Restrictive Tethered Oral Tissues need to be the initial and a major portion in the differential diagnosis of obstructive sleep apnea in newborn infants and toddlers
Lawrence Kotlow, DDS

1. Reduced oxygen saturation in the brains of infants can be a major underlying cause for disruption of neuron or circuit function. __ true. ____ false
2. When Obstructive sleep apnea (OSA)is left untreated or ignored during infancy, as these babies age, they may be observed having developed a variety of Co-morbidities ___ true. ____ false

RTOTS should be the first part of an infant’s differential diagnosis for a number of infant co-morbidities. Co-morbidities such as snoring, mouth breathing, Air Induced Reflux, OSA, and abnormal brain development due to reduced oxygen flow in the first 6 months of life . This webinar will discus why interception of airway difficulties need to be addressed at birth.

Dr. Lawrence Kotlow attended Albany College of Pharmacy (1965-1968) graduated from the SUNY Buffalo Dental School in 1972 and received his 2-year pediatric dental training as a resident at the Children’s Hospital in Cincinnati, Ohio from 1972-1974. He established his dental practice in Albany, New York in December of 1974. He achieved Board Certified in Pediatric dentistry in 1980. He is a Fellow in the American Board of Pediatric Dentistry.  He is a member of the AAPD, ABPD, ADA, New York State Dental Association,3^rd district Dental Society of NYS, American Academy of Physiological Medicine and Dentistry and the Academy of Laser Dentistry.

As a member of the ALD, Dr. Kotlow served on the Board of Directors, achieved Advanced Proficiency in Erbium:Yag lasers, CO2 @9300nm and Nd: YAG lasers, as well as Standard Proficiency in the use of diodes and ALD Mastership status. He was the 2014 recipient of the Leon Goldman award for excellence from the Academy of Laser dentistry and in 2022 received the John Sulewski Distinguished Service award for outstanding Commitment and contribution to the ALD. He has lectured on a wide range of clinical applications using lasers on infants and children and establishing the ALD one-day pediatric program at the ALD annual session. He is an internationally known expert on aiding mothers achieving a comfortable and effective latch during breastfeeding due to tongue and lip ties and has lectured to over 5000 health care professionals on the diagnosis, laser treatment and post-surgical care of these infants. He has lectured on Sleep Disordered Breathing, dental lasers, and pediatric dentistry throughout the United States and Internationally in Israel, Canada, Taiwan, France, England, Australia, Philippines ,Japan, Denmark and Italy.

He has contributed to textbook chapters on the use and benefits of soft tissue lasers, hard tissue lasers and Photobiomodulating lasers in Pediatric Dentistry in Dental Clinics of North America 2004, The Atlas of Laser Dentistry and in Principles and Practice of Laser Dentistry. He has had articles published on laser dentistry in the Academy of Laser Dentistry Journal, European Archives of Pediatric Dentistry, Journal of Human Lactation, Journal of Clinical Lactation, Journal of Orthodontics, Journal of General Dentistry, Journal of the Canadian Dental Association, and many others.

In July 2016 he published a book SOS4TOTS as complete book with 160 photos on the diagnosis, and treatment of infants with lingual and labial ties using lasers.

1.5 CE credits available to AAPMD members