Better Faces - Less Braces

A Spreecast Webinar by

Dr. Barry RaphaelOf the

Raphael Center for Integrative Orthodontics

November 13, 2013

What is“Integrative Orthodontics”?• Integrative Orthodontics• Myofunctional Orthodontics• Airway Orthodontics• Preventive Orthodontics• Preventive Sleep Dentistry• Darwinian Dentistry (Evolutionary Medicine)• Holistic Dentistry/Orthodontics

Integrative Orthodontics

• Crooked teeth are not the PROBLEM.• Crooked teeth are a SYMPTOM of an imbalance somewhere in the face, head, neck or body.• We treat the CAUSES of the imbalance as much as possible.

Integrative Orthodontics

1. Breathing through the nose2. Lips together at rest3. Correct tongue position4. No facial muscles moving on swallowing5. Optimal facial development6. Class I occlusion7. Straight teeth8. Better Stability long term

Goals of Treatment

Integrative Orthodontics

1.Prevention2.Undoing the damage3.Habit Control4.Tooth Alignment5. Retention

Methods of Treatment

Integrative Orthodontics Prevention

Frenectomy

From Paula Fabbie, COM

Breast-feeding

Hardening the Diet

• start with fiber crackers• then fruits, fresh and dried• then vegetables• then small, cooked meat• progressively over 4 to 12 months, depending on child

Baby Led Weaning

•Starting at 6mo•Give baby real food•Let them explore and choose•Establish Chewing skills naturally

Myomunchie

Soft, chewable, durableSqueeze for a count of 10, relax, repeat 10 times

• Thumb Sucking• Pacifiers• Nail Biting• Tongue Sucking• Object Mouthing• Lip Biting• Chin-Leaning• Trichotillomania

Oral Habits

Tonsil- and Adenectomy

Carole L. Marcus, MBBCh, Lee J. Brooks, MD, Sally Davidson Ward, MD,Kari A. Draper, MD, David Gozal, MD, Ann C. Halbower, MD, Jacqueline Jones, MD, Christopher Lehmann, MD, Michael S. Schechter, MD, MPH,Stephen Sheldon, MD, Richard N. Shiffman, MD, MCIS, and Karen Spruyt, PhD

American Academy of PediatricsSUBCOMMITTEE ON

OBSTRUCTIVE SLEEP APNEA SYNDROME

Diagnosis and Management of Childhood Obstructive Sleep Apnea Syndrome

-Clinical Guidelines--Technical Report-

http://pediatrics.aappublications.org/content/early/2012/08/22/peds.2012-1672

Integrative Orthodontics Undoing the damage

Palate Expanders

Hyrax

Haas

Bonded

Tongue-Friendly Slow

ALFAdvanced Lightwire Functional

Biobloc Orthotropics

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

B. Hockel 2012

And THAT is the beauty of Biobloc!

Integrative Orthodontics Habit Control

Can you really get kids to change habits?

Habit Training

• Trainers for Kids

• Habit Correction Exercises

Habit Training

The Most Important Partner

• …is the Patient

• Only you can correct your own habits– Analogy: Physical Fitness– Analogy: Learning Piano

Ortho-Postural TrainingWorkshops

Addressing the Causes of Crooked Teeth

Breathing

Nutrition

Posture

Sleep

Breathing PowerUPs

1.Diaphragm Breathing

2.Tuna Can

3.Shoulder Hold

4.Mouse Breathing

5.Breath Well Website

6.Breath Well App

Breathing Techniques

1

Health Lifestyle

Food that requires ChewingLower the CarbsEat natural foods

Exercise with Nasal Breathing

Training

• Additional Exercises• From Rogers• Jaw Stretches• Neck Stretches• From Kondo• Tongue Lift (with gum)• From Flutter/Buteyko• 3M Micropore tape• Nasal rinsing

Game:FACE

PowerUPs: things you do that make you Better

Villians : things you do that make you worse

Allies: people and things that help you

Quests: Challenges to meet

Epic Wins: All the Ways in which you get BETTER

We teach:

Integrative Orthodontics Tooth Alignment

Integrative Orthodontics Retention

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