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Early Orthodontic treatment withTrainer system
This document discusses the Trainer (T4K) appliance system, which is designed to address malocclusions caused by oral muscle imbalances. It acts like a lip bumper to encourage nose breathing and relieves buccinator muscle tension like a Frankel appliance. A tongue tag is also included to remind the wearer of proper tongue posture. Case studies are presented showing how T4K helped correct deep bites, crowding, crossbites and other issues by establishing normal swallowing and muscle function over periods ranging from 4 months to 2 years. Limitations include potential for gum irritation and difficulty enforcing compliance and fees. Proper muscle exercises are emphasized for best results.
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Early Orthodontic treatment withTrainer system
- 1. Justin J.C. Lee D.D.S., Ph.D Seoul Children’s Dental Center
- 2. So many dentistsjust drill and fill cavities without considering the causes of caries. So many orthodontists just use mechanics to align teeth without considering the causes of malocclusion.
- 3. JDent Res 74(8) 1995 Guest Editorial 1437 Juha Varrela and Pentti Alanen It is difficult to avoid the impression that the better the mechanics of tooth movement have been mastered, the smaller has been the interest in etiological or developmental aspects of the malocclusions
- 4. Edward F. Harris,PhD, and Michelle G. Johnson, DDS, MS (AM J ORTHOD DENTOFAC ORTHOP 1991;99:258-68.) In contrast to craniometric variables, which have high heritabilities, almost all of the occlusal variability is acquired rather than inherited 咬合 取得 遗传 Occlusion
- 5. An epidemiologic transitionin dental occlusion in world populations Robert S. Corruccini American Journal of Orthodontics November 1984 (Vol. 86, Issue 5, Pages 419-426) The history of malocclusion gives an interesting viewpoint on the development of contemporary occlusal variation. Analyses of skull materials show that gross malocclusions have been rare or nonexistent during most of human history. Minor malpositions or mild crowding was not infrequent, but individuals who, by modern standards, would have needed orthodontic treatment were uncommon.
- 6. 3 hypothesis ofetiology for increasing malocclusion The increase in allergies and other factors that might obstruct nasopharyngeal airways and interfere with normal breathing The effects of Dietary changes and abnormal sucking alterations in habits masticatory activity
- 7. To have goodocclusion Lips together, Breathe though nose Tongue place on the spot: “N” Swallow with masticatory muscles not with perioralmuscles No parafunctions such as thumb sucking, etc
- 8. T4K Breathing Tongue tag
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- 23. TRAINER system • Designedby a general dentist in Australia • Acts like lip bumper: nose breathing • Like Frankel appliance: relieves buccinator m. • Tongue tag : remind tongue posture • Silicon, ready made, a number of modifications avaliable
- 24. J.S.Kim 1996.5.15 / M C.C • Max. protrusion Dx • Deepbite caused by mentalis activity Goal • Establish normal swallowing pattern with T4K
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- 33. C.C • Lower ant.crowding Dx • Deepbite, rhinitis, mentalis action Goal • Establish nose breathing and normal swallowing pattern with T4K
- 34. 2009.03.06 2y 4y 2010.05.19 9m 2008.12.10.2y6m 2009.07.08 3y 1m 2m, 2008.07.30.2y 2009.09.18 2006.06.07 TPA2006.10.11 4m 2009.10.22 3y 4m 7m 2010.01.27. 4y 1y2m 2007.08.01
- 35. 1999.04.05/F C.C • Diastema, flattened lower ant. Dx • Mentalis action, heavy labial frenum Goal • Establish normal lip tone
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- 43. 2012 02 01 outof Tr 2yr
- 44. 1999.11.24 /F C.C • Ant. crossbite, crowding Dx • Incorrect tongue posture and mentalis action Goal • Establish normal tongue posture and swallowing pattern
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- 51. 1999.05.26 /M C.C • Crooked teeth Dx • Lack of space caused by perioral muscle action Goal • Establish normal tongue posture and lip tone with T4K
- 52. 2006.06.03 2005.08.27 .
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- 61. 1998.09.25/M C.C • Max. protrusion Dx • Mentalis action, incorrect tongue posture Goal • Establish perioral muscle tone and tongue posture
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- 65. 2009.06.23 1y
- 66. 2009.06.23 1y
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- 69. 2012 03 20 outof Tr 2yr
- 70. 1998 02 .24/F C.C • Crooked upper ant. Dx • Lack of space Goal • Establish normal tongue posture
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- 77. S.H. Jang 1999.10.14/M C.C • Max. protrusion • Lower crowding Dx • Mouth breathing, retro-positioned tongue Goal • Lip seal(Adenoidectomy and Tonsilectomy) • Establish tongue posture with T4K
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- 80. A &T 2008.01Tr start
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- 83. 2008.08.21 7m
- 84. 2008.08.21 7m
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- 88. Limitations Gingival Compliance Relapse irritation Difficult to Difficult to correct CIII charge fees
- 92. Conclusion • Excellent for deepbite, mentalis action, • Good for collapsed arch • Good for mild upper/lower crowding • Useful as a retainer during growth • Can be used for crossbite(local factor) • Questionable for open bite Must be accompanied by muscle exercises (swallowing, tongue posture, lip competence)