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Better Faces - Less Braces
A Spreecast Webinar by

Dr. Barry Raphael

Of the
Raphael Center for Integrative
Orthodontics
November 13, 2013
Why do we have
crooked teeth?
In addition to moving teeth, we need to
address the cause of the problem.
If we fail to do this then when the teeth
have been straightened either we need to
have permanent retention or the teeth will
relapse towards the original position.”

Permanent retention is the state of the art in orthodontics
The Upper Jaw
and Teeth
take the Shape of
the Muscles that
Surround them.
The muscles can push this way...

… or this way
Arch Forms
The Gothic Arch

The Roman Arch
How to build an arch
The Gothic Arch

The Roman Arch
When the tongue rests in the roof of the
mouth the teeth erupt around the tongue
forming a normal shaped and sized jaw.

The tongue is the scaffold for the
upper jaw
For normal growth and development the
growing child needs to:
1.breathe through the nose,
2.have the lips together at
rest, and
3.have the tongue sitting in
the roof of the mouth.
Those children who breath through the mouth or
have the lips apart at rest will not have the tongue
in the roof of the mouth.
Those children who breath through the mouth or
have the lips apart at rest will not have the tongue
in the roof of the mouth.
All of these children will have an
underdeveloped upper jaw.

It will not be big enough for all of the teeth and when the
adult teeth erupt they will be crooked.
With and Without Mouth Breathing

SOFT TISSUE DYSFUNCTION
Comparison of Unsupported vs Supported Growth
Brush-Bolton since 1928
Boy Age 11
7-6yo girl
10yoM
12yF

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3 rcio spreecast malocclusion

  • 1. Better Faces - Less Braces A Spreecast Webinar by Dr. Barry Raphael Of the Raphael Center for Integrative Orthodontics November 13, 2013
  • 2. Why do we have crooked teeth?
  • 3. In addition to moving teeth, we need to address the cause of the problem. If we fail to do this then when the teeth have been straightened either we need to have permanent retention or the teeth will relapse towards the original position.” Permanent retention is the state of the art in orthodontics
  • 4. The Upper Jaw and Teeth take the Shape of the Muscles that Surround them.
  • 5. The muscles can push this way... … or this way
  • 6. Arch Forms The Gothic Arch The Roman Arch
  • 7. How to build an arch The Gothic Arch The Roman Arch
  • 8. When the tongue rests in the roof of the mouth the teeth erupt around the tongue forming a normal shaped and sized jaw. The tongue is the scaffold for the upper jaw
  • 9. For normal growth and development the growing child needs to: 1.breathe through the nose, 2.have the lips together at rest, and 3.have the tongue sitting in the roof of the mouth.
  • 10. Those children who breath through the mouth or have the lips apart at rest will not have the tongue in the roof of the mouth.
  • 11. Those children who breath through the mouth or have the lips apart at rest will not have the tongue in the roof of the mouth. All of these children will have an underdeveloped upper jaw. It will not be big enough for all of the teeth and when the adult teeth erupt they will be crooked.
  • 12. With and Without Mouth Breathing SOFT TISSUE DYSFUNCTION Comparison of Unsupported vs Supported Growth
  • 16. 10yoM
  • 17. 12yF