Tongue-Tie & Palate Evaluation Procedures
Tongue-Tie & Palate Evaluation: Essential Cranial Procedures for the Chiropractic Practice
Tongue-tie (ankyloglossia) and palatal distortions can have a profound impact on cranial development, airway function, latching, speech, posture, and neurological integration—especially in infants and young children.
In this targeted online course, you’ll learn how to accurately evaluate and address tongue-tie and palate imbalances using safe, gentle, and effective cranial techniques. You’ll gain insight into how oral and cranial restrictions affect the entire body—and how to support optimal outcomes through chiropractic care.
This training empowers chiropractors to play a critical role in identifying dysfunctions early, guiding parents through care options, and offering structural corrections that often reduce the need for more invasive procedures.
What You’ll Learn
- Detailed evaluation protocols for tongue, lip, and buccal ties
- Visual and manual assessment strategies for high, narrow, or distorted palates
- Step-by-step cranial techniques to support palate expansion and normalize oral function
- How to recognize compensatory patterns affecting the jaw, cranium, and spine
- Guidance for collaboration with other birth and oral health professionals
Resources Provided
- Video class modules
- Evaluation & technique presentations
- Practical demonstrations
- Calls to action (CTAs)
- Complete PDF workbooks
- Full transcriptions of video classes
- Email access to Dr. Rosen & Dr. Watson
Why Take This Course?
- Early identification and correction of tongue-tie and palate issues can prevent long-term problems with feeding, breathing, speech, and neurological development
- Chiropractors are uniquely positioned to identify structural dysfunctions that are often overlooked in traditional screenings
- Hands-on protocols you can implement immediately to support both infants and children in your practice
Who Is This Course For?
Chiropractors who want to:
- Elevate their pediatric care with advanced cranial and oral assessment tools
- Provide non-invasive support to families navigating tethered oral tissue diagnoses
- Integrate functional cranial corrections into a neurologically-based chiropractic practice
Tongue-tie and palate distortions don’t just affect the mouth—they influence the entire cranial and spinal system. This course gives you the tools to assess and address these patterns confidently, improving outcomes for your youngest patients and their families.
Course Contents
12 Modules | 12 CTAs
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Module 01 Cranial Anatomy and Landmarks
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Module 02 Cranial Bone Motion
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Module 03 The Dural Meningeal System and CSF
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Module 04 Anatomy and Movement of the Palate
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Module 05 Evaluation of the Palate
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Module 06 Dural Meningeal Evaluation of the Palate
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Module 07 Palate Distortions and Cranial Bone Relationships
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Module 08 Corrections for Palate Distortions
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Module 09 Sphenobasilar Mechanics and Evaluation
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Module 10 Palate Corrections and Fruit Jar Techniques
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Module 11 Tongue-Tie
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Module 12 Palate Contacts for Intra-Oral Corrections and the Sphenomaxillary Suture
Meet the Instructors
As early as first quarter in chiropractic school they were attracted to each other’s commitment to chiropractic and the pursuit of excellence. Their combined 80 years of personal and clinical and teaching experience, in delivering the chiropractic adjustment is unparalleled in the chiropractic profession. Their international outreach through teaching, writing and lecturing has been a driving force in their personal and professional careers since their first seminar taught together as students, in 1979.
Their years of experience have taught them what works and what does not work to create a successful practice and lifestyle. The more competent and comprehensive your expertise you will find that more patients will seek your services and your practice will grow exponentially.
Feedback From Our Students
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Dr. Lindsey Crook
My three takeaways:
1. Not all tongue ties require surgical intervention.
2. The oral cavity can correct between ages 6mos and 6 years with proper cranial adjusting.
3. There are many ways we as chiropractors can support a family that is experiencing difficulties with oral ties.It has given me greater understanding and confidence to explain to patients what is happening and support them in their decision of how they want to address their child’s oral tie.
I would recommend it to others who care for a lot of children in their practice to deepen their understanding of how to care for our families.
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Jonah Wright, DC
“I have learned so much throughout the last 3 months of this course. I love how Dr. Rosen conveyed the importance of how the motion of the palate and the quality of function of a child suck, swallow and breath complex impact the rest of the cranium as well as the CSF as a whole. I appreciate the way in which this course was taught. Dr. Rosen did not skip right to the palate work but took the time to take a broad view of the cranium and then gradually the videos became more specific to the palate as the course progressed. I was prepared and eager for the next week’s course to drop. Third, I enjoyed the way in which palate corrections were taught. Simple steps in order to evaluate and make efficient corrections.
The course came at the perfect time in my life. My wife and I just had a baby girl. She had moderate tongue and lip ties. There was trouble nursing, sucking, and breathing. We started palate work early and saw great changes in her craniofacial system. Very quickly, nursing, sucking, and breathing improved. She is now a champion eater and has a head shape that I am so proud of haha. Professionally, I have had my eyes on getting into cranial adjusting for a couple years now. Took my first year of practice to focus on the neuro spinal system and now at the beginning of my second year in practice I am pumped to start the process of introducing cranial evaluation and corrections to my tool belt.
Our office at PWC Chiropractic takes on the toughest of cases. There are many points where thinking outside of the conventional box is necessary and beneficial to the patient. I felt like I attracted patients that needed palate and tongue tie work during this last 3 month stretch. I was able to confidently educate the parents on what was going on with their child and how it impacts their child as a whole. Many parents chose the wait and see approach and throughout consistent chiropractic care on the neuro spinal system as well as specific cranial adjustments, we saw many tongue ties loosen and pediatricians back away from their surgical recommendations. Also, better breathing and sleep changes as well.
Thank you for your level of attention to detail and taking the time to thoroughly explain this complex information! You guys are awesome and I am excited to take more courses and level up my care as I continue to learn.”
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Dr. Jennifer Sneeuwjagt
You will learn how to evaluate the palate and cranial bones and be given techniques to correct them. You will gain knowledge of how to evaluate the sphenoid bone. You will understand the importance of the SBJ and how to correct for dysfunction.
I have wanted a deeper understanding of cranial adjusting and have never learned cranial adjustments using the palate. I feel I now have the knowledge to begin to apply to my practice and am excited to help my patients as well as family members.
I have only just started to apply the techniques. Still trying to feel comfortable with them.
Yes, I would recommend this course. Good information and good presentation.
I enjoyed the presentation and the class and feel I gained knowledge I will continue to use. Thank you!
More Courses from Peak Potential Institute
Ready to elevate your practice and transform patient outcomes? Our 38-class ONLINE Cranial Immersion Class offers an unparalleled opportunity to learn chiropractic cranial adjusting SM protocols from A to Z. Designed for practitioners eager to master the art and science of cranial work, this immersive course will guide you through every aspect—from foundational anatomy to advanced correction techniques.
What Can Oral Movement Tell Us About the Person?
The way a person breathes, rests the tongue, moves the jaw, chews and swallows can reveal important relationships among cranial function, airway development, posture and oral function.
Oral movement does not occur in isolation. It develops within an integrated system involving the cranium, nervous system, airway, palate, temporomandibular joints, cervical spine and the body’s ability to adapt to gravity and movement.
In this six-week online program, Dr. Erin Rosen takes you from the foundations of the living, adaptable cranium through cranial motion, airway and sinus development, palatal form, sucking, chewing, tongue function and swallowing.
Cranial distortion patterns, including Plagiocephaly now affects nearly 1 in 2 infants, yet many practitioners are trained to view it as cosmetic rather than neurological and biomechanical. This comprehensive program is designed specifically for chiropractors who want a clear, structured protocol for evaluating and managing cranial asymmetry with precision and confidence.
This course goes far beyond identifying a “flat head.” You will learn how plagiocephaly, brachycephaly, and scaphocephaly reflect deeper dural meningeal tension patterns, cranial base distortions, spinal involvement, and CSF imbalance, all of which influence growth, posture, and neurological organization.
