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 1
Some considerations in treatment planning myofunctional orthodontics based on the patients' psychology as well a dental needs in the context of a multi-service orthodontic practice.
A series of lectures by Dr. Barry Raphael on Airway-focused orthodontics.
Chapter 6 Some diagnostic protocols to be added to standard orthodontic protocols.
A series of lectures by Dr. Barry Raphael on Airway-focused orthodontics.
Chapter 7 : Some ways of changing the Function side of the facial growth and adaptation equation.
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 1
Some considerations in treatment planning myofunctional orthodontics based on the patients' psychology as well a dental needs in the context of a multi-service orthodontic practice.
A series of lectures by Dr. Barry Raphael on Airway-focused orthodontics.
Chapter 6 Some diagnostic protocols to be added to standard orthodontic protocols.
A series of lectures by Dr. Barry Raphael on Airway-focused orthodontics.
Chapter 7 : Some ways of changing the Function side of the facial growth and adaptation equation.
This document provides an overview of integrative orthodontics presented by Dr. Barry Raphael. Integrative orthodontics takes a holistic approach to treating crooked teeth by addressing their underlying causes rather than just the symptoms. The goals of treatment include improving breathing, swallowing, tongue position and facial development. Methods discussed include preventing issues through frenectomies, proper feeding, and habit control, as well as undoing damage through palate expanders and functional appliances. Integrative orthodontics aims to achieve straighter teeth and better long-term stability.
This document provides an overview of a presentation on integrative orthodontics. It discusses treating crooked teeth as a symptom of underlying issues rather than the problem itself. The presentation addresses treating the whole patient, including airway dysfunction, breathing problems, and postural abnormalities. It emphasizes non-extraction treatment approaches and using orthodontics to advance the maxilla and mandible for improved facial and dental development.
The document discusses proper dental care from childhood through adulthood. It notes that people are born with 20 baby teeth which are replaced by 32 permanent adult teeth starting around age 6. Good dental hygiene including brushing twice daily, flossing once daily, eating a nutritious diet, avoiding tobacco use, and visiting the dentist regularly is necessary to prevent cavities, gum disease, and tooth loss. Taking good care of one's teeth allows the 32 adult teeth to potentially last a lifetime.
Oral hygiene involves keeping the mouth clean to prevent disease and increase comfort. Proper oral hygiene includes brushing teeth twice daily, flossing daily, eating a balanced diet, and using fluoride products. Brushing should use a gentle back-and-forth motion at a 45 degree angle, while flossing removes food from between teeth. Plaque and bacteria in the mouth can cause cavities if not removed regularly. Maintaining good oral hygiene is important for overall health and was emphasized by the Prophet Muhammad.
The document discusses various oral habits that can affect dental development, including thumb sucking, tongue thrusting, mouth breathing, bruxism, and lip biting. It defines each habit, discusses classifications, potential etiologies, effects on dental occlusion and facial growth, diagnosis, and treatment approaches. Common treatment involves identifying and addressing the underlying cause, interrupting the habit through various appliances, and correcting any resulting malocclusion. Psychological counseling may also be used for habits stemming from emotional factors. A multidisciplinary approach is often needed to successfully manage pernicious oral habits.
This document provides an overview of the history and evolution of the field of pedodontics. It discusses how pedodontics began to emerge as a distinct field in the 1700s through pioneers like Robert Burton. It outlines the founding of important organizations over time, such as the American Society of Dentistry for Children in 1940 and the American Academy of Pediatric Dentistry in 1984. The document also reviews the history of pedodontics in other countries and regions, as well as its evolution in India beginning in the 1920s. Overall, the document traces how pedodontics has matured from its origins into a well-established specialty focused on comprehensive oral healthcare for children.
This document discusses oral habits in children. It begins by defining oral habits and classifying them in various ways, such as by whether they are functional, muscular, or postural habits. It describes factors that make a habit harmful, like duration. The document discusses the sucking reflex seen in infants and the difference between suckling and sucking. It provides details on thumb sucking habits, phases of thumb sucking, and how thumb sucking can be classified. The document also discusses theories on the origins and etiology of oral habits.
Bruxism is the medical term for teeth grinding or clenching. It can occur during sleep (sleep bruxism) or while awake. Bruxism is common in children and often goes away on its own, but it can lead to tooth damage and jaw pain in adults if left untreated. The causes are not fully understood but may include stress, anxiety, dental abnormalities, and certain medical conditions or medications. Treatment options depend on severity and include mouth guards, stress management, dental work, and in rare cases medications. Regular dental exams are recommended to monitor bruxism.
Bruxism is the medical term for teeth grinding or jaw clenching, which can occur during sleep or while awake. It affects 20% of adults when awake and 8-10% when asleep. The exact causes are unknown but factors like stress, anxiety, malocclusion and stimulants are thought to play a role. Symptoms include worn down teeth, jaw pain, headaches and tooth sensitivity. Diagnosis involves dental exams and sometimes monitors to detect grinding. Treatment focuses on stress relief, behavioral changes, mouth guards and in some cases biofeedback to manage bruxism.
The document discusses interim therapeutic restorations (ITRs) and minimal intervention dentistry. ITRs are used to stabilize dental caries in young, uncooperative patients and involve sealing lesions with materials like resin or glass ionomer without extensive drilling. Factors for the success of ITRs include proper diagnosis, adequate restoration, and appropriate excavation. The document also discusses techniques like air abrasion, polymer burs, and glass ionomer sealants that are minimally invasive and important aspects of modern caries management.
Habits and its management,thumb sucking /certified fixed orthodontic courses...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
Dr. Karen O'Rourke will present on reading the face as part of The Airway and Facial Development Collaborative webinar series. The webinar will discuss how to analyze facial development and growth patterns. It will be hosted on November 9th at 9:30 EST and produced by Dr. Mark A. Cruz and Dr. Barry Raphael. Dr. O'Rourke is a general dentist from Michigan with over 25 years of experience using growth guidance techniques to help improve facial development.
This document discusses the connections between breathing disorders like sleep apnea and asthma and their impacts on facial development and dental health. It suggests that medicine and dentistry should be in conversation to address these issues. Early intervention is important to guide proper facial growth and establish nasal breathing. Removing obstacles to nasal breathing like tonsils/adenoids and using palatal expansion or orthotropic techniques can help. Establishing proper tongue posture is also key to supporting development.
Bruxism: The Causes, Risks, Treatment, and Prevention of Tooth GrindingKyle Larson
Bruxism is involuntary grinding of the teeth that can be caused by stress, sleep apnea, or misaligned teeth. If left untreated, it can cause uneven tooth wear, exposed tooth roots, severe tooth pain, and jaw damage. Common treatments include a customized nighttime mouthguard, orthodontics to correct misaligned teeth, and dental restorations like crowns and veneers. Preventing bruxism involves regular dental visits, stress reduction through exercise and mindfulness, and addressing any contributing factors like sleep apnea.
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.
The document discusses guidelines and best practices for treating children with dental procedures under general anesthesia, including indications such as extreme uncooperativeness, requirements for hospitalization versus outpatient settings, pre-operative assessments, operating room protocols, recommended dental treatments, post-operative care, and the importance of preventative therapies and behavior management for successful outcomes. Proper patient selection, qualified dental staff, and outpatient surgery centers can help achieve the best results when using general anesthesia to deliver necessary dental care to children.
Oral health in Pregnant women, Nursing mothers and children under Five yearsSoyebo Oluseye
This document discusses oral health in pregnant women, nursing mothers, and children under 5 years old. It covers common oral health issues seen such as gingivitis, dental caries, and nursing bottle caries. It emphasizes maintaining good oral hygiene during these stages through practices like brushing with fluoride toothpaste, avoiding sugary snacks, and cleaning infants' mouths and pacifiers. Regular dental checkups are also recommended to monitor oral health and treat any issues.
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 various common oral habits including lip biting, tongue thrusting, bruxism, nail biting, thumb sucking, and mouth breathing. It describes the dental effects of these habits, which vary depending on the intensity, duration, and frequency of the habit. For habits lasting 4-6 hours per day, tooth movement can occur. The document outlines different treatment approaches for habits, including reminder therapy, reward therapy, and appliance therapy. Duration is identified as playing the most critical role in causing tooth movement. The goal of treatment is to interrupt the habit before permanent teeth erupt.
Teething is the process of primary teeth erupting through the gums between 5-7 months of age. While teething can cause local irritation and inflammation, there is no conclusive evidence that it leads to systemic issues like fever, diarrhea or vomiting. Teething symptoms are generally mild and self-limiting, resolving within 1-2 days with teethers, analgesics and topical teething gels. In rare cases, teething symptoms could be associated with other conditions like herpes simplex infection. Proper oral hygiene and use of approved teething aids can help relieve minor discomfort from teething.
- The document discusses ankyloglossia (tongue-tie) and how it can affect breastfeeding and other areas of life. Statistics are provided on breastfeeding rates from 1972 to 2009.
- Common myths and misconceptions about ankyloglossia held by medical professionals are outlined, such as the beliefs that tongue-ties correct themselves or do not impact speech.
- Diagnostic criteria for ankyloglossia are proposed including anatomical appearance, functional ability, and symptoms in infants and mothers. A classification system is presented.
- Potential relationships between ankyloglossia and other issues like sleep apnea, dental problems, and developmental delays are explored.
The document describes an interdisciplinary orofacial examination protocol for children and adolescents developed by professionals in Barcelona, Spain. The protocol aims to facilitate the efficient detection of alterations in the stomatognatic system through a simple examination that can be completed in 5-8 minutes. It involves extra and intra-oral exploration as well as a parental questionnaire. The protocol was used to examine 185 patients (sample group) and 187 ordinary students (control group) aged 4-16. Alterations in respiration, swallowing, dental malocclusion and posture were compared between groups and across age subgroups.
This document provides an overview of integrative orthodontics presented by Dr. Barry Raphael. Integrative orthodontics takes a holistic approach to treating crooked teeth by addressing their underlying causes rather than just the symptoms. The goals of treatment include improving breathing, swallowing, tongue position and facial development. Methods discussed include preventing issues through frenectomies, proper feeding, and habit control, as well as undoing damage through palate expanders and functional appliances. Integrative orthodontics aims to achieve straighter teeth and better long-term stability.
This document provides an overview of a presentation on integrative orthodontics. It discusses treating crooked teeth as a symptom of underlying issues rather than the problem itself. The presentation addresses treating the whole patient, including airway dysfunction, breathing problems, and postural abnormalities. It emphasizes non-extraction treatment approaches and using orthodontics to advance the maxilla and mandible for improved facial and dental development.
The document discusses proper dental care from childhood through adulthood. It notes that people are born with 20 baby teeth which are replaced by 32 permanent adult teeth starting around age 6. Good dental hygiene including brushing twice daily, flossing once daily, eating a nutritious diet, avoiding tobacco use, and visiting the dentist regularly is necessary to prevent cavities, gum disease, and tooth loss. Taking good care of one's teeth allows the 32 adult teeth to potentially last a lifetime.
Oral hygiene involves keeping the mouth clean to prevent disease and increase comfort. Proper oral hygiene includes brushing teeth twice daily, flossing daily, eating a balanced diet, and using fluoride products. Brushing should use a gentle back-and-forth motion at a 45 degree angle, while flossing removes food from between teeth. Plaque and bacteria in the mouth can cause cavities if not removed regularly. Maintaining good oral hygiene is important for overall health and was emphasized by the Prophet Muhammad.
The document discusses various oral habits that can affect dental development, including thumb sucking, tongue thrusting, mouth breathing, bruxism, and lip biting. It defines each habit, discusses classifications, potential etiologies, effects on dental occlusion and facial growth, diagnosis, and treatment approaches. Common treatment involves identifying and addressing the underlying cause, interrupting the habit through various appliances, and correcting any resulting malocclusion. Psychological counseling may also be used for habits stemming from emotional factors. A multidisciplinary approach is often needed to successfully manage pernicious oral habits.
This document provides an overview of the history and evolution of the field of pedodontics. It discusses how pedodontics began to emerge as a distinct field in the 1700s through pioneers like Robert Burton. It outlines the founding of important organizations over time, such as the American Society of Dentistry for Children in 1940 and the American Academy of Pediatric Dentistry in 1984. The document also reviews the history of pedodontics in other countries and regions, as well as its evolution in India beginning in the 1920s. Overall, the document traces how pedodontics has matured from its origins into a well-established specialty focused on comprehensive oral healthcare for children.
This document discusses oral habits in children. It begins by defining oral habits and classifying them in various ways, such as by whether they are functional, muscular, or postural habits. It describes factors that make a habit harmful, like duration. The document discusses the sucking reflex seen in infants and the difference between suckling and sucking. It provides details on thumb sucking habits, phases of thumb sucking, and how thumb sucking can be classified. The document also discusses theories on the origins and etiology of oral habits.
Bruxism is the medical term for teeth grinding or clenching. It can occur during sleep (sleep bruxism) or while awake. Bruxism is common in children and often goes away on its own, but it can lead to tooth damage and jaw pain in adults if left untreated. The causes are not fully understood but may include stress, anxiety, dental abnormalities, and certain medical conditions or medications. Treatment options depend on severity and include mouth guards, stress management, dental work, and in rare cases medications. Regular dental exams are recommended to monitor bruxism.
Bruxism is the medical term for teeth grinding or jaw clenching, which can occur during sleep or while awake. It affects 20% of adults when awake and 8-10% when asleep. The exact causes are unknown but factors like stress, anxiety, malocclusion and stimulants are thought to play a role. Symptoms include worn down teeth, jaw pain, headaches and tooth sensitivity. Diagnosis involves dental exams and sometimes monitors to detect grinding. Treatment focuses on stress relief, behavioral changes, mouth guards and in some cases biofeedback to manage bruxism.
The document discusses interim therapeutic restorations (ITRs) and minimal intervention dentistry. ITRs are used to stabilize dental caries in young, uncooperative patients and involve sealing lesions with materials like resin or glass ionomer without extensive drilling. Factors for the success of ITRs include proper diagnosis, adequate restoration, and appropriate excavation. The document also discusses techniques like air abrasion, polymer burs, and glass ionomer sealants that are minimally invasive and important aspects of modern caries management.
Habits and its management,thumb sucking /certified fixed orthodontic courses...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
Dr. Karen O'Rourke will present on reading the face as part of The Airway and Facial Development Collaborative webinar series. The webinar will discuss how to analyze facial development and growth patterns. It will be hosted on November 9th at 9:30 EST and produced by Dr. Mark A. Cruz and Dr. Barry Raphael. Dr. O'Rourke is a general dentist from Michigan with over 25 years of experience using growth guidance techniques to help improve facial development.
This document discusses the connections between breathing disorders like sleep apnea and asthma and their impacts on facial development and dental health. It suggests that medicine and dentistry should be in conversation to address these issues. Early intervention is important to guide proper facial growth and establish nasal breathing. Removing obstacles to nasal breathing like tonsils/adenoids and using palatal expansion or orthotropic techniques can help. Establishing proper tongue posture is also key to supporting development.
Bruxism: The Causes, Risks, Treatment, and Prevention of Tooth GrindingKyle Larson
Bruxism is involuntary grinding of the teeth that can be caused by stress, sleep apnea, or misaligned teeth. If left untreated, it can cause uneven tooth wear, exposed tooth roots, severe tooth pain, and jaw damage. Common treatments include a customized nighttime mouthguard, orthodontics to correct misaligned teeth, and dental restorations like crowns and veneers. Preventing bruxism involves regular dental visits, stress reduction through exercise and mindfulness, and addressing any contributing factors like sleep apnea.
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.
The document discusses guidelines and best practices for treating children with dental procedures under general anesthesia, including indications such as extreme uncooperativeness, requirements for hospitalization versus outpatient settings, pre-operative assessments, operating room protocols, recommended dental treatments, post-operative care, and the importance of preventative therapies and behavior management for successful outcomes. Proper patient selection, qualified dental staff, and outpatient surgery centers can help achieve the best results when using general anesthesia to deliver necessary dental care to children.
Oral health in Pregnant women, Nursing mothers and children under Five yearsSoyebo Oluseye
This document discusses oral health in pregnant women, nursing mothers, and children under 5 years old. It covers common oral health issues seen such as gingivitis, dental caries, and nursing bottle caries. It emphasizes maintaining good oral hygiene during these stages through practices like brushing with fluoride toothpaste, avoiding sugary snacks, and cleaning infants' mouths and pacifiers. Regular dental checkups are also recommended to monitor oral health and treat any issues.
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 various common oral habits including lip biting, tongue thrusting, bruxism, nail biting, thumb sucking, and mouth breathing. It describes the dental effects of these habits, which vary depending on the intensity, duration, and frequency of the habit. For habits lasting 4-6 hours per day, tooth movement can occur. The document outlines different treatment approaches for habits, including reminder therapy, reward therapy, and appliance therapy. Duration is identified as playing the most critical role in causing tooth movement. The goal of treatment is to interrupt the habit before permanent teeth erupt.
Teething is the process of primary teeth erupting through the gums between 5-7 months of age. While teething can cause local irritation and inflammation, there is no conclusive evidence that it leads to systemic issues like fever, diarrhea or vomiting. Teething symptoms are generally mild and self-limiting, resolving within 1-2 days with teethers, analgesics and topical teething gels. In rare cases, teething symptoms could be associated with other conditions like herpes simplex infection. Proper oral hygiene and use of approved teething aids can help relieve minor discomfort from teething.
- The document discusses ankyloglossia (tongue-tie) and how it can affect breastfeeding and other areas of life. Statistics are provided on breastfeeding rates from 1972 to 2009.
- Common myths and misconceptions about ankyloglossia held by medical professionals are outlined, such as the beliefs that tongue-ties correct themselves or do not impact speech.
- Diagnostic criteria for ankyloglossia are proposed including anatomical appearance, functional ability, and symptoms in infants and mothers. A classification system is presented.
- Potential relationships between ankyloglossia and other issues like sleep apnea, dental problems, and developmental delays are explored.
The document describes an interdisciplinary orofacial examination protocol for children and adolescents developed by professionals in Barcelona, Spain. The protocol aims to facilitate the efficient detection of alterations in the stomatognatic system through a simple examination that can be completed in 5-8 minutes. It involves extra and intra-oral exploration as well as a parental questionnaire. The protocol was used to examine 185 patients (sample group) and 187 ordinary students (control group) aged 4-16. Alterations in respiration, swallowing, dental malocclusion and posture were compared between groups and across age subgroups.
The document discusses the Healthy Start System, a non-pharmaceutical and non-surgical treatment for sleep disordered breathing in children delivered by trained dentists. The system uses oral appliances worn a few hours a day to widen the dental arches and jaw, encourage nasal breathing, and straighten teeth naturally. Left untreated, conditions like sleep apnea, ADHD, and crowded teeth can persist and prevent proper growth. Conventional treatments only address symptoms, not the root cause of a compromised airway. The Healthy Start System promotes airway development and addresses both dental and breathing issues to allow children to reach their full potential.
The document discusses the root causes of various health issues and differences between individuals. It claims that the root cause is malocclusion or improper bite, which can lead to cranial bone misalignment and postural collapse over time. Fixing the bite through methods like bite splints, ALF, and tongue exercises can potentially address a wide range of issues from posture and symmetry to health, longevity, muscle development, and more. The implications of malocclusion connecting to the nervous system are highly significant if true.
- The document discusses how ankyloglossia (tongue-tie) can affect breastfeeding and presents statistics on breastfeeding rates in the US over time. It also discusses common myths around tongue-tie and how it can impact speech development and cause other issues.
- The author presents their classification system for ankyloglossia based on appearance and range of tongue motion. Signs and symptoms of ankyloglossia in infants are described.
- Additional conditions that may be related to untreated ankyloglossia are discussed, including reflux, sleep apnea, and dental issues. The document emphasizes the importance of properly diagnosing and treating tongue-tie in newborns.
This document discusses various oral habits that can negatively impact facial growth and development, including thumb sucking, tongue thrusting, mouth breathing, bruxism, and lip and nail biting. It describes the clinical features and skeletal effects of each habit, as well as potential causes and management through behavioral modification, appliances, and orthodontic treatment. Management often involves a multidisciplinary approach between orthodontists and ENT specialists to address both skeletal and respiratory issues.
This document discusses various oral habits that can negatively impact facial growth and development, including thumb sucking, tongue thrusting, mouth breathing, bruxism, and lip and nail biting. It describes the clinical features and complications associated with each habit, as well as treatment approaches like behavioral modification, appliances, and orthodontic management. Common issues outlined include malocclusions, dental misalignment, skeletal asymmetries, and soft tissue changes. A multifaceted approach is often required to successfully treat orofacial myofunctional disorders caused by improper oral behaviors.
Preventive orthodontics aims to preserve normal occlusion and includes patient education, caries control, management of eruption problems, space maintenance, and addressing oral habits. Key aspects are maintaining the deciduous dentition to allow proper eruption of permanent teeth, identifying issues like ankylosed or supernumerary teeth, and using space maintainers like crown-loop or distal shoe appliances as needed. Regular exams are important from an early age to monitor development and catch any issues requiring treatment or referral.
The document discusses the importance of orthodontic diagnosis and record keeping. It reviews the key components of an orthodontic exam including medical history, extraoral exam, functional exam, intraoral exam, study models, and radiographs. The exam should allow differential diagnosis of issues like overbite, open bite, overjet, tooth size discrepancies, and crowding. Cephalometric analysis is also important for understanding skeletal vs dental problems. A thorough exam and diagnosis are necessary for developing an appropriate treatment plan.
The document discusses various oral habits in children such as thumb sucking, finger sucking, pacifier use, lip biting, tongue thrusting, mouth breathing, nail biting, bruxism, and self-mutilation. It describes the potential dental effects of each habit including anterior open bite, maxillary constriction, and labial-lingual movement of the incisors. Treatment options discussed include reminder therapy, reward therapy, and appliance therapy. Common appliances mentioned are palatal cribs, tongue cribs, and the Bluegrass appliance.
The document discusses various oral habits in children such as thumb/finger sucking, pacifier use, lip habits, and tongue thrusting/mouthbreathing and their effects on dental development. It notes that the duration of the habit plays the biggest role in tooth movement, with 4-6 hours of force per day necessary to cause changes. Treatment approaches include reminder therapy, reward therapy, and appliance therapy if the first two fail. Common appliances described are removable plates and fixed appliances like palatal cribs or the Bluegrass appliance.
This document discusses various common oral habits including lip biting, tongue thrusting, bruxism, nail biting, thumb sucking, and mouth breathing. It explains the dental effects of these habits, which vary depending on the intensity, duration, and frequency of the habit. Duration is identified as playing the most critical role in tooth movement, requiring 4-6 hours of force per day. The document outlines different treatment approaches for habits, including reminder therapy, reward therapy, and appliance therapy. Removable and fixed appliances are described for treating habits. The dental effects and treatments for specific habits like thumb sucking, pacifier use, and tongue thrusting are also summarized.
Cleft lip and palate occur when tissues in the baby's face and mouth don't fuse properly during pregnancy. Cleft lip involves a split in the upper lip, while cleft palate involves a split in the roof of the mouth. Treatment may include surgery to repair the defects as well as therapies to address issues like feeding difficulties, speech problems, and hearing loss. While the causes are often unknown, genetic and environmental factors like smoking and drinking during pregnancy can increase risk.
Children who mouth breathe develop cranio facial changes including narrowing of the face, crooked teeth, smaller chin, undeveloped jaws and more. Mouth breathing causes the face to sink downwards. The Buteyko Method as developed by the Late Dr Buteyko addresses mouth breathing and chronic overbreathing.
- Impacted teeth present challenges for orthodontists in terms of tooth movement, esthetics, and functional outcomes.
- Impacted canines in particular are the second most common impacted tooth after third molars, with palatal impaction being more common than buccal impaction.
- Factors affecting treatment of impacted canines include patient motivation and cooperation, age, position and angulation of the canine, space availability, and dental health. Treatment may involve extraction of deciduous canines, surgical exposure and orthodontic alignment, or surgical removal of the impacted canine depending on the specific clinical situation.
Thumb sucking at a young age, particularly before children begin teething, is completely natural and will not harm your child’s teeth. In fact, thumb sucking is actually okay as long as the behavior is stopped before a child’s permanent teeth begin to come in. After the age of five or six, thumb sucking and pacifier use can begin to affect the position of a child’s teeth. Prolonged thumb sucking can change the position of a child’s teeth, resulting in malocclusion of the teeth.
Functional and Esthetic Restoration of the Worn DentitionThe Dawson Academy
Dr. Leonard A. Hess, Senior Faculty of The Dawson Academy, shares how to restore the worn dentition while keeping function and esthetics in mind during dental treatment planning.
Similar to Spreecast 2014: Whats an RO to do? (20)
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 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 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.
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1. What’s an RO to do?
A replay of the March, 2014
IAFGG Annual Symposium
Calgary, Alberta
dr. barry raphael
the raphael center for integrative orthodontics
the raphael center for integrative education
www.alignmine.com
bioblocnj.com
drbarry@alignmine.com
7. RO since1983 (30 years...yikes)
Bucknell University 1974
University of Pennsylvania 1978
(ThreeYears in General Practice)
Fairleigh-Dickenson University 1983
14 Instructors: 14 Techniques
8. RO since1983 (30 years...yikes)
Bucknell University 1974
University of Pennsylvania 1978
(ThreeYears in General Practice)
Fairleigh-Dickenson University 1983
10. 1.Crooked teeth are THE PROBLEM.
2.The lower incisor must be upright.
3.Patients don’t want to cooperate.
4.Straightened teeth aren’t stable.
In the RO’s Mind
11. 1.Crooked teeth are THE PROBLEM.
2.The lower incisor must be upright.
3.Patients don’t want to cooperate.
4.Straightened teeth aren’t stable.
1.Crooked teeth are A SYMPTOM.
2. The UPPER incisor directs treatment.
3.Patients don’t want to be exploited.
4.Teeth that grow straight are stable.
A Change of Mind
12. 1.Crooked teeth are A SYMPTOM.
2. The UPPER incisor directs treatment.
3.Patients don’t want to be exploited.
4.Teeth that grow straight are stable.
13. George
Catlin
Are we developing the way
our genes program us to be?
Westin
Price
Kevin
Boyd
Peter
Gluckman
Neese and
Williams
Scott Gilbert
Clark
Spencer
Larsen
Darwinian Dentistry
Me...
James
Sim Wallace
14. Obesity
Metabolic Syndrome
Celiac
Intestinal Permeability
Type 2 Diabetes
Fatty Liver Disease
Cardiovascular Disease
Hypertension
Some Cancers
The Results of the Mismatch
Between Genes and the Environment
Chronic Non-Communicable Diseases of Civilization
Western Lifestyle Diseases
Asthma
Autism
Asperger’s
Alzheimers
ADD/ADHD
Depression
Chronic Back Pain
Osteoporosis
Caries
Malocclusion
Sleep Apnea
17. 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
18. Airway Orthodontics
•Early Feeding and Nutrition
•Allergies,Asthma, URT infections
•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
21. Parent’s Private-eye Sheet
“There are many things about your child’s health that are
important to know, but that I often don’t get to see at the office.
Also, there are signs to look for that you may not have known
were connected to your child’s teeth or health. By looking for
and tracking these “signs and symptoms”, we can get a better
handle on the problem and watch for resolution.
You don’t have to spend a lot of time with this, but don’t rush
either. Watch for certain things at different times of day. Try not
to let your child know they are being watched. You want to see
the most natural behaviors.
Check off what you see. If you’re not sure, check it anyway and
we’ll talk about it. Make comments if you want.”
22. While sitting around...
While sitting around (watching TV, in the car), does
your child:
put “things” in the mouth alot (toys, sleeves, pencils,
fingernails, etc.) ______________________________
lick or suck on the lips
have the lips apart, even a little
stick or dart the tongue out of the mouth
have the tongue resting between the teeth
lean the cheek on a hand
breath with his mouth open, even a little bit
make noises when breathing
have trouble sitting still
23. While talking...
While talking, does your child:
talk very fast
talk very slowly
gasp for air
have a lisp
take speech lessons
24. During a meal
During a meal, does your child:
gasp for air while eating
stick his tongue between his teeth when swallowing
stick the tongue out to meet the drinking glass
drink a lot while eating
make noises when chewing
eat sloppily
take a breath before drinking
puff the cheeks out when drinking
make the lips purse when swallowing
make the chin “crinkle” when swallowing
bob the head when swallowing
have trouble sitting still
25. While sleeping...
While sleeping, does your child:
have the mouth open
snore
wet the bed
toss and turn
tilt the head back
wake up frequently
have frequent nightmares
have abnormal sleep issues
grind the teeth
have trouble waking up
wake with darker circles under eyes
26. S. R. , 10-10yo M
•Missing 32,42
•Impacted 13,23
•Late mixed, 25 erupted
•Soft tissue dysfunction
•IL = 40
•Not compliant
29. Medical history
• Reactive Airway Disease
•“Bronchial Constriction”
•Care of Pulmonologist
• Preventil
• Dad : OSA, CPAP for 11 years, diabetes
• Grandfather: OSA untreated
• ETCO2 = 36.1 at 10 bpm (acceptable)
• Posture number - 18 (<10 ideal)
• Father refuses sleep screening
30. Treatment Options
1. Extract upper premolars.. Align.
2.Open spaces for impacted canines. Open spaces for
lower lateral implants.
What’s more important?
Ease of treatment.
Or
Breathing well at night.
31. Bolton Standards
15yo
The Maxilla is
Down and Back
The Mandible is
Retrognathic
Nasal Cartilage
Collapse
Insufficient Facial
Support
Bi-maxillary Retrusion
33. Mouthbreathers have significantly
smaller airway space.
(measurements PAS-OccL, PAS-UP, airway volume, area and minimum axial area)
Mouth breather Nasal breather
Three-dimensional assessment of pharyngeal airway
in nasal- and mouth-breathing children
Alves, M, et.al., Int J Ped ORL 75 (2011) 1195–1199
34. 1.Crooked teeth are A SYMPTOM.
2. The UPPER incisor directs treatment.
3.Patients don’t want to be exploited.
4.Teeth that grow straight are stable.
35. B. Hockel 2012
This is the profile Biobloc
children start with:
long and retrusive
This is the profile Biobloc
children finish with:
Forward with lips
together
36. B. Hockel 2012
Here’s the “inside” look.
Notice how the upper front teeth are closer to the nose? (yellow arrows)
Notice how the lower jaw rotates around the star so the chin comes up and forward? (red arrow)
How do we make this happen?
39. Maxillary Height
• Indicator Line (Mew)
• Distance from most anterior point on nose to upper
incisal edge
• Age + 23
• A variable number, but important to watch over time.
40. B. Hockel 2012
Here’s the “inside” look.
Notice how the upper front teeth are closer to the nose? (yellow arrows)
Notice how the lower jaw rotates around the star so the chin comes up and forward? (red arrow)
How do we make this happen?
41. Using Indicator/
Cosmetic Line
•To define a starting point
•To set treatment goals
•To track treatment progress
•To gauge the effectiveness of treatment
42. Charting the In/Cos Line
50
40
30
20
mm
y 5 6 7 8 9 10 11 12 13 14 15
girls
boys
49. •L.R. 11-9yF
•Missing all 5s,6s,8s and upper 4s
•Had ortho to close diastema…
•InL = 39
•GP objects to deX, plan equil
50. L.R.Tx Plan
1.Preparation: Hang Expanser
2.deX
3.Training: BB3 to advance mandible
4.Myofunctional Therapy
5.Orthopostural Training
6.Myobrace to hold
7. Reevaluate for dental detailing
61. Treatment Options
1. Type 1: Reduce InL, open lost space, BB3 to advance
mandible.
2. Type 2: Open lost space.Align.
3.Type 4: Extract four premolars.
85. 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.”
86. 1.Crooked teeth are A SYMPTOM.
2. The UPPER incisor directs treatment.
3.Patients don’t want to be exploited.
4.Teeth that grow straight are stable.
87. Backed into a corner...
•
Moving teeth faster, more efficiently…
...in the wrong direction
88. Now that we’ve made
smoking unacceptable,
could we not do the same with...
• Sugar?
• Processed food?
• Cheap milk and meat?
• Fast food?
• Pill popping for symptomatic relief?
• Looking for the cure instead of the cause?
• Surgery as a quick fix?
•Thinking braces are a status symbol?
Each industry thrives on the status quo.
Consumers must drive the change.
95. The dilemma of progress.
(I forgot the progress pictures….)
Dad sells prosthetic parts to orthopedic surgeons.
I selling the case against my previous work they loved...
It takes me 3 hours to sell the case.
They fret until the BB3 goes in...
96. 1.Crooked teeth are A SYMPTOM.
2. The UPPER incisor directs treatment.
3.Patients don’t want to be exploited.
4.Teeth that grow straight are stable.
97. Connecting the dots...
• Adult SDB and OSA
• Narrow jaws and faces
• Soft tissue dysfunction
• Early parafunctional habits, ie. open mouth posture
• Environmental stressors
• CPAP, MARA,UPPP, Surg
Where’s the best
place to start
treatment? here?
orhere?
98. 1. Prevention
2. Undo the damage already done
3. Establish good habits
When to start?
When damage from poor breathing is noticed and
when bad habits are discovered.
The strategies of
Airway Orthodontics
101. The goals of
Airway Orthodontics
1. Breathing through the nose
2. Lips together at rest
3. Correct tongue position
4. No facial muscles moving on swallowing
5. Optimal forward facial development
6. Class I occlusion
7. Straight teeth
8. Better stability long term
109. Establish Good Habits
1. Breathing through the nose
2. Lips together at rest
3. Correct tongue position
4. No facial muscles moving on swallowing
5. Stand and sit in balance
6. Breath gently using the diaphragm
7. Eat to nourish
8. Sleep to rest
115. Integrative Healthcare
Function Professional
Nasal clearing ENT, Pulm, MFT, Breathing
Muscle balance and tone MFT, Myofunctional Ortho
Undoing damage GP, Pedo, Ortho, OMFS
Breathing dynamics OPT, MFT, Breath Physiologist
Posture DC, OPT, PT, Osteopath
Cranial balance Osteopath
Nutrition RDH, Nutritionist, Dietitian
Sleep ENT, Sleep Med, Dent
Neurocognitive development Ped’n, SLP, Psych, Sp.Ed.
The Interdisciplinary Center
116. 1.Crooked teeth are A SYMPTOM.
2. The UPPER incisor directs treatment.
3.Patients don’t want to be exploited.
4.Teeth that grow straight are stable.
117. Now that I know...
My personal mission:
To create, from what I’ve
learned from the best,
a model for others to follow….
...especially the orthodontists.
121. Breathing and Sleep
Buteyko Mentorship
The Breathing Center
Woodstock
2010
Breathing Well Programme
John Flutter
2010
Ortho-Postural Training
Roger Price
2013
Sleep Dentistry
Michael Gelb, et.al
NYU
2012
123. Bucket List
•ALF and Crozat (Bronson’s course)
•More on Biobloc (Hang’s Advanced, London School)
• More Cranial (The Farm)
•Chirodontics (Bob Walker)
•Airway Dentistry with Marc Cruz, Jeff Rouse
• Sleep Dentistry
• Less-than-Six with Kevin Boyd
• Intra-mandibular Distraction Osteogenesis (IMDO)
Off My List
Anything that moves the teeth faster in the wrong direction...
124. What’s an RO to do?
To create, from what I’ve
learned from the best,
a model for others to follow….
...especially orthodontists.
125. Teaching
Mt. Sinai Pedo Residency
Ali Attaie
2010-2012
Montefiore Ortho Residency
Tony Maganzini
2012
2009-Present
126. Mt. Sinai School of Medicine
Pedodontic Residency
Guest Speakers
Jim Bronson
Mike Mew
Kevin Boyd
Sandra Kahn
Jennifer Tow
Roger Price
Paula Fabbie
Damien O’Brien
First clinical program in myofunctional orthodontics
132. “With improvements in
expansion orthodontics,
advances in myofunctional
orthodontics, and the growing
recognition about sleep
disordered breathing among
children and adults, it is time for
orthodontics to expand its
horizons. There is now so
much more we can offer.”
The Raphael name has been associated with high
quality orthodontics in New Jersey for over 60 years.
Dr. Barry Raphael has been a university trained
orthodontic specialist and a member of the
American Association of Orthodontists for 30 years.
He has a wide range of techniques and services to
offer. He has studied oral myology, applied
kinesiology, Buteyko breathing, Biobloc Orthotropics
and Myobrace as part of his integrative training. He
can offer Damon, Invisalign, Insignia and Incognito
appliances designs as some of his many
conventional orthodontic services, too.
Dr. Raphael teaches his techniques at
post-graduate residencies, study clubs, dental
societies, and for the Myofunctional Research Co.
He is available for presentations to any group
interested in learning more about the benefits of
integrative orthodontics.
www.alignmine.com
Learn about the choices you have in orthodontics
dr barry raphael
Why it's
too Early...
never
1425broadstreet
clifton,nj07013
973-778-4222
fax973-778-9625
njspec#3684
1425 broad street, clifton, nj 07013
973-778-4222
www.alignmine.com
the
raphael center
for
integrative
orthodontics
theraphaelcenterfor
integrativeorthodontics
Learn about an important
choice you need to make
before starting braces.
135. the raphael center for integrative education
Ongoing Intro to Airway Orthodontics
April Biobloc Study Group
April Training Ortho-Postural Therapists w Roger Price
June MRC Myobrace Basic Series
August Airway Dentistry with Mark Cruz and company
October Advanced MFT with Sandy Coulson
October Less than Six with Kevin Boyd
(who else wants to play?)
Mission: to create a space for spreading the word about
Airway and Orthotropic principles and practice.
136. Orthodontics in the
21st Century
Esthetic
Orthodontics
Airway
Orthodontics
Genetic
Tooth-Focused
Dental: Perfection
Esthetics Primary
Treating Symptoms
Airway Ignorant
Adaptation
Muscle-Focused
Medical: Better
Esthetics Secondary
Treating Causes
Airway Conscious