A series of lectures by Dr. Barry Raphael on Airway-focused orthodontics from 2013.
Chapter 9: A summary of key concepts in Airway-focused Orthodontics
A series of lectures by Dr. Barry Raphael on Airway-focused orthodontics from 2013
Chapter 3: How Evolutionary Medicine and anthropology informs Orthodontic diagnosis and treatment planning.
A series of lectures by Dr. Barry Raphael on Airway-focused orthodontics from 2013.
Chapter 5: The Goals of Airway Orthodontics and some of the approaches to preventing deficiencies in facial growth in young children.
A series of lectures by Dr. Barry Raphael on Airway-focused orthodontics from 2013.
Chapter 2: About Soft Tissue Dysfunction and how it affects the growth and adaptation of facial growth in children.
A series of lectures by Dr. Barry Raphael on Airway-focused orthodontics from 2013.
Chapter 1: An editorial look at the forces that are changing orthodontics today and how they will influence what orthodontics is to become in the 21st century.
A series of lectures by Dr. Barry Raphael on Airway-focused orthodontics.
Chapter 4: How the basic assumption of Maxillary Dysplasia affects diagnosis and treatment planning in Airway-focused orthodontics.
Myofunctional Research Company presents Myobrace Beginner Course by Dr. Barry Raphael at the Raphael Center for Integrative Education, Clifton, New Jersey, January 2014: Part 3
A new treatment system to avoid the use of conventional orthodontic braces following extraction. more of an orthodontic presentation but has a high scope in pedodontics too.
This document provides a brief history of myofunctional orthodontics, listing important contributors from 1850 to present day. It focuses on two pioneers: Wilhelm Roux, a German anatomist in the late 19th century who first conceptualized "Functional Orthopedics"; and Alfred P. Rogers, an orthodontist in the early 20th century who advocated total-child treatment including muscular exercises to improve posture and breathing. The document presents several of Rogers' publications from 1918-1926 where he emphasized the importance of muscle training and exercises alone in orthodontic treatment.
A series of lectures by Dr. Barry Raphael on Airway-focused orthodontics from 2013
Chapter 3: How Evolutionary Medicine and anthropology informs Orthodontic diagnosis and treatment planning.
A series of lectures by Dr. Barry Raphael on Airway-focused orthodontics from 2013.
Chapter 5: The Goals of Airway Orthodontics and some of the approaches to preventing deficiencies in facial growth in young children.
A series of lectures by Dr. Barry Raphael on Airway-focused orthodontics from 2013.
Chapter 2: About Soft Tissue Dysfunction and how it affects the growth and adaptation of facial growth in children.
A series of lectures by Dr. Barry Raphael on Airway-focused orthodontics from 2013.
Chapter 1: An editorial look at the forces that are changing orthodontics today and how they will influence what orthodontics is to become in the 21st century.
A series of lectures by Dr. Barry Raphael on Airway-focused orthodontics.
Chapter 4: How the basic assumption of Maxillary Dysplasia affects diagnosis and treatment planning in Airway-focused orthodontics.
Myofunctional Research Company presents Myobrace Beginner Course by Dr. Barry Raphael at the Raphael Center for Integrative Education, Clifton, New Jersey, January 2014: Part 3
A new treatment system to avoid the use of conventional orthodontic braces following extraction. more of an orthodontic presentation but has a high scope in pedodontics too.
This document provides a brief history of myofunctional orthodontics, listing important contributors from 1850 to present day. It focuses on two pioneers: Wilhelm Roux, a German anatomist in the late 19th century who first conceptualized "Functional Orthopedics"; and Alfred P. Rogers, an orthodontist in the early 20th century who advocated total-child treatment including muscular exercises to improve posture and breathing. The document presents several of Rogers' publications from 1918-1926 where he emphasized the importance of muscle training and exercises alone in orthodontic treatment.
This document discusses how epigenetics and environmental factors can influence facial development and airways later in life. It presents an intraoral appliance that aims to promote more youthful facial development over 12 months by targeting maxillary growth sites and enhancing airway symmetry through controlled forces of chewing and muscle deprogramming. The appliance separates teeth unilaterally while protecting them from wear and fractures, and distributes biting forces in a way that stimulates underlying bone and promotes developmental changes to the face, jaw, and airway.
Bruxism in Childhood - Etiology, Clinical Diagnosis and the Therapeutic ApproachAbu-Hussein Muhamad
This document summarizes a case report of bruxism in a 4-year-old boy. Bruxism is defined as teeth grinding or clenching and can occur during sleep or while awake. The prevalence of bruxism is highest in children between 14-18% and decreases with age. Etiology may include psychological stress, malocclusion, and sleep disorders. The case report describes a 4-year-old boy with severe tooth wear consistent with bruxism. A functional orthodontic appliance was used for 3 years to control vertical growth and prevent further tooth wear. Regular adjustments were made to accommodate tooth eruption. Follow-ups showed improvement in tooth wear with treatment.
This document provides an overview of bruxism, including its definition, epidemiology, etiology, characteristics, and clinical consequences. Bruxism is defined as the forcible clenching or grinding of teeth and can occur during the day or while sleeping. It affects 8-14% of the population. The cause is multifactorial but may include occlusal factors, stress, sleep disorders, medication, and alcohol consumption. Bruxism involves rhythmic grinding and prolonged clenching that generates greater forces than normal chewing and can damage teeth, muscles, and temporomandibular joints over time if left untreated.
This document summarizes research on nutrition-related comorbidities in children with cerebral palsy. It defines cerebral palsy and discusses its causes, types, and characteristics. It then examines dysphagia, malabsorption, and constipation that affect nutrition. Several studies are described that evaluate diagnostic tools for dysphagia, biomarkers of malabsorption, vitamin D deficiency, and indicators of constipation. Methods of nutrition support through enteral formulas are also discussed. The document concludes that nutrition interventions and medical nutrition therapy can help address nutritional issues for children with cerebral palsy.
Indian Dental Academy: will be one of the most relevant and exciting
training center with best faculty and flexible training programs
for dental professionals who wish to advance in their dental
practice,Offers certified courses in Dental
implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic
Dentistry, Periodontics and General Dentistry.
Description :
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
This book provides a comprehensive review of bruxism. It is divided into three sections. The first section covers bruxism diagnosis, sleep physiology, etiological theories, and bruxism in children. The second section examines the effects of bruxism on components of the masticatory system like teeth, periodontal ligament, temporomandibular joints, muscles and its relationship to pain. Special emphasis is placed on tooth wear and differentiating causes. The third section is devoted to the treatment of bruxism. Contributors are experts in their fields and chapters are based on scientific evidence to benefit dental students, practitioners and specialists.
This document provides an overview of bruxism, including:
1. Definitions of bruxism as the parafunctional grinding or clenching of teeth.
2. Classification systems that distinguish between awake and sleep bruxism.
3. Assessment methods like questionnaires, clinical exams assessing tooth wear, and devices that record muscle activity during sleep.
4. Potential etiologies like occlusal factors, stress, medications, and neurological conditions.
This document provides information about cerebral palsy (CP), including:
1) CP is defined as a non-progressive disorder of movement, muscle tone, and posture due to a brain injury before age 5. It is often associated with developmental disabilities like intellectual disability, epilepsy, and sensory or speech problems.
2) CP is classified based on affected body parts (topographic), muscle tone physiology), and functional ability. Assessment involves evaluating health, neurological function, movement, cognition, vision/hearing, feeding, speech, orthopedic issues, and home situation.
3) Management is multidisciplinary, involving medical evaluation, physiotherapy to improve movement and prevent deformities, occupational therapy, play
Dr. Suresh Kumar Murugesan is presenting on cerebral palsy. Cerebral palsy is a group of disorders that affect movement and posture due to damage to the brain. The presentation covers the causes of cerebral palsy, types of cerebral palsy, symptoms, diagnosis, treatment including medication, therapy, surgery and assistive devices, and prevention strategies.
Oral care management for children with special needs
Special needs dentistry, also known as special care dentistry, is a speciality of dentistry concerned with the oral health of people who have intellectual disability, or who are affected by other medical, physical, or psychiatric issues
For more information, you can book an appointment at
Dr Sachdeva's Dental Aesthetic And Implant Institute,
I 101, Ashok Vihar Phase 1, Delhi- 110052
Contact us at
• Phone : +919818894041,01142464041
• Our Websites:
• www.sachdevadentalcare.com
• www.dentalclinicindelhi.com
• www.dentalimplantindia.co.in
• www.dentalcoursesdelhi.com
• www.facialaestheticsdelhi.com
• Google+ link: https://goo.gl/vqAmvr
• Facebook link: https://goo.gl/tui98A
• Youtube link: https://goo.gl/mk7jfm
• Linkedin link: https://goo.gl/PrPgpB
• Slideshare link : http://goo.gl/0HY6ep
• Twitter Page : https://goo.gl/tohkcI
• Instagram page : https://goo.gl/OOGVig
Cerebral palsy (CP) is a group of permanent movement disorders that appear in early childhood. According to the CDC, about 764,000 children and adults in the US have CP. Each year in the US, around 10,000 babies are born with CP and another 1,200-1,500 preschool-aged children are diagnosed with CP. Boys have a higher prevalence of CP than girls. CP is caused by abnormal development or damage to the brain that affects a person's ability to control his or her muscles. Common symptoms in babies and young children include poor head control, stiff or weak muscles, tremors, poor coordination, and developmental delays. Treatment involves physical, occupational and speech therapy, medications
This document summarizes a seminar on cerebral palsy that included presentations from multiple speakers. It covered the epidemiology, anatomy, pathophysiology, clinical manifestations, clinical evaluation and diagnosis, and differential diagnosis and treatment of cerebral palsy. The epidemiology section provided statistics on prevalence, risk factors like preterm birth, and trends over time. The anatomy section described the pyramidal and extrapyramidal motor systems. Pathophysiology focused on causes like periventricular leukomalacia in preterm infants. Clinical manifestations included abnormal muscle tone, feeding difficulties, and lack of coordination. Assessment instruments for functional classification like the Gross Motor Function Classification System were also summarized.
Problem faced by Adult with Cerebral Palsy & their emediesjitendra jain
As with any other normal individual, function of Cerebral Palsy affected individual also declines significantly as result of aging but proportion of problems can be more. Shorter life span in these group of population not because of cerebral palsy but commonly due to existing co-morbidities so it is better to understand their co-morbidity and try to resolve them .
This document provides guidelines for providing anticipatory guidance to parents at different stages of their child's development. It covers topics such as oral development, nutrition, oral hygiene, fluoride use, habits, and injury prevention. Guidelines are provided for prenatal counseling, and ages 6-12 months, 12-24 months, 2-6 years, 6-12 years, and adolescence. The document emphasizes educating parents on establishing good oral health habits and preventing dental injuries at each stage.
4 EVALUATION OF IMPACTED THIRD MOLARS seminar 4.pptxsneha
This PowerPoint presentation offers a concise overview of the assessment and management of impacted third molars. Learn about the key evaluation criteria, potential complications, and treatment choices for this prevalent dental issue.
Concepts of occlusion /certified fixed orthodontic courses by Indian dental a...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
This document discusses the development of occlusion from birth through adulthood. It covers:
- The gum pad (neonatal) period from birth to 6 months, characterized by separation of the upper and lower gum pads into tooth buds.
- The primary dentition period from 6 months to 6 years, where the 20 primary teeth erupt in a set sequence. Features include shallow overjet/overbite and ovoid arch form.
- The mixed dentition period from 6-12 years, where permanent molars and incisors erupt alongside primary teeth. This leads to three transitional phases as the dentition changes.
- The permanent dentition period after 12 years when all 32 permanent teeth
Natal and neonatal teeth refer to teeth present at birth or within the first 30 days of life. Natal teeth erupt at birth while neonatal teeth erupt within the first month. The most commonly affected teeth are the mandibular incisors. The cause is unknown but may involve the superficial position of the developing tooth germ. Natal and neonatal teeth can resemble normal primary teeth but are often poorly developed with incomplete roots. Radiographs are important to determine root development and whether extraction is necessary to prevent aspiration risk. Most experts recommend leaving the teeth in place if possible to allow stabilization as the permanent arch develops.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
This document discusses how epigenetics and environmental factors can influence facial development and airways later in life. It presents an intraoral appliance that aims to promote more youthful facial development over 12 months by targeting maxillary growth sites and enhancing airway symmetry through controlled forces of chewing and muscle deprogramming. The appliance separates teeth unilaterally while protecting them from wear and fractures, and distributes biting forces in a way that stimulates underlying bone and promotes developmental changes to the face, jaw, and airway.
Bruxism in Childhood - Etiology, Clinical Diagnosis and the Therapeutic ApproachAbu-Hussein Muhamad
This document summarizes a case report of bruxism in a 4-year-old boy. Bruxism is defined as teeth grinding or clenching and can occur during sleep or while awake. The prevalence of bruxism is highest in children between 14-18% and decreases with age. Etiology may include psychological stress, malocclusion, and sleep disorders. The case report describes a 4-year-old boy with severe tooth wear consistent with bruxism. A functional orthodontic appliance was used for 3 years to control vertical growth and prevent further tooth wear. Regular adjustments were made to accommodate tooth eruption. Follow-ups showed improvement in tooth wear with treatment.
This document provides an overview of bruxism, including its definition, epidemiology, etiology, characteristics, and clinical consequences. Bruxism is defined as the forcible clenching or grinding of teeth and can occur during the day or while sleeping. It affects 8-14% of the population. The cause is multifactorial but may include occlusal factors, stress, sleep disorders, medication, and alcohol consumption. Bruxism involves rhythmic grinding and prolonged clenching that generates greater forces than normal chewing and can damage teeth, muscles, and temporomandibular joints over time if left untreated.
This document summarizes research on nutrition-related comorbidities in children with cerebral palsy. It defines cerebral palsy and discusses its causes, types, and characteristics. It then examines dysphagia, malabsorption, and constipation that affect nutrition. Several studies are described that evaluate diagnostic tools for dysphagia, biomarkers of malabsorption, vitamin D deficiency, and indicators of constipation. Methods of nutrition support through enteral formulas are also discussed. The document concludes that nutrition interventions and medical nutrition therapy can help address nutritional issues for children with cerebral palsy.
Indian Dental Academy: will be one of the most relevant and exciting
training center with best faculty and flexible training programs
for dental professionals who wish to advance in their dental
practice,Offers certified courses in Dental
implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic
Dentistry, Periodontics and General Dentistry.
Description :
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
This book provides a comprehensive review of bruxism. It is divided into three sections. The first section covers bruxism diagnosis, sleep physiology, etiological theories, and bruxism in children. The second section examines the effects of bruxism on components of the masticatory system like teeth, periodontal ligament, temporomandibular joints, muscles and its relationship to pain. Special emphasis is placed on tooth wear and differentiating causes. The third section is devoted to the treatment of bruxism. Contributors are experts in their fields and chapters are based on scientific evidence to benefit dental students, practitioners and specialists.
This document provides an overview of bruxism, including:
1. Definitions of bruxism as the parafunctional grinding or clenching of teeth.
2. Classification systems that distinguish between awake and sleep bruxism.
3. Assessment methods like questionnaires, clinical exams assessing tooth wear, and devices that record muscle activity during sleep.
4. Potential etiologies like occlusal factors, stress, medications, and neurological conditions.
This document provides information about cerebral palsy (CP), including:
1) CP is defined as a non-progressive disorder of movement, muscle tone, and posture due to a brain injury before age 5. It is often associated with developmental disabilities like intellectual disability, epilepsy, and sensory or speech problems.
2) CP is classified based on affected body parts (topographic), muscle tone physiology), and functional ability. Assessment involves evaluating health, neurological function, movement, cognition, vision/hearing, feeding, speech, orthopedic issues, and home situation.
3) Management is multidisciplinary, involving medical evaluation, physiotherapy to improve movement and prevent deformities, occupational therapy, play
Dr. Suresh Kumar Murugesan is presenting on cerebral palsy. Cerebral palsy is a group of disorders that affect movement and posture due to damage to the brain. The presentation covers the causes of cerebral palsy, types of cerebral palsy, symptoms, diagnosis, treatment including medication, therapy, surgery and assistive devices, and prevention strategies.
Oral care management for children with special needs
Special needs dentistry, also known as special care dentistry, is a speciality of dentistry concerned with the oral health of people who have intellectual disability, or who are affected by other medical, physical, or psychiatric issues
For more information, you can book an appointment at
Dr Sachdeva's Dental Aesthetic And Implant Institute,
I 101, Ashok Vihar Phase 1, Delhi- 110052
Contact us at
• Phone : +919818894041,01142464041
• Our Websites:
• www.sachdevadentalcare.com
• www.dentalclinicindelhi.com
• www.dentalimplantindia.co.in
• www.dentalcoursesdelhi.com
• www.facialaestheticsdelhi.com
• Google+ link: https://goo.gl/vqAmvr
• Facebook link: https://goo.gl/tui98A
• Youtube link: https://goo.gl/mk7jfm
• Linkedin link: https://goo.gl/PrPgpB
• Slideshare link : http://goo.gl/0HY6ep
• Twitter Page : https://goo.gl/tohkcI
• Instagram page : https://goo.gl/OOGVig
Cerebral palsy (CP) is a group of permanent movement disorders that appear in early childhood. According to the CDC, about 764,000 children and adults in the US have CP. Each year in the US, around 10,000 babies are born with CP and another 1,200-1,500 preschool-aged children are diagnosed with CP. Boys have a higher prevalence of CP than girls. CP is caused by abnormal development or damage to the brain that affects a person's ability to control his or her muscles. Common symptoms in babies and young children include poor head control, stiff or weak muscles, tremors, poor coordination, and developmental delays. Treatment involves physical, occupational and speech therapy, medications
This document summarizes a seminar on cerebral palsy that included presentations from multiple speakers. It covered the epidemiology, anatomy, pathophysiology, clinical manifestations, clinical evaluation and diagnosis, and differential diagnosis and treatment of cerebral palsy. The epidemiology section provided statistics on prevalence, risk factors like preterm birth, and trends over time. The anatomy section described the pyramidal and extrapyramidal motor systems. Pathophysiology focused on causes like periventricular leukomalacia in preterm infants. Clinical manifestations included abnormal muscle tone, feeding difficulties, and lack of coordination. Assessment instruments for functional classification like the Gross Motor Function Classification System were also summarized.
Problem faced by Adult with Cerebral Palsy & their emediesjitendra jain
As with any other normal individual, function of Cerebral Palsy affected individual also declines significantly as result of aging but proportion of problems can be more. Shorter life span in these group of population not because of cerebral palsy but commonly due to existing co-morbidities so it is better to understand their co-morbidity and try to resolve them .
This document provides guidelines for providing anticipatory guidance to parents at different stages of their child's development. It covers topics such as oral development, nutrition, oral hygiene, fluoride use, habits, and injury prevention. Guidelines are provided for prenatal counseling, and ages 6-12 months, 12-24 months, 2-6 years, 6-12 years, and adolescence. The document emphasizes educating parents on establishing good oral health habits and preventing dental injuries at each stage.
4 EVALUATION OF IMPACTED THIRD MOLARS seminar 4.pptxsneha
This PowerPoint presentation offers a concise overview of the assessment and management of impacted third molars. Learn about the key evaluation criteria, potential complications, and treatment choices for this prevalent dental issue.
Concepts of occlusion /certified fixed orthodontic courses by Indian dental a...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
This document discusses the development of occlusion from birth through adulthood. It covers:
- The gum pad (neonatal) period from birth to 6 months, characterized by separation of the upper and lower gum pads into tooth buds.
- The primary dentition period from 6 months to 6 years, where the 20 primary teeth erupt in a set sequence. Features include shallow overjet/overbite and ovoid arch form.
- The mixed dentition period from 6-12 years, where permanent molars and incisors erupt alongside primary teeth. This leads to three transitional phases as the dentition changes.
- The permanent dentition period after 12 years when all 32 permanent teeth
Natal and neonatal teeth refer to teeth present at birth or within the first 30 days of life. Natal teeth erupt at birth while neonatal teeth erupt within the first month. The most commonly affected teeth are the mandibular incisors. The cause is unknown but may involve the superficial position of the developing tooth germ. Natal and neonatal teeth can resemble normal primary teeth but are often poorly developed with incomplete roots. Radiographs are important to determine root development and whether extraction is necessary to prevent aspiration risk. Most experts recommend leaving the teeth in place if possible to allow stabilization as the permanent arch develops.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
This document summarizes key points about early treatment of tooth eruption disturbances from a presentation by Dr. Juri Kurol. It discusses that early treatment is purportedly easier and less expensive but should not be prescribed automatically without evaluating need and prognosis. Early treatment is recommended to avoid further disturbances during eruption and prevent complications like tooth resorption. Common disturbances requiring early treatment include ectopic maxillary first molars, mesiodens, ankylosed deciduous molars, and palatally erupting canines to prevent root resorption of incisors. Early extraction of palatally erupting canines in ages 10-13 normalized 78% of cases. More evidence is needed to demonstrate benefits of early treatment versus
This document provides an overview of different methods for classifying malocclusion. It begins with introducing malocclusion and the importance of classification. It then discusses several landmark classification systems developed over time, including Angle's original 1899 system which divides malocclusions into three main classes (Class I, II, III) based on the molar relationship. The document also describes common types of malocclusions like open bite, deep bite, crossbite, as well as Angle's subclassification of Class II into divisions I and II. In summary, the document outlines the history and key aspects of various approaches to classifying malocclusion.
This document provides information on Class I malocclusions, including their features, management, and etiology. Key points include:
- Class I malocclusions have a normal anteroposterior incisor relationship but may have discrepancies within the arches.
- Common etiologies are skeletal, soft tissue, and dental factors like tooth size discrepancies leading to crowding or spacing.
- Crowding is the most frequent dental factor and can be managed through extractions, while spacing is usually due to hypodontia.
- Late lower incisor crowding is often due to mandibular growth and soft tissue changes. Early loss of first molars requires consideration of second molar eruption
This document summarizes the normal development of primary and permanent dentition. It discusses the chronology of tooth development, including calcification and eruption times. It also describes the typical stages of postnatal dental development, from the edentulous stage to the functional permanent dentition stage. Abnormalities during development like natal or neonatal teeth are also addressed.
Craniosynostosis is a birth defect where the bones in a baby's skull fuse together too early, before the brain is fully formed. This can cause the skull to become misshapen as the brain grows. There are several types depending on which sutures close prematurely. Treatment may involve surgery to relieve pressure on the brain and reshape the skull, or in mild cases, using a helmet to guide skull growth. Left untreated, craniosynostosis risks brain damage, seizures, or developmental delays.
Late fetal development and birth is a complex process. In the last 3 months of pregnancy, the fetus grows rapidly, reaching about 3000 grams at birth. The head size decreases proportionally after 4 months to facilitate delivery. Birth is traumatic as the newborn must adapt physiologically to the outside world. Growth may cease briefly and weight may decrease slightly at first. Disturbances like illness can cause interruptions in growth visible in tooth enamel. After birth, growth continues steadily in height and weight, though prematurity, chronic illness, or poor nutrition can impact development. The major oral functions of respiration, swallowing, mastication, and speech develop through childhood as the jaws, tongue, and teeth change. The sequence and timing of
Primary teeth are important for several reasons, including aiding in speech development, chewing and eating, and guiding the eruption of permanent teeth. Tooth eruption is a complex process involving bone resorption and formation, as well as root development over several years before teeth emerge into the mouth. The sequence and timing of primary and permanent tooth eruption follows a generally predictable pattern, though there can be variations in individuals. Factors like genetics and local issues can influence the eruption process and cause problems like delayed, premature, or ectopic eruption.
This document discusses the concepts of occlusion from its early fictional and hypothetical development to becoming an established fact. It traces how occlusion was initially described as antagonism or meeting of teeth. Angle standardized the definition as the relation of inclined tooth planes in occlusion and cited examples like "Old Glory" skull. Factors determining tooth position include forces from lips, cheeks, tongue and occlusal contacts. Occlusion involves dynamic tooth contact positions as well as static postural resting positions and relationships with the temporomandibular joint. Terminologies like normal, ideal and traumatic occlusion are defined.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Development of dental occlusion in orthodonticsMothi Krishna
The document discusses the development of dental occlusion from birth through adulthood. It describes the four periods of occlusal development: pre-dental, deciduous dentition, mixed dentition, and permanent dentition. Key events in each period include the development of gum pads in infancy, eruption of primary teeth from 6 months to 6 years, transition between primary and permanent teeth from 6-12 years, and the final establishment of occlusion with full eruption of the permanent dentition. The concepts of ideal and normal occlusion are also introduced.
This document discusses post-natal development and the maturation of oral functions from birth through childhood. It covers the eruption schedules of primary and permanent teeth and the development of chewing, swallowing, speech, and other oral motor skills. Key points include:
- Oral functions develop from front to back, with lips maturing first and more complex swallowing and speech sounds developing later.
- Primary teeth typically begin erupting around 6 months and are usually all erupted by age 2.
- Permanent teeth begin erupting around age 6, following a predictable sequence, with eruption influenced by growth spurts and controlled by the periodontal ligament.
- Space requirements mean primary teeth spacing is redistributed during
This document summarizes various dental anomalies:
1. Ankylosis is the fusion of tooth cementum to alveolar bone, which can occur during eruption. It is classified as mild, moderate, or severe based on occlusal surface location.
2. Ectopic eruption involves a tooth erupting in an abnormal path, often intercepting a primary tooth. It may cause premature loss of the primary tooth.
3. Primary failure of eruption is a rare condition where permanent teeth fail to erupt for unknown reasons, sometimes resulting in an open bite distal to the affected area.
This document provides information about multiple episodes of "The Airway and Facial Development Collaborative", a podcast produced by Drs. Mark A. Cruz and Barry Raphael. It lists the episode numbers, dates, guest speakers, and brief episode titles for over 50 past episodes dating back to January 2014. The episodes discuss various topics related to airway dentistry, sleep, breathing, orthodontics, posture, and interdisciplinary collaboration between dental and medical professionals.
This document discusses respiratory and breathing physiology. It provides an overview of evaluating upper airway function, including tests like HRPO, pharyngometry, rhinometry, and CBCT. It also discusses treating conditions like UARS, LPR, and OSA with therapies like CPAP, OAT, MMA, and MFT. The document lists potential medical sequelae that can result from untreated airway and breathing issues, such as bruxism, anxiety, depression, fatigue, nocturia, hypertension, cognitive impairment, reflux, cough, asthma, mood swings, infertility, and more.
This document discusses airway and facial development, evolution, and how environmental stressors can lead to unintended physiological consequences and compromises. It explores the difference between competencies developed through genetic evolution and design, and compensations developed through environmental influences and stress, which can result in secondary dysfunctions. Specifically, it examines how competent behaviors and functions in children can be replaced by compensatory parafunctions due to environmental factors like mouth breathing, which can ultimately lead to malocclusions and other structural asymmetries if left unaddressed.
This document announces an upcoming webinar titled "Current Topics in Airway Dentistry" hosted by The Airway and Facial Development Collaborative on June 13, 2016 at 9:30 EST. The webinar will be produced by Dr. Mark A. Cruz and Dr. Barry Raphael and will discuss evolution, Darwinian dentistry, competencies, stressors, physiology, and consequences as they relate to airway dentistry.
This document discusses bringing together different approaches to orthodontics that consider airway health, including Rogers MewAngleCrozat, myofunctional orthotropics, fixed appliances, and lightwire/cranial techniques. It advocates for interdisciplinary collaboration between orthodontics and other medical fields like pediatrics, musculo-skeletal medicine, and more to implement airway-conscious treatment protocols, improve diagnostics, and raise awareness of airway health issues. The goal is improved patient outcomes through validated multi-system diagnoses and addressing the epidemiology of airway problems.
The document announces upcoming events on airway orthodontics and a new collaborative medical/dental care model. It provides information on upcoming spreecasts and mini-residency courses on airway assessment, causes of airway dysfunctions, treatment, and practice. It also includes a call for participants in a white flag initiative and invites people to subscribe to updates, provide feedback, and share invitations with others. It closes with a parting quote about evidence-based practice and the need for ongoing curiosity and discourse.
This document discusses orthodontics and airway issues. It mentions that three orthodontists who attended an AARD meeting were curious about airway problems after one mentioned speakers on health and airway journeys. The friend spent two days promoting airway awareness and ALF programs, hoping other practitioners would understand the problems and solutions. The friend suggests crafting a vision for what they hope to achieve.
The document also lists researchers and outlines a research protocol studying the relationship between malocclusions, orofacial dysfunctions, and space conditions in primary and mixed dentition.
This email from a friend discusses a presentation they saw that focused on mandibular advancement for correcting malocclusions. The friend critiques the presentation for overlooking important factors like tongue position and swallowing pattern. They believe the actual problem in the cases was a low resting tongue level caused by issues like tongue tie or bottle feeding rather than mandibular position. Correcting mandibular position without addressing the underlying tongue issues risks open bite recurrence and TMJ problems later in life. The friend argues the study design did not fully consider all impactful information needed to accurately reflect what was occurring.
This document summarizes an episode of "The Airway and Facial Development Collaborative" podcast. The episode features Darick Nordstrom discussing the power of proper facial development. Nordstrom is a dentist from a rural practice who studied osteopathy and developed several appliance designs. He focuses on empowering practitioner teams through airway, sleep, and facial development techniques. The podcast is produced by Drs. Mark Cruz and Barry Raphael and covers topics related to the evolution of dentistry and its impact on facial development and physiology.
The document announces an upcoming Spreecast event on April 25th featuring Mark Cruz and a guest discussing a new medical/dental care collaborative model. It also advertises upcoming airway mini-residencies on the east and west coast in June 2016 that will cover assessment, causes, treatment, and practice of airway-related dysfunctions. Finally, it provides parting words questioning the concept of evidence-based practice and calls for more curiosity and discourse on what remains unknown.
This document summarizes an upcoming webinar titled "Pat McBride: Reading the PSG and The DDS/MD Collaboration" hosted by The Airway and Facial Development Collaborative on March 28, 2016. The webinar will feature Pat McBride discussing how to read polysomnography reports and the collaboration between dentists and medical doctors. It provides details on McBride's background and experience in dental and sleep medicine. The webinar producers are listed as Dr. Mark A. Cruz and Dr. Barry Raphael.
The document contains announcements for upcoming events including a Spreecast on April 11th with Darick Nordstrom discussing stabilizing orthodontic patients and an event on April 25th with Mark Cruz on multidisciplinary wellness collaboratives. It also lists information on an airway mini-residency in June 2016 and a call for participants in the AAPMD White Flag initiative. Contact information is provided to subscribe, give feedback, and find out more information on the listed events and programs.
This document discusses sleep scoring and interpretation. It begins by introducing the speaker and their background and disclosures in the field of sleep medicine. It then covers the basics of how sleep studies are scored, including scoring sleep stages, respiratory events, arousals, and periodic limb movements. It discusses the specifics of what is involved in scoring each of these components and provides examples. The document raises some issues that can arise in testing and reporting, and how failures in the system can negatively impact patients. It advocates for partnership between sleep professionals to better understand sleep disorders.
This document provides information about an upcoming episode of "The Airway and Facial Development Collaborative" podcast hosted by Drs. Mark Cruz and Barry Raphael. The episode scheduled for March 14th at 9:30 EST will focus on the legacy of James Garry and his contributions to the fields of dental occlusion and craniomandibular disorders. It will feature guests Clayton Chan and Ron Reeves discussing their history working with and being mentored by James Garry.
Clayton and Ron are thanked for something. An announcement is made about an upcoming webinar on March 28th with Pat McBride about working with medical offices. Another webinar is announced for April 11th with Mark Cruz on multidisciplinary wellness collaboratives. Information is provided about an upcoming airway mini-residency in June on both coasts covering assessment, causes, treatment, and practice regarding airway-related dysfunctions. Contact information is given for Darick Nordstrom and the AAPMD website. A call for participants is made for an AAPMD white flag initiative for orthodontists and others. Instructions are given to subscribe and pass invitations to others. Feedback can be provided to
James F. Garry was considered the "Einstein of Dentistry" for his pioneering work in upper airway obstruction, upper airway deformities, and craniomandibular disorders. He helped develop technologies like the Nuk pacifier and aspirator. Garry was inspired by Dr. Bernard Jankelson, the father of neuromuscular dentistry, and began incorporating neuromuscular techniques after seeing their success in treating his sister's pain. Garry was a leader in the field who published extensively, lectured worldwide, and held many positions in professional organizations throughout his career.
The document announces upcoming events including a Spreecast on Dr. James Garry on March 14th and a talk by Pat McBride on working with medical offices on March 28th. It also advertises East and West Coast airway mini-residencies in June 2016 and the AAPMD White Flag conference in Tucson in September. It provides contact information for the events and asks readers to subscribe, pass on invitations, and provide feedback. It closes with a quote about arguing and listening.
Valerie Sinkus will be presenting on the topic of fascia during an upcoming episode of "The Airway and Facial Development Collaborative" podcast hosted by Dr. Mark A. Cruz and Dr. Barry Raphael. Sinkus has over 40 years of experience as a physical therapist specializing in various manual therapy techniques and neuroscience-based exercise approaches. She will discuss the role of fascia as it relates to airway and oral myofunctional issues, drawing on her multidisciplinary approach integrating manual therapy and exercise. The presentation will take place on February 15 at 9:30 EST.
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Airway ortho 9 string of pearls
1. Airway Orthodontics
A lecture series prepared by
Dr. Barry Raphael
Of the
Raphael Center for Integrative Orthodontics
Clifton, NJ.
www.alignmine.com
www.myobracenj.com
“A String of Pearls” - 2013
1Thursday, June 6, 13
2. •Animations are not included in this archive and may
affect the meaning or intent of the slide
•As the information in these presentations is
constantly evolving, please consider the date of creation
when reviewing the material.
2Thursday, June 6, 13
3. A String of Pearls
“The mind is like a
parachute:
it’s best when it’s open”
3Thursday, June 6, 13
4. Pearl #1
Malocclusion is a SYMPTOM of a greater imbalance
•Malocclusion is a relatively new phenomenon
•Since it takes over 20,000 years for a gene change to
become incorporated into the genome, malocclusion
cannot be genetic
•Malocclusion is due to a mismatch of our geneotype with
our environment
•Malocclusion is one of many CNCDC
4Thursday, June 6, 13
5. Pearl #2
•The conditions to which the face must adapt begin at birth
(and even before).
•These conditions have a cumulative effect that will likely result
in some DEVIATION from ideal.
•90% of these Effects will be permanent by Age 12
•“Orthodontic Treatment” is just one more condition that
affects adaptation
•Even when we do “nothing”, the face is still being
“treated”.
Treatment must focus on the problem when it starts
One Phase treatment is Early Treatment by Neglect
5Thursday, June 6, 13
6. Pearl #3
•The Maxilla is usually RETRUSIVE
•The mandible adapts to this environment
•It may be retruded more than the maxilla due to
muscle pull or constricted space (Class II)
•It may be as retruded as the maxilla, with dental
compensations for lack of space (Class I)
•It may grow normally, and leave the maxilla behind
(Class III)
•But the MAXILLARY DYSMORPHIA is the same for all
Deviations
Angle Classification is Misleading
6Thursday, June 6, 13
7. Pearl #4
Retraction and Extrusion aggravate the situation
• Open mouth posture is THE critical element in the
formation of the maxilla.
• Maxillary changes (dysmorphia) are in all three
dimensions of space
•Transverse deficiency
• Sagitall retrusion
•Vertical excess
• Currently, there are no mainstream protocols to reverse
this condition
7Thursday, June 6, 13
8. Pearl #5
•Maxillary Dysmorphia encroaches on the nasopharyngeal airway
•The airway is related to breathing and sleep disorders.
• Hampering adaptation predisposes to airway issues.
•This may include conditions which:
• Prevent the airway from growing properly (ie: open mouth posture)
• Prevent the airway from being expanded properly (ie: distalization
mechanics)
• Perpetuates damage already occured (ie: constriction mechanics,
untreated soft tissue dysfunction
All treatment, in the final analysis, is about the AIRWAY.
8Thursday, June 6, 13
9. Conclusions: The pharyngeal
airway size became narrower after
the treatment. Extraction of four
premolars with retraction of
incisors did affect velopharyngeal,
glossopharyngeal,
hypopharyngeal, and hyoid
position in bimaxillary protrusive
adult patients.
9Thursday, June 6, 13
12. Pearl #6
•Malocclusion is a Solution to provide Equilibrium and
Homeostasis
•If we “rebalance” the occlusion, we disturb the equilibrium
12Thursday, June 6, 13
14. Pearl #6
•Malocclusion is a Solution to provide Equilibrium and
Homeostasis
•If we “rebalance” the occlusion, we disturb the equilibrium
•There are always unintended consequences, even if subclinical
Relapse
Occlusal Wear
Occlusal Trauma
Bruxism
Joint Derangement
Referred Pain
Sleep Apnea
Assorted physical ailments
14Thursday, June 6, 13
15. Pearl #6
•Malocclusion is a Solution to provide Equilibrium and Homeostasis
•If we “rebalance” the occlusion, we disturb the equilibrium
•There are always unintended consequences, even if subclinical...
•...Unless we make compensations elsewhere (respiratory,
musculo-skeletal, neurological, circulatory systems)
15Thursday, June 6, 13
16. MyoFunctional Ortho
Teeth and Occlusion
Tongue, MM,TMJ
Cranial,Cervical,Posture
Whole Body (resp,
circ, musc-skel, etc)
16Thursday, June 6, 13
17. Pearl #6
•Malocclusion is a Solution to provide Equilibrium and Homeostasis
•If we “rebalance” the occlusion, we disturb the equilibrium
•There are always unintended consequences, even if subclinical...
•...Unless we make compensations elsewhere (respiratory,
musculo-skeletal, neurological, circulatory systems)
We must broaden the scope of our concern beyond teeth
17Thursday, June 6, 13
21. The Orthodontic
Uncertainty Principle
Is ortho a mechanical service ?
Is ortho a behavioral service?
Can it be both?
(That depends on your point of view…)
21Thursday, June 6, 13
22. Orthodontics in the
21st Century
Conventional
Orthodontics
Airway
Orthodontics
Genetic
Tooth-Focused
Dental Model: Perfection
Esthetics Primary
Treating Symptoms
Airway Ignorant
Adaptation
Muscle-Focused
Medical Model: Better
Esthetics Secondary
Treating Causes
Airway Concious
22Thursday, June 6, 13