SlideShare a Scribd company logo
Disclosure 
The concepts expressed on this 
lecture are based on my studies, the 
current scientific evidence and clinical 
experience. 
They do not represent the teaching 
philosophy at the College of Dentistry, 
University of Manitoba
Length 
Total 
Increase 
140 
120 
100 
Co-Gn 
Distance 
80 
40 
20 
0 
60 
10.89 9.06 
5.52 5.56 3.8 
31.24 
34.83 
31.24 
60.59 
71.48 
80.42 
85.94 
91.5 
95.3 
126.54 
0.4 1 2 3 4 5 16 
Age 
Modified from Liu Yi-Ping, Behrents Rolf G, Buschang Peter H. 
Mandibular growth, remodeling and maturation during infancy and early 
childhood. Angle Orthod 2010; 80: 97-105
Is this the ideal 
moment 
to start 
treatment?
Ramirez-Yañez G. 
Treatment of anterior crossbite in primary 
dentition with esthetic crowns: report of 3 
cases. 
Pediatr Dent. 2011 Jul-Aug;33(4):339-42.
Anterior crossbite treatment changes 
the direction of the occlusal force, 
affecting the periodontal receptors, 
which modify the response of the 
trigeminal nerve and the muscular 
activity 
Sohn et al. 1997. Changes in jaw movement and jaw closing 
in muscle activity after orthodontic correction of incisor 
crossbite. Am. J. Orthod. Dentofacial Orthop. 112: 403
ZR - May 4, 2010
ZR - May 24, 2010
ZR – August 27, 2010
TAR 11.5μV TAL 11.8μV MMR 4.8μV MML 5.8μV 
OOS 5.2μV ME 4.9μV DAR 0.4μV DAL 33.7μV 
TAR 17.9μV TAL 24.6μV MMR 16.7μV MML 31.0μV 
OOS 5.7μV ME 7.4μV DAR 11.4μV DAL 13.1μV 
May 4, 2010 
Aug 27, 2010
May 4, 2010 – August 27, 2010 - Nov 12, 2012
INFANT TRAINER T4I 
& 
LIP TRAINER
Development 
Diferentiation – Maduration 
Growth 
Increase in mass and size 
Adaptation 
Plasticity & Compensatory Growth
2 g/cm² 
80 g/cm² 
2.7 g/cm² 
21 g/cm² 
2 g/cm² 
1 g/cm² 
Thuer U et. al. 1999 Cheek and tongue posture in the molar areas and the atmospheric pressure 
in the palatal vault in young adults. Eur J Orthod 21: 299-309
FIRSTLY, 
CONTROL THE HABIT THEN, 
USE THE TRAINER
HABITS 
MANAGEMENT
NEURAL STIMULATION
PLANAS’ DIRECT TRACKS 
POSTERIOR CROSSBITE
PLANAS’ DIRECT TRACKS 
POSTERIOR CROSSBITE
Ramirez-Yañez, G.O. J Clin Orthod 2003; 37(6): 294-8 
The earliest a malocclusion is 
corrected, the better and the 
simpler treatment is
PLANAS’ DIRECT TRACKS
Bone-Muscle Unit 
Signals 
Loads 
JeeWSS. J Musculoskel Neuron Interact 2000; 11-13 
Forwood MR, Osteoporosis Int 2001; 12:77-83 
Frost HM. Angle Orthod 2004; 74:3-15 
Biological 
Responses 
Hormones 
Cytokines 
Modelling 
Remodelling 
Biomechanic 
Feedback
The Modus Operandi of the Trainer to 
correct malocclusions? 
Change the posture of the 
mandible 
Usumez, 2004
The Modus Operandi of the Trainer to 
correct malocclusions? 
Stimulate transverse 
development 
Ramirez-Yañez, 2007
THE FUTURE OF ORTHODONTICS 
IS NOT ONLY THERAPY AND 
INTERCEPTION 
BUT ALSO PREVENTION 
Petrovic AG, Stutzmann JJ. Research methodology and findings in applied 
craniofacial growth studies. In: Dentofacial Orthopedics with Functional 
Appliances, 2nd Edition Graber TM, Rakosi T, Petrovic AG. Mosby 1997
Thank you for taking care 
of my teeth and my 
FACIAL GROWING 
issues !!!
OBSERVE THE MOUTH 
OF THE CHILD, 
NOT ONLY THE TEETH 
LISTEN TO THE NEEDS 
OF THE CHILD 
REMEMBER 
WE CAN INTERCEPT AND 
PREVENT MANY 
DEVELOPING ISSUES IN 
CHILDREN 
Mizaru Kikazaru Iwazaru

More Related Content

What's hot

Rehabilitation Considers of Lower Extremity Tendinopathy
Rehabilitation Considers of Lower Extremity TendinopathyRehabilitation Considers of Lower Extremity Tendinopathy
Rehabilitation Considers of Lower Extremity Tendinopathy
Orlando Orthopaedic Center
 
Bioplasty
Bioplasty Bioplasty
Bioplasty
Edward Loniewski
 
2016 ghassemi-clinically-usable-fib-ilium
2016 ghassemi-clinically-usable-fib-ilium2016 ghassemi-clinically-usable-fib-ilium
2016 ghassemi-clinically-usable-fib-ilium
Klinikum Lippe GmbH
 
Temporomandibular disorders
Temporomandibular disordersTemporomandibular disorders
Temporomandibular disorders
Sumanvijyanta
 
Assessing the Relationship between Body Composition and Spinal Curvatures in ...
Assessing the Relationship between Body Composition and Spinal Curvatures in ...Assessing the Relationship between Body Composition and Spinal Curvatures in ...
Assessing the Relationship between Body Composition and Spinal Curvatures in ...
peertechzpublication
 
Artroplastia Total do Joelho - Dr. Cláudio Gholmia.
Artroplastia Total do Joelho - Dr. Cláudio Gholmia.Artroplastia Total do Joelho - Dr. Cláudio Gholmia.
Artroplastia Total do Joelho - Dr. Cláudio Gholmia.
Ricardo Montija
 
How do bisphosphonated affect # healing
How do bisphosphonated affect # healingHow do bisphosphonated affect # healing
How do bisphosphonated affect # healing
Dr. SHEETAL KAPSE
 
Anzaed 2013 info_biases
Anzaed 2013 info_biasesAnzaed 2013 info_biases
Anzaed 2013 info_biases
Scoti Riff
 
IPEG presentation- EGD after Nissen
IPEG presentation- EGD after NissenIPEG presentation- EGD after Nissen
IPEG presentation- EGD after Nissen
rweinsheimer
 
Tahran 2020 modified posterior shoulder stretching exercises sis
Tahran 2020   modified posterior shoulder stretching exercises sisTahran 2020   modified posterior shoulder stretching exercises sis
Tahran 2020 modified posterior shoulder stretching exercises sis
OLGUINHUERTACRISTIAN
 
GeroFinalPoster
GeroFinalPosterGeroFinalPoster
GeroFinalPoster
Bianca Diaz, BSN, RN
 
UTA KINE FALL 2011.Samraj
UTA KINE FALL 2011.SamrajUTA KINE FALL 2011.Samraj
UTA KINE FALL 2011.Samraj
Enoch Samraj, PT DPT CSCS
 
Geriatric Rehabiltation- A detailed go through
Geriatric Rehabiltation- A detailed go throughGeriatric Rehabiltation- A detailed go through
Geriatric Rehabiltation- A detailed go through
Susan Jose
 
Metastatic Spine Lesions
Metastatic Spine LesionsMetastatic Spine Lesions
Metastatic Spine Lesions
Ade Wijaya
 
Lorangerie 23 10 12 00 Leonardo Kapural (SIMPOSIO OPTIKA).ppt
Lorangerie  23 10  12 00  Leonardo Kapural (SIMPOSIO OPTIKA).pptLorangerie  23 10  12 00  Leonardo Kapural (SIMPOSIO OPTIKA).ppt
Lorangerie 23 10 12 00 Leonardo Kapural (SIMPOSIO OPTIKA).ppt
sobramid
 
Correlation between conventional clinical tests and a new movement assessment...
Correlation between conventional clinical tests and a new movement assessment...Correlation between conventional clinical tests and a new movement assessment...
Correlation between conventional clinical tests and a new movement assessment...
Stavros Litsos
 
Current concept in scientific and clinical rationale behind exercises for gh ...
Current concept in scientific and clinical rationale behind exercises for gh ...Current concept in scientific and clinical rationale behind exercises for gh ...
Current concept in scientific and clinical rationale behind exercises for gh ...
Satoshi Kajiyama
 
Radiculopatía vs dolor radicular
Radiculopatía vs dolor radicularRadiculopatía vs dolor radicular
Radiculopatía vs dolor radicular
Eva Sierra Silvestre
 
Steroid Myopathy
Steroid Myopathy Steroid Myopathy
Steroid Myopathy
Ade Wijaya
 

What's hot (19)

Rehabilitation Considers of Lower Extremity Tendinopathy
Rehabilitation Considers of Lower Extremity TendinopathyRehabilitation Considers of Lower Extremity Tendinopathy
Rehabilitation Considers of Lower Extremity Tendinopathy
 
Bioplasty
Bioplasty Bioplasty
Bioplasty
 
2016 ghassemi-clinically-usable-fib-ilium
2016 ghassemi-clinically-usable-fib-ilium2016 ghassemi-clinically-usable-fib-ilium
2016 ghassemi-clinically-usable-fib-ilium
 
Temporomandibular disorders
Temporomandibular disordersTemporomandibular disorders
Temporomandibular disorders
 
Assessing the Relationship between Body Composition and Spinal Curvatures in ...
Assessing the Relationship between Body Composition and Spinal Curvatures in ...Assessing the Relationship between Body Composition and Spinal Curvatures in ...
Assessing the Relationship between Body Composition and Spinal Curvatures in ...
 
Artroplastia Total do Joelho - Dr. Cláudio Gholmia.
Artroplastia Total do Joelho - Dr. Cláudio Gholmia.Artroplastia Total do Joelho - Dr. Cláudio Gholmia.
Artroplastia Total do Joelho - Dr. Cláudio Gholmia.
 
How do bisphosphonated affect # healing
How do bisphosphonated affect # healingHow do bisphosphonated affect # healing
How do bisphosphonated affect # healing
 
Anzaed 2013 info_biases
Anzaed 2013 info_biasesAnzaed 2013 info_biases
Anzaed 2013 info_biases
 
IPEG presentation- EGD after Nissen
IPEG presentation- EGD after NissenIPEG presentation- EGD after Nissen
IPEG presentation- EGD after Nissen
 
Tahran 2020 modified posterior shoulder stretching exercises sis
Tahran 2020   modified posterior shoulder stretching exercises sisTahran 2020   modified posterior shoulder stretching exercises sis
Tahran 2020 modified posterior shoulder stretching exercises sis
 
GeroFinalPoster
GeroFinalPosterGeroFinalPoster
GeroFinalPoster
 
UTA KINE FALL 2011.Samraj
UTA KINE FALL 2011.SamrajUTA KINE FALL 2011.Samraj
UTA KINE FALL 2011.Samraj
 
Geriatric Rehabiltation- A detailed go through
Geriatric Rehabiltation- A detailed go throughGeriatric Rehabiltation- A detailed go through
Geriatric Rehabiltation- A detailed go through
 
Metastatic Spine Lesions
Metastatic Spine LesionsMetastatic Spine Lesions
Metastatic Spine Lesions
 
Lorangerie 23 10 12 00 Leonardo Kapural (SIMPOSIO OPTIKA).ppt
Lorangerie  23 10  12 00  Leonardo Kapural (SIMPOSIO OPTIKA).pptLorangerie  23 10  12 00  Leonardo Kapural (SIMPOSIO OPTIKA).ppt
Lorangerie 23 10 12 00 Leonardo Kapural (SIMPOSIO OPTIKA).ppt
 
Correlation between conventional clinical tests and a new movement assessment...
Correlation between conventional clinical tests and a new movement assessment...Correlation between conventional clinical tests and a new movement assessment...
Correlation between conventional clinical tests and a new movement assessment...
 
Current concept in scientific and clinical rationale behind exercises for gh ...
Current concept in scientific and clinical rationale behind exercises for gh ...Current concept in scientific and clinical rationale behind exercises for gh ...
Current concept in scientific and clinical rationale behind exercises for gh ...
 
Radiculopatía vs dolor radicular
Radiculopatía vs dolor radicularRadiculopatía vs dolor radicular
Radiculopatía vs dolor radicular
 
Steroid Myopathy
Steroid Myopathy Steroid Myopathy
Steroid Myopathy
 

Similar to Spreecast Ep32 Ramirez Intercept Malocclusion

Prevention perspective in orthodontics and dento facial orthopedics
Prevention perspective in orthodontics and dento facial orthopedicsPrevention perspective in orthodontics and dento facial orthopedics
Prevention perspective in orthodontics and dento facial orthopedics
Ahlam Alkhubani
 
early orthodonatic treatment - early treatment of skeletal open bite
early orthodonatic treatment - early treatment of skeletal open biteearly orthodonatic treatment - early treatment of skeletal open bite
early orthodonatic treatment - early treatment of skeletal open bite
Royal medical services - JOS
 
Dr. Debra Fink's presentation about how to reduce or eliminate tmd/tmj pain
Dr. Debra Fink's presentation about how to reduce or eliminate tmd/tmj painDr. Debra Fink's presentation about how to reduce or eliminate tmd/tmj pain
Dr. Debra Fink's presentation about how to reduce or eliminate tmd/tmj pain
jfink1971
 
early orthodonatic treatment - part 2
early orthodonatic treatment - part 2early orthodonatic treatment - part 2
early orthodonatic treatment - part 2
Royal medical services - JOS
 
Iatriki etireia teliko
Iatriki etireia telikoIatriki etireia teliko
Iatriki etireia teliko
STAVROS ALEVROGIANNIS
 
Moschik inluence of omt on upper intercanine distance
Moschik   inluence of omt on upper intercanine distanceMoschik   inluence of omt on upper intercanine distance
Moschik inluence of omt on upper intercanine distance
associazione ipertesto
 
Periodontal regeneration current concepts
Periodontal regeneration current conceptsPeriodontal regeneration current concepts
Periodontal regeneration current concepts
R Viswa Chandra
 
Dr. Hirenkumar Rana- Faculty paper presentation.pptx
Dr. Hirenkumar Rana- Faculty paper presentation.pptxDr. Hirenkumar Rana- Faculty paper presentation.pptx
Dr. Hirenkumar Rana- Faculty paper presentation.pptx
HirenRana18
 
Short-term effects of teriparatide versus placebo on bone biomarkers, structu...
Short-term effects of teriparatide versus placebo on bone biomarkers, structu...Short-term effects of teriparatide versus placebo on bone biomarkers, structu...
Short-term effects of teriparatide versus placebo on bone biomarkers, structu...
Ellen Almirol
 
Ep 27 Hobson posture and airway
Ep 27 Hobson posture and airwayEp 27 Hobson posture and airway
Ep 27 Hobson posture and airway
The Raphael Center for Integrative Education
 
Relationship of Bone Marrow Density (Hip and Spine) in Cerebral Palsy: A Case...
Relationship of Bone Marrow Density (Hip and Spine) in Cerebral Palsy: A Case...Relationship of Bone Marrow Density (Hip and Spine) in Cerebral Palsy: A Case...
Relationship of Bone Marrow Density (Hip and Spine) in Cerebral Palsy: A Case...
International Multispeciality Journal of Health
 
fracture_healing.ppt
fracture_healing.pptfracture_healing.ppt
fracture_healing.ppt
DumpalapallyAkshayku
 
Hip osteoarthritis
Hip osteoarthritisHip osteoarthritis
Hip osteoarthritis
Jamia Millia Islamia
 
Ozone-paper
Ozone-paperOzone-paper
Ozone-paper
Walid Elsayed
 
A comparative study on the clinical and functional outcome of limb salvage su...
A comparative study on the clinical and functional outcome of limb salvage su...A comparative study on the clinical and functional outcome of limb salvage su...
A comparative study on the clinical and functional outcome of limb salvage su...
NAAR Journal
 
Baccetti tx timing_for_twin_block_therapy
Baccetti tx timing_for_twin_block_therapyBaccetti tx timing_for_twin_block_therapy
Baccetti tx timing_for_twin_block_therapy
Consultório Particular
 
Effects of Mendelshon maneuver on hyoid movement and UES opening
Effects of Mendelshon maneuver on hyoid movement and UES openingEffects of Mendelshon maneuver on hyoid movement and UES opening
Effects of Mendelshon maneuver on hyoid movement and UES opening
Arshelle Kibs
 
Science research
Science researchScience research
Rotator Cuff Evidence Update
Rotator Cuff Evidence Update  Rotator Cuff Evidence Update
Rotator Cuff Evidence Update
The Arm Clinic
 
Fracture healing
Fracture healingFracture healing
Fracture healing
JA Larson
 

Similar to Spreecast Ep32 Ramirez Intercept Malocclusion (20)

Prevention perspective in orthodontics and dento facial orthopedics
Prevention perspective in orthodontics and dento facial orthopedicsPrevention perspective in orthodontics and dento facial orthopedics
Prevention perspective in orthodontics and dento facial orthopedics
 
early orthodonatic treatment - early treatment of skeletal open bite
early orthodonatic treatment - early treatment of skeletal open biteearly orthodonatic treatment - early treatment of skeletal open bite
early orthodonatic treatment - early treatment of skeletal open bite
 
Dr. Debra Fink's presentation about how to reduce or eliminate tmd/tmj pain
Dr. Debra Fink's presentation about how to reduce or eliminate tmd/tmj painDr. Debra Fink's presentation about how to reduce or eliminate tmd/tmj pain
Dr. Debra Fink's presentation about how to reduce or eliminate tmd/tmj pain
 
early orthodonatic treatment - part 2
early orthodonatic treatment - part 2early orthodonatic treatment - part 2
early orthodonatic treatment - part 2
 
Iatriki etireia teliko
Iatriki etireia telikoIatriki etireia teliko
Iatriki etireia teliko
 
Moschik inluence of omt on upper intercanine distance
Moschik   inluence of omt on upper intercanine distanceMoschik   inluence of omt on upper intercanine distance
Moschik inluence of omt on upper intercanine distance
 
Periodontal regeneration current concepts
Periodontal regeneration current conceptsPeriodontal regeneration current concepts
Periodontal regeneration current concepts
 
Dr. Hirenkumar Rana- Faculty paper presentation.pptx
Dr. Hirenkumar Rana- Faculty paper presentation.pptxDr. Hirenkumar Rana- Faculty paper presentation.pptx
Dr. Hirenkumar Rana- Faculty paper presentation.pptx
 
Short-term effects of teriparatide versus placebo on bone biomarkers, structu...
Short-term effects of teriparatide versus placebo on bone biomarkers, structu...Short-term effects of teriparatide versus placebo on bone biomarkers, structu...
Short-term effects of teriparatide versus placebo on bone biomarkers, structu...
 
Ep 27 Hobson posture and airway
Ep 27 Hobson posture and airwayEp 27 Hobson posture and airway
Ep 27 Hobson posture and airway
 
Relationship of Bone Marrow Density (Hip and Spine) in Cerebral Palsy: A Case...
Relationship of Bone Marrow Density (Hip and Spine) in Cerebral Palsy: A Case...Relationship of Bone Marrow Density (Hip and Spine) in Cerebral Palsy: A Case...
Relationship of Bone Marrow Density (Hip and Spine) in Cerebral Palsy: A Case...
 
fracture_healing.ppt
fracture_healing.pptfracture_healing.ppt
fracture_healing.ppt
 
Hip osteoarthritis
Hip osteoarthritisHip osteoarthritis
Hip osteoarthritis
 
Ozone-paper
Ozone-paperOzone-paper
Ozone-paper
 
A comparative study on the clinical and functional outcome of limb salvage su...
A comparative study on the clinical and functional outcome of limb salvage su...A comparative study on the clinical and functional outcome of limb salvage su...
A comparative study on the clinical and functional outcome of limb salvage su...
 
Baccetti tx timing_for_twin_block_therapy
Baccetti tx timing_for_twin_block_therapyBaccetti tx timing_for_twin_block_therapy
Baccetti tx timing_for_twin_block_therapy
 
Effects of Mendelshon maneuver on hyoid movement and UES opening
Effects of Mendelshon maneuver on hyoid movement and UES openingEffects of Mendelshon maneuver on hyoid movement and UES opening
Effects of Mendelshon maneuver on hyoid movement and UES opening
 
Science research
Science researchScience research
Science research
 
Rotator Cuff Evidence Update
Rotator Cuff Evidence Update  Rotator Cuff Evidence Update
Rotator Cuff Evidence Update
 
Fracture healing
Fracture healingFracture healing
Fracture healing
 

More from The Raphael Center for Integrative Education

Ep 52 Spreecast pre show
Ep 52  Spreecast pre showEp 52  Spreecast pre show
Spreecast 51 amr algo
Spreecast 51 amr algoSpreecast 51 amr algo
Spreecast 51 compensation
Spreecast 51 compensationSpreecast 51 compensation
Ep 51 Spreecast pre show
Ep 51 Spreecast pre showEp 51 Spreecast pre show
Spreecast 51 history
Spreecast 51 historySpreecast 51 history
Spreecast 51 white flag
Spreecast 51 white flagSpreecast 51 white flag
episode 51 Spreecast post show
episode 51 Spreecast post showepisode 51 Spreecast post show
episode 51 Spreecast post show
The Raphael Center for Integrative Education
 
Farrell: Questioning orthodontics
Farrell: Questioning orthodonticsFarrell: Questioning orthodontics
Farrell: Questioning orthodontics
The Raphael Center for Integrative Education
 
Ep 50 spreecast
Ep 50 spreecastEp 50 spreecast
Ep 49 spreecast AFDC
Ep 49 spreecast AFDCEp 49 spreecast AFDC
Ep 48. Nordstrom pervasive power of 'p'
Ep 48. Nordstrom pervasive power of 'p'Ep 48. Nordstrom pervasive power of 'p'
Ep 48. Nordstrom pervasive power of 'p'
The Raphael Center for Integrative Education
 
#48 Nordstrom Spreecast pre show
#48 Nordstrom Spreecast pre show#48 Nordstrom Spreecast pre show
#48 Nordstrom Spreecast pre show
The Raphael Center for Integrative Education
 
#48 Spreecast post show
#48 Spreecast post show#48 Spreecast post show
#47 Spreecast pre show
#47 Spreecast pre show#47 Spreecast pre show
#47 Pat McBrideSpreecast post show
#47 Pat McBrideSpreecast post show#47 Pat McBrideSpreecast post show
#47 Pat McBrideSpreecast post show
The Raphael Center for Integrative Education
 
#47 Mc Bride spreecast 2016
#47 Mc Bride spreecast 2016#47 Mc Bride spreecast 2016
ep 46 Spreecast pre show
ep 46 Spreecast pre showep 46 Spreecast pre show
Ep 46 Spreecast post show
Ep 46 Spreecast post showEp 46 Spreecast post show
Ep #46 Jim garry, dds v3
Ep #46 Jim garry, dds v3Ep #46 Jim garry, dds v3
Ep 45 Spreecast post show
Ep 45 Spreecast post showEp 45 Spreecast post show

More from The Raphael Center for Integrative Education (20)

Ep 52 Spreecast pre show
Ep 52  Spreecast pre showEp 52  Spreecast pre show
Ep 52 Spreecast pre show
 
Spreecast 51 amr algo
Spreecast 51 amr algoSpreecast 51 amr algo
Spreecast 51 amr algo
 
Spreecast 51 compensation
Spreecast 51 compensationSpreecast 51 compensation
Spreecast 51 compensation
 
Ep 51 Spreecast pre show
Ep 51 Spreecast pre showEp 51 Spreecast pre show
Ep 51 Spreecast pre show
 
Spreecast 51 history
Spreecast 51 historySpreecast 51 history
Spreecast 51 history
 
Spreecast 51 white flag
Spreecast 51 white flagSpreecast 51 white flag
Spreecast 51 white flag
 
episode 51 Spreecast post show
episode 51 Spreecast post showepisode 51 Spreecast post show
episode 51 Spreecast post show
 
Farrell: Questioning orthodontics
Farrell: Questioning orthodonticsFarrell: Questioning orthodontics
Farrell: Questioning orthodontics
 
Ep 50 spreecast
Ep 50 spreecastEp 50 spreecast
Ep 50 spreecast
 
Ep 49 spreecast AFDC
Ep 49 spreecast AFDCEp 49 spreecast AFDC
Ep 49 spreecast AFDC
 
Ep 48. Nordstrom pervasive power of 'p'
Ep 48. Nordstrom pervasive power of 'p'Ep 48. Nordstrom pervasive power of 'p'
Ep 48. Nordstrom pervasive power of 'p'
 
#48 Nordstrom Spreecast pre show
#48 Nordstrom Spreecast pre show#48 Nordstrom Spreecast pre show
#48 Nordstrom Spreecast pre show
 
#48 Spreecast post show
#48 Spreecast post show#48 Spreecast post show
#48 Spreecast post show
 
#47 Spreecast pre show
#47 Spreecast pre show#47 Spreecast pre show
#47 Spreecast pre show
 
#47 Pat McBrideSpreecast post show
#47 Pat McBrideSpreecast post show#47 Pat McBrideSpreecast post show
#47 Pat McBrideSpreecast post show
 
#47 Mc Bride spreecast 2016
#47 Mc Bride spreecast 2016#47 Mc Bride spreecast 2016
#47 Mc Bride spreecast 2016
 
ep 46 Spreecast pre show
ep 46 Spreecast pre showep 46 Spreecast pre show
ep 46 Spreecast pre show
 
Ep 46 Spreecast post show
Ep 46 Spreecast post showEp 46 Spreecast post show
Ep 46 Spreecast post show
 
Ep #46 Jim garry, dds v3
Ep #46 Jim garry, dds v3Ep #46 Jim garry, dds v3
Ep #46 Jim garry, dds v3
 
Ep 45 Spreecast post show
Ep 45 Spreecast post showEp 45 Spreecast post show
Ep 45 Spreecast post show
 

Recently uploaded

Top 10 Best Ayurvedic Kidney Stone Syrups in India
Top 10 Best Ayurvedic Kidney Stone Syrups in IndiaTop 10 Best Ayurvedic Kidney Stone Syrups in India
Top 10 Best Ayurvedic Kidney Stone Syrups in India
Swastik Ayurveda
 
Aortic Association CBL Pilot April 19 – 20 Bern
Aortic Association CBL Pilot April 19 – 20 BernAortic Association CBL Pilot April 19 – 20 Bern
Aortic Association CBL Pilot April 19 – 20 Bern
suvadeepdas911
 
Best Ayurvedic medicine for Gas and Indigestion
Best Ayurvedic medicine for Gas and IndigestionBest Ayurvedic medicine for Gas and Indigestion
Best Ayurvedic medicine for Gas and Indigestion
Swastik Ayurveda
 
Diabetic nephropathy diagnosis treatment
Diabetic nephropathy diagnosis treatmentDiabetic nephropathy diagnosis treatment
Diabetic nephropathy diagnosis treatment
arahmanzai5
 
Adhd Medication Shortage Uk - trinexpharmacy.com
Adhd Medication Shortage Uk - trinexpharmacy.comAdhd Medication Shortage Uk - trinexpharmacy.com
Adhd Medication Shortage Uk - trinexpharmacy.com
reignlana06
 
Ear and its clinical correlations By Dr. Rabia Inam Gandapore.pptx
Ear and its clinical correlations By Dr. Rabia Inam Gandapore.pptxEar and its clinical correlations By Dr. Rabia Inam Gandapore.pptx
Ear and its clinical correlations By Dr. Rabia Inam Gandapore.pptx
Dr. Rabia Inam Gandapore
 
share - Lions, tigers, AI and health misinformation, oh my!.pptx
share - Lions, tigers, AI and health misinformation, oh my!.pptxshare - Lions, tigers, AI and health misinformation, oh my!.pptx
share - Lions, tigers, AI and health misinformation, oh my!.pptx
Tina Purnat
 
CHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdfCHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdf
rishi2789
 
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...
Oleg Kshivets
 
The Electrocardiogram - Physiologic Principles
The Electrocardiogram - Physiologic PrinciplesThe Electrocardiogram - Physiologic Principles
The Electrocardiogram - Physiologic Principles
MedicoseAcademics
 
Abortion PG Seminar Power point presentation
Abortion PG Seminar Power point presentationAbortion PG Seminar Power point presentation
Abortion PG Seminar Power point presentation
AksshayaRajanbabu
 
Muscles of Mastication by Dr. Rabia Inam Gandapore.pptx
Muscles of Mastication by Dr. Rabia Inam Gandapore.pptxMuscles of Mastication by Dr. Rabia Inam Gandapore.pptx
Muscles of Mastication by Dr. Rabia Inam Gandapore.pptx
Dr. Rabia Inam Gandapore
 
Hemodialysis: Chapter 4, Dialysate Circuit - Dr.Gawad
Hemodialysis: Chapter 4, Dialysate Circuit - Dr.GawadHemodialysis: Chapter 4, Dialysate Circuit - Dr.Gawad
Hemodialysis: Chapter 4, Dialysate Circuit - Dr.Gawad
NephroTube - Dr.Gawad
 
Histololgy of Female Reproductive System.pptx
Histololgy of Female Reproductive System.pptxHistololgy of Female Reproductive System.pptx
Histololgy of Female Reproductive System.pptx
AyeshaZaid1
 
Part II - Body Grief: Losing parts of ourselves and our identity before, duri...
Part II - Body Grief: Losing parts of ourselves and our identity before, duri...Part II - Body Grief: Losing parts of ourselves and our identity before, duri...
Part II - Body Grief: Losing parts of ourselves and our identity before, duri...
bkling
 
Integrating Ayurveda into Parkinson’s Management: A Holistic Approach
Integrating Ayurveda into Parkinson’s Management: A Holistic ApproachIntegrating Ayurveda into Parkinson’s Management: A Holistic Approach
Integrating Ayurveda into Parkinson’s Management: A Holistic Approach
Ayurveda ForAll
 
Top Effective Soaps for Fungal Skin Infections in India
Top Effective Soaps for Fungal Skin Infections in IndiaTop Effective Soaps for Fungal Skin Infections in India
Top Effective Soaps for Fungal Skin Infections in India
SwisschemDerma
 
Chapter 11 Nutrition and Chronic Diseases.pptx
Chapter 11 Nutrition and Chronic Diseases.pptxChapter 11 Nutrition and Chronic Diseases.pptx
Chapter 11 Nutrition and Chronic Diseases.pptx
Earlene McNair
 
Top-Vitamin-Supplement-Brands-in-India List
Top-Vitamin-Supplement-Brands-in-India ListTop-Vitamin-Supplement-Brands-in-India List
Top-Vitamin-Supplement-Brands-in-India List
SwisschemDerma
 
Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central
Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa CentralClinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central
Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central
19various
 

Recently uploaded (20)

Top 10 Best Ayurvedic Kidney Stone Syrups in India
Top 10 Best Ayurvedic Kidney Stone Syrups in IndiaTop 10 Best Ayurvedic Kidney Stone Syrups in India
Top 10 Best Ayurvedic Kidney Stone Syrups in India
 
Aortic Association CBL Pilot April 19 – 20 Bern
Aortic Association CBL Pilot April 19 – 20 BernAortic Association CBL Pilot April 19 – 20 Bern
Aortic Association CBL Pilot April 19 – 20 Bern
 
Best Ayurvedic medicine for Gas and Indigestion
Best Ayurvedic medicine for Gas and IndigestionBest Ayurvedic medicine for Gas and Indigestion
Best Ayurvedic medicine for Gas and Indigestion
 
Diabetic nephropathy diagnosis treatment
Diabetic nephropathy diagnosis treatmentDiabetic nephropathy diagnosis treatment
Diabetic nephropathy diagnosis treatment
 
Adhd Medication Shortage Uk - trinexpharmacy.com
Adhd Medication Shortage Uk - trinexpharmacy.comAdhd Medication Shortage Uk - trinexpharmacy.com
Adhd Medication Shortage Uk - trinexpharmacy.com
 
Ear and its clinical correlations By Dr. Rabia Inam Gandapore.pptx
Ear and its clinical correlations By Dr. Rabia Inam Gandapore.pptxEar and its clinical correlations By Dr. Rabia Inam Gandapore.pptx
Ear and its clinical correlations By Dr. Rabia Inam Gandapore.pptx
 
share - Lions, tigers, AI and health misinformation, oh my!.pptx
share - Lions, tigers, AI and health misinformation, oh my!.pptxshare - Lions, tigers, AI and health misinformation, oh my!.pptx
share - Lions, tigers, AI and health misinformation, oh my!.pptx
 
CHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdfCHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdf
 
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...
 
The Electrocardiogram - Physiologic Principles
The Electrocardiogram - Physiologic PrinciplesThe Electrocardiogram - Physiologic Principles
The Electrocardiogram - Physiologic Principles
 
Abortion PG Seminar Power point presentation
Abortion PG Seminar Power point presentationAbortion PG Seminar Power point presentation
Abortion PG Seminar Power point presentation
 
Muscles of Mastication by Dr. Rabia Inam Gandapore.pptx
Muscles of Mastication by Dr. Rabia Inam Gandapore.pptxMuscles of Mastication by Dr. Rabia Inam Gandapore.pptx
Muscles of Mastication by Dr. Rabia Inam Gandapore.pptx
 
Hemodialysis: Chapter 4, Dialysate Circuit - Dr.Gawad
Hemodialysis: Chapter 4, Dialysate Circuit - Dr.GawadHemodialysis: Chapter 4, Dialysate Circuit - Dr.Gawad
Hemodialysis: Chapter 4, Dialysate Circuit - Dr.Gawad
 
Histololgy of Female Reproductive System.pptx
Histololgy of Female Reproductive System.pptxHistololgy of Female Reproductive System.pptx
Histololgy of Female Reproductive System.pptx
 
Part II - Body Grief: Losing parts of ourselves and our identity before, duri...
Part II - Body Grief: Losing parts of ourselves and our identity before, duri...Part II - Body Grief: Losing parts of ourselves and our identity before, duri...
Part II - Body Grief: Losing parts of ourselves and our identity before, duri...
 
Integrating Ayurveda into Parkinson’s Management: A Holistic Approach
Integrating Ayurveda into Parkinson’s Management: A Holistic ApproachIntegrating Ayurveda into Parkinson’s Management: A Holistic Approach
Integrating Ayurveda into Parkinson’s Management: A Holistic Approach
 
Top Effective Soaps for Fungal Skin Infections in India
Top Effective Soaps for Fungal Skin Infections in IndiaTop Effective Soaps for Fungal Skin Infections in India
Top Effective Soaps for Fungal Skin Infections in India
 
Chapter 11 Nutrition and Chronic Diseases.pptx
Chapter 11 Nutrition and Chronic Diseases.pptxChapter 11 Nutrition and Chronic Diseases.pptx
Chapter 11 Nutrition and Chronic Diseases.pptx
 
Top-Vitamin-Supplement-Brands-in-India List
Top-Vitamin-Supplement-Brands-in-India ListTop-Vitamin-Supplement-Brands-in-India List
Top-Vitamin-Supplement-Brands-in-India List
 
Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central
Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa CentralClinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central
Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central
 

Spreecast Ep32 Ramirez Intercept Malocclusion

  • 1.
  • 2. Disclosure The concepts expressed on this lecture are based on my studies, the current scientific evidence and clinical experience. They do not represent the teaching philosophy at the College of Dentistry, University of Manitoba
  • 3.
  • 4.
  • 5. Length Total Increase 140 120 100 Co-Gn Distance 80 40 20 0 60 10.89 9.06 5.52 5.56 3.8 31.24 34.83 31.24 60.59 71.48 80.42 85.94 91.5 95.3 126.54 0.4 1 2 3 4 5 16 Age Modified from Liu Yi-Ping, Behrents Rolf G, Buschang Peter H. Mandibular growth, remodeling and maturation during infancy and early childhood. Angle Orthod 2010; 80: 97-105
  • 6.
  • 7. Is this the ideal moment to start treatment?
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20. Ramirez-Yañez G. Treatment of anterior crossbite in primary dentition with esthetic crowns: report of 3 cases. Pediatr Dent. 2011 Jul-Aug;33(4):339-42.
  • 21. Anterior crossbite treatment changes the direction of the occlusal force, affecting the periodontal receptors, which modify the response of the trigeminal nerve and the muscular activity Sohn et al. 1997. Changes in jaw movement and jaw closing in muscle activity after orthodontic correction of incisor crossbite. Am. J. Orthod. Dentofacial Orthop. 112: 403
  • 22. ZR - May 4, 2010
  • 23. ZR - May 24, 2010
  • 24.
  • 25. ZR – August 27, 2010
  • 26. TAR 11.5μV TAL 11.8μV MMR 4.8μV MML 5.8μV OOS 5.2μV ME 4.9μV DAR 0.4μV DAL 33.7μV TAR 17.9μV TAL 24.6μV MMR 16.7μV MML 31.0μV OOS 5.7μV ME 7.4μV DAR 11.4μV DAL 13.1μV May 4, 2010 Aug 27, 2010
  • 27. May 4, 2010 – August 27, 2010 - Nov 12, 2012
  • 28.
  • 29.
  • 30.
  • 31. INFANT TRAINER T4I & LIP TRAINER
  • 32.
  • 33.
  • 34.
  • 35.
  • 36. Development Diferentiation – Maduration Growth Increase in mass and size Adaptation Plasticity & Compensatory Growth
  • 37.
  • 38.
  • 39. 2 g/cm² 80 g/cm² 2.7 g/cm² 21 g/cm² 2 g/cm² 1 g/cm² Thuer U et. al. 1999 Cheek and tongue posture in the molar areas and the atmospheric pressure in the palatal vault in young adults. Eur J Orthod 21: 299-309
  • 40.
  • 41.
  • 42. FIRSTLY, CONTROL THE HABIT THEN, USE THE TRAINER
  • 43.
  • 45.
  • 47. PLANAS’ DIRECT TRACKS POSTERIOR CROSSBITE
  • 48. PLANAS’ DIRECT TRACKS POSTERIOR CROSSBITE
  • 49.
  • 50. Ramirez-Yañez, G.O. J Clin Orthod 2003; 37(6): 294-8 The earliest a malocclusion is corrected, the better and the simpler treatment is
  • 52. Bone-Muscle Unit Signals Loads JeeWSS. J Musculoskel Neuron Interact 2000; 11-13 Forwood MR, Osteoporosis Int 2001; 12:77-83 Frost HM. Angle Orthod 2004; 74:3-15 Biological Responses Hormones Cytokines Modelling Remodelling Biomechanic Feedback
  • 53.
  • 54.
  • 55. The Modus Operandi of the Trainer to correct malocclusions? Change the posture of the mandible Usumez, 2004
  • 56.
  • 57.
  • 58.
  • 59.
  • 60. The Modus Operandi of the Trainer to correct malocclusions? Stimulate transverse development Ramirez-Yañez, 2007
  • 61.
  • 62.
  • 63.
  • 64.
  • 65. THE FUTURE OF ORTHODONTICS IS NOT ONLY THERAPY AND INTERCEPTION BUT ALSO PREVENTION Petrovic AG, Stutzmann JJ. Research methodology and findings in applied craniofacial growth studies. In: Dentofacial Orthopedics with Functional Appliances, 2nd Edition Graber TM, Rakosi T, Petrovic AG. Mosby 1997
  • 66.
  • 67. Thank you for taking care of my teeth and my FACIAL GROWING issues !!!
  • 68. OBSERVE THE MOUTH OF THE CHILD, NOT ONLY THE TEETH LISTEN TO THE NEEDS OF THE CHILD REMEMBER WE CAN INTERCEPT AND PREVENT MANY DEVELOPING ISSUES IN CHILDREN Mizaru Kikazaru Iwazaru