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Join us for ASTOT 2026 in Beautiful Bali

2026 Registration Open

Registration fees & pricing can be found on this page below our 2026 Program
Register Now!!

2026 Program

Please see below our current 2026 Symposia Program. Please be advised the Program may be subject to changes as we approach.

Friday 28th August

TIME
SESSION DETAILS
SPEAKER
8:00 - 8:30am
Registration Open

8:30am - 8:45am
Welcome to Country & Symposium Open
Dr Sharon Smart
Session 1: 8:45am - 10:30am
Global Perspectives & Conceptual Frameworks
Session Chair: Dr Philip Hand
8:45am - 9:30am
Tongue-Tie Is Not a Frenulum Problem: It’s a Whole-Body Functional Disorder
Dr Donny Mandrawa
9:30am - 10:00am
Building Global Agreement on Tongue Tie: Delphi Consensus
Dr Sharon Smart
10:00am - 10:15am
An Audit of Ankyloglossia Referral Patterns (Malaysia)
Thaarani Vijayakumar
10:15am - 10:30am
Questions
Facilitated by Philip Hand
10:30am - 11:00am
Morning Tea
Session 2: 11:00am - 12:45pm
Screening, Intervention & Outcomes
Session Chair: Dr Asti Praborini
11:00am - 11:30am
Newborn Tongue Tie Screening at Canberra Hospital, Australian Capital Territory
A/Prof David Todd
11:30am - 12:00pm
Outcomes and Wound Care Following Frenotomy
Monica Hogan
12:00pm - 12:30pm
Effects of Tongue Tie on Breastfeeding and Medium-Term Effects of Tongue Tie Division
Louise Duursma
12:30pm - 12:45pm
Questions
Facilitated by Asti Praborini
12:45pm - 1:45pm
Lunch & Poster Viewing
Session 3: 1:45pm - 3:30pm
Regional Models, Referral Pathways & Health Systems
Session Chair: Dr Anna Walton
1:45pm - 2:15pm
Indonesian Perspective: Integrated Lactation & Frenotomy Models
Dr Asti Praborini
2:15pm - 2:45pm
Paediatrician Perspective on Tongue Tie Management
Dr Yudianita Kesuma
2:45pm - 3:00pm
Why a Release Does Not Help: Vitamin B12 Deficiency in Infants and Mothers
Maaike van Broekhoven
3:00pm - 3:15pm
Tongue Ties and Beyond: A Critical Look at Diagnosis and Treatment (India)
Dr Ankita Shah
3:15pm - 3:30pm
Questions
Facilitated by Anna Walton
3:30pm - 3:45pm
Afternoon Tea
Session 4: 3:45pm - 5:30pm
Peri‑operative Care
Session Chair: Dr David Grayson
3:45pm - 4:15pm
When Stretches Matter: Post‑Frenectomy Stretch Compliance
Dr Raymond Tseng & Dr Sharon Smart
4:15pm - 4:45pm
Before and After the Release: Do Exercises Improve Feeding
Dr Sharon Smart & Dr Raymond Tseng
4:45pm - 5:00pm
Small Cuts, Big Functions: Clinical Outcomes in a 10-Patient Series of Children Undergoing Simple Scissor Frenotomy and Orofacial Myofunctional Therapy
Dr. Dyah Febriyanti
5:00pm - 5:15pm
Reducing Risk and Optimizing Outcomes in Infant Frenectomy Care
Dr. Maribel Santos-Cordero
5:15pm - 5:30pm
Questions
Facilitated by David Grayson
7:00pm - 9:00pm
Social Dinner @ Nusa Dua Beach Hotel & Spa

Saturday 29th August

TIME
SESSION DETAILS
SPEAKER
8:00am - 8:30am
Registration Open

Session 5: 8:30am - 10:30am
Shared Decisions in Tongue‑Tie Care Across Professions
Session Chair: A/Prof David Todd
8:30am - 9:15am
Ethical Decision Making Related to Tongue-Tie and the Importance of a Multidisciplinary Team Approach
Carol Dobrich
9:15am - 10:00am
Fascial Restriction to Functional Freedom
Dr Justin and Kate Roche
10:00am - 10:15am
Early Detection & Timely Frenotomy in Infancy
Dr. Ika Nurillah Satriana
10:15am - 10:30am
Questions
Facilitated by David Todd
10:30am - 11:00am
Morning Tea
Session 6: 11:00am - 12:45pm
Multidisciplinary Care and International Perspectives
Session Chair: Louise Duursma
11:00am - 11:30am
New Zealand Multidisciplinary Care
Dr David Grayson
11:30am - 12:00pm
Redefining “Optimal Conditions” for Tongue Tie Release
Dr Kazuki Sekiguchi
12:00pm - 12:15pm
Tongue-Tie Beyond Infancy: A Case Series of Persistent Speech Dysfunction Despite Normal Breastfeeding History
Dr Agustina Santi
12:15pm - 12:30pm
Seven‑Contact Breastfeeding Support in a BFHI Hospital
Nadya Azzahra
12:30pm - 12:45pm
Questions
Facilitated by Louise Duursma
12:45pm - 1:45pm
Lunch & Poster Viewing
Session 7: 1:45pm - 3:30pm
Function, Readiness & Whole‑Body Implications
Session Chair: Marijke Eastaugh
1:45pm - 2:00pm
Sponsorship Presentations
Sponsors
2:00pm - 2:30pm
From Tongue to Posture: Hidden Connections
Dr Stefano Colasanto
2:30pm - 2:45pm
Recognising Readiness for Frenotomy
Bridget Ingle
2:45pm - 3:00pm
Tongue Function & Chronic Orofacial Pain
Cheree Wheaton
3:00pm - 3:15pm
Pseudoleukoplakia Mimicking Thrush in Infants with Tethered Oral Tissue
Dr Anjar Setiani
3:15pm - 3:30pm
Questions
Facilitated by Marijke Eastaugh
3:30pm - 4:00pm
Afternoon Tea
Session 8: 4:00pm - 5:15pm
Abstract Poster Lightening Talks
Session Chair: Dr Sharon Smart
4:00pm - 4:03pm
When a Small Cut Makes a Big Difference: Case Series of Ankyloglossia in Low Birth Weight, Small for Gestational Age Infants and Post-Intervention Catch-Up Growth
Dr Septina Ayu Samsiati
4:05pm - 4:08pm
Information Coverage of Tethered Oral Tissues (TOT) in Prenatal Breastfeeding Education Allow Early Detection and Treatment: Double Frenotomy in Infant with Slow Weight Gain and Well-Informed Mother about TOT
Dr Laksmi Nurul Ismiri
4:10pm - 4:13pm
Double Frenotomy in Slow Weight Gain and Mix Feeding Infant with Tethered Oral Tissue and Mother with Perceived Insufficient Milk Supply: Preventing Premature Cessation of Breastfeeding
Dr Laksmi Nurul Ismiri
4:15pm - 4:18pm
Extreme Neonatal Hyperbilirubinemia Associated with Breastfeeding Difficulties Due to Ankyloglossia: Case Reports
Dr Hani Pumamasari
4:20pm - 4:23pm
Relactation in A Lip-and-Tongue-Tied Baby with Nipple Confusion and A Flat-Nipple Exclusive-Pumping Depressed Mother: A Case Report
Nadya Auliarahma Samiadji
4:25pm - 4:28pm
Between Overdiagnosis and Neglect: Rethinking Tongue-Tie in the Breastfeeding Journey
Dr Sang Ayu Prabha Amandari Sutyandi
4:30pm - 4:33pm
Silent Signs, Serious Outcome: A Case of Atypical Mastitis Progressing to Breast Abscess
Dr Tanessa Audrey Wihardji
4:35pm - 4:38pm
Breast Abscess Associated with Tethered Oral Tissues in Breastfed Infants: A Three-Case Series
Dr Ratih Ayu Wulandari
4:40pm - 4:43pm
Comparing Non-Surgical and Surgical Management of Ankyloglossia in Infants
Dr Yanitama Putri
4:45pm - 4:48pm
Improved Weight Gain After Frenotomy in Infants with Tongue-Tie: A Case Series of Six Fully Breastfeeding Dyads in Private Practice
Dr Michelle Mandala
4:50pm - 4:53pm
Clinical Management of Impaired Tounge Function in a 4-Month-Old Infant in a Low-Income Setting: A Clinical Experience
Lisa Marisa
4:55pm - 4:58pm
Successful Breastfeeding Restoration in an Infant with Ankyloglossia and Nipple Confusion: A Case Report
Dr Astrid Fiyoni
5:00pm - 5:03pm
Failure to Thrive Due to Tongue Tie: A Case Report
Dr Putu Herlin Oktavianti
5:05pm - 5:08pm
The Impact of Frenotomy on Gastroesophageal Reflux in Ankyloglossia: A Case Series
Dr Ayi Dilla Septarini
5:10pm - 5:13pm
Early Clinical Observations of Tongue Tie and Breastfeeding Outcomes: A Retrospective Comparative Case Review
Leanne Maree Girola
5:15pm - 5:30pm
Conference Closing

2 Day Registration fees

Registration Type
Registration (Prices are in $AUD)
ASTOT Member
ASTOT Member Earlybird $730 (inc gst) changes to $780 after 31/05/26
Non Member
NON-Member Earlybird $950 (inc gst) changes to $1050 after 31/05/26
Student
Student $400 (inc gst) changes to $480 after 31/05/26
LMIC (Lower Middle Income Country) LMIC as listed by World Bank income groups.
LMIC Earlybird $400 (inc gst)changes to $480 after 31/05/26

1 Day Registration fees

Registration Type
Registration (Prices are in $AUD)
ASTOT Member
ASTOT Member Earlybird $500 (inc gst)
Non Member
NON-Member Earlybird $550 (inc gst)
Student
Student $350 (inc gst)
LMIC (Lower Middle Income Country) LMIC as listed by World Bank income groups.
LMIC Earlybird $350 (inc gst)
Register Now!!!

Thank you to our sponsors

Venue & Accommodation

Nusa Dua Beach Hotel and Spa - Handwritten Collection Nusa Dua Beach Hotel & Spa is located on Bali's southern peninsula, just 15 minutes from Ngurah Rai International Airport via Bali Mandara toll road. Each guestroom is decorated with authentic Balinese furnishing and offers stunning views of manicured tropical gardens or vistas of the ocean from the terrace or balcony. The resort features 3 outdoor pools and direct beach access. It resembles a Balinese palace with complete spa facilities, 5 restaurants and 3 bars, meeting rooms and an outdoor theatre. Superior Room with 1 king-size bed With Balinese touches throughout, Superior Room with 1 king-size bed. Each room features a private balcony. Free Wi-Fi, safe, coffee & tea making facilities, bathroom with shower. $165 USD per night The above rate is Net, inclusive of 21% government tax and service charge. The room rate is inclusive of breakfast for two persons Bookings: A booking link will be provided via email once you have registered for the conference.

Speakers

Asti Prabornini
Asti Praborini, MD, Pediatrician, IBCLC, FABM, has 35 years of experience as a pediatrician, which has convinced her that nothing is more important and valuable than breastfeeding for both mother and baby. As a national speaker with Perinasia and also now an international speaker, she continues the campaign promoting the benefits of breastfeeding, despite formula marketing that is pervasive in the country. She established the first hospital-based lactation team in Indonesia that works ultimately to help mothers breastfeed their babies and now leads six lactation teams in different hospitals. She is practicing scissor frenotomy for anterior as well as posterior tongue-tie and lip-tie and has established her own method for hospitalization of nipple confusion, supplementation, adoptive nursing, and many others. She also devoted her time to giving pro bono service to the poor in the pediatric clinic of LKC Dompet Dhuafa and received the LKC award in 2011, 2018, and 2021. She is now a Fellow of Academy of Breastfeeding Medicine (FABM) and Board of ASTOT.
Donny Mandrawa
Dr. Donny graduated as a general dentist from the University of Melbourne in 1998 and began exploring Orofacial Myofunctional Orthodontics in 2001. Since 2002, he has trained extensively in Dentofacial Orthopedics, Orthodontics, Oral Restrictions, and Airway-focused Myofunctional Dentistry under multidisciplinary experts. An international lecturer since 2014, Dr. Donny co-founded Myofocus Education in 2017 (departed July 2025) and co-created the Myofocus Take Off Algorithm—the first system delivering individualized Orofacial Myofunctional Therapy prescriptions. He holds Fellowships with the International Congress of Oral Implantology, Pierre Fauchard Academy, and the International Academy of Dental Facial Esthetics, and earned a Postgraduate Diploma in Orthodontics and Dentofacial Orthopedics from the London Dental Institute. Currently, he operates two Melbourne centers, focusing on early intervention in Orofacial Myofunctional Dentistry across Orthodontics, Dentofacial Orthopedics, Dental Sleep Medicine, and Tethered Oral Tissues, treating patients from 2 days to 74 years old.
Yudianita Kesuma
Dr. Yudianita Kesuma, Sp.A(K), M.Kes., is a Pediatric Consultant in Growth and Development from Universitas Sriwijaya, Indonesia, and the founder of the Love2Grow Growth & Development – Lactation Clinic in Palembang. She serves as a lecturer at the Faculty of Medicine, Universitas Sriwijaya, teaching pediatric residents and medical students in lactation management, oral–motor development, and frenotomy techniques. She pioneered the integration of lactation management into the undergraduate medical curriculum to strengthen early evidence-based breastfeeding education. Clinically, she specializes in the diagnosis and management of ankyloglossia and its impact on growth, feeding, and speech, with extensive experience performing frenotomy in infants and children. Her ongoing research explores the association between folate metabolism, ankyloglossia, and speech difficulties in children. As a national speaker and breastfeeding advocate, Dr. Yudianita frequently delivers lectures and workshops across Indonesia, promoting science-based, family-centered approaches to optimize child growth and development through the power of human milk.
Monica Hogan
Monica Hogan is a PhD Candidate in the School of Medicine & Psychology at Australian National University. Her research is focusing on Wound Healing and Breastfeeding Consequences post Tongue Tie Division. She has been involved in supporting families, mothers and babies for over 30 years and researching in tongue tie for over 20 years. Monica has a background as an Endorsed Midwife, Registered Nurse and International Board Certified Lactation Consultant.

David Todd

David Todd is Associate Professor at the Australian National University (ANU) Medical School and Neonatology Department at The Centenary Hospital for Women and Children, Canberra. Over his Neonatal career, spanning over 45 years, his main research interests have included surfactant deficiency/respiratory distress syndrome, CPAP, chronic lung disease, growth and nutrition. Specific interests within growth and nutrition centre around the importance of human milk including donor breastmilk, breastfeeding (BF) and the impact of tongue ties (TTs) on BF. Whilst working in the UK in 2001, he was involved with the first RCT on the effect of dividing TTs on BF efficacy and efficiency. David has over 90 research publications and over 200 presentations/invited lectures. Since 2006 when he moved to Canberra, he has developed a regular weekly TT clinic where he assesses and divides TTs. He is a founding member of the International Association of TT Professionals (IATP) and the Australasian Society for Tongue and Lip Ties (ASTLiT), now renamed Australasian Society of Tethered Oral Tissue (ASTOT). He is currently the immediate past president of ASTOT.
David Grayson
David is an Otolaryngologist with a special interest in Paediatric ORL. He works full time for the New Zealand Health public service, Te Whatu Ora. David is also a member of the Global Council of The Beryl Institute, a leading institution for improving healthcare experience.
Louise Duursma
Louise is a registered nurse who has worked in a variety of health settings, including as a clinical nurse specialist and nurse manager. Louise is long term volunteer Australian Breastfeeding Association (ABA) Counsellor, an Honorary Member of ABA, a Baby Friendly assessor, and a IBCLC in private practice in Sydney Australia. In 2021 Louise completed a Master of Research and thesis on tongue-tie classification and women's experience of feeding a baby with tongue-tie and is currently a PhD candidate examining the ‘effects of tongue-tie on infant feeding and outcomes of tongue-tie release’.
Carole Dobrich
Carole is an RN, IBCLC and completed her B.Sc. in MCH - Human Lactation. She wears many hats in both her professional and volunteer roles.She’s an advocate for supporting the breastfeeding dyad to reach their goals, and has been supporting families with complicated lactation situations for 30+ years. Her involvement with tongue-tie research started in 2004. Her original Frenotomy Decision Rule for Breastfeeding Infants evolved into the Frenotomy Decision Tool for Breastfeeding Dyads. She attended the 1st meeting in Orlando of what became the International Affiliation of Tongue-tie Professionals (IATP). Also involved in the development of the International Consortium of Oral Ankylofrenula Professionals (ICAP) and is a founding member.She believes in sharing knowledge through education, mentoring, supporting research, advocacy and putting all in to good ethical practice. Proud mother of 4 adult children & 1 grandchild (soon to be 2). She now lives in Perth, Australia, after 40 years in Montreal, Canada.

Sponsorship Opportunties

Interested in supporting ASTOT as one of our valued sponsors? Reach out to the team at CORP COMM to discuss the available pricing and packages, and help keep your company front of mind with our members & delegates. We couldn't run this event without help from our sponsors, and we would be thrilled if you considered supporting the 2026 symposium! Please direct enquiries to: sponsorship@corpcomm.com.au +613 5977 0244 Download the 2026 prospectus here:
ASTOT 2026 Sponsorship Prospectus

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AUSTRALASIAN SOCIETY FOR TONGUE AND LIP TIES LIMITED
ABN: 44621763200Change of Comany Name in Progress: Australasian Society for Tethered Oral Tissues (ASTOT)t: +613 5977 0244 (Australia) e: admin@astot.orgw: www.astot.orga: 21, 33 Milgate Drive, Mornington, Victoria 3931, AUSTRALIA © ASTLIT

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