website banner

Episode 218: The Three Pillars Approach with Jessica Altemara, IBCLC and Dr. Ray Tseng, DDS, PhD, FAAPD

On this week’s episode of The Untethered Podcast, Jessica Altemara and Dr. Ray Tseng join Hallie to discuss the significance of offering both holistic and evidence-based care to families facing difficulties with the functional impacts of tethered oral tissues (e.g., tongue tie, lip tie, buccal tie). 

They delve into the role of social-emotional support in guiding families through their tongue-tie journey, using the Three Pillars Approach. Hot topics including the importance of continuity of care, research data collection, collaborative efforts, and professional development are also discussed. 

About Jessica: Jessica, a mother of four, has been devoted to supporting families facing oral restrictions since her own experience with a tongue-tied baby in 2005. With her background as a La Leche League Leader, doula, and IBCLC-certified practitioner, she established a successful private practice. Jessica’s advocacy extends nationwide, where she has collaborated with various practices to introduce the integrative Three Pillar Approach. 

About Dr. Ray Tseng: Dr. Ray has been practicing pediatric dentistry for 11 years and diagnosing and treating lip and tongue ties in infants and children for 5 years. He started the NC Tongue Tie Center, focused on research and clinical practice and is on the board of directors for the International Consortium for Ankylofrenula Professionals (ICAP), an international society for tongue-tie clinicians, health professionals, and researchers. He has created an evidence-based practice and treatment protocol, produced clinical evidence related to lip and tongue ties, and continues to collaborate with other ankyloglossia and tongue tie health professionals.

This episode is definitely packed with a wealth of knowledge. 

Dr. Ray and Jessica are inviting all of you to join the movement with ICAP, an international organization of tongue-tie professionals whose vision is to promote best practices for the assessment, diagnosis and integrative treatment of restricted oral tissues

If this episode inspired you in some way, take a screenshot of you listening, post it to your Instagram Stories, and tag @halliebulkin 

 In this episode you’ll hear about: 

  • The Three Pillar Approach: integrating social-emotional support with clinical care in the tongue-tie journey
  • Providing All Relevant Information In Allowing A Family To Make an Informed Decision 
  • Navigating Referrals and Assessments for the Integrative Model of Care 
  • Unifying Care for Parents and Infants
  • Bridging the Gap Between Pediatric Feeding Therapists and Surgeons to Improve Treatment of Tethered Oral Tissues
  • The Impact of Ego on Providing Best Care For Tongue Tie Patients 
  • Assessing Treatment Success with A Follow-Up Model for Infant Tongue-Tie Releases
  • Myofunctional Therapy: Benefits and Research
  • Data Analysis to Support Breastfeeding Moms 
  • Feeding Therapy: Collaborating to Evolve and Improve Practice with Data Collection 
  • Working Together to Improve Patient Care 


Learn more about ICAP and CIREAS here.

Want to learn more about myofunctional therapy? Check out The Myo Method here: 

And download a Free Myo Screening Tool Here:

If Pediatric Feeding (with a twist of TOTs and myo is your goal), go here:

Connect with me on Instagram, Facebook & LinkedIN

Haven’t left a review yet? Click here and thank you, as always, for being a listener!  

One Response