Myofunctional Research Company presents Myobrace Beginner Course by Dr. Barry Raphael at the Raphael Center for Integrative Education, Clifton, New Jersey, January 2014: Part 1
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
Myofunctional Research Company presents Myobrace Beginner Course by Dr. Barry Raphael at the Raphael Center for Integrative Education, Clifton, New Jersey, January 2014: Part 2
Myofunctional Research Company presents Myobrace Beginner Course by Dr. Barry Raphael at the Raphael Center for Integrative Education, Clifton, New Jersey, January 2014: Part 4
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.
Cephalometric Analysis of discrepancy in Vertical planeDr. Shriya Murarka
Cephalometric is the key ingredient to the serving of orthodontic diagnosis and treatment planning. However, compilation of all parameters, that would give the accountability of all vertical problems of a given malocclusion is rarely found. This presentation is an attempt to help students to go through all existing problems in a orthodontic patient in vertical plane at one go.
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
Fixed expansion appliances /certified fixed orthodontic courses by Indian de...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
00919248678078
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
Myofunctional Research Company presents Myobrace Beginner Course by Dr. Barry Raphael at the Raphael Center for Integrative Education, Clifton, New Jersey, January 2014: Part 2
Myofunctional Research Company presents Myobrace Beginner Course by Dr. Barry Raphael at the Raphael Center for Integrative Education, Clifton, New Jersey, January 2014: Part 4
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.
Cephalometric Analysis of discrepancy in Vertical planeDr. Shriya Murarka
Cephalometric is the key ingredient to the serving of orthodontic diagnosis and treatment planning. However, compilation of all parameters, that would give the accountability of all vertical problems of a given malocclusion is rarely found. This presentation is an attempt to help students to go through all existing problems in a orthodontic patient in vertical plane at one go.
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
Fixed expansion appliances /certified fixed orthodontic courses by Indian de...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
00919248678078
Cephalometrics as a diagnostic aid/orthodontic courses by indian dental academyIndian dental academy
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.
A series of lectures by Dr. Barry Raphael on Airway-focused orthodontics.
Chapter 7 : Some ways of changing the Form side of the facial growth and adaptation equation.
Orthodontic indices /certified fixed orthodontic courses by Indian dental aca...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 cephalometric analysis gives an idea about the planes ,facial types, arch and axis this slide includes Introduction
Planes,Classification of facial types,Archs,Axis,Dental axis
Conclusion,Ceph tracing
this presentation is all about the ethical issues that the orthodontists face, along with the well written informed consent and guidelines that an orthodontist needs to follow.
Early vs late orthodontic treatment /certified fixed orthodontic courses by I...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.
Elastics in orthodontics /certified fixed orthodontic courses by Indian denta...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.
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
Mixed dentition analysis. /certified fixed orthodontic courses by Indian dent...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
Dr. Barry Raphael gives an overview of a new subspecialty in orthodontics call Airway Orthodontics. This segment provides the rationale for this paradigm shift. (Animations and movies not included).
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.
Cephalometrics as a diagnostic aid/orthodontic courses by indian dental academyIndian dental academy
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.
A series of lectures by Dr. Barry Raphael on Airway-focused orthodontics.
Chapter 7 : Some ways of changing the Form side of the facial growth and adaptation equation.
Orthodontic indices /certified fixed orthodontic courses by Indian dental aca...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 cephalometric analysis gives an idea about the planes ,facial types, arch and axis this slide includes Introduction
Planes,Classification of facial types,Archs,Axis,Dental axis
Conclusion,Ceph tracing
this presentation is all about the ethical issues that the orthodontists face, along with the well written informed consent and guidelines that an orthodontist needs to follow.
Early vs late orthodontic treatment /certified fixed orthodontic courses by I...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.
Elastics in orthodontics /certified fixed orthodontic courses by Indian denta...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.
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
Mixed dentition analysis. /certified fixed orthodontic courses by Indian dent...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
Dr. Barry Raphael gives an overview of a new subspecialty in orthodontics call Airway Orthodontics. This segment provides the rationale for this paradigm shift. (Animations and movies not included).
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.
Surgical orthodontics. /certified fixed orthodontic courses by Indian denta...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
BRANCHES OF DENTISTRY, ORTHODONTICS, BRANCHES OF DENTISTRY, ORTHODONTICS, BRANCHES OF DENTISTRY, ORTHODONTICS, BRANCHES OF DENTISTRY, ORTHODONTICS, BRANCHES OF DENTISTRY, ORTHODONTICS, BRANCHES OF DENTISTRY, ORTHODONTICS, BRANCHES OF DENTISTRY, ORTHODONTICS, BRANCHES OF DENTISTRY, ORTHODONTICS, BRANCHES OF DENTISTRY, ORTHODONTICS, BRANCHES OF DENTISTRY, ORTHODONTICS, BRANCHES OF DENTISTRY, ORTHODONTICS, BRANCHES OF DENTISTRY, ORTHODONTICS, BRANCHES OF DENTISTRY, ORTHODONTICS, BRANCHES OF DENTISTRY, ORTHODONTICS, BRANCHES OF DENTISTRY, ORTHODONTICS, BRANCHES OF DENTISTRY, ORTHODONTICS, BRANCHES OF DENTISTRY, ORTHODONTICS, BRANCHES OF DENTISTRY, ORTHODONTICS, BRANCHES OF DENTISTRY, ORTHODONTICS, BRANCHES OF DENTISTRY, ORTHODONTICS, BRANCHES OF DENTISTRY, ORTHODONTICS, BRANCHES OF DENTISTRY, ORTHODONTICS, BRANCHES OF DENTISTRY, ORTHODONTICS, BRANCHES OF DENTISTRY, ORTHODONTICS, BRANCHES OF DENTISTRY, ORTHODONTICS, BRANCHES OF DENTISTRY, ORTHODONTICS, BRANCHES OF DENTISTRY, ORTHODONTICS, BRANCHES OF DENTISTRY, ORTHODONTICS, BRANCHES OF DENTISTRY, ORTHODONTICS, BRANCHES OF DENTISTRY, ORTHODONTICS, BRANCHES OF DENTISTRY, ORTHODONTICS, BRANCHES OF DENTISTRY, ORTHODONTICS, BRANCHES OF DENTISTRY, ORTHODONTICS, BRANCHES OF DENTISTRY, ORTHODONTICS, BRANCHES OF DENTISTRY, ORTHODONTICS, BRANCHES OF DENTISTRY, ORTHODONTICS, BRANCHES OF DENTISTRY, ORTHODONTICS, BRANCHES OF DENTISTRY, ORTHODONTICS, BRANCHES OF DENTISTRY, ORTHODONTICS, BRANCHES OF DENTISTRY, ORTHODONTICS, BRANCHES OF DENTISTRY, ORTHODONTICS, BRANCHES OF DENTISTRY, ORTHODONTICS, BRANCHES OF DENTISTRY, ORTHODONTICS, BRANCHES OF DENTISTRY, ORTHODONTICS, BRANCHES OF DENTISTRY, ORTHODONTICS, BRANCHES OF DENTISTRY, ORTHODONTICS, BRANCHES OF DENTISTRY, ORTHODONTICS, BRANCHES OF DENTISTRY, ORTHODONTICS, BRANCHES OF DENTISTRY, ORTHODONTICS, BRANCHES OF DENTISTRY, ORTHODONTICS, BRANCHES OF DENTISTRY, ORTHODONTICS, BRANCHES OF DENTISTRY, ORTHODONTICS, BRANCHES OF DENTISTRY, ORTHODONTICS, BRANCHES OF DENTISTRY, ORTHODONTICS, BRANCHES OF DENTISTRY, ORTHODONTICS, BRANCHES OF DENTISTRY, ORTHODONTICS, BRANCHES OF DENTISTRY, ORTHODONTICS, BRANCHES OF DENTISTRY, ORTHODONTICS, BRANCHES OF DENTISTRY, ORTHODONTICS, BRANCHES OF DENTISTRY, ORTHODONTICS, BRANCHES OF DENTISTRY, ORTHODONTICS, BRANCHES OF DENTISTRY, ORTHODONTICS, BRANCHES OF DENTISTRY, ORTHODONTICS, BRANCHES OF DENTISTRY, ORTHODONTICS, BRANCHES OF DENTISTRY, ORTHODONTICS, BRANCHES OF DENTISTRY, ORTHODONTICS, BRANCHES OF DENTISTRY, ORTHODONTICS, BRANCHES OF DENTISTRY, ORTHODONTICS, BRANCHES OF DENTISTRY, ORTHODONTICS, BRANCHES OF DENTISTRY, ORTHODONTICS, BRANCHES OF DENTISTRY, ORTHODONTICS, BRANCHES OF DENTISTRY, ORTHODONTICS, BRANCHES OF DENTISTRY, ORTHODONTICS, BRANCHES OF DENTISTRY, ORTHODONTICS, BRANCHS OF DENTISTRY, ORTHODONTICS, BRANCHES OF DENTISTRY, ORTHODONTICS, BRANCHES OF DENTISTRY, ORTHODONTIC
Dental research process: a trial to understand, and how to connect with the s...Mohamed A. Galal
A trial to understand Dental Research Process, that can help assistant researchers and research assistants in Dental fields to go into their profession more and more.
1- Skills
2- Ideas
3- Relations
4- Mentor
5- Funding
SÍNDROME DE ROBINOW: CONSIDERAÇÕES MÉDICAS E ODONTOLÓGICAS PARA GESTÃO ABRANG...Cristhiane Amaral
SÍNDROME DE ROBINOW: CONSIDERAÇÕES MÉDICAS E ODONTOLÓGICAS PARA
GESTÃO ABRANGENTE DO PACIENTE
Cristhiane Olivia Ferreira do Amaral*1, Davi de Alencar Gonçalves2, Luís Augusto Rossi Nery2,
Vinicius Carvalho Rodrigues2, Mariana Olívia Ferreira do Amaral3, Eliane Cristina Gava Pizi4
and Fabiana Gouveia Straioto4
Objetivo: A Síndrome de West (WS) é caracterizada pela tríade de espasmos infantis,
hipsarritmia e prejuízo cognitivo. A etiologia está ligada a distúrbios cerebrais orgânicos
cujas origens podem ser pré-natais, pós-natais ou perinatais. O objetivo deste estudo é ajudar
identificar alterações sistêmicas, considerações médicas, aspectos estomatológicos e, adicionalmente, relatar
dois casos de pacientes com síndrome de West. Relato de Caso: Os aspectos estomatológicos encontrados em
ambos os pacientes eram o desgaste geral dos dentes, devido ao apertamento dentário e bruxismo, gengival
crescimento, sequência e cronologia das erupções dentárias alteradas, palato profundo e atresia, apresentados
falta de fechamento labial, lábios superiores e inferiores, bochechas e língua com tônus muscular flácido e
má oclusão. Em um paciente, múltiplas lesões de cárie também foram observadas, possivelmente associadas a
o comportamento da família, a alimentação, a higiene bucal e o uso contínuo de medicamentos, com a
presença de biofilme espesso, lesões de cárie estacionárias mostrando uso cariostático, o que impediu
abordagem odontológica colaborativa. Conclusão: A abordagem para atendimento e tratamento odontológico são
discutido. Pacientes com Síndrome de West têm uma grande diversidade de aspectos físicos gerais e orais
características, dificuldade na higiene oral devido ao atraso no desenvolvimento neuropsicomotor. Isto é
importante prestar cuidados precoces, para que não necessitem de tratamentos complexos e invasivos devido a
comprometimento sistêmico e cognitivo. A abordagem abrangente e o tratamento devem ser realizados
por uma equipe multidisciplinar.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
263778731218 Abortion Clinic /Pills In Harare ,ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group of receptionists, nurses, and physicians have worked together as a teamof receptionists, nurses, and physicians have worked together as a team wwww.lisywomensclinic.co.za/
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
1. Myofunctional Research Company presents:
The Myobrace System
-As a Hammer for a HouseSat-Sun, January 18-19, 2014
dr. barry raphael
the raphael center for integrative education
www.alignmine.com
drbarry@alignmine.com
Sunday, January 19, 14
2. The Myobrace System
-A hammer for a houseSat-Sun, January 18-19, 2014
dr. barry raphael
the raphael center for integrative education
www.alignmine.com
drbarry@alignmine.com
Day 1 AM
Sunday, January 19, 14
3. Can you hear me?
Let’s turn off ringers...
Sunday, January 19, 14
4. If all you have is a hammer...
Sunday, January 19, 14
7. ADHD/Breastfeeding/Malocclusion/
dental trauma/SDB
Understanding the relationships between
breastfeeding, malocclusion, ADHD, sleep-disordered
breathing and traumatic dental injuries.
Sabuncuoglu O., Med Hypotheses. 2013 Jan 7. pii: S0306-9877(12)00566-X. doi: 10.1016/j.mehy.
2012.12.017. [Epub ahead of print]
Sunday, January 19, 14
8. RO since1983
(30 years...yikes)
Bucknell University 1974
University of Pennsylvania 1978
(Three Years in General Practice)
Fairleigh-Dickenson University 1983
Sunday, January 19, 14
17. Breathing and Sleep
Buteyko Mentorship
The Breathing Center
Woodstock
2010
Breathing Well Programme
John Flutter
2010
Sunday, January 19, 14
Sleep Dentistry
Michael Gelb, et.al
NYU
2012,2013
Ortho-Postural Training
Roger Price
2013
21. It’s about the Airway
“It’s all about
Barry
And
The World of
Mouthbreathing”
BTW….I lost 30lbs
Sunday, January 19, 14
22. Disclosure
Honorarium and Travel Expenses for MRC
No vested interest in Myofunctional Research Co.
Chris told me to tell my truth.
Director,
Sunday, January 19, 14
raphael center for integrative education
26. The Myobrace System
-A hammer for a house1. The Perfect House: an overview of Myofunctional Orthodontics.
1. Airway and Breathing Dysfunction
2. Soft Tissue Dysfunction
3. Chronic Diseases of Lifestyle
4. Malocclusion and Retractive Orthodontics
2. Airway Focused Orthodontics
1.Diagnostics
2.Prevention
3.Undoing the Damage
4.Establishing Good Habits
1.The Myobrace System
1. Appliance Types
2.Clinical Protocols
3.Patient Education and Motivation
4.Follow-ups and troubleshooting
5.Interdisciplinary Treatment
3....
Sunday, January 19, 14
27. The Myobrace System
Day 2
1.Case presentations and demonstrations
1.Case Results
2.Patient Assessment
3.Myobrace delivery
2.Starting your first case
1.Case selection checklist
2.Materials check list
3.Health History forms
4.Patient flow check list
5.Ordering Myobrace appliances
3.Course Review: Q&A
4.What comes next
Sunday, January 19, 14
28. Paper clips….
1. Level 1 Screening
2. Facial Measurement Routine
3. Treatment Goals
4. Demo: Myobrace Delivery
5. Starting your first case
6. What comes next?
Sunday, January 19, 14
30. The Perfect House
Malocclusion
“This place is
Decor and
and
a mess!”
Activity
Orthodontics
“Mommy,
Family Living
Soft Tissue
Lisa’s hogging
Dysfunction
Together
bathroom!”
Airway-centric
Pathology
Shelter from
Chronic
“The Roof is
Diseases of
the
Leaking”
Lifestyle
Storm
Sunday, January 19, 14
“The A/C is
Airway and
HVAC
Comfortable
Breathing
broken. I
Environment
can’t sleep.”
Inefficiency
33. Anatomic Determinants of SleepDisordered Breathing Across the
Spectrum of Clinical and Nonclinical Male Subjects*
Jerome A. Dempsey, PhD; James B. Skatrud, MD; Anthony J. Jacques, BS;
Stanley J. Ewanowski, PhD; B. Tucker Woodson, MD;
Pamela R. Hanson, DDS, MS; and Brian Goodman, PhD
CHEST September 2002 vol. 122no. 3 840-851
•Apnea occurs due to craniofacial
morphology and obesity, each with
their contributions
•The single most important cephalometric
variable in predicting AHI severity was the
horizontal dimension of the
maxilla (ie, porion vertical to supradentale
[PV-A] distance).
•SDB increased five- to seven-fold
in non-obese subjects and threefold in
obese subjects
Sunday, January 19, 14
34. Anatomic Determinants of SleepDisordered Breathing Across the
Spectrum of Clinical and Nonclinical Male Subjects*
•It is the maxilla that determines the effective
horizontal dimension of the pharynx, and in
particular the upper pharynx.
•A constricted maxilla places the upper pharynx
(pharyngeal isthmus) at increased risk of collapse
with loss of muscle tone.
•differences in morphology explain susceptibility
to AHI from weight gain
Sunday, January 19, 14
35. OSA Risk Factors
Analysis of anatomical and functional
determinants of obstructive sleep apnea.
Aihara K, et. al ,Sleep Breath. 2012 Jun;16(2):473-81. Epub 2011 May 15.
• 134 Japanese Males
• PSG and various measures
• Risk Factors for Increase AHI (Apnea-Hypopnea Index)
• Age
• BMI
• Position of Hyoid Bone
• Size of Airway (and resistance to flow)
• Neck Circumference
Sunday, January 19, 14
39. Narrow Airway Dynamics
Powell N, Guilleminault C. “Abnormal pharyngeal airflow in obstructive
sleep apnea using computational fluid dynamics: Feasibility study.”
Proceeding of the 9th World Congress on Sleep Apnea (Seoul, Korea) 2009
• Narrow, irregular airway >
•> increased shear forces >
•> negative pressure pulls on soft tissue >
•> tissue pulling and trauma (snoring) >
•> impairment of mechanoreceptors >
•> uncoordinated diaphragm and upper
airway muscle contraction >
• >DISORDERED BREATHING
Sunday, January 19, 14
40. Morphology and SDB
in children
Ikävalko, et.al.,Eur J Pediatr (2012) 171:1747–1752
“Abnormal craniofacial morphology, but
not excess body fat, is associated with an
increased risk of having SDB in
6–8-year-old children.”
Sunday, January 19, 14
41. Morphology and SDB
in children
Ikävalko, et.al.,Eur J Pediatr (2012) 171:1747–1752
•491 Finnish children 6–8 years of age
• studied: BMI, occlusion, sleep survey
• Looked for: Frequent snoring, apeas,
open-mouth posture
Sunday, January 19, 14
42. Morphology and SDB
in children
Ikävalko, et.al.,Eur J Pediatr (2012) 171:1747–1752
Risk Factor
Obesity
0
Tonsilar Hypertrophy
3.7x
Crossbite
3.3x
Convex Facial Profile
Sunday, January 19, 14
Incidence
2.6x
43. Morphology and SDB
in children
Ikävalko, et.al.,Eur J Pediatr (2012) 171:1747–1752
Sunday, January 19, 14
44. Morphology and SDB
in children
Ikävalko, et.al.,Eur J Pediatr (2012) 171:1747–1752
“A simple model of necessary clinical
examinations (i.e. facial profile, dental
occlusion and tonsils) is recommended to
recognize children with an increased risk of
SDB.”
Sunday, January 19, 14
45. Associations between sleepdisordered breathing symptoms
and facial and dental morphometry,
assessed with screening examinations
Hyunh, et.al., AJODO, 2011, 140:762-70
SDB associated with:
Dolicofacial shape
High mandibular plane angle
Narrow palate
Severe crowding
Sunday, January 19, 14
Swollen Tonsils and Adenoids
Long and narrow face
Allergies
Frequent Colds and Infections
Habitual Mouth Breathing
46. Of the 600 orthodontic patients...
•16% had long facial form
•86% had convex profiles (mandible set back from maxilla)
•Over 50% had daytime mouth open posture
Sunday, January 19, 14
47. Sleep-Disordered Breathing in a Population-Based
Cohort: Behavioral Outcomes at 4 and 7 Years
Karen Bonuck, PhD,a Katherine Freeman, DrPH,b
Ronald D. Chervin, MD, MS,c and Linzhi Xu, PhDa
PEDIATRICS Volume 129, Number 4, April 2012
“In this large, population-based, longitudinal study,
early-life SDB symptoms had strong, persistent
statistical effects on subsequent behavior in
childhood.
Findings suggest that SDB symptoms may require
attention as early as the first year of life.”
Sunday, January 19, 14
48. Sleep-Disordered Breathing in a Population-Based
Cohort: Behavioral Outcomes at 4 and 7 Years
“The 2 clusters with peak symptoms
before 18 months that resolve
thereafter still predicted 40% to 50%
increased odds of behavior problems
at 7 years.”
“...early childhood SDB effects may
only become apparent years later.”
Sunday, January 19, 14
49. Nighttime symptoms of SDB in kids
•Abnormal sleeping position
•Bruxism
•Chronic, heavy snoring
•Delayed sleep onset
•Difficulty breathing
•Difficulty waking up in AM
•Drooling
•Enuresis
•Frequent awakenings
•Insomnia
•Bed Dread
Sunday, January 19, 14
•Mouth breathing
•Nocturnal migraine
•Nocturnal sweating
•Periodic Limb movement
•Restless sleep
•Sleep talking
•Sleep terror
•Sleep walking
•Witnessed apnea
50. Daytime symptoms of SDB in kids
•Morning headache
•Mouthbreathing
•Morning thirst
•Excessive fatigue
•Abnormal shyness,
withdrawn, and
depressive
presentation
•Behavioral problems
Sunday, January 19, 14
•ADHD pattern
•Aggressiveness
•Irritability
•Poor concentration
•Learning difficulties
•Memory impairment
•Poor academic
performance
51. Childhood Obstructive Sleep Apnea
Associates with Neuropsychological Deficits
and Neuronal Brain Injury
Ann C. Halbower, et.al, PLoS Medicine,August 2006 | Volume 3 | Issue 8 | e301
•Childhood OSA is associated with
•Deficits of IQ
•Deficit of executive function
•Possible neuronal injury in the
hippocampus and frontal cortex.
•
“...untreated childhood OSA could permanently alter a
developing child’s cognitive potential.”
Sunday, January 19, 14
52. Death, nasomaxillary complex,
and sleep in young children
Caroline Rambaud & Christian Guilleminault
European Journal of Pediatrics
DOI 10.1007/s00431-012-1727-3
Pub Online: April 11, 2012
Abrupt sleep associated death in seven children
with good pre-mortem history
Sunday, January 19, 14
53. Findings in all 7 cases
•chronic indicators of abnormal sleep
•enlargement of upper airway soft tissues
•a narrow, small nasomaxillary complex, with
or without mandibular retroposition
Sunday, January 19, 14
54. “all children present a visually
recognizable abnormal high and
narrow hard palate”
Sunday, January 19, 14
55. Maxillary Dysplasia
Is a major factor in
Sleep Disordered Breathing
Maxillary Retrusion
Midface Deficiency
Maxillary Hyperdivergency
Long Face Syndrome
Adenoid Facies
Bimaxillary Retrusion
What causes it?
Sunday, January 19, 14
57. “….there is much circumstantial evidence that jaws and
faces do not grow to the same size that they used to…”
Daniel E. Lieberman
Sunday, January 19, 14
64. When the tongue rests in the roof of the
mouth the teeth erupt around the tongue
forming a normally shaped and sized jaw.
The tongue is the scaffold
for the upper jaw
Sunday, January 19, 14
65. Those children who breathe 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.
Sunday, January 19, 14
66. Egil Peter Harvold
1912-1992
•Norwegian Orthodontist
•Cleft Palate
•Professor
•Brought Functional Treatment to N.A.
•1981 Primate experiments
• Blocked nasal passage
• Skeletal malocclusion resulted
Block the nose> posture changes and teeth get crooked
Sunday, January 19, 14
68. Posture changes Teeth
Lowered mandibular posture, tongue protrusion,
and open bite
Open mouth posture retained for 1 year after nose
reopened. Facial features retained
Sunday, January 19, 14
69. John Mew
•“Orthotropics”
•“Maxillary undergrowth is such a constant
feature of modern malocclusion” - AJODO,1979
•Normal growth of maxilla > Down and
Forward
•Dysfunctional growth > Down and Narrow
•Biobloc Therapy to reestablish Forward
component
Sunday, January 19, 14
70. John Mew, 1981
The Tropic Premise
“Because the genetic control of
skeletal growth is not precise,
the articulation of the teeth and jaws
depends upon additional guidance
from oral posture.”
Sunday, January 19, 14
71. John Mew
“ If the tongue at rest is against the
palate with the lips lightly sealed and
the teeth in or near contact, there will
be ideal facial and dental
development.”
“Something RARE in industrialized
societies…”
Sunday, January 19, 14
72. The Tropic Premise
If the tongue is chronically held away from the palate…
…the maxilla collapses in all three dimensions.
Sunday, January 19, 14
73. With Chronic Open Mouth Posture
SOFT TISSUE DYSFUNCTION
Comparison of Unsupported vs Supported Growth
Sunday, January 19, 14
74. With Chronic Open Mouth Posture
SOFT TISSUE DYSFUNCTION
Comparison of Unsupported vs Supported Growth
Sunday, January 19, 14
75. 11y male vs Bolton norm
Sunday, January 19, 14
81. Pharyngeal Airspace
Three-dimensional assessment of pharyngeal airway
in nasal- and mouth-breathing children
Alves, M, et.al., Int J Ped ORL 75 (2011) 1195–1199
Cone Beam and Airway analysis tool
Sunday, January 19, 14
82. Three-dimensional assessment of pharyngeal airway
in nasal- and mouth-breathing children
•Exam for Mouthbreathing
•the habitual posture of the lips (apart, even slightly)
•size and shape of the nostrils
•control reflex of the Alar Nasalis
•Glatzel mirror test
•Rhinoscopy
•Adenoid hypertrophy
25 Mouth breathers, 25 Nasal breathers,
Avg 8-9 y/o
Sunday, January 19, 14
83. Pharyngeal Airspace
Mouth breather
Nasal breather
Mouthbreathers have significantly
smaller airway space.
(measurements PAS-OccL, PAS-UP, airway volume, area and minimum axial area)
Sunday, January 19, 14
84. Open Mouth Posture is
the most common
and significant
Soft Tissue Dysfunction
In children today.
Sunday, January 19, 14
86. Weston Price
Nutrition and Physical Degeneration
Weston A. Price, DDS, 1939
Price-Pottenger Nutrition Foundation
www.ppnf.org
1870-1948
Sunday, January 19, 14
87. Weston Price
•Dentist in Cleveland, OH
•Traveled worldwide
•“primitives” on their traditional diets
•freedom from decay,
•stalwart bodies,
•resistance to disease
•fine characters
•beautiful, straight teeth.
1870-1948
•Malocclusion is a
product of the diet of
industrialized societies
Sunday, January 19, 14
88. Darwinian Dentistry
Are we developing the way
our genes meant us to be?
Peter
Gluckman
Neese and
Williams
Sunday, January 19, 14
Clark
Spencer
Larsen
Scott Gilbert
Kevin
Boyd
Me...
89. The Results of the Mismatch
Between Genes and the Environment
Obesity
Hypertension
Cardiovascular Disease
Caries
Type 2 Diabetes
Malocclusion
Fatty Liver Disease
Some Cancers
Osteoporosis
Sleep Apnea
Metabolic Syndrome
Asthma
Autism
Asperger’s
Alzheimers
ADD/ADHD
Chronic Back Pain
Depression
Chronic Non-Communicable Diseases of Civilization
Western Lifestyle Diseases
Sunday, January 19, 14
95. An example of adaptation
What do you notice about these boys?
Sunday, January 19, 14
96. What do you notice about these boys?
One of them has crooked teeth.
Sunday, January 19, 14
97. RHYS - 10Y get
How did these teeth 11M this way?
3 August 2003
3 August 2003
Different genes than his brother?
Sunday, January 19, 14
98. RHYS - 14Y 5M
Four years later, after successful MFO
1 March 2007
1 March 2007
Text
(Treatment by Dr. Chris Farrell)
Sunday, January 19, 14
99. RHYS & KYLE 13Y 8M
Did genetics make the- teeth crooked?
RHYS - 16 AUGUST 2007
KYLE - 16 AUGUST 2007
Did genetics make the teeth straight again?
TRAINER BWS MYOBRACE MINIMAL SWA
Sunday, January 19, 14
101. Edward H. Angle
•1898 Treatment of malocclusion of the teeth and fractures of the maxillae
•KNOWN for:
•The Angle Classification
•The Edgewise bracket and rectangular wire
•Non-extraction orthodontics: “The Angle School”
•Organizing the Specialty of orthodontics
•”... more often than is recognized, the
peculiarities of lip function may have been
the cause of forcing the teeth into the
malpositions they occupy”.
1855-1930
Sunday, January 19, 14
103. Crozat Appliance
•Based on the work of
•George Crozat 1894 - 1966
•Albert Weibrecht
• Arch development in harmony
with natural growth and muscles
•Light wire removable
appliances
Light intermittent forces can affect skeletal growth
Sunday, January 19, 14
104. Crozat Philosophy
•Preserve the natural dentition and
•Develop the bony structures
•Assist the natural shape of the face and jaws to
develop to their full biologic potential.
•Overall health and well being of the patient
Sunday, January 19, 14
105. The Extraction Wars
Edward Angle vs Calvin Case
1855-1930
Witzig vs McNamara
NewConn 2009 Extraction vs Non-extraction Debate
V. Kokich
Sunday, January 19, 14
5-10% extraction rate
F. Bogdan
106. Passive-Self Ligation
The Damon System
• “…benefits of minimizing friction and binding…”
• The “Functional Effect” - light wire in large slot allows
muscles to guide the movements
• “to match each phase of treatment with the natural
force systems of normal growth and development…”
• “…higher level of care is about "face-driven ortho…”
Sunday, January 19, 14
111. Finding room for all the
teeth is not a problem if
you start early enough
and try to mimic what
nature intended
Protractive vs. Retractive Orthodontics
Sunday, January 19, 14
124. Changes of pharyngeal airway size and hyoid bone
position following orthodontic treatment of
Class I bimaxillary protrusion
Qingzhu Wanga; Peizeng Jiab; Nina K. Andersonc; Lin Wangd; Jiuxiang Line
Angle Orthodontist, Vol 00, No 0, 0000 (pre-publication 2012)
“the dimension of the velopharynx, glossopharynx, and
hypopharynx were decreased after maximal retraction of
anterior teeth with extraction of four premolars…”
“Any factors that can influence the posture and position of
tongue and soft palate may displace them backward and
encroach upon {the pharynx}.”
“the more the incisors were retracted, the more the
pharyngeal airway was reduced.”
Sunday, January 19, 14
125. Backed into a corner...
•
Retraction Orthodontics
Sunday, January 19, 14
126. If Retraction Mechanics
has the potential to
hinder the airway, how
much retraction is OK?
Is it OK if I tie
your tie just a little too
tight, son?
Sunday, January 19, 14
127. If snoring is likely to lead
to obstruction someday,
how much snoring is
“normal” for a child?
Sunday, January 19, 14
129. John Mew
“If it were possible to improve faces
to the disadvantage of the teeth,
where would our duty lie?”
-AJODO, 1979
Esthetics?
Sunday, January 19, 14
Proper
Breathing?
131. Comparison case
Older sister: Extract two upper premolars. Airway 14 to 10mm
Younger sister: Non-extraction. Airway from 14-17mm
Sunday, January 19, 14
132. Comparison case
The result of the treatment looks almost the same
from the appearance; however, there were big
differences between the sisters inside the face that
was the most important structure for human beings:
the size of the airway.
Sunday, January 19, 14
133. Changes of pharyngeal airway size and hyoid bone
position following orthodontic treatment of
Class I bimaxillary protrusion
Qingzhu Wanga; Peizeng Jiab; Nina K. Andersonc; Lin Wangd; Jiuxiang Line
Angle Orthodontist, Vol 00, No 0, 0000 (pre-publication 2012)
“the dimension of the velopharynx, glossopharynx, and
hypopharynx were decreased after maximal retraction of
anterior teeth with extraction of four premolars…”
“Any factors that can influence the posture and position of
tongue and soft palate may displace them backward and
encroach upon {the pharynx}.”
“the more the incisors were retracted, the more the
pharyngeal airway was reduced.”
Sunday, January 19, 14
134. Setback at your Peril
Bilateral SSRO: “the pharyngeal airway was
constricted significantly at the oropharyngeal and
hypopharyngeal levels at both the short-term and
the long-term follow-ups”
Lefort I plus SSRO: “bimaxillary surgery rather
than only mandibular setback surgery is preferable
to correct a Class III deformity to prevent
narrowing of the pharyngeal airway space
American Journal of Orthodontics & Dentofacial Orthopedics
Volume 131, Issue 3 , Pages 372-377, March 2007
Effects of bimaxillary surgery and mandibular setback surgery on pharyngeal
airway measurements in patients with Class III skeletal deformities
•
Fengshan Chen, Kazuto Terada, Yongmei Hua, Isao Saito
Sunday, January 19, 14
135. Effect of mono- and bimaxillary advancement on
pharyngeal airway volume: cone-beam computed
tomography evaluation.
Hernández-Alfaro F, Guijarro-Martínez R, Mareque-Bueno J.
J Oral Maxillofac Surg. 2011 Nov;69(11):e395-400. Epub 2011 Jul 27
•A statistically significant increase in the pharyngeal airway
volume occurred systematically.
•The average percentage of increase was:
• 69.8% with MMA
• 78.3% with Mandibular Advancement
• 37.7% with Maxillary Advancement
Sunday, January 19, 14
136. Effects of Maxillary Protraction
and Fixed Appliance Therapy
on the Pharyngeal Airway
Emine Kaygısız et.al., Angel Orthodontist, Volume 79, Issue 4 (July 2009)
•25 x 11 year olds
•Reverse Pull HG, 350 g, 14h/d for 6 months
• Follow-up 4 years post-treatment
• 2D analysis only (cephs)
“...the maxilla continued to grow forward after treatment,
which was maintained in the long-term observation.”
“improved the nasopharyngeal and oropharyngeal airway
dimensions initially, …. was maintained at long-term follow-up.”
Sunday, January 19, 14
137. Mandibular Advancement
Sleep Breath (2012) 16:971–976
“Orthodontic therapy should be
encouraged in pediatric OSAS,
and an early approach may
permanently modify nasal breathing and respiration,
thereby preventing obstruction of the upper airway.”
Yesss!!!
Sunday, January 19, 14
138. Orthodontics in the
21st Century
Conventional
Orthodontics
Airway
Orthodontics
Genetic
Tooth-Focused
Esthetics Primary
Treating Symptoms
Airway Ignorant
Adaptation
Muscle-Focused
Esthetics Secondary
Treating Causes
Airway Concious
Sunday, January 19, 14
139. A Pathology Cycle
Swollen T&A
Form
Function
Narrow Palate
Form
MouthBreathing and
Low Tongue
Crooked Teeth
Declining Health
Sunday, January 19, 14
Weak MMuscles
Function
Long Face
Function
Deviate Swallow
Form
Form
140. Breaking The Cycle
Swollen T&A
Form
Function
Narrow Palate
Form
Function
Long Face
Crooked
Teeth
Declining Health
Sunday, January 19, 14
MouthBreathing and
Low Tongue
Weak MMuscles
Form
Form
Swallowing with Active
Function
Facial Muscles
Conventional Orthodontics
141. Backed into a corner...
•
Prevention is not mechanical!
Sunday, January 19, 14
142. Breaking The Cycle
Swollen T&A
Form
Function
Narrow Palate
Form
Function
Long Face
Crooked
Teeth
Declining Health
Sunday, January 19, 14
MouthBreathing and
Low Tongue
Weak MMuscles
Form
Form
Swallowing with Active
Function
Facial Muscles
Airway-Centric Orthodontist
143. Ortho and Ped OSA
Chad M. Ruoff & Christian Guilleminault
Sleep Breath, 2011, pub online, May 11
“Although dentists and orthodontia recognize
the importance of evaluating and treating
OSA, they have yet to realize how wellpositioned they are for the prevention of
sleep-disordered breathing (SDB).”
Sunday, January 19, 14
144. Ortho and Ped OSA
Chad M. Ruoff & Christian Guilleminault
Sleep Breath, 2011, pub online, May 11
The “environment plays an important role in
the development of SDB. Therefore,
manipulation of environmental factors may
decrease the development of OSA. There is a
need to better define these environmental
factors and predict those at risk for the
development of OSA so that orthodontists and
dentists can both treat and prevent OSA.”
Sunday, January 19, 14
146. Airway-Related Craniofacial Dysfunctions
• Chronic Naso-pharyngeal Obstruction
• Tongue form aberrations (Frenum and tongue-tie)
• Open Mouth Rest Posture
• Myofunctional disorders (Swallowing, chewing,etc.)
• Chronic Hyperventilation and Hypocapnia
• Breathing Disordered Sleep (OSA, UARS, snoring)
• Bruxism and parafunctions
• TMD and facial pain components
• Cranial and postural issues
• Malocclusion
Sunday, January 19, 14
147. Open Mouth Posture
Big
-Pic
tur
rel
e Is
•Early Feeding and Nutrition (Mal) ated t sues
Oc
o
clu
•Allergies, Asthma, URT infections
sio
n
•Posture
•Airway, Breathing, and Sleep Disorders
•Soft Tissue Dysfunctions (Tongue Thrust, Open Mouth)
Instead of crooked teeth being The Problem,
They are just a SYMPTOM of something larger
Sunday, January 19, 14
148. If the Cause is in the muscles,
then treatment must be, too.
Airway-Centered Orthodontics
And
Muscle-Centered Orthodontics
Vs.
Tooth-Centered Orthodontics
Sunday, January 19, 14