Center for Tethered Oral Tissues

Scott A. Siegel, D.D.S., M.D., F.A.C.S., F.I.C.S.

Welcome from Our Founder & Medical Director

Over the last twenty years as a Dual Degree Oral and Maxillofacial Surgeon, I have performed Minimally Invasive Laser Surgery to release the tethered oral tissues (TOTs) of thousands of babies, children and adults, eg., Upper Lip and Tongue-tie.

Trends have emerged. My research has shown that untreated and/or incomplete TOTs revisions may result in Ineffective Breastfeeding, Reflux, Airway Obstruction; and then as children grow, Swallowing Problems, Speech/Articulation Issues, Airway Growth and Development, Sleep Disordered Breathing, Orthodontic problems & other issues.

My training as a Medical Doctor (MD) gave me a thorough understanding of pediatric and adult general surgery and medicine; My training as an Oral Surgeon (DDS) gave me a in depth clinical and basic science background of head, neck, oral anatomy and physiology and surgery; My TOTs experience over the past twenty years has enabled me to observe the changes in my patients from the infant stages from initial treatment through adulthood.

This unique perspective and approach to TOTs over time, which inspired me to launch the Center for Tethered Oral Tissues located in NYC and Long Island. I currently am on the Governing Council for the International Affilliation of Tongue Tie Professionals. I am also an active member of the Academy of Breastfeeding Medicine.

I lecture internationally on tongue and lip tie. My clinical research focuses on the relationship of lip and tongue tie and reflux in breastfeeding infants secondary to aerophagia. I am working new guidelines in the diagnosis and treatment of Aerophagia Induced Reflux (AIR) vs. Gastroesophageal Reflux (GER) with the American Academy of Pediatrics and Academy of Breastfeeding Medicine.

Collaborating with lactation consultants, oromyofunctional therapists, speech/language pathologists, dentists, pediatricians, and many other health care providers is vital to the long-term success TOTs Surgery and my patients' overall well-being.

Thank you for taking the time to find out more about Tethered Oral Tissues (TOTs). I truly believe that working together, we can make a difference.

Warm regards,


What are the Breastfeeding Problems Caused by Tethered Oral Tissues (TOTs)? [VIDEO]

Breastfeeding Problems

Why Use a CO2 Soft Tissue Laser to Release Tethered Oral Tissues (TOTs):

Dr. Siegel uses a Carbon Dioxide (CO2) soft tissue Laser to ensure that his patients have the highest standard of medical and surgical care. Here's why:

  • Minimal pain
  • Minimal bleeding
  • Precision and completeness of release
  • Minimal risk of infection
  • More gentle on soft tissue than other commonly used lasers (eg. diode, Waterlase)

Minimizing Anxiety for TOTs Patients and Families

  • Welcoming Parents & Lactation Consultants to be present in the Procedure Room.
  • Drawing Upon His Experience as a Father of Three Breastfed Infants, Two of Whom he performed TOTs Laser Surgery.
  • Providing 24/7 Aftercare Support via my personal cell phone for Parents and Lactation Consultants.
  • In older children and adults various forms of sedation are available.