Better Faces - Less Braces

A Spreecast Webinar by

Dr. Barry RaphaelOf the

Raphael Center for Integrative Orthodontics

November 13, 2013

Why do we have crooked teeth?

In addition to moving teeth, we need to address the cause of the problem.

If we fail to do this then when the teeth have been straightened either we need to have permanent retention or the teeth will

relapse towards the original position.”

Permanent retention is the state of the art in orthodontics

The Upper Jaw and Teeth

take the Shape of the Muscles that Surround them.

The muscles can push this way... … or this way

Arch Forms

The Gothic Arch The Roman Arch

How to build an arch

The Roman ArchThe Gothic Arch

When the tongue rests in the roof of the mouth the teeth erupt around the tongue

forming a normal shaped and sized jaw.

The tongue is the scaffold for the upper jaw

For normal growth and development the growing child needs to:

1.breathe through the nose,

2.have the lips together at rest, and

3.have the tongue sitting in the roof of the mouth.

Those children who breath through the mouth or have the lips apart at rest will not have the tongue

in the roof of the mouth.

Those children who breath through the mouth or have the lips apart at rest will not have the tongue

in the roof of the mouth.

All of these children will have an underdeveloped upper jaw.

It will not be big enough for all of the teeth and when the adult teeth erupt they will be crooked.

SOFT TISSUE DYSFUNCTION

With and Without Mouth Breathing

Comparison of Unsupported vs Supported Growth

Brush-Bolton since 1928

Boy Age 11

7-6yo girl

10yoM

12yF