Study Club reserves the right to change the course’s location, date, time, material, and cancel the course. Registered attendees will be notified within a reasonable window of time about any major changes to the course. If a course is canceled, registrants will be notified via email two weeks before the course date, at which time a full refund will be issued. Requested refunds will incur a 20% processing fee. No cancelations within two weeks of the course date.


April 6


ALSC – American Laser Study Club
(888) 206-2710
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HealthPro Family Chiropractic & Acupuncture
4101 Greenbriar Dr, Suite 135
Houston, TX 77098 United States
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