iafgg 2014 what's an ro to do?
DESCRIPTION
Presented to the International Association for Facial Growth Guidance. Both Drs. Mew and Dr. Hang in attendance...a rare treat for us all.TRANSCRIPT
Whatrsquos an RO to doMarch 15 2014
IAFGG Annual SymposiumCalgary Alberta
dr barry raphaelthe raphael center for integrative orthodontics
the raphael center for integrative education
wwwalignminecombioblocnjcom
drbarryalignminecomMonday March 17 14
SOFT TISSUE DYSFUNCTION
With Chronic Open Mouth Posture
Comparison of Unsupported vs Supported Growth
Monday March 17 14
The EndThe Beginning
Monday March 17 14
Everyday in my practice
Monday March 17 14
RO since1983 (30 yearsyikes)
Bucknell University 1974University of Pennsylvania 1978
(Three Years in General Practice)Fairleigh-Dickenson University 1983
14 Instructors 14 Techniques
Monday March 17 14
RO since1983 (30 yearsyikes)
Bucknell University 1974University of Pennsylvania 1978
(Three Years in General Practice)Fairleigh-Dickenson University 1983
Monday March 17 14
My Dream Office 2001
Clifton NJ
CliftonEmpire State
Building
Monday March 17 14
My Dream Office 2001
Monday March 17 14
1Crooked teeth are THE PROBLEM
2The lower incisor must be upright
3Patients donrsquot want to cooperate
4Straightened teeth arenrsquot stable
Monday March 17 14
1Orthotropics is the string theory of most malocclusion
2 Biobloc is the gold standard
3 Biobloc cannot cover all cases or needs
4 I need other solutions
The Beginnerrsquos Mind
Monday March 17 14
1Crooked teeth are THE PROBLEM
2The lower incisor must be upright
3Patients donrsquot want to cooperate
4Straightened teeth arenrsquot stable
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
A Change of Mind
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
The Toothberg
Monday March 17 14
Airway-Related Oral Dysfunctions (AROD)
bullChronic Naso-pharyngeal Obstructionbull Tongue form aberrations (Frenum and tongue-tie)bullOpen Mouth Rest Posture bullMyofunctional disorders (Swallowing chewingetc)bullChronic Hyperventilation and Hypocapniabull Breathing Disordered Sleep (OSA UARS snoring)bull Bruxism and parafunctionsbull TMD and facial pain componentsbullCranial and postural issuesbull Malocclusion
Monday March 17 14
Airway Orthodontics
bullEarly Feeding and Nutrition
bullAllergies Asthma URT infections
bullPosture
bullAirway Breathing and Sleep Disorders
bullSoft Tissue Dysfunctions (Tongue Thrust Open Mouth)
Instead of crooked teeth being The ProblemThey are just a SYMPTOM of something larger
Monday March 17 14
Monday March 17 14
bullKK 6-11y FbullPost XX with shiftbull InL = 35 (+7)
bullTx plan Expand for XX correctiion then reeval for BBO
Monday March 17 14
bullKK 8-2y FbullUpper 2rsquos delayed just bondedbullInL = 30 (+1)bullDad opposes deX until
bullSleepQualIndex = 13
Monday March 17 14
S R 10-10yo M
bullMissing 3242bullImpacted 1323bullLate mixed 25 eruptedbullSoft tissue dysfunctionbullIL = 40bullNot compliant
Monday March 17 14
S Reardon 10-7yo M
Monday March 17 14
Impacted 3s Missing 2s
Monday March 17 14
Medical history
bull Reactive Airway Diseasebull ldquoBronchial Constrictionrdquo bullCare of Pulmonologistbull Preventil
bull Dad OSA CPAP for 11 years diabetesbull Grandfather OSA untreatedbull ETCO2 = 361 at 10 bpm (acceptable)bull Posture number - 18 (lt10 ideal)bull Father refuses sleep screening
Monday March 17 14
Treatment Options1Open spaces for impacted canines Open spaces for lower lateral implants
2 Extract upper premolars MFT Align
Patient chooses option 2 Goes elsewhere
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Using IndicatorCosmetic Line
bull To define a starting pointbull To set treatment goalsbull To track treatment progressbull To gauge the effectiveness of treatment
Monday March 17 14
Charting the InCos Line
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Monday March 17 14
Incisor pulled away from noseNot ldquoundertorquedrdquo or ldquogummy smilerdquo
Monday March 17 14
Hypothetical ClI OrthoMARA
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
OJ = 7mm
Starts Ortho
ldquoGreat Headgear
Effectrdquo
Monday March 17 14
Guiding Type2 Tx
50
40
30
20mm
y J F M A M J J A S O N
boys
Start Non-x
Expansion UncrowdingFinished
Start Cl II elastics
OK thatrsquos
enough
Monday March 17 14
Hypothetical Mouthbreather(Dr Mewrsquos Hamster Boy)
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Boy gets
hamster
MFT
Monday March 17 14
Hypothetical BBO 7yoM
50
40
30
20
5 6 7 8 9 10 11 12 13 14 15
girlsboys
Initial
StartBB1
BB3
Night
Monday March 17 14
bullLR 11-9yFbullMissing all 5s6s8s and upper 4sbullHad ortho to close diastemahellipbullInL = 39bullGP objects to deX plan equil
Monday March 17 14
LR Tx Plan
1Preparation Hang Expanser2deX 3Training BB3 to advance mandible4Myofunctional Therapy5Orthopostural Training6Myobrace to hold7 Reevaluate for dental detailing
Monday March 17 14
LR Spotty progress
50
40
30
20mm
y 313 4 5 6 7 8 9 10 11 12114
2 3
Expanser
Parents dragging30 turnsStart Adv
Rx deXGP
objects
After delays
Equil ersquosBB3
Monday March 17 14
bullLR 12-3 yF (6mo in tx)bullInL = 37 (+2)bull ersquos equilibratedbull OJ =10bull Appliance OJ = 5bull Still accommodating to BB3
Monday March 17 14
Is there a calculus for the Indicator Line
Monday March 17 14
Treatment GoalsBased on Indicator Line
Monday March 17 14
Incisor Goals
Type 1 Treatment Place U1 in ideal position
Biobloc Orthotropics Orthognathic Surgery Distraction Osteogenesis
Monday March 17 14
Type 1 Ideal InCos line
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
YZ 9yo M
bullLost upper d-spacebullInL = 36(+4)bullOJ = 9mmbullLip entrapmentbullLip Incompetence
Monday March 17 14
Y Z 9yo M
Monday March 17 14
Y Z 9yo M9mm OJ
Monday March 17 14
Y Z 9yo M
Monday March 17 14
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
Monday March 17 14
YZ 9yoM
50
40
30
20mm
yM A M J J A S O N D J F M A
boys
Hang Expanser
Upper and Lower
Brackets Hang Retainer
BB3
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 2 Treatment Develop arch just enough to uncrowd
Biobloc Myofunctional Ortho Myofunctional Therapy Crozat ALF Expansion Orthodontics
Monday March 17 14
Type 2 Uncrowding
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
HG
Monday March 17 14
50
40
30
20mm
y S O N D J F M A M J J
Lower Sweep
HG 9yo F
Expanser
Brackets
Hang Ret
Monday March 17 14
H G progress
Monday March 17 14
Monday March 17 14
HG progress
Next Bond lowers to level and alignRevisit deX to decrease vertical Also reduce InL to ideal
Monday March 17 14
ZP 9-5yoM
i
Monday March 17 14
Monday March 17 14
After Expansion Phase
Monday March 17 14
Incomplete profile improvement better breathing head posture and sleep
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 3 Treatment Maintain UI
Functional Orthodontics Expansion Orthodontics Distalization Ortho or No Treatment
Monday March 17 14
Type 3 Maintain
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
Incisor Goals
Type 4 Treatment RetractExtrude UI
Extraction Orthodontics Retraction Ortho Distalization Ortho
Monday March 17 14
Type 4 Retraction
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
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)
ldquothe dimension of the velopharynx glossopharynx and hypopharynx were decreased after maximal retraction of anterior teeth with extraction of four premolarshelliprdquo ldquoAny factors that can influence the posture and position of tongue and soft palate may displace them backward andencroach upon the pharynxrdquo
ldquothe more the incisors were retracted the more the pharyngeal airway was reducedrdquo
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Backed into a corner
bull
Moving teeth faster more efficientlyhellipin the wrong direction
Monday March 17 14
Now that wersquove made smoking unacceptable
could we not do the same withbull Sugarbull Processed foodbull Cheap milk and meatbull Fast foodbull Pill popping for symptomatic reliefbull Looking for the cure instead of the causebull Surgery as a quick fixbull Thinking braces are a status symbol
Each industry thrives on the status quoConsumers must drive the change
Monday March 17 14
Nicholas Plaskon 10yM
Monday March 17 14
NP
Monday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
SOFT TISSUE DYSFUNCTION
With Chronic Open Mouth Posture
Comparison of Unsupported vs Supported Growth
Monday March 17 14
The EndThe Beginning
Monday March 17 14
Everyday in my practice
Monday March 17 14
RO since1983 (30 yearsyikes)
Bucknell University 1974University of Pennsylvania 1978
(Three Years in General Practice)Fairleigh-Dickenson University 1983
14 Instructors 14 Techniques
Monday March 17 14
RO since1983 (30 yearsyikes)
Bucknell University 1974University of Pennsylvania 1978
(Three Years in General Practice)Fairleigh-Dickenson University 1983
Monday March 17 14
My Dream Office 2001
Clifton NJ
CliftonEmpire State
Building
Monday March 17 14
My Dream Office 2001
Monday March 17 14
1Crooked teeth are THE PROBLEM
2The lower incisor must be upright
3Patients donrsquot want to cooperate
4Straightened teeth arenrsquot stable
Monday March 17 14
1Orthotropics is the string theory of most malocclusion
2 Biobloc is the gold standard
3 Biobloc cannot cover all cases or needs
4 I need other solutions
The Beginnerrsquos Mind
Monday March 17 14
1Crooked teeth are THE PROBLEM
2The lower incisor must be upright
3Patients donrsquot want to cooperate
4Straightened teeth arenrsquot stable
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
A Change of Mind
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
The Toothberg
Monday March 17 14
Airway-Related Oral Dysfunctions (AROD)
bullChronic Naso-pharyngeal Obstructionbull Tongue form aberrations (Frenum and tongue-tie)bullOpen Mouth Rest Posture bullMyofunctional disorders (Swallowing chewingetc)bullChronic Hyperventilation and Hypocapniabull Breathing Disordered Sleep (OSA UARS snoring)bull Bruxism and parafunctionsbull TMD and facial pain componentsbullCranial and postural issuesbull Malocclusion
Monday March 17 14
Airway Orthodontics
bullEarly Feeding and Nutrition
bullAllergies Asthma URT infections
bullPosture
bullAirway Breathing and Sleep Disorders
bullSoft Tissue Dysfunctions (Tongue Thrust Open Mouth)
Instead of crooked teeth being The ProblemThey are just a SYMPTOM of something larger
Monday March 17 14
Monday March 17 14
bullKK 6-11y FbullPost XX with shiftbull InL = 35 (+7)
bullTx plan Expand for XX correctiion then reeval for BBO
Monday March 17 14
bullKK 8-2y FbullUpper 2rsquos delayed just bondedbullInL = 30 (+1)bullDad opposes deX until
bullSleepQualIndex = 13
Monday March 17 14
S R 10-10yo M
bullMissing 3242bullImpacted 1323bullLate mixed 25 eruptedbullSoft tissue dysfunctionbullIL = 40bullNot compliant
Monday March 17 14
S Reardon 10-7yo M
Monday March 17 14
Impacted 3s Missing 2s
Monday March 17 14
Medical history
bull Reactive Airway Diseasebull ldquoBronchial Constrictionrdquo bullCare of Pulmonologistbull Preventil
bull Dad OSA CPAP for 11 years diabetesbull Grandfather OSA untreatedbull ETCO2 = 361 at 10 bpm (acceptable)bull Posture number - 18 (lt10 ideal)bull Father refuses sleep screening
Monday March 17 14
Treatment Options1Open spaces for impacted canines Open spaces for lower lateral implants
2 Extract upper premolars MFT Align
Patient chooses option 2 Goes elsewhere
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Using IndicatorCosmetic Line
bull To define a starting pointbull To set treatment goalsbull To track treatment progressbull To gauge the effectiveness of treatment
Monday March 17 14
Charting the InCos Line
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Monday March 17 14
Incisor pulled away from noseNot ldquoundertorquedrdquo or ldquogummy smilerdquo
Monday March 17 14
Hypothetical ClI OrthoMARA
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
OJ = 7mm
Starts Ortho
ldquoGreat Headgear
Effectrdquo
Monday March 17 14
Guiding Type2 Tx
50
40
30
20mm
y J F M A M J J A S O N
boys
Start Non-x
Expansion UncrowdingFinished
Start Cl II elastics
OK thatrsquos
enough
Monday March 17 14
Hypothetical Mouthbreather(Dr Mewrsquos Hamster Boy)
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Boy gets
hamster
MFT
Monday March 17 14
Hypothetical BBO 7yoM
50
40
30
20
5 6 7 8 9 10 11 12 13 14 15
girlsboys
Initial
StartBB1
BB3
Night
Monday March 17 14
bullLR 11-9yFbullMissing all 5s6s8s and upper 4sbullHad ortho to close diastemahellipbullInL = 39bullGP objects to deX plan equil
Monday March 17 14
LR Tx Plan
1Preparation Hang Expanser2deX 3Training BB3 to advance mandible4Myofunctional Therapy5Orthopostural Training6Myobrace to hold7 Reevaluate for dental detailing
Monday March 17 14
LR Spotty progress
50
40
30
20mm
y 313 4 5 6 7 8 9 10 11 12114
2 3
Expanser
Parents dragging30 turnsStart Adv
Rx deXGP
objects
After delays
Equil ersquosBB3
Monday March 17 14
bullLR 12-3 yF (6mo in tx)bullInL = 37 (+2)bull ersquos equilibratedbull OJ =10bull Appliance OJ = 5bull Still accommodating to BB3
Monday March 17 14
Is there a calculus for the Indicator Line
Monday March 17 14
Treatment GoalsBased on Indicator Line
Monday March 17 14
Incisor Goals
Type 1 Treatment Place U1 in ideal position
Biobloc Orthotropics Orthognathic Surgery Distraction Osteogenesis
Monday March 17 14
Type 1 Ideal InCos line
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
YZ 9yo M
bullLost upper d-spacebullInL = 36(+4)bullOJ = 9mmbullLip entrapmentbullLip Incompetence
Monday March 17 14
Y Z 9yo M
Monday March 17 14
Y Z 9yo M9mm OJ
Monday March 17 14
Y Z 9yo M
Monday March 17 14
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
Monday March 17 14
YZ 9yoM
50
40
30
20mm
yM A M J J A S O N D J F M A
boys
Hang Expanser
Upper and Lower
Brackets Hang Retainer
BB3
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 2 Treatment Develop arch just enough to uncrowd
Biobloc Myofunctional Ortho Myofunctional Therapy Crozat ALF Expansion Orthodontics
Monday March 17 14
Type 2 Uncrowding
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
HG
Monday March 17 14
50
40
30
20mm
y S O N D J F M A M J J
Lower Sweep
HG 9yo F
Expanser
Brackets
Hang Ret
Monday March 17 14
H G progress
Monday March 17 14
Monday March 17 14
HG progress
Next Bond lowers to level and alignRevisit deX to decrease vertical Also reduce InL to ideal
Monday March 17 14
ZP 9-5yoM
i
Monday March 17 14
Monday March 17 14
After Expansion Phase
Monday March 17 14
Incomplete profile improvement better breathing head posture and sleep
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 3 Treatment Maintain UI
Functional Orthodontics Expansion Orthodontics Distalization Ortho or No Treatment
Monday March 17 14
Type 3 Maintain
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
Incisor Goals
Type 4 Treatment RetractExtrude UI
Extraction Orthodontics Retraction Ortho Distalization Ortho
Monday March 17 14
Type 4 Retraction
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
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)
ldquothe dimension of the velopharynx glossopharynx and hypopharynx were decreased after maximal retraction of anterior teeth with extraction of four premolarshelliprdquo ldquoAny factors that can influence the posture and position of tongue and soft palate may displace them backward andencroach upon the pharynxrdquo
ldquothe more the incisors were retracted the more the pharyngeal airway was reducedrdquo
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Backed into a corner
bull
Moving teeth faster more efficientlyhellipin the wrong direction
Monday March 17 14
Now that wersquove made smoking unacceptable
could we not do the same withbull Sugarbull Processed foodbull Cheap milk and meatbull Fast foodbull Pill popping for symptomatic reliefbull Looking for the cure instead of the causebull Surgery as a quick fixbull Thinking braces are a status symbol
Each industry thrives on the status quoConsumers must drive the change
Monday March 17 14
Nicholas Plaskon 10yM
Monday March 17 14
NP
Monday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
The EndThe Beginning
Monday March 17 14
Everyday in my practice
Monday March 17 14
RO since1983 (30 yearsyikes)
Bucknell University 1974University of Pennsylvania 1978
(Three Years in General Practice)Fairleigh-Dickenson University 1983
14 Instructors 14 Techniques
Monday March 17 14
RO since1983 (30 yearsyikes)
Bucknell University 1974University of Pennsylvania 1978
(Three Years in General Practice)Fairleigh-Dickenson University 1983
Monday March 17 14
My Dream Office 2001
Clifton NJ
CliftonEmpire State
Building
Monday March 17 14
My Dream Office 2001
Monday March 17 14
1Crooked teeth are THE PROBLEM
2The lower incisor must be upright
3Patients donrsquot want to cooperate
4Straightened teeth arenrsquot stable
Monday March 17 14
1Orthotropics is the string theory of most malocclusion
2 Biobloc is the gold standard
3 Biobloc cannot cover all cases or needs
4 I need other solutions
The Beginnerrsquos Mind
Monday March 17 14
1Crooked teeth are THE PROBLEM
2The lower incisor must be upright
3Patients donrsquot want to cooperate
4Straightened teeth arenrsquot stable
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
A Change of Mind
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
The Toothberg
Monday March 17 14
Airway-Related Oral Dysfunctions (AROD)
bullChronic Naso-pharyngeal Obstructionbull Tongue form aberrations (Frenum and tongue-tie)bullOpen Mouth Rest Posture bullMyofunctional disorders (Swallowing chewingetc)bullChronic Hyperventilation and Hypocapniabull Breathing Disordered Sleep (OSA UARS snoring)bull Bruxism and parafunctionsbull TMD and facial pain componentsbullCranial and postural issuesbull Malocclusion
Monday March 17 14
Airway Orthodontics
bullEarly Feeding and Nutrition
bullAllergies Asthma URT infections
bullPosture
bullAirway Breathing and Sleep Disorders
bullSoft Tissue Dysfunctions (Tongue Thrust Open Mouth)
Instead of crooked teeth being The ProblemThey are just a SYMPTOM of something larger
Monday March 17 14
Monday March 17 14
bullKK 6-11y FbullPost XX with shiftbull InL = 35 (+7)
bullTx plan Expand for XX correctiion then reeval for BBO
Monday March 17 14
bullKK 8-2y FbullUpper 2rsquos delayed just bondedbullInL = 30 (+1)bullDad opposes deX until
bullSleepQualIndex = 13
Monday March 17 14
S R 10-10yo M
bullMissing 3242bullImpacted 1323bullLate mixed 25 eruptedbullSoft tissue dysfunctionbullIL = 40bullNot compliant
Monday March 17 14
S Reardon 10-7yo M
Monday March 17 14
Impacted 3s Missing 2s
Monday March 17 14
Medical history
bull Reactive Airway Diseasebull ldquoBronchial Constrictionrdquo bullCare of Pulmonologistbull Preventil
bull Dad OSA CPAP for 11 years diabetesbull Grandfather OSA untreatedbull ETCO2 = 361 at 10 bpm (acceptable)bull Posture number - 18 (lt10 ideal)bull Father refuses sleep screening
Monday March 17 14
Treatment Options1Open spaces for impacted canines Open spaces for lower lateral implants
2 Extract upper premolars MFT Align
Patient chooses option 2 Goes elsewhere
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Using IndicatorCosmetic Line
bull To define a starting pointbull To set treatment goalsbull To track treatment progressbull To gauge the effectiveness of treatment
Monday March 17 14
Charting the InCos Line
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Monday March 17 14
Incisor pulled away from noseNot ldquoundertorquedrdquo or ldquogummy smilerdquo
Monday March 17 14
Hypothetical ClI OrthoMARA
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
OJ = 7mm
Starts Ortho
ldquoGreat Headgear
Effectrdquo
Monday March 17 14
Guiding Type2 Tx
50
40
30
20mm
y J F M A M J J A S O N
boys
Start Non-x
Expansion UncrowdingFinished
Start Cl II elastics
OK thatrsquos
enough
Monday March 17 14
Hypothetical Mouthbreather(Dr Mewrsquos Hamster Boy)
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Boy gets
hamster
MFT
Monday March 17 14
Hypothetical BBO 7yoM
50
40
30
20
5 6 7 8 9 10 11 12 13 14 15
girlsboys
Initial
StartBB1
BB3
Night
Monday March 17 14
bullLR 11-9yFbullMissing all 5s6s8s and upper 4sbullHad ortho to close diastemahellipbullInL = 39bullGP objects to deX plan equil
Monday March 17 14
LR Tx Plan
1Preparation Hang Expanser2deX 3Training BB3 to advance mandible4Myofunctional Therapy5Orthopostural Training6Myobrace to hold7 Reevaluate for dental detailing
Monday March 17 14
LR Spotty progress
50
40
30
20mm
y 313 4 5 6 7 8 9 10 11 12114
2 3
Expanser
Parents dragging30 turnsStart Adv
Rx deXGP
objects
After delays
Equil ersquosBB3
Monday March 17 14
bullLR 12-3 yF (6mo in tx)bullInL = 37 (+2)bull ersquos equilibratedbull OJ =10bull Appliance OJ = 5bull Still accommodating to BB3
Monday March 17 14
Is there a calculus for the Indicator Line
Monday March 17 14
Treatment GoalsBased on Indicator Line
Monday March 17 14
Incisor Goals
Type 1 Treatment Place U1 in ideal position
Biobloc Orthotropics Orthognathic Surgery Distraction Osteogenesis
Monday March 17 14
Type 1 Ideal InCos line
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
YZ 9yo M
bullLost upper d-spacebullInL = 36(+4)bullOJ = 9mmbullLip entrapmentbullLip Incompetence
Monday March 17 14
Y Z 9yo M
Monday March 17 14
Y Z 9yo M9mm OJ
Monday March 17 14
Y Z 9yo M
Monday March 17 14
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
Monday March 17 14
YZ 9yoM
50
40
30
20mm
yM A M J J A S O N D J F M A
boys
Hang Expanser
Upper and Lower
Brackets Hang Retainer
BB3
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 2 Treatment Develop arch just enough to uncrowd
Biobloc Myofunctional Ortho Myofunctional Therapy Crozat ALF Expansion Orthodontics
Monday March 17 14
Type 2 Uncrowding
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
HG
Monday March 17 14
50
40
30
20mm
y S O N D J F M A M J J
Lower Sweep
HG 9yo F
Expanser
Brackets
Hang Ret
Monday March 17 14
H G progress
Monday March 17 14
Monday March 17 14
HG progress
Next Bond lowers to level and alignRevisit deX to decrease vertical Also reduce InL to ideal
Monday March 17 14
ZP 9-5yoM
i
Monday March 17 14
Monday March 17 14
After Expansion Phase
Monday March 17 14
Incomplete profile improvement better breathing head posture and sleep
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 3 Treatment Maintain UI
Functional Orthodontics Expansion Orthodontics Distalization Ortho or No Treatment
Monday March 17 14
Type 3 Maintain
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
Incisor Goals
Type 4 Treatment RetractExtrude UI
Extraction Orthodontics Retraction Ortho Distalization Ortho
Monday March 17 14
Type 4 Retraction
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
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)
ldquothe dimension of the velopharynx glossopharynx and hypopharynx were decreased after maximal retraction of anterior teeth with extraction of four premolarshelliprdquo ldquoAny factors that can influence the posture and position of tongue and soft palate may displace them backward andencroach upon the pharynxrdquo
ldquothe more the incisors were retracted the more the pharyngeal airway was reducedrdquo
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Backed into a corner
bull
Moving teeth faster more efficientlyhellipin the wrong direction
Monday March 17 14
Now that wersquove made smoking unacceptable
could we not do the same withbull Sugarbull Processed foodbull Cheap milk and meatbull Fast foodbull Pill popping for symptomatic reliefbull Looking for the cure instead of the causebull Surgery as a quick fixbull Thinking braces are a status symbol
Each industry thrives on the status quoConsumers must drive the change
Monday March 17 14
Nicholas Plaskon 10yM
Monday March 17 14
NP
Monday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
Everyday in my practice
Monday March 17 14
RO since1983 (30 yearsyikes)
Bucknell University 1974University of Pennsylvania 1978
(Three Years in General Practice)Fairleigh-Dickenson University 1983
14 Instructors 14 Techniques
Monday March 17 14
RO since1983 (30 yearsyikes)
Bucknell University 1974University of Pennsylvania 1978
(Three Years in General Practice)Fairleigh-Dickenson University 1983
Monday March 17 14
My Dream Office 2001
Clifton NJ
CliftonEmpire State
Building
Monday March 17 14
My Dream Office 2001
Monday March 17 14
1Crooked teeth are THE PROBLEM
2The lower incisor must be upright
3Patients donrsquot want to cooperate
4Straightened teeth arenrsquot stable
Monday March 17 14
1Orthotropics is the string theory of most malocclusion
2 Biobloc is the gold standard
3 Biobloc cannot cover all cases or needs
4 I need other solutions
The Beginnerrsquos Mind
Monday March 17 14
1Crooked teeth are THE PROBLEM
2The lower incisor must be upright
3Patients donrsquot want to cooperate
4Straightened teeth arenrsquot stable
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
A Change of Mind
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
The Toothberg
Monday March 17 14
Airway-Related Oral Dysfunctions (AROD)
bullChronic Naso-pharyngeal Obstructionbull Tongue form aberrations (Frenum and tongue-tie)bullOpen Mouth Rest Posture bullMyofunctional disorders (Swallowing chewingetc)bullChronic Hyperventilation and Hypocapniabull Breathing Disordered Sleep (OSA UARS snoring)bull Bruxism and parafunctionsbull TMD and facial pain componentsbullCranial and postural issuesbull Malocclusion
Monday March 17 14
Airway Orthodontics
bullEarly Feeding and Nutrition
bullAllergies Asthma URT infections
bullPosture
bullAirway Breathing and Sleep Disorders
bullSoft Tissue Dysfunctions (Tongue Thrust Open Mouth)
Instead of crooked teeth being The ProblemThey are just a SYMPTOM of something larger
Monday March 17 14
Monday March 17 14
bullKK 6-11y FbullPost XX with shiftbull InL = 35 (+7)
bullTx plan Expand for XX correctiion then reeval for BBO
Monday March 17 14
bullKK 8-2y FbullUpper 2rsquos delayed just bondedbullInL = 30 (+1)bullDad opposes deX until
bullSleepQualIndex = 13
Monday March 17 14
S R 10-10yo M
bullMissing 3242bullImpacted 1323bullLate mixed 25 eruptedbullSoft tissue dysfunctionbullIL = 40bullNot compliant
Monday March 17 14
S Reardon 10-7yo M
Monday March 17 14
Impacted 3s Missing 2s
Monday March 17 14
Medical history
bull Reactive Airway Diseasebull ldquoBronchial Constrictionrdquo bullCare of Pulmonologistbull Preventil
bull Dad OSA CPAP for 11 years diabetesbull Grandfather OSA untreatedbull ETCO2 = 361 at 10 bpm (acceptable)bull Posture number - 18 (lt10 ideal)bull Father refuses sleep screening
Monday March 17 14
Treatment Options1Open spaces for impacted canines Open spaces for lower lateral implants
2 Extract upper premolars MFT Align
Patient chooses option 2 Goes elsewhere
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Using IndicatorCosmetic Line
bull To define a starting pointbull To set treatment goalsbull To track treatment progressbull To gauge the effectiveness of treatment
Monday March 17 14
Charting the InCos Line
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Monday March 17 14
Incisor pulled away from noseNot ldquoundertorquedrdquo or ldquogummy smilerdquo
Monday March 17 14
Hypothetical ClI OrthoMARA
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
OJ = 7mm
Starts Ortho
ldquoGreat Headgear
Effectrdquo
Monday March 17 14
Guiding Type2 Tx
50
40
30
20mm
y J F M A M J J A S O N
boys
Start Non-x
Expansion UncrowdingFinished
Start Cl II elastics
OK thatrsquos
enough
Monday March 17 14
Hypothetical Mouthbreather(Dr Mewrsquos Hamster Boy)
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Boy gets
hamster
MFT
Monday March 17 14
Hypothetical BBO 7yoM
50
40
30
20
5 6 7 8 9 10 11 12 13 14 15
girlsboys
Initial
StartBB1
BB3
Night
Monday March 17 14
bullLR 11-9yFbullMissing all 5s6s8s and upper 4sbullHad ortho to close diastemahellipbullInL = 39bullGP objects to deX plan equil
Monday March 17 14
LR Tx Plan
1Preparation Hang Expanser2deX 3Training BB3 to advance mandible4Myofunctional Therapy5Orthopostural Training6Myobrace to hold7 Reevaluate for dental detailing
Monday March 17 14
LR Spotty progress
50
40
30
20mm
y 313 4 5 6 7 8 9 10 11 12114
2 3
Expanser
Parents dragging30 turnsStart Adv
Rx deXGP
objects
After delays
Equil ersquosBB3
Monday March 17 14
bullLR 12-3 yF (6mo in tx)bullInL = 37 (+2)bull ersquos equilibratedbull OJ =10bull Appliance OJ = 5bull Still accommodating to BB3
Monday March 17 14
Is there a calculus for the Indicator Line
Monday March 17 14
Treatment GoalsBased on Indicator Line
Monday March 17 14
Incisor Goals
Type 1 Treatment Place U1 in ideal position
Biobloc Orthotropics Orthognathic Surgery Distraction Osteogenesis
Monday March 17 14
Type 1 Ideal InCos line
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
YZ 9yo M
bullLost upper d-spacebullInL = 36(+4)bullOJ = 9mmbullLip entrapmentbullLip Incompetence
Monday March 17 14
Y Z 9yo M
Monday March 17 14
Y Z 9yo M9mm OJ
Monday March 17 14
Y Z 9yo M
Monday March 17 14
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
Monday March 17 14
YZ 9yoM
50
40
30
20mm
yM A M J J A S O N D J F M A
boys
Hang Expanser
Upper and Lower
Brackets Hang Retainer
BB3
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 2 Treatment Develop arch just enough to uncrowd
Biobloc Myofunctional Ortho Myofunctional Therapy Crozat ALF Expansion Orthodontics
Monday March 17 14
Type 2 Uncrowding
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
HG
Monday March 17 14
50
40
30
20mm
y S O N D J F M A M J J
Lower Sweep
HG 9yo F
Expanser
Brackets
Hang Ret
Monday March 17 14
H G progress
Monday March 17 14
Monday March 17 14
HG progress
Next Bond lowers to level and alignRevisit deX to decrease vertical Also reduce InL to ideal
Monday March 17 14
ZP 9-5yoM
i
Monday March 17 14
Monday March 17 14
After Expansion Phase
Monday March 17 14
Incomplete profile improvement better breathing head posture and sleep
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 3 Treatment Maintain UI
Functional Orthodontics Expansion Orthodontics Distalization Ortho or No Treatment
Monday March 17 14
Type 3 Maintain
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
Incisor Goals
Type 4 Treatment RetractExtrude UI
Extraction Orthodontics Retraction Ortho Distalization Ortho
Monday March 17 14
Type 4 Retraction
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
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)
ldquothe dimension of the velopharynx glossopharynx and hypopharynx were decreased after maximal retraction of anterior teeth with extraction of four premolarshelliprdquo ldquoAny factors that can influence the posture and position of tongue and soft palate may displace them backward andencroach upon the pharynxrdquo
ldquothe more the incisors were retracted the more the pharyngeal airway was reducedrdquo
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Backed into a corner
bull
Moving teeth faster more efficientlyhellipin the wrong direction
Monday March 17 14
Now that wersquove made smoking unacceptable
could we not do the same withbull Sugarbull Processed foodbull Cheap milk and meatbull Fast foodbull Pill popping for symptomatic reliefbull Looking for the cure instead of the causebull Surgery as a quick fixbull Thinking braces are a status symbol
Each industry thrives on the status quoConsumers must drive the change
Monday March 17 14
Nicholas Plaskon 10yM
Monday March 17 14
NP
Monday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
RO since1983 (30 yearsyikes)
Bucknell University 1974University of Pennsylvania 1978
(Three Years in General Practice)Fairleigh-Dickenson University 1983
14 Instructors 14 Techniques
Monday March 17 14
RO since1983 (30 yearsyikes)
Bucknell University 1974University of Pennsylvania 1978
(Three Years in General Practice)Fairleigh-Dickenson University 1983
Monday March 17 14
My Dream Office 2001
Clifton NJ
CliftonEmpire State
Building
Monday March 17 14
My Dream Office 2001
Monday March 17 14
1Crooked teeth are THE PROBLEM
2The lower incisor must be upright
3Patients donrsquot want to cooperate
4Straightened teeth arenrsquot stable
Monday March 17 14
1Orthotropics is the string theory of most malocclusion
2 Biobloc is the gold standard
3 Biobloc cannot cover all cases or needs
4 I need other solutions
The Beginnerrsquos Mind
Monday March 17 14
1Crooked teeth are THE PROBLEM
2The lower incisor must be upright
3Patients donrsquot want to cooperate
4Straightened teeth arenrsquot stable
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
A Change of Mind
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
The Toothberg
Monday March 17 14
Airway-Related Oral Dysfunctions (AROD)
bullChronic Naso-pharyngeal Obstructionbull Tongue form aberrations (Frenum and tongue-tie)bullOpen Mouth Rest Posture bullMyofunctional disorders (Swallowing chewingetc)bullChronic Hyperventilation and Hypocapniabull Breathing Disordered Sleep (OSA UARS snoring)bull Bruxism and parafunctionsbull TMD and facial pain componentsbullCranial and postural issuesbull Malocclusion
Monday March 17 14
Airway Orthodontics
bullEarly Feeding and Nutrition
bullAllergies Asthma URT infections
bullPosture
bullAirway Breathing and Sleep Disorders
bullSoft Tissue Dysfunctions (Tongue Thrust Open Mouth)
Instead of crooked teeth being The ProblemThey are just a SYMPTOM of something larger
Monday March 17 14
Monday March 17 14
bullKK 6-11y FbullPost XX with shiftbull InL = 35 (+7)
bullTx plan Expand for XX correctiion then reeval for BBO
Monday March 17 14
bullKK 8-2y FbullUpper 2rsquos delayed just bondedbullInL = 30 (+1)bullDad opposes deX until
bullSleepQualIndex = 13
Monday March 17 14
S R 10-10yo M
bullMissing 3242bullImpacted 1323bullLate mixed 25 eruptedbullSoft tissue dysfunctionbullIL = 40bullNot compliant
Monday March 17 14
S Reardon 10-7yo M
Monday March 17 14
Impacted 3s Missing 2s
Monday March 17 14
Medical history
bull Reactive Airway Diseasebull ldquoBronchial Constrictionrdquo bullCare of Pulmonologistbull Preventil
bull Dad OSA CPAP for 11 years diabetesbull Grandfather OSA untreatedbull ETCO2 = 361 at 10 bpm (acceptable)bull Posture number - 18 (lt10 ideal)bull Father refuses sleep screening
Monday March 17 14
Treatment Options1Open spaces for impacted canines Open spaces for lower lateral implants
2 Extract upper premolars MFT Align
Patient chooses option 2 Goes elsewhere
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Using IndicatorCosmetic Line
bull To define a starting pointbull To set treatment goalsbull To track treatment progressbull To gauge the effectiveness of treatment
Monday March 17 14
Charting the InCos Line
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Monday March 17 14
Incisor pulled away from noseNot ldquoundertorquedrdquo or ldquogummy smilerdquo
Monday March 17 14
Hypothetical ClI OrthoMARA
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
OJ = 7mm
Starts Ortho
ldquoGreat Headgear
Effectrdquo
Monday March 17 14
Guiding Type2 Tx
50
40
30
20mm
y J F M A M J J A S O N
boys
Start Non-x
Expansion UncrowdingFinished
Start Cl II elastics
OK thatrsquos
enough
Monday March 17 14
Hypothetical Mouthbreather(Dr Mewrsquos Hamster Boy)
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Boy gets
hamster
MFT
Monday March 17 14
Hypothetical BBO 7yoM
50
40
30
20
5 6 7 8 9 10 11 12 13 14 15
girlsboys
Initial
StartBB1
BB3
Night
Monday March 17 14
bullLR 11-9yFbullMissing all 5s6s8s and upper 4sbullHad ortho to close diastemahellipbullInL = 39bullGP objects to deX plan equil
Monday March 17 14
LR Tx Plan
1Preparation Hang Expanser2deX 3Training BB3 to advance mandible4Myofunctional Therapy5Orthopostural Training6Myobrace to hold7 Reevaluate for dental detailing
Monday March 17 14
LR Spotty progress
50
40
30
20mm
y 313 4 5 6 7 8 9 10 11 12114
2 3
Expanser
Parents dragging30 turnsStart Adv
Rx deXGP
objects
After delays
Equil ersquosBB3
Monday March 17 14
bullLR 12-3 yF (6mo in tx)bullInL = 37 (+2)bull ersquos equilibratedbull OJ =10bull Appliance OJ = 5bull Still accommodating to BB3
Monday March 17 14
Is there a calculus for the Indicator Line
Monday March 17 14
Treatment GoalsBased on Indicator Line
Monday March 17 14
Incisor Goals
Type 1 Treatment Place U1 in ideal position
Biobloc Orthotropics Orthognathic Surgery Distraction Osteogenesis
Monday March 17 14
Type 1 Ideal InCos line
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
YZ 9yo M
bullLost upper d-spacebullInL = 36(+4)bullOJ = 9mmbullLip entrapmentbullLip Incompetence
Monday March 17 14
Y Z 9yo M
Monday March 17 14
Y Z 9yo M9mm OJ
Monday March 17 14
Y Z 9yo M
Monday March 17 14
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
Monday March 17 14
YZ 9yoM
50
40
30
20mm
yM A M J J A S O N D J F M A
boys
Hang Expanser
Upper and Lower
Brackets Hang Retainer
BB3
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 2 Treatment Develop arch just enough to uncrowd
Biobloc Myofunctional Ortho Myofunctional Therapy Crozat ALF Expansion Orthodontics
Monday March 17 14
Type 2 Uncrowding
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
HG
Monday March 17 14
50
40
30
20mm
y S O N D J F M A M J J
Lower Sweep
HG 9yo F
Expanser
Brackets
Hang Ret
Monday March 17 14
H G progress
Monday March 17 14
Monday March 17 14
HG progress
Next Bond lowers to level and alignRevisit deX to decrease vertical Also reduce InL to ideal
Monday March 17 14
ZP 9-5yoM
i
Monday March 17 14
Monday March 17 14
After Expansion Phase
Monday March 17 14
Incomplete profile improvement better breathing head posture and sleep
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 3 Treatment Maintain UI
Functional Orthodontics Expansion Orthodontics Distalization Ortho or No Treatment
Monday March 17 14
Type 3 Maintain
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
Incisor Goals
Type 4 Treatment RetractExtrude UI
Extraction Orthodontics Retraction Ortho Distalization Ortho
Monday March 17 14
Type 4 Retraction
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
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)
ldquothe dimension of the velopharynx glossopharynx and hypopharynx were decreased after maximal retraction of anterior teeth with extraction of four premolarshelliprdquo ldquoAny factors that can influence the posture and position of tongue and soft palate may displace them backward andencroach upon the pharynxrdquo
ldquothe more the incisors were retracted the more the pharyngeal airway was reducedrdquo
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Backed into a corner
bull
Moving teeth faster more efficientlyhellipin the wrong direction
Monday March 17 14
Now that wersquove made smoking unacceptable
could we not do the same withbull Sugarbull Processed foodbull Cheap milk and meatbull Fast foodbull Pill popping for symptomatic reliefbull Looking for the cure instead of the causebull Surgery as a quick fixbull Thinking braces are a status symbol
Each industry thrives on the status quoConsumers must drive the change
Monday March 17 14
Nicholas Plaskon 10yM
Monday March 17 14
NP
Monday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
RO since1983 (30 yearsyikes)
Bucknell University 1974University of Pennsylvania 1978
(Three Years in General Practice)Fairleigh-Dickenson University 1983
Monday March 17 14
My Dream Office 2001
Clifton NJ
CliftonEmpire State
Building
Monday March 17 14
My Dream Office 2001
Monday March 17 14
1Crooked teeth are THE PROBLEM
2The lower incisor must be upright
3Patients donrsquot want to cooperate
4Straightened teeth arenrsquot stable
Monday March 17 14
1Orthotropics is the string theory of most malocclusion
2 Biobloc is the gold standard
3 Biobloc cannot cover all cases or needs
4 I need other solutions
The Beginnerrsquos Mind
Monday March 17 14
1Crooked teeth are THE PROBLEM
2The lower incisor must be upright
3Patients donrsquot want to cooperate
4Straightened teeth arenrsquot stable
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
A Change of Mind
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
The Toothberg
Monday March 17 14
Airway-Related Oral Dysfunctions (AROD)
bullChronic Naso-pharyngeal Obstructionbull Tongue form aberrations (Frenum and tongue-tie)bullOpen Mouth Rest Posture bullMyofunctional disorders (Swallowing chewingetc)bullChronic Hyperventilation and Hypocapniabull Breathing Disordered Sleep (OSA UARS snoring)bull Bruxism and parafunctionsbull TMD and facial pain componentsbullCranial and postural issuesbull Malocclusion
Monday March 17 14
Airway Orthodontics
bullEarly Feeding and Nutrition
bullAllergies Asthma URT infections
bullPosture
bullAirway Breathing and Sleep Disorders
bullSoft Tissue Dysfunctions (Tongue Thrust Open Mouth)
Instead of crooked teeth being The ProblemThey are just a SYMPTOM of something larger
Monday March 17 14
Monday March 17 14
bullKK 6-11y FbullPost XX with shiftbull InL = 35 (+7)
bullTx plan Expand for XX correctiion then reeval for BBO
Monday March 17 14
bullKK 8-2y FbullUpper 2rsquos delayed just bondedbullInL = 30 (+1)bullDad opposes deX until
bullSleepQualIndex = 13
Monday March 17 14
S R 10-10yo M
bullMissing 3242bullImpacted 1323bullLate mixed 25 eruptedbullSoft tissue dysfunctionbullIL = 40bullNot compliant
Monday March 17 14
S Reardon 10-7yo M
Monday March 17 14
Impacted 3s Missing 2s
Monday March 17 14
Medical history
bull Reactive Airway Diseasebull ldquoBronchial Constrictionrdquo bullCare of Pulmonologistbull Preventil
bull Dad OSA CPAP for 11 years diabetesbull Grandfather OSA untreatedbull ETCO2 = 361 at 10 bpm (acceptable)bull Posture number - 18 (lt10 ideal)bull Father refuses sleep screening
Monday March 17 14
Treatment Options1Open spaces for impacted canines Open spaces for lower lateral implants
2 Extract upper premolars MFT Align
Patient chooses option 2 Goes elsewhere
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Using IndicatorCosmetic Line
bull To define a starting pointbull To set treatment goalsbull To track treatment progressbull To gauge the effectiveness of treatment
Monday March 17 14
Charting the InCos Line
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Monday March 17 14
Incisor pulled away from noseNot ldquoundertorquedrdquo or ldquogummy smilerdquo
Monday March 17 14
Hypothetical ClI OrthoMARA
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
OJ = 7mm
Starts Ortho
ldquoGreat Headgear
Effectrdquo
Monday March 17 14
Guiding Type2 Tx
50
40
30
20mm
y J F M A M J J A S O N
boys
Start Non-x
Expansion UncrowdingFinished
Start Cl II elastics
OK thatrsquos
enough
Monday March 17 14
Hypothetical Mouthbreather(Dr Mewrsquos Hamster Boy)
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Boy gets
hamster
MFT
Monday March 17 14
Hypothetical BBO 7yoM
50
40
30
20
5 6 7 8 9 10 11 12 13 14 15
girlsboys
Initial
StartBB1
BB3
Night
Monday March 17 14
bullLR 11-9yFbullMissing all 5s6s8s and upper 4sbullHad ortho to close diastemahellipbullInL = 39bullGP objects to deX plan equil
Monday March 17 14
LR Tx Plan
1Preparation Hang Expanser2deX 3Training BB3 to advance mandible4Myofunctional Therapy5Orthopostural Training6Myobrace to hold7 Reevaluate for dental detailing
Monday March 17 14
LR Spotty progress
50
40
30
20mm
y 313 4 5 6 7 8 9 10 11 12114
2 3
Expanser
Parents dragging30 turnsStart Adv
Rx deXGP
objects
After delays
Equil ersquosBB3
Monday March 17 14
bullLR 12-3 yF (6mo in tx)bullInL = 37 (+2)bull ersquos equilibratedbull OJ =10bull Appliance OJ = 5bull Still accommodating to BB3
Monday March 17 14
Is there a calculus for the Indicator Line
Monday March 17 14
Treatment GoalsBased on Indicator Line
Monday March 17 14
Incisor Goals
Type 1 Treatment Place U1 in ideal position
Biobloc Orthotropics Orthognathic Surgery Distraction Osteogenesis
Monday March 17 14
Type 1 Ideal InCos line
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
YZ 9yo M
bullLost upper d-spacebullInL = 36(+4)bullOJ = 9mmbullLip entrapmentbullLip Incompetence
Monday March 17 14
Y Z 9yo M
Monday March 17 14
Y Z 9yo M9mm OJ
Monday March 17 14
Y Z 9yo M
Monday March 17 14
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
Monday March 17 14
YZ 9yoM
50
40
30
20mm
yM A M J J A S O N D J F M A
boys
Hang Expanser
Upper and Lower
Brackets Hang Retainer
BB3
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 2 Treatment Develop arch just enough to uncrowd
Biobloc Myofunctional Ortho Myofunctional Therapy Crozat ALF Expansion Orthodontics
Monday March 17 14
Type 2 Uncrowding
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
HG
Monday March 17 14
50
40
30
20mm
y S O N D J F M A M J J
Lower Sweep
HG 9yo F
Expanser
Brackets
Hang Ret
Monday March 17 14
H G progress
Monday March 17 14
Monday March 17 14
HG progress
Next Bond lowers to level and alignRevisit deX to decrease vertical Also reduce InL to ideal
Monday March 17 14
ZP 9-5yoM
i
Monday March 17 14
Monday March 17 14
After Expansion Phase
Monday March 17 14
Incomplete profile improvement better breathing head posture and sleep
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 3 Treatment Maintain UI
Functional Orthodontics Expansion Orthodontics Distalization Ortho or No Treatment
Monday March 17 14
Type 3 Maintain
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
Incisor Goals
Type 4 Treatment RetractExtrude UI
Extraction Orthodontics Retraction Ortho Distalization Ortho
Monday March 17 14
Type 4 Retraction
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
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)
ldquothe dimension of the velopharynx glossopharynx and hypopharynx were decreased after maximal retraction of anterior teeth with extraction of four premolarshelliprdquo ldquoAny factors that can influence the posture and position of tongue and soft palate may displace them backward andencroach upon the pharynxrdquo
ldquothe more the incisors were retracted the more the pharyngeal airway was reducedrdquo
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Backed into a corner
bull
Moving teeth faster more efficientlyhellipin the wrong direction
Monday March 17 14
Now that wersquove made smoking unacceptable
could we not do the same withbull Sugarbull Processed foodbull Cheap milk and meatbull Fast foodbull Pill popping for symptomatic reliefbull Looking for the cure instead of the causebull Surgery as a quick fixbull Thinking braces are a status symbol
Each industry thrives on the status quoConsumers must drive the change
Monday March 17 14
Nicholas Plaskon 10yM
Monday March 17 14
NP
Monday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
My Dream Office 2001
Clifton NJ
CliftonEmpire State
Building
Monday March 17 14
My Dream Office 2001
Monday March 17 14
1Crooked teeth are THE PROBLEM
2The lower incisor must be upright
3Patients donrsquot want to cooperate
4Straightened teeth arenrsquot stable
Monday March 17 14
1Orthotropics is the string theory of most malocclusion
2 Biobloc is the gold standard
3 Biobloc cannot cover all cases or needs
4 I need other solutions
The Beginnerrsquos Mind
Monday March 17 14
1Crooked teeth are THE PROBLEM
2The lower incisor must be upright
3Patients donrsquot want to cooperate
4Straightened teeth arenrsquot stable
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
A Change of Mind
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
The Toothberg
Monday March 17 14
Airway-Related Oral Dysfunctions (AROD)
bullChronic Naso-pharyngeal Obstructionbull Tongue form aberrations (Frenum and tongue-tie)bullOpen Mouth Rest Posture bullMyofunctional disorders (Swallowing chewingetc)bullChronic Hyperventilation and Hypocapniabull Breathing Disordered Sleep (OSA UARS snoring)bull Bruxism and parafunctionsbull TMD and facial pain componentsbullCranial and postural issuesbull Malocclusion
Monday March 17 14
Airway Orthodontics
bullEarly Feeding and Nutrition
bullAllergies Asthma URT infections
bullPosture
bullAirway Breathing and Sleep Disorders
bullSoft Tissue Dysfunctions (Tongue Thrust Open Mouth)
Instead of crooked teeth being The ProblemThey are just a SYMPTOM of something larger
Monday March 17 14
Monday March 17 14
bullKK 6-11y FbullPost XX with shiftbull InL = 35 (+7)
bullTx plan Expand for XX correctiion then reeval for BBO
Monday March 17 14
bullKK 8-2y FbullUpper 2rsquos delayed just bondedbullInL = 30 (+1)bullDad opposes deX until
bullSleepQualIndex = 13
Monday March 17 14
S R 10-10yo M
bullMissing 3242bullImpacted 1323bullLate mixed 25 eruptedbullSoft tissue dysfunctionbullIL = 40bullNot compliant
Monday March 17 14
S Reardon 10-7yo M
Monday March 17 14
Impacted 3s Missing 2s
Monday March 17 14
Medical history
bull Reactive Airway Diseasebull ldquoBronchial Constrictionrdquo bullCare of Pulmonologistbull Preventil
bull Dad OSA CPAP for 11 years diabetesbull Grandfather OSA untreatedbull ETCO2 = 361 at 10 bpm (acceptable)bull Posture number - 18 (lt10 ideal)bull Father refuses sleep screening
Monday March 17 14
Treatment Options1Open spaces for impacted canines Open spaces for lower lateral implants
2 Extract upper premolars MFT Align
Patient chooses option 2 Goes elsewhere
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Using IndicatorCosmetic Line
bull To define a starting pointbull To set treatment goalsbull To track treatment progressbull To gauge the effectiveness of treatment
Monday March 17 14
Charting the InCos Line
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Monday March 17 14
Incisor pulled away from noseNot ldquoundertorquedrdquo or ldquogummy smilerdquo
Monday March 17 14
Hypothetical ClI OrthoMARA
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
OJ = 7mm
Starts Ortho
ldquoGreat Headgear
Effectrdquo
Monday March 17 14
Guiding Type2 Tx
50
40
30
20mm
y J F M A M J J A S O N
boys
Start Non-x
Expansion UncrowdingFinished
Start Cl II elastics
OK thatrsquos
enough
Monday March 17 14
Hypothetical Mouthbreather(Dr Mewrsquos Hamster Boy)
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Boy gets
hamster
MFT
Monday March 17 14
Hypothetical BBO 7yoM
50
40
30
20
5 6 7 8 9 10 11 12 13 14 15
girlsboys
Initial
StartBB1
BB3
Night
Monday March 17 14
bullLR 11-9yFbullMissing all 5s6s8s and upper 4sbullHad ortho to close diastemahellipbullInL = 39bullGP objects to deX plan equil
Monday March 17 14
LR Tx Plan
1Preparation Hang Expanser2deX 3Training BB3 to advance mandible4Myofunctional Therapy5Orthopostural Training6Myobrace to hold7 Reevaluate for dental detailing
Monday March 17 14
LR Spotty progress
50
40
30
20mm
y 313 4 5 6 7 8 9 10 11 12114
2 3
Expanser
Parents dragging30 turnsStart Adv
Rx deXGP
objects
After delays
Equil ersquosBB3
Monday March 17 14
bullLR 12-3 yF (6mo in tx)bullInL = 37 (+2)bull ersquos equilibratedbull OJ =10bull Appliance OJ = 5bull Still accommodating to BB3
Monday March 17 14
Is there a calculus for the Indicator Line
Monday March 17 14
Treatment GoalsBased on Indicator Line
Monday March 17 14
Incisor Goals
Type 1 Treatment Place U1 in ideal position
Biobloc Orthotropics Orthognathic Surgery Distraction Osteogenesis
Monday March 17 14
Type 1 Ideal InCos line
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
YZ 9yo M
bullLost upper d-spacebullInL = 36(+4)bullOJ = 9mmbullLip entrapmentbullLip Incompetence
Monday March 17 14
Y Z 9yo M
Monday March 17 14
Y Z 9yo M9mm OJ
Monday March 17 14
Y Z 9yo M
Monday March 17 14
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
Monday March 17 14
YZ 9yoM
50
40
30
20mm
yM A M J J A S O N D J F M A
boys
Hang Expanser
Upper and Lower
Brackets Hang Retainer
BB3
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 2 Treatment Develop arch just enough to uncrowd
Biobloc Myofunctional Ortho Myofunctional Therapy Crozat ALF Expansion Orthodontics
Monday March 17 14
Type 2 Uncrowding
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
HG
Monday March 17 14
50
40
30
20mm
y S O N D J F M A M J J
Lower Sweep
HG 9yo F
Expanser
Brackets
Hang Ret
Monday March 17 14
H G progress
Monday March 17 14
Monday March 17 14
HG progress
Next Bond lowers to level and alignRevisit deX to decrease vertical Also reduce InL to ideal
Monday March 17 14
ZP 9-5yoM
i
Monday March 17 14
Monday March 17 14
After Expansion Phase
Monday March 17 14
Incomplete profile improvement better breathing head posture and sleep
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 3 Treatment Maintain UI
Functional Orthodontics Expansion Orthodontics Distalization Ortho or No Treatment
Monday March 17 14
Type 3 Maintain
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
Incisor Goals
Type 4 Treatment RetractExtrude UI
Extraction Orthodontics Retraction Ortho Distalization Ortho
Monday March 17 14
Type 4 Retraction
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
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)
ldquothe dimension of the velopharynx glossopharynx and hypopharynx were decreased after maximal retraction of anterior teeth with extraction of four premolarshelliprdquo ldquoAny factors that can influence the posture and position of tongue and soft palate may displace them backward andencroach upon the pharynxrdquo
ldquothe more the incisors were retracted the more the pharyngeal airway was reducedrdquo
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Backed into a corner
bull
Moving teeth faster more efficientlyhellipin the wrong direction
Monday March 17 14
Now that wersquove made smoking unacceptable
could we not do the same withbull Sugarbull Processed foodbull Cheap milk and meatbull Fast foodbull Pill popping for symptomatic reliefbull Looking for the cure instead of the causebull Surgery as a quick fixbull Thinking braces are a status symbol
Each industry thrives on the status quoConsumers must drive the change
Monday March 17 14
Nicholas Plaskon 10yM
Monday March 17 14
NP
Monday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
My Dream Office 2001
Monday March 17 14
1Crooked teeth are THE PROBLEM
2The lower incisor must be upright
3Patients donrsquot want to cooperate
4Straightened teeth arenrsquot stable
Monday March 17 14
1Orthotropics is the string theory of most malocclusion
2 Biobloc is the gold standard
3 Biobloc cannot cover all cases or needs
4 I need other solutions
The Beginnerrsquos Mind
Monday March 17 14
1Crooked teeth are THE PROBLEM
2The lower incisor must be upright
3Patients donrsquot want to cooperate
4Straightened teeth arenrsquot stable
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
A Change of Mind
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
The Toothberg
Monday March 17 14
Airway-Related Oral Dysfunctions (AROD)
bullChronic Naso-pharyngeal Obstructionbull Tongue form aberrations (Frenum and tongue-tie)bullOpen Mouth Rest Posture bullMyofunctional disorders (Swallowing chewingetc)bullChronic Hyperventilation and Hypocapniabull Breathing Disordered Sleep (OSA UARS snoring)bull Bruxism and parafunctionsbull TMD and facial pain componentsbullCranial and postural issuesbull Malocclusion
Monday March 17 14
Airway Orthodontics
bullEarly Feeding and Nutrition
bullAllergies Asthma URT infections
bullPosture
bullAirway Breathing and Sleep Disorders
bullSoft Tissue Dysfunctions (Tongue Thrust Open Mouth)
Instead of crooked teeth being The ProblemThey are just a SYMPTOM of something larger
Monday March 17 14
Monday March 17 14
bullKK 6-11y FbullPost XX with shiftbull InL = 35 (+7)
bullTx plan Expand for XX correctiion then reeval for BBO
Monday March 17 14
bullKK 8-2y FbullUpper 2rsquos delayed just bondedbullInL = 30 (+1)bullDad opposes deX until
bullSleepQualIndex = 13
Monday March 17 14
S R 10-10yo M
bullMissing 3242bullImpacted 1323bullLate mixed 25 eruptedbullSoft tissue dysfunctionbullIL = 40bullNot compliant
Monday March 17 14
S Reardon 10-7yo M
Monday March 17 14
Impacted 3s Missing 2s
Monday March 17 14
Medical history
bull Reactive Airway Diseasebull ldquoBronchial Constrictionrdquo bullCare of Pulmonologistbull Preventil
bull Dad OSA CPAP for 11 years diabetesbull Grandfather OSA untreatedbull ETCO2 = 361 at 10 bpm (acceptable)bull Posture number - 18 (lt10 ideal)bull Father refuses sleep screening
Monday March 17 14
Treatment Options1Open spaces for impacted canines Open spaces for lower lateral implants
2 Extract upper premolars MFT Align
Patient chooses option 2 Goes elsewhere
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Using IndicatorCosmetic Line
bull To define a starting pointbull To set treatment goalsbull To track treatment progressbull To gauge the effectiveness of treatment
Monday March 17 14
Charting the InCos Line
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Monday March 17 14
Incisor pulled away from noseNot ldquoundertorquedrdquo or ldquogummy smilerdquo
Monday March 17 14
Hypothetical ClI OrthoMARA
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
OJ = 7mm
Starts Ortho
ldquoGreat Headgear
Effectrdquo
Monday March 17 14
Guiding Type2 Tx
50
40
30
20mm
y J F M A M J J A S O N
boys
Start Non-x
Expansion UncrowdingFinished
Start Cl II elastics
OK thatrsquos
enough
Monday March 17 14
Hypothetical Mouthbreather(Dr Mewrsquos Hamster Boy)
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Boy gets
hamster
MFT
Monday March 17 14
Hypothetical BBO 7yoM
50
40
30
20
5 6 7 8 9 10 11 12 13 14 15
girlsboys
Initial
StartBB1
BB3
Night
Monday March 17 14
bullLR 11-9yFbullMissing all 5s6s8s and upper 4sbullHad ortho to close diastemahellipbullInL = 39bullGP objects to deX plan equil
Monday March 17 14
LR Tx Plan
1Preparation Hang Expanser2deX 3Training BB3 to advance mandible4Myofunctional Therapy5Orthopostural Training6Myobrace to hold7 Reevaluate for dental detailing
Monday March 17 14
LR Spotty progress
50
40
30
20mm
y 313 4 5 6 7 8 9 10 11 12114
2 3
Expanser
Parents dragging30 turnsStart Adv
Rx deXGP
objects
After delays
Equil ersquosBB3
Monday March 17 14
bullLR 12-3 yF (6mo in tx)bullInL = 37 (+2)bull ersquos equilibratedbull OJ =10bull Appliance OJ = 5bull Still accommodating to BB3
Monday March 17 14
Is there a calculus for the Indicator Line
Monday March 17 14
Treatment GoalsBased on Indicator Line
Monday March 17 14
Incisor Goals
Type 1 Treatment Place U1 in ideal position
Biobloc Orthotropics Orthognathic Surgery Distraction Osteogenesis
Monday March 17 14
Type 1 Ideal InCos line
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
YZ 9yo M
bullLost upper d-spacebullInL = 36(+4)bullOJ = 9mmbullLip entrapmentbullLip Incompetence
Monday March 17 14
Y Z 9yo M
Monday March 17 14
Y Z 9yo M9mm OJ
Monday March 17 14
Y Z 9yo M
Monday March 17 14
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
Monday March 17 14
YZ 9yoM
50
40
30
20mm
yM A M J J A S O N D J F M A
boys
Hang Expanser
Upper and Lower
Brackets Hang Retainer
BB3
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 2 Treatment Develop arch just enough to uncrowd
Biobloc Myofunctional Ortho Myofunctional Therapy Crozat ALF Expansion Orthodontics
Monday March 17 14
Type 2 Uncrowding
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
HG
Monday March 17 14
50
40
30
20mm
y S O N D J F M A M J J
Lower Sweep
HG 9yo F
Expanser
Brackets
Hang Ret
Monday March 17 14
H G progress
Monday March 17 14
Monday March 17 14
HG progress
Next Bond lowers to level and alignRevisit deX to decrease vertical Also reduce InL to ideal
Monday March 17 14
ZP 9-5yoM
i
Monday March 17 14
Monday March 17 14
After Expansion Phase
Monday March 17 14
Incomplete profile improvement better breathing head posture and sleep
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 3 Treatment Maintain UI
Functional Orthodontics Expansion Orthodontics Distalization Ortho or No Treatment
Monday March 17 14
Type 3 Maintain
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
Incisor Goals
Type 4 Treatment RetractExtrude UI
Extraction Orthodontics Retraction Ortho Distalization Ortho
Monday March 17 14
Type 4 Retraction
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
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)
ldquothe dimension of the velopharynx glossopharynx and hypopharynx were decreased after maximal retraction of anterior teeth with extraction of four premolarshelliprdquo ldquoAny factors that can influence the posture and position of tongue and soft palate may displace them backward andencroach upon the pharynxrdquo
ldquothe more the incisors were retracted the more the pharyngeal airway was reducedrdquo
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Backed into a corner
bull
Moving teeth faster more efficientlyhellipin the wrong direction
Monday March 17 14
Now that wersquove made smoking unacceptable
could we not do the same withbull Sugarbull Processed foodbull Cheap milk and meatbull Fast foodbull Pill popping for symptomatic reliefbull Looking for the cure instead of the causebull Surgery as a quick fixbull Thinking braces are a status symbol
Each industry thrives on the status quoConsumers must drive the change
Monday March 17 14
Nicholas Plaskon 10yM
Monday March 17 14
NP
Monday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
1Crooked teeth are THE PROBLEM
2The lower incisor must be upright
3Patients donrsquot want to cooperate
4Straightened teeth arenrsquot stable
Monday March 17 14
1Orthotropics is the string theory of most malocclusion
2 Biobloc is the gold standard
3 Biobloc cannot cover all cases or needs
4 I need other solutions
The Beginnerrsquos Mind
Monday March 17 14
1Crooked teeth are THE PROBLEM
2The lower incisor must be upright
3Patients donrsquot want to cooperate
4Straightened teeth arenrsquot stable
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
A Change of Mind
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
The Toothberg
Monday March 17 14
Airway-Related Oral Dysfunctions (AROD)
bullChronic Naso-pharyngeal Obstructionbull Tongue form aberrations (Frenum and tongue-tie)bullOpen Mouth Rest Posture bullMyofunctional disorders (Swallowing chewingetc)bullChronic Hyperventilation and Hypocapniabull Breathing Disordered Sleep (OSA UARS snoring)bull Bruxism and parafunctionsbull TMD and facial pain componentsbullCranial and postural issuesbull Malocclusion
Monday March 17 14
Airway Orthodontics
bullEarly Feeding and Nutrition
bullAllergies Asthma URT infections
bullPosture
bullAirway Breathing and Sleep Disorders
bullSoft Tissue Dysfunctions (Tongue Thrust Open Mouth)
Instead of crooked teeth being The ProblemThey are just a SYMPTOM of something larger
Monday March 17 14
Monday March 17 14
bullKK 6-11y FbullPost XX with shiftbull InL = 35 (+7)
bullTx plan Expand for XX correctiion then reeval for BBO
Monday March 17 14
bullKK 8-2y FbullUpper 2rsquos delayed just bondedbullInL = 30 (+1)bullDad opposes deX until
bullSleepQualIndex = 13
Monday March 17 14
S R 10-10yo M
bullMissing 3242bullImpacted 1323bullLate mixed 25 eruptedbullSoft tissue dysfunctionbullIL = 40bullNot compliant
Monday March 17 14
S Reardon 10-7yo M
Monday March 17 14
Impacted 3s Missing 2s
Monday March 17 14
Medical history
bull Reactive Airway Diseasebull ldquoBronchial Constrictionrdquo bullCare of Pulmonologistbull Preventil
bull Dad OSA CPAP for 11 years diabetesbull Grandfather OSA untreatedbull ETCO2 = 361 at 10 bpm (acceptable)bull Posture number - 18 (lt10 ideal)bull Father refuses sleep screening
Monday March 17 14
Treatment Options1Open spaces for impacted canines Open spaces for lower lateral implants
2 Extract upper premolars MFT Align
Patient chooses option 2 Goes elsewhere
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Using IndicatorCosmetic Line
bull To define a starting pointbull To set treatment goalsbull To track treatment progressbull To gauge the effectiveness of treatment
Monday March 17 14
Charting the InCos Line
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Monday March 17 14
Incisor pulled away from noseNot ldquoundertorquedrdquo or ldquogummy smilerdquo
Monday March 17 14
Hypothetical ClI OrthoMARA
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
OJ = 7mm
Starts Ortho
ldquoGreat Headgear
Effectrdquo
Monday March 17 14
Guiding Type2 Tx
50
40
30
20mm
y J F M A M J J A S O N
boys
Start Non-x
Expansion UncrowdingFinished
Start Cl II elastics
OK thatrsquos
enough
Monday March 17 14
Hypothetical Mouthbreather(Dr Mewrsquos Hamster Boy)
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Boy gets
hamster
MFT
Monday March 17 14
Hypothetical BBO 7yoM
50
40
30
20
5 6 7 8 9 10 11 12 13 14 15
girlsboys
Initial
StartBB1
BB3
Night
Monday March 17 14
bullLR 11-9yFbullMissing all 5s6s8s and upper 4sbullHad ortho to close diastemahellipbullInL = 39bullGP objects to deX plan equil
Monday March 17 14
LR Tx Plan
1Preparation Hang Expanser2deX 3Training BB3 to advance mandible4Myofunctional Therapy5Orthopostural Training6Myobrace to hold7 Reevaluate for dental detailing
Monday March 17 14
LR Spotty progress
50
40
30
20mm
y 313 4 5 6 7 8 9 10 11 12114
2 3
Expanser
Parents dragging30 turnsStart Adv
Rx deXGP
objects
After delays
Equil ersquosBB3
Monday March 17 14
bullLR 12-3 yF (6mo in tx)bullInL = 37 (+2)bull ersquos equilibratedbull OJ =10bull Appliance OJ = 5bull Still accommodating to BB3
Monday March 17 14
Is there a calculus for the Indicator Line
Monday March 17 14
Treatment GoalsBased on Indicator Line
Monday March 17 14
Incisor Goals
Type 1 Treatment Place U1 in ideal position
Biobloc Orthotropics Orthognathic Surgery Distraction Osteogenesis
Monday March 17 14
Type 1 Ideal InCos line
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
YZ 9yo M
bullLost upper d-spacebullInL = 36(+4)bullOJ = 9mmbullLip entrapmentbullLip Incompetence
Monday March 17 14
Y Z 9yo M
Monday March 17 14
Y Z 9yo M9mm OJ
Monday March 17 14
Y Z 9yo M
Monday March 17 14
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
Monday March 17 14
YZ 9yoM
50
40
30
20mm
yM A M J J A S O N D J F M A
boys
Hang Expanser
Upper and Lower
Brackets Hang Retainer
BB3
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 2 Treatment Develop arch just enough to uncrowd
Biobloc Myofunctional Ortho Myofunctional Therapy Crozat ALF Expansion Orthodontics
Monday March 17 14
Type 2 Uncrowding
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
HG
Monday March 17 14
50
40
30
20mm
y S O N D J F M A M J J
Lower Sweep
HG 9yo F
Expanser
Brackets
Hang Ret
Monday March 17 14
H G progress
Monday March 17 14
Monday March 17 14
HG progress
Next Bond lowers to level and alignRevisit deX to decrease vertical Also reduce InL to ideal
Monday March 17 14
ZP 9-5yoM
i
Monday March 17 14
Monday March 17 14
After Expansion Phase
Monday March 17 14
Incomplete profile improvement better breathing head posture and sleep
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 3 Treatment Maintain UI
Functional Orthodontics Expansion Orthodontics Distalization Ortho or No Treatment
Monday March 17 14
Type 3 Maintain
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
Incisor Goals
Type 4 Treatment RetractExtrude UI
Extraction Orthodontics Retraction Ortho Distalization Ortho
Monday March 17 14
Type 4 Retraction
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
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)
ldquothe dimension of the velopharynx glossopharynx and hypopharynx were decreased after maximal retraction of anterior teeth with extraction of four premolarshelliprdquo ldquoAny factors that can influence the posture and position of tongue and soft palate may displace them backward andencroach upon the pharynxrdquo
ldquothe more the incisors were retracted the more the pharyngeal airway was reducedrdquo
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Backed into a corner
bull
Moving teeth faster more efficientlyhellipin the wrong direction
Monday March 17 14
Now that wersquove made smoking unacceptable
could we not do the same withbull Sugarbull Processed foodbull Cheap milk and meatbull Fast foodbull Pill popping for symptomatic reliefbull Looking for the cure instead of the causebull Surgery as a quick fixbull Thinking braces are a status symbol
Each industry thrives on the status quoConsumers must drive the change
Monday March 17 14
Nicholas Plaskon 10yM
Monday March 17 14
NP
Monday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
1Orthotropics is the string theory of most malocclusion
2 Biobloc is the gold standard
3 Biobloc cannot cover all cases or needs
4 I need other solutions
The Beginnerrsquos Mind
Monday March 17 14
1Crooked teeth are THE PROBLEM
2The lower incisor must be upright
3Patients donrsquot want to cooperate
4Straightened teeth arenrsquot stable
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
A Change of Mind
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
The Toothberg
Monday March 17 14
Airway-Related Oral Dysfunctions (AROD)
bullChronic Naso-pharyngeal Obstructionbull Tongue form aberrations (Frenum and tongue-tie)bullOpen Mouth Rest Posture bullMyofunctional disorders (Swallowing chewingetc)bullChronic Hyperventilation and Hypocapniabull Breathing Disordered Sleep (OSA UARS snoring)bull Bruxism and parafunctionsbull TMD and facial pain componentsbullCranial and postural issuesbull Malocclusion
Monday March 17 14
Airway Orthodontics
bullEarly Feeding and Nutrition
bullAllergies Asthma URT infections
bullPosture
bullAirway Breathing and Sleep Disorders
bullSoft Tissue Dysfunctions (Tongue Thrust Open Mouth)
Instead of crooked teeth being The ProblemThey are just a SYMPTOM of something larger
Monday March 17 14
Monday March 17 14
bullKK 6-11y FbullPost XX with shiftbull InL = 35 (+7)
bullTx plan Expand for XX correctiion then reeval for BBO
Monday March 17 14
bullKK 8-2y FbullUpper 2rsquos delayed just bondedbullInL = 30 (+1)bullDad opposes deX until
bullSleepQualIndex = 13
Monday March 17 14
S R 10-10yo M
bullMissing 3242bullImpacted 1323bullLate mixed 25 eruptedbullSoft tissue dysfunctionbullIL = 40bullNot compliant
Monday March 17 14
S Reardon 10-7yo M
Monday March 17 14
Impacted 3s Missing 2s
Monday March 17 14
Medical history
bull Reactive Airway Diseasebull ldquoBronchial Constrictionrdquo bullCare of Pulmonologistbull Preventil
bull Dad OSA CPAP for 11 years diabetesbull Grandfather OSA untreatedbull ETCO2 = 361 at 10 bpm (acceptable)bull Posture number - 18 (lt10 ideal)bull Father refuses sleep screening
Monday March 17 14
Treatment Options1Open spaces for impacted canines Open spaces for lower lateral implants
2 Extract upper premolars MFT Align
Patient chooses option 2 Goes elsewhere
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Using IndicatorCosmetic Line
bull To define a starting pointbull To set treatment goalsbull To track treatment progressbull To gauge the effectiveness of treatment
Monday March 17 14
Charting the InCos Line
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Monday March 17 14
Incisor pulled away from noseNot ldquoundertorquedrdquo or ldquogummy smilerdquo
Monday March 17 14
Hypothetical ClI OrthoMARA
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
OJ = 7mm
Starts Ortho
ldquoGreat Headgear
Effectrdquo
Monday March 17 14
Guiding Type2 Tx
50
40
30
20mm
y J F M A M J J A S O N
boys
Start Non-x
Expansion UncrowdingFinished
Start Cl II elastics
OK thatrsquos
enough
Monday March 17 14
Hypothetical Mouthbreather(Dr Mewrsquos Hamster Boy)
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Boy gets
hamster
MFT
Monday March 17 14
Hypothetical BBO 7yoM
50
40
30
20
5 6 7 8 9 10 11 12 13 14 15
girlsboys
Initial
StartBB1
BB3
Night
Monday March 17 14
bullLR 11-9yFbullMissing all 5s6s8s and upper 4sbullHad ortho to close diastemahellipbullInL = 39bullGP objects to deX plan equil
Monday March 17 14
LR Tx Plan
1Preparation Hang Expanser2deX 3Training BB3 to advance mandible4Myofunctional Therapy5Orthopostural Training6Myobrace to hold7 Reevaluate for dental detailing
Monday March 17 14
LR Spotty progress
50
40
30
20mm
y 313 4 5 6 7 8 9 10 11 12114
2 3
Expanser
Parents dragging30 turnsStart Adv
Rx deXGP
objects
After delays
Equil ersquosBB3
Monday March 17 14
bullLR 12-3 yF (6mo in tx)bullInL = 37 (+2)bull ersquos equilibratedbull OJ =10bull Appliance OJ = 5bull Still accommodating to BB3
Monday March 17 14
Is there a calculus for the Indicator Line
Monday March 17 14
Treatment GoalsBased on Indicator Line
Monday March 17 14
Incisor Goals
Type 1 Treatment Place U1 in ideal position
Biobloc Orthotropics Orthognathic Surgery Distraction Osteogenesis
Monday March 17 14
Type 1 Ideal InCos line
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
YZ 9yo M
bullLost upper d-spacebullInL = 36(+4)bullOJ = 9mmbullLip entrapmentbullLip Incompetence
Monday March 17 14
Y Z 9yo M
Monday March 17 14
Y Z 9yo M9mm OJ
Monday March 17 14
Y Z 9yo M
Monday March 17 14
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
Monday March 17 14
YZ 9yoM
50
40
30
20mm
yM A M J J A S O N D J F M A
boys
Hang Expanser
Upper and Lower
Brackets Hang Retainer
BB3
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 2 Treatment Develop arch just enough to uncrowd
Biobloc Myofunctional Ortho Myofunctional Therapy Crozat ALF Expansion Orthodontics
Monday March 17 14
Type 2 Uncrowding
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
HG
Monday March 17 14
50
40
30
20mm
y S O N D J F M A M J J
Lower Sweep
HG 9yo F
Expanser
Brackets
Hang Ret
Monday March 17 14
H G progress
Monday March 17 14
Monday March 17 14
HG progress
Next Bond lowers to level and alignRevisit deX to decrease vertical Also reduce InL to ideal
Monday March 17 14
ZP 9-5yoM
i
Monday March 17 14
Monday March 17 14
After Expansion Phase
Monday March 17 14
Incomplete profile improvement better breathing head posture and sleep
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 3 Treatment Maintain UI
Functional Orthodontics Expansion Orthodontics Distalization Ortho or No Treatment
Monday March 17 14
Type 3 Maintain
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
Incisor Goals
Type 4 Treatment RetractExtrude UI
Extraction Orthodontics Retraction Ortho Distalization Ortho
Monday March 17 14
Type 4 Retraction
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
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)
ldquothe dimension of the velopharynx glossopharynx and hypopharynx were decreased after maximal retraction of anterior teeth with extraction of four premolarshelliprdquo ldquoAny factors that can influence the posture and position of tongue and soft palate may displace them backward andencroach upon the pharynxrdquo
ldquothe more the incisors were retracted the more the pharyngeal airway was reducedrdquo
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Backed into a corner
bull
Moving teeth faster more efficientlyhellipin the wrong direction
Monday March 17 14
Now that wersquove made smoking unacceptable
could we not do the same withbull Sugarbull Processed foodbull Cheap milk and meatbull Fast foodbull Pill popping for symptomatic reliefbull Looking for the cure instead of the causebull Surgery as a quick fixbull Thinking braces are a status symbol
Each industry thrives on the status quoConsumers must drive the change
Monday March 17 14
Nicholas Plaskon 10yM
Monday March 17 14
NP
Monday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
1Crooked teeth are THE PROBLEM
2The lower incisor must be upright
3Patients donrsquot want to cooperate
4Straightened teeth arenrsquot stable
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
A Change of Mind
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
The Toothberg
Monday March 17 14
Airway-Related Oral Dysfunctions (AROD)
bullChronic Naso-pharyngeal Obstructionbull Tongue form aberrations (Frenum and tongue-tie)bullOpen Mouth Rest Posture bullMyofunctional disorders (Swallowing chewingetc)bullChronic Hyperventilation and Hypocapniabull Breathing Disordered Sleep (OSA UARS snoring)bull Bruxism and parafunctionsbull TMD and facial pain componentsbullCranial and postural issuesbull Malocclusion
Monday March 17 14
Airway Orthodontics
bullEarly Feeding and Nutrition
bullAllergies Asthma URT infections
bullPosture
bullAirway Breathing and Sleep Disorders
bullSoft Tissue Dysfunctions (Tongue Thrust Open Mouth)
Instead of crooked teeth being The ProblemThey are just a SYMPTOM of something larger
Monday March 17 14
Monday March 17 14
bullKK 6-11y FbullPost XX with shiftbull InL = 35 (+7)
bullTx plan Expand for XX correctiion then reeval for BBO
Monday March 17 14
bullKK 8-2y FbullUpper 2rsquos delayed just bondedbullInL = 30 (+1)bullDad opposes deX until
bullSleepQualIndex = 13
Monday March 17 14
S R 10-10yo M
bullMissing 3242bullImpacted 1323bullLate mixed 25 eruptedbullSoft tissue dysfunctionbullIL = 40bullNot compliant
Monday March 17 14
S Reardon 10-7yo M
Monday March 17 14
Impacted 3s Missing 2s
Monday March 17 14
Medical history
bull Reactive Airway Diseasebull ldquoBronchial Constrictionrdquo bullCare of Pulmonologistbull Preventil
bull Dad OSA CPAP for 11 years diabetesbull Grandfather OSA untreatedbull ETCO2 = 361 at 10 bpm (acceptable)bull Posture number - 18 (lt10 ideal)bull Father refuses sleep screening
Monday March 17 14
Treatment Options1Open spaces for impacted canines Open spaces for lower lateral implants
2 Extract upper premolars MFT Align
Patient chooses option 2 Goes elsewhere
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Using IndicatorCosmetic Line
bull To define a starting pointbull To set treatment goalsbull To track treatment progressbull To gauge the effectiveness of treatment
Monday March 17 14
Charting the InCos Line
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Monday March 17 14
Incisor pulled away from noseNot ldquoundertorquedrdquo or ldquogummy smilerdquo
Monday March 17 14
Hypothetical ClI OrthoMARA
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
OJ = 7mm
Starts Ortho
ldquoGreat Headgear
Effectrdquo
Monday March 17 14
Guiding Type2 Tx
50
40
30
20mm
y J F M A M J J A S O N
boys
Start Non-x
Expansion UncrowdingFinished
Start Cl II elastics
OK thatrsquos
enough
Monday March 17 14
Hypothetical Mouthbreather(Dr Mewrsquos Hamster Boy)
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Boy gets
hamster
MFT
Monday March 17 14
Hypothetical BBO 7yoM
50
40
30
20
5 6 7 8 9 10 11 12 13 14 15
girlsboys
Initial
StartBB1
BB3
Night
Monday March 17 14
bullLR 11-9yFbullMissing all 5s6s8s and upper 4sbullHad ortho to close diastemahellipbullInL = 39bullGP objects to deX plan equil
Monday March 17 14
LR Tx Plan
1Preparation Hang Expanser2deX 3Training BB3 to advance mandible4Myofunctional Therapy5Orthopostural Training6Myobrace to hold7 Reevaluate for dental detailing
Monday March 17 14
LR Spotty progress
50
40
30
20mm
y 313 4 5 6 7 8 9 10 11 12114
2 3
Expanser
Parents dragging30 turnsStart Adv
Rx deXGP
objects
After delays
Equil ersquosBB3
Monday March 17 14
bullLR 12-3 yF (6mo in tx)bullInL = 37 (+2)bull ersquos equilibratedbull OJ =10bull Appliance OJ = 5bull Still accommodating to BB3
Monday March 17 14
Is there a calculus for the Indicator Line
Monday March 17 14
Treatment GoalsBased on Indicator Line
Monday March 17 14
Incisor Goals
Type 1 Treatment Place U1 in ideal position
Biobloc Orthotropics Orthognathic Surgery Distraction Osteogenesis
Monday March 17 14
Type 1 Ideal InCos line
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
YZ 9yo M
bullLost upper d-spacebullInL = 36(+4)bullOJ = 9mmbullLip entrapmentbullLip Incompetence
Monday March 17 14
Y Z 9yo M
Monday March 17 14
Y Z 9yo M9mm OJ
Monday March 17 14
Y Z 9yo M
Monday March 17 14
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
Monday March 17 14
YZ 9yoM
50
40
30
20mm
yM A M J J A S O N D J F M A
boys
Hang Expanser
Upper and Lower
Brackets Hang Retainer
BB3
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 2 Treatment Develop arch just enough to uncrowd
Biobloc Myofunctional Ortho Myofunctional Therapy Crozat ALF Expansion Orthodontics
Monday March 17 14
Type 2 Uncrowding
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
HG
Monday March 17 14
50
40
30
20mm
y S O N D J F M A M J J
Lower Sweep
HG 9yo F
Expanser
Brackets
Hang Ret
Monday March 17 14
H G progress
Monday March 17 14
Monday March 17 14
HG progress
Next Bond lowers to level and alignRevisit deX to decrease vertical Also reduce InL to ideal
Monday March 17 14
ZP 9-5yoM
i
Monday March 17 14
Monday March 17 14
After Expansion Phase
Monday March 17 14
Incomplete profile improvement better breathing head posture and sleep
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 3 Treatment Maintain UI
Functional Orthodontics Expansion Orthodontics Distalization Ortho or No Treatment
Monday March 17 14
Type 3 Maintain
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
Incisor Goals
Type 4 Treatment RetractExtrude UI
Extraction Orthodontics Retraction Ortho Distalization Ortho
Monday March 17 14
Type 4 Retraction
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
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)
ldquothe dimension of the velopharynx glossopharynx and hypopharynx were decreased after maximal retraction of anterior teeth with extraction of four premolarshelliprdquo ldquoAny factors that can influence the posture and position of tongue and soft palate may displace them backward andencroach upon the pharynxrdquo
ldquothe more the incisors were retracted the more the pharyngeal airway was reducedrdquo
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Backed into a corner
bull
Moving teeth faster more efficientlyhellipin the wrong direction
Monday March 17 14
Now that wersquove made smoking unacceptable
could we not do the same withbull Sugarbull Processed foodbull Cheap milk and meatbull Fast foodbull Pill popping for symptomatic reliefbull Looking for the cure instead of the causebull Surgery as a quick fixbull Thinking braces are a status symbol
Each industry thrives on the status quoConsumers must drive the change
Monday March 17 14
Nicholas Plaskon 10yM
Monday March 17 14
NP
Monday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
The Toothberg
Monday March 17 14
Airway-Related Oral Dysfunctions (AROD)
bullChronic Naso-pharyngeal Obstructionbull Tongue form aberrations (Frenum and tongue-tie)bullOpen Mouth Rest Posture bullMyofunctional disorders (Swallowing chewingetc)bullChronic Hyperventilation and Hypocapniabull Breathing Disordered Sleep (OSA UARS snoring)bull Bruxism and parafunctionsbull TMD and facial pain componentsbullCranial and postural issuesbull Malocclusion
Monday March 17 14
Airway Orthodontics
bullEarly Feeding and Nutrition
bullAllergies Asthma URT infections
bullPosture
bullAirway Breathing and Sleep Disorders
bullSoft Tissue Dysfunctions (Tongue Thrust Open Mouth)
Instead of crooked teeth being The ProblemThey are just a SYMPTOM of something larger
Monday March 17 14
Monday March 17 14
bullKK 6-11y FbullPost XX with shiftbull InL = 35 (+7)
bullTx plan Expand for XX correctiion then reeval for BBO
Monday March 17 14
bullKK 8-2y FbullUpper 2rsquos delayed just bondedbullInL = 30 (+1)bullDad opposes deX until
bullSleepQualIndex = 13
Monday March 17 14
S R 10-10yo M
bullMissing 3242bullImpacted 1323bullLate mixed 25 eruptedbullSoft tissue dysfunctionbullIL = 40bullNot compliant
Monday March 17 14
S Reardon 10-7yo M
Monday March 17 14
Impacted 3s Missing 2s
Monday March 17 14
Medical history
bull Reactive Airway Diseasebull ldquoBronchial Constrictionrdquo bullCare of Pulmonologistbull Preventil
bull Dad OSA CPAP for 11 years diabetesbull Grandfather OSA untreatedbull ETCO2 = 361 at 10 bpm (acceptable)bull Posture number - 18 (lt10 ideal)bull Father refuses sleep screening
Monday March 17 14
Treatment Options1Open spaces for impacted canines Open spaces for lower lateral implants
2 Extract upper premolars MFT Align
Patient chooses option 2 Goes elsewhere
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Using IndicatorCosmetic Line
bull To define a starting pointbull To set treatment goalsbull To track treatment progressbull To gauge the effectiveness of treatment
Monday March 17 14
Charting the InCos Line
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Monday March 17 14
Incisor pulled away from noseNot ldquoundertorquedrdquo or ldquogummy smilerdquo
Monday March 17 14
Hypothetical ClI OrthoMARA
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
OJ = 7mm
Starts Ortho
ldquoGreat Headgear
Effectrdquo
Monday March 17 14
Guiding Type2 Tx
50
40
30
20mm
y J F M A M J J A S O N
boys
Start Non-x
Expansion UncrowdingFinished
Start Cl II elastics
OK thatrsquos
enough
Monday March 17 14
Hypothetical Mouthbreather(Dr Mewrsquos Hamster Boy)
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Boy gets
hamster
MFT
Monday March 17 14
Hypothetical BBO 7yoM
50
40
30
20
5 6 7 8 9 10 11 12 13 14 15
girlsboys
Initial
StartBB1
BB3
Night
Monday March 17 14
bullLR 11-9yFbullMissing all 5s6s8s and upper 4sbullHad ortho to close diastemahellipbullInL = 39bullGP objects to deX plan equil
Monday March 17 14
LR Tx Plan
1Preparation Hang Expanser2deX 3Training BB3 to advance mandible4Myofunctional Therapy5Orthopostural Training6Myobrace to hold7 Reevaluate for dental detailing
Monday March 17 14
LR Spotty progress
50
40
30
20mm
y 313 4 5 6 7 8 9 10 11 12114
2 3
Expanser
Parents dragging30 turnsStart Adv
Rx deXGP
objects
After delays
Equil ersquosBB3
Monday March 17 14
bullLR 12-3 yF (6mo in tx)bullInL = 37 (+2)bull ersquos equilibratedbull OJ =10bull Appliance OJ = 5bull Still accommodating to BB3
Monday March 17 14
Is there a calculus for the Indicator Line
Monday March 17 14
Treatment GoalsBased on Indicator Line
Monday March 17 14
Incisor Goals
Type 1 Treatment Place U1 in ideal position
Biobloc Orthotropics Orthognathic Surgery Distraction Osteogenesis
Monday March 17 14
Type 1 Ideal InCos line
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
YZ 9yo M
bullLost upper d-spacebullInL = 36(+4)bullOJ = 9mmbullLip entrapmentbullLip Incompetence
Monday March 17 14
Y Z 9yo M
Monday March 17 14
Y Z 9yo M9mm OJ
Monday March 17 14
Y Z 9yo M
Monday March 17 14
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
Monday March 17 14
YZ 9yoM
50
40
30
20mm
yM A M J J A S O N D J F M A
boys
Hang Expanser
Upper and Lower
Brackets Hang Retainer
BB3
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 2 Treatment Develop arch just enough to uncrowd
Biobloc Myofunctional Ortho Myofunctional Therapy Crozat ALF Expansion Orthodontics
Monday March 17 14
Type 2 Uncrowding
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
HG
Monday March 17 14
50
40
30
20mm
y S O N D J F M A M J J
Lower Sweep
HG 9yo F
Expanser
Brackets
Hang Ret
Monday March 17 14
H G progress
Monday March 17 14
Monday March 17 14
HG progress
Next Bond lowers to level and alignRevisit deX to decrease vertical Also reduce InL to ideal
Monday March 17 14
ZP 9-5yoM
i
Monday March 17 14
Monday March 17 14
After Expansion Phase
Monday March 17 14
Incomplete profile improvement better breathing head posture and sleep
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 3 Treatment Maintain UI
Functional Orthodontics Expansion Orthodontics Distalization Ortho or No Treatment
Monday March 17 14
Type 3 Maintain
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
Incisor Goals
Type 4 Treatment RetractExtrude UI
Extraction Orthodontics Retraction Ortho Distalization Ortho
Monday March 17 14
Type 4 Retraction
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
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)
ldquothe dimension of the velopharynx glossopharynx and hypopharynx were decreased after maximal retraction of anterior teeth with extraction of four premolarshelliprdquo ldquoAny factors that can influence the posture and position of tongue and soft palate may displace them backward andencroach upon the pharynxrdquo
ldquothe more the incisors were retracted the more the pharyngeal airway was reducedrdquo
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Backed into a corner
bull
Moving teeth faster more efficientlyhellipin the wrong direction
Monday March 17 14
Now that wersquove made smoking unacceptable
could we not do the same withbull Sugarbull Processed foodbull Cheap milk and meatbull Fast foodbull Pill popping for symptomatic reliefbull Looking for the cure instead of the causebull Surgery as a quick fixbull Thinking braces are a status symbol
Each industry thrives on the status quoConsumers must drive the change
Monday March 17 14
Nicholas Plaskon 10yM
Monday March 17 14
NP
Monday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
The Toothberg
Monday March 17 14
Airway-Related Oral Dysfunctions (AROD)
bullChronic Naso-pharyngeal Obstructionbull Tongue form aberrations (Frenum and tongue-tie)bullOpen Mouth Rest Posture bullMyofunctional disorders (Swallowing chewingetc)bullChronic Hyperventilation and Hypocapniabull Breathing Disordered Sleep (OSA UARS snoring)bull Bruxism and parafunctionsbull TMD and facial pain componentsbullCranial and postural issuesbull Malocclusion
Monday March 17 14
Airway Orthodontics
bullEarly Feeding and Nutrition
bullAllergies Asthma URT infections
bullPosture
bullAirway Breathing and Sleep Disorders
bullSoft Tissue Dysfunctions (Tongue Thrust Open Mouth)
Instead of crooked teeth being The ProblemThey are just a SYMPTOM of something larger
Monday March 17 14
Monday March 17 14
bullKK 6-11y FbullPost XX with shiftbull InL = 35 (+7)
bullTx plan Expand for XX correctiion then reeval for BBO
Monday March 17 14
bullKK 8-2y FbullUpper 2rsquos delayed just bondedbullInL = 30 (+1)bullDad opposes deX until
bullSleepQualIndex = 13
Monday March 17 14
S R 10-10yo M
bullMissing 3242bullImpacted 1323bullLate mixed 25 eruptedbullSoft tissue dysfunctionbullIL = 40bullNot compliant
Monday March 17 14
S Reardon 10-7yo M
Monday March 17 14
Impacted 3s Missing 2s
Monday March 17 14
Medical history
bull Reactive Airway Diseasebull ldquoBronchial Constrictionrdquo bullCare of Pulmonologistbull Preventil
bull Dad OSA CPAP for 11 years diabetesbull Grandfather OSA untreatedbull ETCO2 = 361 at 10 bpm (acceptable)bull Posture number - 18 (lt10 ideal)bull Father refuses sleep screening
Monday March 17 14
Treatment Options1Open spaces for impacted canines Open spaces for lower lateral implants
2 Extract upper premolars MFT Align
Patient chooses option 2 Goes elsewhere
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Using IndicatorCosmetic Line
bull To define a starting pointbull To set treatment goalsbull To track treatment progressbull To gauge the effectiveness of treatment
Monday March 17 14
Charting the InCos Line
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Monday March 17 14
Incisor pulled away from noseNot ldquoundertorquedrdquo or ldquogummy smilerdquo
Monday March 17 14
Hypothetical ClI OrthoMARA
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
OJ = 7mm
Starts Ortho
ldquoGreat Headgear
Effectrdquo
Monday March 17 14
Guiding Type2 Tx
50
40
30
20mm
y J F M A M J J A S O N
boys
Start Non-x
Expansion UncrowdingFinished
Start Cl II elastics
OK thatrsquos
enough
Monday March 17 14
Hypothetical Mouthbreather(Dr Mewrsquos Hamster Boy)
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Boy gets
hamster
MFT
Monday March 17 14
Hypothetical BBO 7yoM
50
40
30
20
5 6 7 8 9 10 11 12 13 14 15
girlsboys
Initial
StartBB1
BB3
Night
Monday March 17 14
bullLR 11-9yFbullMissing all 5s6s8s and upper 4sbullHad ortho to close diastemahellipbullInL = 39bullGP objects to deX plan equil
Monday March 17 14
LR Tx Plan
1Preparation Hang Expanser2deX 3Training BB3 to advance mandible4Myofunctional Therapy5Orthopostural Training6Myobrace to hold7 Reevaluate for dental detailing
Monday March 17 14
LR Spotty progress
50
40
30
20mm
y 313 4 5 6 7 8 9 10 11 12114
2 3
Expanser
Parents dragging30 turnsStart Adv
Rx deXGP
objects
After delays
Equil ersquosBB3
Monday March 17 14
bullLR 12-3 yF (6mo in tx)bullInL = 37 (+2)bull ersquos equilibratedbull OJ =10bull Appliance OJ = 5bull Still accommodating to BB3
Monday March 17 14
Is there a calculus for the Indicator Line
Monday March 17 14
Treatment GoalsBased on Indicator Line
Monday March 17 14
Incisor Goals
Type 1 Treatment Place U1 in ideal position
Biobloc Orthotropics Orthognathic Surgery Distraction Osteogenesis
Monday March 17 14
Type 1 Ideal InCos line
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
YZ 9yo M
bullLost upper d-spacebullInL = 36(+4)bullOJ = 9mmbullLip entrapmentbullLip Incompetence
Monday March 17 14
Y Z 9yo M
Monday March 17 14
Y Z 9yo M9mm OJ
Monday March 17 14
Y Z 9yo M
Monday March 17 14
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
Monday March 17 14
YZ 9yoM
50
40
30
20mm
yM A M J J A S O N D J F M A
boys
Hang Expanser
Upper and Lower
Brackets Hang Retainer
BB3
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 2 Treatment Develop arch just enough to uncrowd
Biobloc Myofunctional Ortho Myofunctional Therapy Crozat ALF Expansion Orthodontics
Monday March 17 14
Type 2 Uncrowding
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
HG
Monday March 17 14
50
40
30
20mm
y S O N D J F M A M J J
Lower Sweep
HG 9yo F
Expanser
Brackets
Hang Ret
Monday March 17 14
H G progress
Monday March 17 14
Monday March 17 14
HG progress
Next Bond lowers to level and alignRevisit deX to decrease vertical Also reduce InL to ideal
Monday March 17 14
ZP 9-5yoM
i
Monday March 17 14
Monday March 17 14
After Expansion Phase
Monday March 17 14
Incomplete profile improvement better breathing head posture and sleep
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 3 Treatment Maintain UI
Functional Orthodontics Expansion Orthodontics Distalization Ortho or No Treatment
Monday March 17 14
Type 3 Maintain
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
Incisor Goals
Type 4 Treatment RetractExtrude UI
Extraction Orthodontics Retraction Ortho Distalization Ortho
Monday March 17 14
Type 4 Retraction
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
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)
ldquothe dimension of the velopharynx glossopharynx and hypopharynx were decreased after maximal retraction of anterior teeth with extraction of four premolarshelliprdquo ldquoAny factors that can influence the posture and position of tongue and soft palate may displace them backward andencroach upon the pharynxrdquo
ldquothe more the incisors were retracted the more the pharyngeal airway was reducedrdquo
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Backed into a corner
bull
Moving teeth faster more efficientlyhellipin the wrong direction
Monday March 17 14
Now that wersquove made smoking unacceptable
could we not do the same withbull Sugarbull Processed foodbull Cheap milk and meatbull Fast foodbull Pill popping for symptomatic reliefbull Looking for the cure instead of the causebull Surgery as a quick fixbull Thinking braces are a status symbol
Each industry thrives on the status quoConsumers must drive the change
Monday March 17 14
Nicholas Plaskon 10yM
Monday March 17 14
NP
Monday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
Airway-Related Oral Dysfunctions (AROD)
bullChronic Naso-pharyngeal Obstructionbull Tongue form aberrations (Frenum and tongue-tie)bullOpen Mouth Rest Posture bullMyofunctional disorders (Swallowing chewingetc)bullChronic Hyperventilation and Hypocapniabull Breathing Disordered Sleep (OSA UARS snoring)bull Bruxism and parafunctionsbull TMD and facial pain componentsbullCranial and postural issuesbull Malocclusion
Monday March 17 14
Airway Orthodontics
bullEarly Feeding and Nutrition
bullAllergies Asthma URT infections
bullPosture
bullAirway Breathing and Sleep Disorders
bullSoft Tissue Dysfunctions (Tongue Thrust Open Mouth)
Instead of crooked teeth being The ProblemThey are just a SYMPTOM of something larger
Monday March 17 14
Monday March 17 14
bullKK 6-11y FbullPost XX with shiftbull InL = 35 (+7)
bullTx plan Expand for XX correctiion then reeval for BBO
Monday March 17 14
bullKK 8-2y FbullUpper 2rsquos delayed just bondedbullInL = 30 (+1)bullDad opposes deX until
bullSleepQualIndex = 13
Monday March 17 14
S R 10-10yo M
bullMissing 3242bullImpacted 1323bullLate mixed 25 eruptedbullSoft tissue dysfunctionbullIL = 40bullNot compliant
Monday March 17 14
S Reardon 10-7yo M
Monday March 17 14
Impacted 3s Missing 2s
Monday March 17 14
Medical history
bull Reactive Airway Diseasebull ldquoBronchial Constrictionrdquo bullCare of Pulmonologistbull Preventil
bull Dad OSA CPAP for 11 years diabetesbull Grandfather OSA untreatedbull ETCO2 = 361 at 10 bpm (acceptable)bull Posture number - 18 (lt10 ideal)bull Father refuses sleep screening
Monday March 17 14
Treatment Options1Open spaces for impacted canines Open spaces for lower lateral implants
2 Extract upper premolars MFT Align
Patient chooses option 2 Goes elsewhere
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Using IndicatorCosmetic Line
bull To define a starting pointbull To set treatment goalsbull To track treatment progressbull To gauge the effectiveness of treatment
Monday March 17 14
Charting the InCos Line
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Monday March 17 14
Incisor pulled away from noseNot ldquoundertorquedrdquo or ldquogummy smilerdquo
Monday March 17 14
Hypothetical ClI OrthoMARA
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
OJ = 7mm
Starts Ortho
ldquoGreat Headgear
Effectrdquo
Monday March 17 14
Guiding Type2 Tx
50
40
30
20mm
y J F M A M J J A S O N
boys
Start Non-x
Expansion UncrowdingFinished
Start Cl II elastics
OK thatrsquos
enough
Monday March 17 14
Hypothetical Mouthbreather(Dr Mewrsquos Hamster Boy)
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Boy gets
hamster
MFT
Monday March 17 14
Hypothetical BBO 7yoM
50
40
30
20
5 6 7 8 9 10 11 12 13 14 15
girlsboys
Initial
StartBB1
BB3
Night
Monday March 17 14
bullLR 11-9yFbullMissing all 5s6s8s and upper 4sbullHad ortho to close diastemahellipbullInL = 39bullGP objects to deX plan equil
Monday March 17 14
LR Tx Plan
1Preparation Hang Expanser2deX 3Training BB3 to advance mandible4Myofunctional Therapy5Orthopostural Training6Myobrace to hold7 Reevaluate for dental detailing
Monday March 17 14
LR Spotty progress
50
40
30
20mm
y 313 4 5 6 7 8 9 10 11 12114
2 3
Expanser
Parents dragging30 turnsStart Adv
Rx deXGP
objects
After delays
Equil ersquosBB3
Monday March 17 14
bullLR 12-3 yF (6mo in tx)bullInL = 37 (+2)bull ersquos equilibratedbull OJ =10bull Appliance OJ = 5bull Still accommodating to BB3
Monday March 17 14
Is there a calculus for the Indicator Line
Monday March 17 14
Treatment GoalsBased on Indicator Line
Monday March 17 14
Incisor Goals
Type 1 Treatment Place U1 in ideal position
Biobloc Orthotropics Orthognathic Surgery Distraction Osteogenesis
Monday March 17 14
Type 1 Ideal InCos line
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
YZ 9yo M
bullLost upper d-spacebullInL = 36(+4)bullOJ = 9mmbullLip entrapmentbullLip Incompetence
Monday March 17 14
Y Z 9yo M
Monday March 17 14
Y Z 9yo M9mm OJ
Monday March 17 14
Y Z 9yo M
Monday March 17 14
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
Monday March 17 14
YZ 9yoM
50
40
30
20mm
yM A M J J A S O N D J F M A
boys
Hang Expanser
Upper and Lower
Brackets Hang Retainer
BB3
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 2 Treatment Develop arch just enough to uncrowd
Biobloc Myofunctional Ortho Myofunctional Therapy Crozat ALF Expansion Orthodontics
Monday March 17 14
Type 2 Uncrowding
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
HG
Monday March 17 14
50
40
30
20mm
y S O N D J F M A M J J
Lower Sweep
HG 9yo F
Expanser
Brackets
Hang Ret
Monday March 17 14
H G progress
Monday March 17 14
Monday March 17 14
HG progress
Next Bond lowers to level and alignRevisit deX to decrease vertical Also reduce InL to ideal
Monday March 17 14
ZP 9-5yoM
i
Monday March 17 14
Monday March 17 14
After Expansion Phase
Monday March 17 14
Incomplete profile improvement better breathing head posture and sleep
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 3 Treatment Maintain UI
Functional Orthodontics Expansion Orthodontics Distalization Ortho or No Treatment
Monday March 17 14
Type 3 Maintain
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
Incisor Goals
Type 4 Treatment RetractExtrude UI
Extraction Orthodontics Retraction Ortho Distalization Ortho
Monday March 17 14
Type 4 Retraction
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
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)
ldquothe dimension of the velopharynx glossopharynx and hypopharynx were decreased after maximal retraction of anterior teeth with extraction of four premolarshelliprdquo ldquoAny factors that can influence the posture and position of tongue and soft palate may displace them backward andencroach upon the pharynxrdquo
ldquothe more the incisors were retracted the more the pharyngeal airway was reducedrdquo
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Backed into a corner
bull
Moving teeth faster more efficientlyhellipin the wrong direction
Monday March 17 14
Now that wersquove made smoking unacceptable
could we not do the same withbull Sugarbull Processed foodbull Cheap milk and meatbull Fast foodbull Pill popping for symptomatic reliefbull Looking for the cure instead of the causebull Surgery as a quick fixbull Thinking braces are a status symbol
Each industry thrives on the status quoConsumers must drive the change
Monday March 17 14
Nicholas Plaskon 10yM
Monday March 17 14
NP
Monday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
Airway Orthodontics
bullEarly Feeding and Nutrition
bullAllergies Asthma URT infections
bullPosture
bullAirway Breathing and Sleep Disorders
bullSoft Tissue Dysfunctions (Tongue Thrust Open Mouth)
Instead of crooked teeth being The ProblemThey are just a SYMPTOM of something larger
Monday March 17 14
Monday March 17 14
bullKK 6-11y FbullPost XX with shiftbull InL = 35 (+7)
bullTx plan Expand for XX correctiion then reeval for BBO
Monday March 17 14
bullKK 8-2y FbullUpper 2rsquos delayed just bondedbullInL = 30 (+1)bullDad opposes deX until
bullSleepQualIndex = 13
Monday March 17 14
S R 10-10yo M
bullMissing 3242bullImpacted 1323bullLate mixed 25 eruptedbullSoft tissue dysfunctionbullIL = 40bullNot compliant
Monday March 17 14
S Reardon 10-7yo M
Monday March 17 14
Impacted 3s Missing 2s
Monday March 17 14
Medical history
bull Reactive Airway Diseasebull ldquoBronchial Constrictionrdquo bullCare of Pulmonologistbull Preventil
bull Dad OSA CPAP for 11 years diabetesbull Grandfather OSA untreatedbull ETCO2 = 361 at 10 bpm (acceptable)bull Posture number - 18 (lt10 ideal)bull Father refuses sleep screening
Monday March 17 14
Treatment Options1Open spaces for impacted canines Open spaces for lower lateral implants
2 Extract upper premolars MFT Align
Patient chooses option 2 Goes elsewhere
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Using IndicatorCosmetic Line
bull To define a starting pointbull To set treatment goalsbull To track treatment progressbull To gauge the effectiveness of treatment
Monday March 17 14
Charting the InCos Line
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Monday March 17 14
Incisor pulled away from noseNot ldquoundertorquedrdquo or ldquogummy smilerdquo
Monday March 17 14
Hypothetical ClI OrthoMARA
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
OJ = 7mm
Starts Ortho
ldquoGreat Headgear
Effectrdquo
Monday March 17 14
Guiding Type2 Tx
50
40
30
20mm
y J F M A M J J A S O N
boys
Start Non-x
Expansion UncrowdingFinished
Start Cl II elastics
OK thatrsquos
enough
Monday March 17 14
Hypothetical Mouthbreather(Dr Mewrsquos Hamster Boy)
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Boy gets
hamster
MFT
Monday March 17 14
Hypothetical BBO 7yoM
50
40
30
20
5 6 7 8 9 10 11 12 13 14 15
girlsboys
Initial
StartBB1
BB3
Night
Monday March 17 14
bullLR 11-9yFbullMissing all 5s6s8s and upper 4sbullHad ortho to close diastemahellipbullInL = 39bullGP objects to deX plan equil
Monday March 17 14
LR Tx Plan
1Preparation Hang Expanser2deX 3Training BB3 to advance mandible4Myofunctional Therapy5Orthopostural Training6Myobrace to hold7 Reevaluate for dental detailing
Monday March 17 14
LR Spotty progress
50
40
30
20mm
y 313 4 5 6 7 8 9 10 11 12114
2 3
Expanser
Parents dragging30 turnsStart Adv
Rx deXGP
objects
After delays
Equil ersquosBB3
Monday March 17 14
bullLR 12-3 yF (6mo in tx)bullInL = 37 (+2)bull ersquos equilibratedbull OJ =10bull Appliance OJ = 5bull Still accommodating to BB3
Monday March 17 14
Is there a calculus for the Indicator Line
Monday March 17 14
Treatment GoalsBased on Indicator Line
Monday March 17 14
Incisor Goals
Type 1 Treatment Place U1 in ideal position
Biobloc Orthotropics Orthognathic Surgery Distraction Osteogenesis
Monday March 17 14
Type 1 Ideal InCos line
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
YZ 9yo M
bullLost upper d-spacebullInL = 36(+4)bullOJ = 9mmbullLip entrapmentbullLip Incompetence
Monday March 17 14
Y Z 9yo M
Monday March 17 14
Y Z 9yo M9mm OJ
Monday March 17 14
Y Z 9yo M
Monday March 17 14
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
Monday March 17 14
YZ 9yoM
50
40
30
20mm
yM A M J J A S O N D J F M A
boys
Hang Expanser
Upper and Lower
Brackets Hang Retainer
BB3
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 2 Treatment Develop arch just enough to uncrowd
Biobloc Myofunctional Ortho Myofunctional Therapy Crozat ALF Expansion Orthodontics
Monday March 17 14
Type 2 Uncrowding
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
HG
Monday March 17 14
50
40
30
20mm
y S O N D J F M A M J J
Lower Sweep
HG 9yo F
Expanser
Brackets
Hang Ret
Monday March 17 14
H G progress
Monday March 17 14
Monday March 17 14
HG progress
Next Bond lowers to level and alignRevisit deX to decrease vertical Also reduce InL to ideal
Monday March 17 14
ZP 9-5yoM
i
Monday March 17 14
Monday March 17 14
After Expansion Phase
Monday March 17 14
Incomplete profile improvement better breathing head posture and sleep
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 3 Treatment Maintain UI
Functional Orthodontics Expansion Orthodontics Distalization Ortho or No Treatment
Monday March 17 14
Type 3 Maintain
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
Incisor Goals
Type 4 Treatment RetractExtrude UI
Extraction Orthodontics Retraction Ortho Distalization Ortho
Monday March 17 14
Type 4 Retraction
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
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)
ldquothe dimension of the velopharynx glossopharynx and hypopharynx were decreased after maximal retraction of anterior teeth with extraction of four premolarshelliprdquo ldquoAny factors that can influence the posture and position of tongue and soft palate may displace them backward andencroach upon the pharynxrdquo
ldquothe more the incisors were retracted the more the pharyngeal airway was reducedrdquo
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Backed into a corner
bull
Moving teeth faster more efficientlyhellipin the wrong direction
Monday March 17 14
Now that wersquove made smoking unacceptable
could we not do the same withbull Sugarbull Processed foodbull Cheap milk and meatbull Fast foodbull Pill popping for symptomatic reliefbull Looking for the cure instead of the causebull Surgery as a quick fixbull Thinking braces are a status symbol
Each industry thrives on the status quoConsumers must drive the change
Monday March 17 14
Nicholas Plaskon 10yM
Monday March 17 14
NP
Monday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
Monday March 17 14
bullKK 6-11y FbullPost XX with shiftbull InL = 35 (+7)
bullTx plan Expand for XX correctiion then reeval for BBO
Monday March 17 14
bullKK 8-2y FbullUpper 2rsquos delayed just bondedbullInL = 30 (+1)bullDad opposes deX until
bullSleepQualIndex = 13
Monday March 17 14
S R 10-10yo M
bullMissing 3242bullImpacted 1323bullLate mixed 25 eruptedbullSoft tissue dysfunctionbullIL = 40bullNot compliant
Monday March 17 14
S Reardon 10-7yo M
Monday March 17 14
Impacted 3s Missing 2s
Monday March 17 14
Medical history
bull Reactive Airway Diseasebull ldquoBronchial Constrictionrdquo bullCare of Pulmonologistbull Preventil
bull Dad OSA CPAP for 11 years diabetesbull Grandfather OSA untreatedbull ETCO2 = 361 at 10 bpm (acceptable)bull Posture number - 18 (lt10 ideal)bull Father refuses sleep screening
Monday March 17 14
Treatment Options1Open spaces for impacted canines Open spaces for lower lateral implants
2 Extract upper premolars MFT Align
Patient chooses option 2 Goes elsewhere
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Using IndicatorCosmetic Line
bull To define a starting pointbull To set treatment goalsbull To track treatment progressbull To gauge the effectiveness of treatment
Monday March 17 14
Charting the InCos Line
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Monday March 17 14
Incisor pulled away from noseNot ldquoundertorquedrdquo or ldquogummy smilerdquo
Monday March 17 14
Hypothetical ClI OrthoMARA
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
OJ = 7mm
Starts Ortho
ldquoGreat Headgear
Effectrdquo
Monday March 17 14
Guiding Type2 Tx
50
40
30
20mm
y J F M A M J J A S O N
boys
Start Non-x
Expansion UncrowdingFinished
Start Cl II elastics
OK thatrsquos
enough
Monday March 17 14
Hypothetical Mouthbreather(Dr Mewrsquos Hamster Boy)
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Boy gets
hamster
MFT
Monday March 17 14
Hypothetical BBO 7yoM
50
40
30
20
5 6 7 8 9 10 11 12 13 14 15
girlsboys
Initial
StartBB1
BB3
Night
Monday March 17 14
bullLR 11-9yFbullMissing all 5s6s8s and upper 4sbullHad ortho to close diastemahellipbullInL = 39bullGP objects to deX plan equil
Monday March 17 14
LR Tx Plan
1Preparation Hang Expanser2deX 3Training BB3 to advance mandible4Myofunctional Therapy5Orthopostural Training6Myobrace to hold7 Reevaluate for dental detailing
Monday March 17 14
LR Spotty progress
50
40
30
20mm
y 313 4 5 6 7 8 9 10 11 12114
2 3
Expanser
Parents dragging30 turnsStart Adv
Rx deXGP
objects
After delays
Equil ersquosBB3
Monday March 17 14
bullLR 12-3 yF (6mo in tx)bullInL = 37 (+2)bull ersquos equilibratedbull OJ =10bull Appliance OJ = 5bull Still accommodating to BB3
Monday March 17 14
Is there a calculus for the Indicator Line
Monday March 17 14
Treatment GoalsBased on Indicator Line
Monday March 17 14
Incisor Goals
Type 1 Treatment Place U1 in ideal position
Biobloc Orthotropics Orthognathic Surgery Distraction Osteogenesis
Monday March 17 14
Type 1 Ideal InCos line
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
YZ 9yo M
bullLost upper d-spacebullInL = 36(+4)bullOJ = 9mmbullLip entrapmentbullLip Incompetence
Monday March 17 14
Y Z 9yo M
Monday March 17 14
Y Z 9yo M9mm OJ
Monday March 17 14
Y Z 9yo M
Monday March 17 14
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
Monday March 17 14
YZ 9yoM
50
40
30
20mm
yM A M J J A S O N D J F M A
boys
Hang Expanser
Upper and Lower
Brackets Hang Retainer
BB3
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 2 Treatment Develop arch just enough to uncrowd
Biobloc Myofunctional Ortho Myofunctional Therapy Crozat ALF Expansion Orthodontics
Monday March 17 14
Type 2 Uncrowding
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
HG
Monday March 17 14
50
40
30
20mm
y S O N D J F M A M J J
Lower Sweep
HG 9yo F
Expanser
Brackets
Hang Ret
Monday March 17 14
H G progress
Monday March 17 14
Monday March 17 14
HG progress
Next Bond lowers to level and alignRevisit deX to decrease vertical Also reduce InL to ideal
Monday March 17 14
ZP 9-5yoM
i
Monday March 17 14
Monday March 17 14
After Expansion Phase
Monday March 17 14
Incomplete profile improvement better breathing head posture and sleep
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 3 Treatment Maintain UI
Functional Orthodontics Expansion Orthodontics Distalization Ortho or No Treatment
Monday March 17 14
Type 3 Maintain
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
Incisor Goals
Type 4 Treatment RetractExtrude UI
Extraction Orthodontics Retraction Ortho Distalization Ortho
Monday March 17 14
Type 4 Retraction
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
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)
ldquothe dimension of the velopharynx glossopharynx and hypopharynx were decreased after maximal retraction of anterior teeth with extraction of four premolarshelliprdquo ldquoAny factors that can influence the posture and position of tongue and soft palate may displace them backward andencroach upon the pharynxrdquo
ldquothe more the incisors were retracted the more the pharyngeal airway was reducedrdquo
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Backed into a corner
bull
Moving teeth faster more efficientlyhellipin the wrong direction
Monday March 17 14
Now that wersquove made smoking unacceptable
could we not do the same withbull Sugarbull Processed foodbull Cheap milk and meatbull Fast foodbull Pill popping for symptomatic reliefbull Looking for the cure instead of the causebull Surgery as a quick fixbull Thinking braces are a status symbol
Each industry thrives on the status quoConsumers must drive the change
Monday March 17 14
Nicholas Plaskon 10yM
Monday March 17 14
NP
Monday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
bullKK 6-11y FbullPost XX with shiftbull InL = 35 (+7)
bullTx plan Expand for XX correctiion then reeval for BBO
Monday March 17 14
bullKK 8-2y FbullUpper 2rsquos delayed just bondedbullInL = 30 (+1)bullDad opposes deX until
bullSleepQualIndex = 13
Monday March 17 14
S R 10-10yo M
bullMissing 3242bullImpacted 1323bullLate mixed 25 eruptedbullSoft tissue dysfunctionbullIL = 40bullNot compliant
Monday March 17 14
S Reardon 10-7yo M
Monday March 17 14
Impacted 3s Missing 2s
Monday March 17 14
Medical history
bull Reactive Airway Diseasebull ldquoBronchial Constrictionrdquo bullCare of Pulmonologistbull Preventil
bull Dad OSA CPAP for 11 years diabetesbull Grandfather OSA untreatedbull ETCO2 = 361 at 10 bpm (acceptable)bull Posture number - 18 (lt10 ideal)bull Father refuses sleep screening
Monday March 17 14
Treatment Options1Open spaces for impacted canines Open spaces for lower lateral implants
2 Extract upper premolars MFT Align
Patient chooses option 2 Goes elsewhere
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Using IndicatorCosmetic Line
bull To define a starting pointbull To set treatment goalsbull To track treatment progressbull To gauge the effectiveness of treatment
Monday March 17 14
Charting the InCos Line
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Monday March 17 14
Incisor pulled away from noseNot ldquoundertorquedrdquo or ldquogummy smilerdquo
Monday March 17 14
Hypothetical ClI OrthoMARA
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
OJ = 7mm
Starts Ortho
ldquoGreat Headgear
Effectrdquo
Monday March 17 14
Guiding Type2 Tx
50
40
30
20mm
y J F M A M J J A S O N
boys
Start Non-x
Expansion UncrowdingFinished
Start Cl II elastics
OK thatrsquos
enough
Monday March 17 14
Hypothetical Mouthbreather(Dr Mewrsquos Hamster Boy)
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Boy gets
hamster
MFT
Monday March 17 14
Hypothetical BBO 7yoM
50
40
30
20
5 6 7 8 9 10 11 12 13 14 15
girlsboys
Initial
StartBB1
BB3
Night
Monday March 17 14
bullLR 11-9yFbullMissing all 5s6s8s and upper 4sbullHad ortho to close diastemahellipbullInL = 39bullGP objects to deX plan equil
Monday March 17 14
LR Tx Plan
1Preparation Hang Expanser2deX 3Training BB3 to advance mandible4Myofunctional Therapy5Orthopostural Training6Myobrace to hold7 Reevaluate for dental detailing
Monday March 17 14
LR Spotty progress
50
40
30
20mm
y 313 4 5 6 7 8 9 10 11 12114
2 3
Expanser
Parents dragging30 turnsStart Adv
Rx deXGP
objects
After delays
Equil ersquosBB3
Monday March 17 14
bullLR 12-3 yF (6mo in tx)bullInL = 37 (+2)bull ersquos equilibratedbull OJ =10bull Appliance OJ = 5bull Still accommodating to BB3
Monday March 17 14
Is there a calculus for the Indicator Line
Monday March 17 14
Treatment GoalsBased on Indicator Line
Monday March 17 14
Incisor Goals
Type 1 Treatment Place U1 in ideal position
Biobloc Orthotropics Orthognathic Surgery Distraction Osteogenesis
Monday March 17 14
Type 1 Ideal InCos line
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
YZ 9yo M
bullLost upper d-spacebullInL = 36(+4)bullOJ = 9mmbullLip entrapmentbullLip Incompetence
Monday March 17 14
Y Z 9yo M
Monday March 17 14
Y Z 9yo M9mm OJ
Monday March 17 14
Y Z 9yo M
Monday March 17 14
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
Monday March 17 14
YZ 9yoM
50
40
30
20mm
yM A M J J A S O N D J F M A
boys
Hang Expanser
Upper and Lower
Brackets Hang Retainer
BB3
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 2 Treatment Develop arch just enough to uncrowd
Biobloc Myofunctional Ortho Myofunctional Therapy Crozat ALF Expansion Orthodontics
Monday March 17 14
Type 2 Uncrowding
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
HG
Monday March 17 14
50
40
30
20mm
y S O N D J F M A M J J
Lower Sweep
HG 9yo F
Expanser
Brackets
Hang Ret
Monday March 17 14
H G progress
Monday March 17 14
Monday March 17 14
HG progress
Next Bond lowers to level and alignRevisit deX to decrease vertical Also reduce InL to ideal
Monday March 17 14
ZP 9-5yoM
i
Monday March 17 14
Monday March 17 14
After Expansion Phase
Monday March 17 14
Incomplete profile improvement better breathing head posture and sleep
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 3 Treatment Maintain UI
Functional Orthodontics Expansion Orthodontics Distalization Ortho or No Treatment
Monday March 17 14
Type 3 Maintain
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
Incisor Goals
Type 4 Treatment RetractExtrude UI
Extraction Orthodontics Retraction Ortho Distalization Ortho
Monday March 17 14
Type 4 Retraction
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
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)
ldquothe dimension of the velopharynx glossopharynx and hypopharynx were decreased after maximal retraction of anterior teeth with extraction of four premolarshelliprdquo ldquoAny factors that can influence the posture and position of tongue and soft palate may displace them backward andencroach upon the pharynxrdquo
ldquothe more the incisors were retracted the more the pharyngeal airway was reducedrdquo
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Backed into a corner
bull
Moving teeth faster more efficientlyhellipin the wrong direction
Monday March 17 14
Now that wersquove made smoking unacceptable
could we not do the same withbull Sugarbull Processed foodbull Cheap milk and meatbull Fast foodbull Pill popping for symptomatic reliefbull Looking for the cure instead of the causebull Surgery as a quick fixbull Thinking braces are a status symbol
Each industry thrives on the status quoConsumers must drive the change
Monday March 17 14
Nicholas Plaskon 10yM
Monday March 17 14
NP
Monday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
bullKK 8-2y FbullUpper 2rsquos delayed just bondedbullInL = 30 (+1)bullDad opposes deX until
bullSleepQualIndex = 13
Monday March 17 14
S R 10-10yo M
bullMissing 3242bullImpacted 1323bullLate mixed 25 eruptedbullSoft tissue dysfunctionbullIL = 40bullNot compliant
Monday March 17 14
S Reardon 10-7yo M
Monday March 17 14
Impacted 3s Missing 2s
Monday March 17 14
Medical history
bull Reactive Airway Diseasebull ldquoBronchial Constrictionrdquo bullCare of Pulmonologistbull Preventil
bull Dad OSA CPAP for 11 years diabetesbull Grandfather OSA untreatedbull ETCO2 = 361 at 10 bpm (acceptable)bull Posture number - 18 (lt10 ideal)bull Father refuses sleep screening
Monday March 17 14
Treatment Options1Open spaces for impacted canines Open spaces for lower lateral implants
2 Extract upper premolars MFT Align
Patient chooses option 2 Goes elsewhere
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Using IndicatorCosmetic Line
bull To define a starting pointbull To set treatment goalsbull To track treatment progressbull To gauge the effectiveness of treatment
Monday March 17 14
Charting the InCos Line
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Monday March 17 14
Incisor pulled away from noseNot ldquoundertorquedrdquo or ldquogummy smilerdquo
Monday March 17 14
Hypothetical ClI OrthoMARA
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
OJ = 7mm
Starts Ortho
ldquoGreat Headgear
Effectrdquo
Monday March 17 14
Guiding Type2 Tx
50
40
30
20mm
y J F M A M J J A S O N
boys
Start Non-x
Expansion UncrowdingFinished
Start Cl II elastics
OK thatrsquos
enough
Monday March 17 14
Hypothetical Mouthbreather(Dr Mewrsquos Hamster Boy)
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Boy gets
hamster
MFT
Monday March 17 14
Hypothetical BBO 7yoM
50
40
30
20
5 6 7 8 9 10 11 12 13 14 15
girlsboys
Initial
StartBB1
BB3
Night
Monday March 17 14
bullLR 11-9yFbullMissing all 5s6s8s and upper 4sbullHad ortho to close diastemahellipbullInL = 39bullGP objects to deX plan equil
Monday March 17 14
LR Tx Plan
1Preparation Hang Expanser2deX 3Training BB3 to advance mandible4Myofunctional Therapy5Orthopostural Training6Myobrace to hold7 Reevaluate for dental detailing
Monday March 17 14
LR Spotty progress
50
40
30
20mm
y 313 4 5 6 7 8 9 10 11 12114
2 3
Expanser
Parents dragging30 turnsStart Adv
Rx deXGP
objects
After delays
Equil ersquosBB3
Monday March 17 14
bullLR 12-3 yF (6mo in tx)bullInL = 37 (+2)bull ersquos equilibratedbull OJ =10bull Appliance OJ = 5bull Still accommodating to BB3
Monday March 17 14
Is there a calculus for the Indicator Line
Monday March 17 14
Treatment GoalsBased on Indicator Line
Monday March 17 14
Incisor Goals
Type 1 Treatment Place U1 in ideal position
Biobloc Orthotropics Orthognathic Surgery Distraction Osteogenesis
Monday March 17 14
Type 1 Ideal InCos line
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
YZ 9yo M
bullLost upper d-spacebullInL = 36(+4)bullOJ = 9mmbullLip entrapmentbullLip Incompetence
Monday March 17 14
Y Z 9yo M
Monday March 17 14
Y Z 9yo M9mm OJ
Monday March 17 14
Y Z 9yo M
Monday March 17 14
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
Monday March 17 14
YZ 9yoM
50
40
30
20mm
yM A M J J A S O N D J F M A
boys
Hang Expanser
Upper and Lower
Brackets Hang Retainer
BB3
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 2 Treatment Develop arch just enough to uncrowd
Biobloc Myofunctional Ortho Myofunctional Therapy Crozat ALF Expansion Orthodontics
Monday March 17 14
Type 2 Uncrowding
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
HG
Monday March 17 14
50
40
30
20mm
y S O N D J F M A M J J
Lower Sweep
HG 9yo F
Expanser
Brackets
Hang Ret
Monday March 17 14
H G progress
Monday March 17 14
Monday March 17 14
HG progress
Next Bond lowers to level and alignRevisit deX to decrease vertical Also reduce InL to ideal
Monday March 17 14
ZP 9-5yoM
i
Monday March 17 14
Monday March 17 14
After Expansion Phase
Monday March 17 14
Incomplete profile improvement better breathing head posture and sleep
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 3 Treatment Maintain UI
Functional Orthodontics Expansion Orthodontics Distalization Ortho or No Treatment
Monday March 17 14
Type 3 Maintain
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
Incisor Goals
Type 4 Treatment RetractExtrude UI
Extraction Orthodontics Retraction Ortho Distalization Ortho
Monday March 17 14
Type 4 Retraction
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
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)
ldquothe dimension of the velopharynx glossopharynx and hypopharynx were decreased after maximal retraction of anterior teeth with extraction of four premolarshelliprdquo ldquoAny factors that can influence the posture and position of tongue and soft palate may displace them backward andencroach upon the pharynxrdquo
ldquothe more the incisors were retracted the more the pharyngeal airway was reducedrdquo
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Backed into a corner
bull
Moving teeth faster more efficientlyhellipin the wrong direction
Monday March 17 14
Now that wersquove made smoking unacceptable
could we not do the same withbull Sugarbull Processed foodbull Cheap milk and meatbull Fast foodbull Pill popping for symptomatic reliefbull Looking for the cure instead of the causebull Surgery as a quick fixbull Thinking braces are a status symbol
Each industry thrives on the status quoConsumers must drive the change
Monday March 17 14
Nicholas Plaskon 10yM
Monday March 17 14
NP
Monday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
S R 10-10yo M
bullMissing 3242bullImpacted 1323bullLate mixed 25 eruptedbullSoft tissue dysfunctionbullIL = 40bullNot compliant
Monday March 17 14
S Reardon 10-7yo M
Monday March 17 14
Impacted 3s Missing 2s
Monday March 17 14
Medical history
bull Reactive Airway Diseasebull ldquoBronchial Constrictionrdquo bullCare of Pulmonologistbull Preventil
bull Dad OSA CPAP for 11 years diabetesbull Grandfather OSA untreatedbull ETCO2 = 361 at 10 bpm (acceptable)bull Posture number - 18 (lt10 ideal)bull Father refuses sleep screening
Monday March 17 14
Treatment Options1Open spaces for impacted canines Open spaces for lower lateral implants
2 Extract upper premolars MFT Align
Patient chooses option 2 Goes elsewhere
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Using IndicatorCosmetic Line
bull To define a starting pointbull To set treatment goalsbull To track treatment progressbull To gauge the effectiveness of treatment
Monday March 17 14
Charting the InCos Line
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Monday March 17 14
Incisor pulled away from noseNot ldquoundertorquedrdquo or ldquogummy smilerdquo
Monday March 17 14
Hypothetical ClI OrthoMARA
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
OJ = 7mm
Starts Ortho
ldquoGreat Headgear
Effectrdquo
Monday March 17 14
Guiding Type2 Tx
50
40
30
20mm
y J F M A M J J A S O N
boys
Start Non-x
Expansion UncrowdingFinished
Start Cl II elastics
OK thatrsquos
enough
Monday March 17 14
Hypothetical Mouthbreather(Dr Mewrsquos Hamster Boy)
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Boy gets
hamster
MFT
Monday March 17 14
Hypothetical BBO 7yoM
50
40
30
20
5 6 7 8 9 10 11 12 13 14 15
girlsboys
Initial
StartBB1
BB3
Night
Monday March 17 14
bullLR 11-9yFbullMissing all 5s6s8s and upper 4sbullHad ortho to close diastemahellipbullInL = 39bullGP objects to deX plan equil
Monday March 17 14
LR Tx Plan
1Preparation Hang Expanser2deX 3Training BB3 to advance mandible4Myofunctional Therapy5Orthopostural Training6Myobrace to hold7 Reevaluate for dental detailing
Monday March 17 14
LR Spotty progress
50
40
30
20mm
y 313 4 5 6 7 8 9 10 11 12114
2 3
Expanser
Parents dragging30 turnsStart Adv
Rx deXGP
objects
After delays
Equil ersquosBB3
Monday March 17 14
bullLR 12-3 yF (6mo in tx)bullInL = 37 (+2)bull ersquos equilibratedbull OJ =10bull Appliance OJ = 5bull Still accommodating to BB3
Monday March 17 14
Is there a calculus for the Indicator Line
Monday March 17 14
Treatment GoalsBased on Indicator Line
Monday March 17 14
Incisor Goals
Type 1 Treatment Place U1 in ideal position
Biobloc Orthotropics Orthognathic Surgery Distraction Osteogenesis
Monday March 17 14
Type 1 Ideal InCos line
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
YZ 9yo M
bullLost upper d-spacebullInL = 36(+4)bullOJ = 9mmbullLip entrapmentbullLip Incompetence
Monday March 17 14
Y Z 9yo M
Monday March 17 14
Y Z 9yo M9mm OJ
Monday March 17 14
Y Z 9yo M
Monday March 17 14
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
Monday March 17 14
YZ 9yoM
50
40
30
20mm
yM A M J J A S O N D J F M A
boys
Hang Expanser
Upper and Lower
Brackets Hang Retainer
BB3
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 2 Treatment Develop arch just enough to uncrowd
Biobloc Myofunctional Ortho Myofunctional Therapy Crozat ALF Expansion Orthodontics
Monday March 17 14
Type 2 Uncrowding
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
HG
Monday March 17 14
50
40
30
20mm
y S O N D J F M A M J J
Lower Sweep
HG 9yo F
Expanser
Brackets
Hang Ret
Monday March 17 14
H G progress
Monday March 17 14
Monday March 17 14
HG progress
Next Bond lowers to level and alignRevisit deX to decrease vertical Also reduce InL to ideal
Monday March 17 14
ZP 9-5yoM
i
Monday March 17 14
Monday March 17 14
After Expansion Phase
Monday March 17 14
Incomplete profile improvement better breathing head posture and sleep
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 3 Treatment Maintain UI
Functional Orthodontics Expansion Orthodontics Distalization Ortho or No Treatment
Monday March 17 14
Type 3 Maintain
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
Incisor Goals
Type 4 Treatment RetractExtrude UI
Extraction Orthodontics Retraction Ortho Distalization Ortho
Monday March 17 14
Type 4 Retraction
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
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)
ldquothe dimension of the velopharynx glossopharynx and hypopharynx were decreased after maximal retraction of anterior teeth with extraction of four premolarshelliprdquo ldquoAny factors that can influence the posture and position of tongue and soft palate may displace them backward andencroach upon the pharynxrdquo
ldquothe more the incisors were retracted the more the pharyngeal airway was reducedrdquo
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Backed into a corner
bull
Moving teeth faster more efficientlyhellipin the wrong direction
Monday March 17 14
Now that wersquove made smoking unacceptable
could we not do the same withbull Sugarbull Processed foodbull Cheap milk and meatbull Fast foodbull Pill popping for symptomatic reliefbull Looking for the cure instead of the causebull Surgery as a quick fixbull Thinking braces are a status symbol
Each industry thrives on the status quoConsumers must drive the change
Monday March 17 14
Nicholas Plaskon 10yM
Monday March 17 14
NP
Monday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
S Reardon 10-7yo M
Monday March 17 14
Impacted 3s Missing 2s
Monday March 17 14
Medical history
bull Reactive Airway Diseasebull ldquoBronchial Constrictionrdquo bullCare of Pulmonologistbull Preventil
bull Dad OSA CPAP for 11 years diabetesbull Grandfather OSA untreatedbull ETCO2 = 361 at 10 bpm (acceptable)bull Posture number - 18 (lt10 ideal)bull Father refuses sleep screening
Monday March 17 14
Treatment Options1Open spaces for impacted canines Open spaces for lower lateral implants
2 Extract upper premolars MFT Align
Patient chooses option 2 Goes elsewhere
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Using IndicatorCosmetic Line
bull To define a starting pointbull To set treatment goalsbull To track treatment progressbull To gauge the effectiveness of treatment
Monday March 17 14
Charting the InCos Line
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Monday March 17 14
Incisor pulled away from noseNot ldquoundertorquedrdquo or ldquogummy smilerdquo
Monday March 17 14
Hypothetical ClI OrthoMARA
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
OJ = 7mm
Starts Ortho
ldquoGreat Headgear
Effectrdquo
Monday March 17 14
Guiding Type2 Tx
50
40
30
20mm
y J F M A M J J A S O N
boys
Start Non-x
Expansion UncrowdingFinished
Start Cl II elastics
OK thatrsquos
enough
Monday March 17 14
Hypothetical Mouthbreather(Dr Mewrsquos Hamster Boy)
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Boy gets
hamster
MFT
Monday March 17 14
Hypothetical BBO 7yoM
50
40
30
20
5 6 7 8 9 10 11 12 13 14 15
girlsboys
Initial
StartBB1
BB3
Night
Monday March 17 14
bullLR 11-9yFbullMissing all 5s6s8s and upper 4sbullHad ortho to close diastemahellipbullInL = 39bullGP objects to deX plan equil
Monday March 17 14
LR Tx Plan
1Preparation Hang Expanser2deX 3Training BB3 to advance mandible4Myofunctional Therapy5Orthopostural Training6Myobrace to hold7 Reevaluate for dental detailing
Monday March 17 14
LR Spotty progress
50
40
30
20mm
y 313 4 5 6 7 8 9 10 11 12114
2 3
Expanser
Parents dragging30 turnsStart Adv
Rx deXGP
objects
After delays
Equil ersquosBB3
Monday March 17 14
bullLR 12-3 yF (6mo in tx)bullInL = 37 (+2)bull ersquos equilibratedbull OJ =10bull Appliance OJ = 5bull Still accommodating to BB3
Monday March 17 14
Is there a calculus for the Indicator Line
Monday March 17 14
Treatment GoalsBased on Indicator Line
Monday March 17 14
Incisor Goals
Type 1 Treatment Place U1 in ideal position
Biobloc Orthotropics Orthognathic Surgery Distraction Osteogenesis
Monday March 17 14
Type 1 Ideal InCos line
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
YZ 9yo M
bullLost upper d-spacebullInL = 36(+4)bullOJ = 9mmbullLip entrapmentbullLip Incompetence
Monday March 17 14
Y Z 9yo M
Monday March 17 14
Y Z 9yo M9mm OJ
Monday March 17 14
Y Z 9yo M
Monday March 17 14
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
Monday March 17 14
YZ 9yoM
50
40
30
20mm
yM A M J J A S O N D J F M A
boys
Hang Expanser
Upper and Lower
Brackets Hang Retainer
BB3
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 2 Treatment Develop arch just enough to uncrowd
Biobloc Myofunctional Ortho Myofunctional Therapy Crozat ALF Expansion Orthodontics
Monday March 17 14
Type 2 Uncrowding
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
HG
Monday March 17 14
50
40
30
20mm
y S O N D J F M A M J J
Lower Sweep
HG 9yo F
Expanser
Brackets
Hang Ret
Monday March 17 14
H G progress
Monday March 17 14
Monday March 17 14
HG progress
Next Bond lowers to level and alignRevisit deX to decrease vertical Also reduce InL to ideal
Monday March 17 14
ZP 9-5yoM
i
Monday March 17 14
Monday March 17 14
After Expansion Phase
Monday March 17 14
Incomplete profile improvement better breathing head posture and sleep
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 3 Treatment Maintain UI
Functional Orthodontics Expansion Orthodontics Distalization Ortho or No Treatment
Monday March 17 14
Type 3 Maintain
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
Incisor Goals
Type 4 Treatment RetractExtrude UI
Extraction Orthodontics Retraction Ortho Distalization Ortho
Monday March 17 14
Type 4 Retraction
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
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)
ldquothe dimension of the velopharynx glossopharynx and hypopharynx were decreased after maximal retraction of anterior teeth with extraction of four premolarshelliprdquo ldquoAny factors that can influence the posture and position of tongue and soft palate may displace them backward andencroach upon the pharynxrdquo
ldquothe more the incisors were retracted the more the pharyngeal airway was reducedrdquo
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Backed into a corner
bull
Moving teeth faster more efficientlyhellipin the wrong direction
Monday March 17 14
Now that wersquove made smoking unacceptable
could we not do the same withbull Sugarbull Processed foodbull Cheap milk and meatbull Fast foodbull Pill popping for symptomatic reliefbull Looking for the cure instead of the causebull Surgery as a quick fixbull Thinking braces are a status symbol
Each industry thrives on the status quoConsumers must drive the change
Monday March 17 14
Nicholas Plaskon 10yM
Monday March 17 14
NP
Monday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
Impacted 3s Missing 2s
Monday March 17 14
Medical history
bull Reactive Airway Diseasebull ldquoBronchial Constrictionrdquo bullCare of Pulmonologistbull Preventil
bull Dad OSA CPAP for 11 years diabetesbull Grandfather OSA untreatedbull ETCO2 = 361 at 10 bpm (acceptable)bull Posture number - 18 (lt10 ideal)bull Father refuses sleep screening
Monday March 17 14
Treatment Options1Open spaces for impacted canines Open spaces for lower lateral implants
2 Extract upper premolars MFT Align
Patient chooses option 2 Goes elsewhere
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Using IndicatorCosmetic Line
bull To define a starting pointbull To set treatment goalsbull To track treatment progressbull To gauge the effectiveness of treatment
Monday March 17 14
Charting the InCos Line
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Monday March 17 14
Incisor pulled away from noseNot ldquoundertorquedrdquo or ldquogummy smilerdquo
Monday March 17 14
Hypothetical ClI OrthoMARA
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
OJ = 7mm
Starts Ortho
ldquoGreat Headgear
Effectrdquo
Monday March 17 14
Guiding Type2 Tx
50
40
30
20mm
y J F M A M J J A S O N
boys
Start Non-x
Expansion UncrowdingFinished
Start Cl II elastics
OK thatrsquos
enough
Monday March 17 14
Hypothetical Mouthbreather(Dr Mewrsquos Hamster Boy)
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Boy gets
hamster
MFT
Monday March 17 14
Hypothetical BBO 7yoM
50
40
30
20
5 6 7 8 9 10 11 12 13 14 15
girlsboys
Initial
StartBB1
BB3
Night
Monday March 17 14
bullLR 11-9yFbullMissing all 5s6s8s and upper 4sbullHad ortho to close diastemahellipbullInL = 39bullGP objects to deX plan equil
Monday March 17 14
LR Tx Plan
1Preparation Hang Expanser2deX 3Training BB3 to advance mandible4Myofunctional Therapy5Orthopostural Training6Myobrace to hold7 Reevaluate for dental detailing
Monday March 17 14
LR Spotty progress
50
40
30
20mm
y 313 4 5 6 7 8 9 10 11 12114
2 3
Expanser
Parents dragging30 turnsStart Adv
Rx deXGP
objects
After delays
Equil ersquosBB3
Monday March 17 14
bullLR 12-3 yF (6mo in tx)bullInL = 37 (+2)bull ersquos equilibratedbull OJ =10bull Appliance OJ = 5bull Still accommodating to BB3
Monday March 17 14
Is there a calculus for the Indicator Line
Monday March 17 14
Treatment GoalsBased on Indicator Line
Monday March 17 14
Incisor Goals
Type 1 Treatment Place U1 in ideal position
Biobloc Orthotropics Orthognathic Surgery Distraction Osteogenesis
Monday March 17 14
Type 1 Ideal InCos line
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
YZ 9yo M
bullLost upper d-spacebullInL = 36(+4)bullOJ = 9mmbullLip entrapmentbullLip Incompetence
Monday March 17 14
Y Z 9yo M
Monday March 17 14
Y Z 9yo M9mm OJ
Monday March 17 14
Y Z 9yo M
Monday March 17 14
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
Monday March 17 14
YZ 9yoM
50
40
30
20mm
yM A M J J A S O N D J F M A
boys
Hang Expanser
Upper and Lower
Brackets Hang Retainer
BB3
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 2 Treatment Develop arch just enough to uncrowd
Biobloc Myofunctional Ortho Myofunctional Therapy Crozat ALF Expansion Orthodontics
Monday March 17 14
Type 2 Uncrowding
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
HG
Monday March 17 14
50
40
30
20mm
y S O N D J F M A M J J
Lower Sweep
HG 9yo F
Expanser
Brackets
Hang Ret
Monday March 17 14
H G progress
Monday March 17 14
Monday March 17 14
HG progress
Next Bond lowers to level and alignRevisit deX to decrease vertical Also reduce InL to ideal
Monday March 17 14
ZP 9-5yoM
i
Monday March 17 14
Monday March 17 14
After Expansion Phase
Monday March 17 14
Incomplete profile improvement better breathing head posture and sleep
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 3 Treatment Maintain UI
Functional Orthodontics Expansion Orthodontics Distalization Ortho or No Treatment
Monday March 17 14
Type 3 Maintain
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
Incisor Goals
Type 4 Treatment RetractExtrude UI
Extraction Orthodontics Retraction Ortho Distalization Ortho
Monday March 17 14
Type 4 Retraction
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
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)
ldquothe dimension of the velopharynx glossopharynx and hypopharynx were decreased after maximal retraction of anterior teeth with extraction of four premolarshelliprdquo ldquoAny factors that can influence the posture and position of tongue and soft palate may displace them backward andencroach upon the pharynxrdquo
ldquothe more the incisors were retracted the more the pharyngeal airway was reducedrdquo
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Backed into a corner
bull
Moving teeth faster more efficientlyhellipin the wrong direction
Monday March 17 14
Now that wersquove made smoking unacceptable
could we not do the same withbull Sugarbull Processed foodbull Cheap milk and meatbull Fast foodbull Pill popping for symptomatic reliefbull Looking for the cure instead of the causebull Surgery as a quick fixbull Thinking braces are a status symbol
Each industry thrives on the status quoConsumers must drive the change
Monday March 17 14
Nicholas Plaskon 10yM
Monday March 17 14
NP
Monday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
Medical history
bull Reactive Airway Diseasebull ldquoBronchial Constrictionrdquo bullCare of Pulmonologistbull Preventil
bull Dad OSA CPAP for 11 years diabetesbull Grandfather OSA untreatedbull ETCO2 = 361 at 10 bpm (acceptable)bull Posture number - 18 (lt10 ideal)bull Father refuses sleep screening
Monday March 17 14
Treatment Options1Open spaces for impacted canines Open spaces for lower lateral implants
2 Extract upper premolars MFT Align
Patient chooses option 2 Goes elsewhere
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Using IndicatorCosmetic Line
bull To define a starting pointbull To set treatment goalsbull To track treatment progressbull To gauge the effectiveness of treatment
Monday March 17 14
Charting the InCos Line
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Monday March 17 14
Incisor pulled away from noseNot ldquoundertorquedrdquo or ldquogummy smilerdquo
Monday March 17 14
Hypothetical ClI OrthoMARA
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
OJ = 7mm
Starts Ortho
ldquoGreat Headgear
Effectrdquo
Monday March 17 14
Guiding Type2 Tx
50
40
30
20mm
y J F M A M J J A S O N
boys
Start Non-x
Expansion UncrowdingFinished
Start Cl II elastics
OK thatrsquos
enough
Monday March 17 14
Hypothetical Mouthbreather(Dr Mewrsquos Hamster Boy)
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Boy gets
hamster
MFT
Monday March 17 14
Hypothetical BBO 7yoM
50
40
30
20
5 6 7 8 9 10 11 12 13 14 15
girlsboys
Initial
StartBB1
BB3
Night
Monday March 17 14
bullLR 11-9yFbullMissing all 5s6s8s and upper 4sbullHad ortho to close diastemahellipbullInL = 39bullGP objects to deX plan equil
Monday March 17 14
LR Tx Plan
1Preparation Hang Expanser2deX 3Training BB3 to advance mandible4Myofunctional Therapy5Orthopostural Training6Myobrace to hold7 Reevaluate for dental detailing
Monday March 17 14
LR Spotty progress
50
40
30
20mm
y 313 4 5 6 7 8 9 10 11 12114
2 3
Expanser
Parents dragging30 turnsStart Adv
Rx deXGP
objects
After delays
Equil ersquosBB3
Monday March 17 14
bullLR 12-3 yF (6mo in tx)bullInL = 37 (+2)bull ersquos equilibratedbull OJ =10bull Appliance OJ = 5bull Still accommodating to BB3
Monday March 17 14
Is there a calculus for the Indicator Line
Monday March 17 14
Treatment GoalsBased on Indicator Line
Monday March 17 14
Incisor Goals
Type 1 Treatment Place U1 in ideal position
Biobloc Orthotropics Orthognathic Surgery Distraction Osteogenesis
Monday March 17 14
Type 1 Ideal InCos line
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
YZ 9yo M
bullLost upper d-spacebullInL = 36(+4)bullOJ = 9mmbullLip entrapmentbullLip Incompetence
Monday March 17 14
Y Z 9yo M
Monday March 17 14
Y Z 9yo M9mm OJ
Monday March 17 14
Y Z 9yo M
Monday March 17 14
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
Monday March 17 14
YZ 9yoM
50
40
30
20mm
yM A M J J A S O N D J F M A
boys
Hang Expanser
Upper and Lower
Brackets Hang Retainer
BB3
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 2 Treatment Develop arch just enough to uncrowd
Biobloc Myofunctional Ortho Myofunctional Therapy Crozat ALF Expansion Orthodontics
Monday March 17 14
Type 2 Uncrowding
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
HG
Monday March 17 14
50
40
30
20mm
y S O N D J F M A M J J
Lower Sweep
HG 9yo F
Expanser
Brackets
Hang Ret
Monday March 17 14
H G progress
Monday March 17 14
Monday March 17 14
HG progress
Next Bond lowers to level and alignRevisit deX to decrease vertical Also reduce InL to ideal
Monday March 17 14
ZP 9-5yoM
i
Monday March 17 14
Monday March 17 14
After Expansion Phase
Monday March 17 14
Incomplete profile improvement better breathing head posture and sleep
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 3 Treatment Maintain UI
Functional Orthodontics Expansion Orthodontics Distalization Ortho or No Treatment
Monday March 17 14
Type 3 Maintain
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
Incisor Goals
Type 4 Treatment RetractExtrude UI
Extraction Orthodontics Retraction Ortho Distalization Ortho
Monday March 17 14
Type 4 Retraction
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
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)
ldquothe dimension of the velopharynx glossopharynx and hypopharynx were decreased after maximal retraction of anterior teeth with extraction of four premolarshelliprdquo ldquoAny factors that can influence the posture and position of tongue and soft palate may displace them backward andencroach upon the pharynxrdquo
ldquothe more the incisors were retracted the more the pharyngeal airway was reducedrdquo
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Backed into a corner
bull
Moving teeth faster more efficientlyhellipin the wrong direction
Monday March 17 14
Now that wersquove made smoking unacceptable
could we not do the same withbull Sugarbull Processed foodbull Cheap milk and meatbull Fast foodbull Pill popping for symptomatic reliefbull Looking for the cure instead of the causebull Surgery as a quick fixbull Thinking braces are a status symbol
Each industry thrives on the status quoConsumers must drive the change
Monday March 17 14
Nicholas Plaskon 10yM
Monday March 17 14
NP
Monday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
Treatment Options1Open spaces for impacted canines Open spaces for lower lateral implants
2 Extract upper premolars MFT Align
Patient chooses option 2 Goes elsewhere
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Using IndicatorCosmetic Line
bull To define a starting pointbull To set treatment goalsbull To track treatment progressbull To gauge the effectiveness of treatment
Monday March 17 14
Charting the InCos Line
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Monday March 17 14
Incisor pulled away from noseNot ldquoundertorquedrdquo or ldquogummy smilerdquo
Monday March 17 14
Hypothetical ClI OrthoMARA
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
OJ = 7mm
Starts Ortho
ldquoGreat Headgear
Effectrdquo
Monday March 17 14
Guiding Type2 Tx
50
40
30
20mm
y J F M A M J J A S O N
boys
Start Non-x
Expansion UncrowdingFinished
Start Cl II elastics
OK thatrsquos
enough
Monday March 17 14
Hypothetical Mouthbreather(Dr Mewrsquos Hamster Boy)
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Boy gets
hamster
MFT
Monday March 17 14
Hypothetical BBO 7yoM
50
40
30
20
5 6 7 8 9 10 11 12 13 14 15
girlsboys
Initial
StartBB1
BB3
Night
Monday March 17 14
bullLR 11-9yFbullMissing all 5s6s8s and upper 4sbullHad ortho to close diastemahellipbullInL = 39bullGP objects to deX plan equil
Monday March 17 14
LR Tx Plan
1Preparation Hang Expanser2deX 3Training BB3 to advance mandible4Myofunctional Therapy5Orthopostural Training6Myobrace to hold7 Reevaluate for dental detailing
Monday March 17 14
LR Spotty progress
50
40
30
20mm
y 313 4 5 6 7 8 9 10 11 12114
2 3
Expanser
Parents dragging30 turnsStart Adv
Rx deXGP
objects
After delays
Equil ersquosBB3
Monday March 17 14
bullLR 12-3 yF (6mo in tx)bullInL = 37 (+2)bull ersquos equilibratedbull OJ =10bull Appliance OJ = 5bull Still accommodating to BB3
Monday March 17 14
Is there a calculus for the Indicator Line
Monday March 17 14
Treatment GoalsBased on Indicator Line
Monday March 17 14
Incisor Goals
Type 1 Treatment Place U1 in ideal position
Biobloc Orthotropics Orthognathic Surgery Distraction Osteogenesis
Monday March 17 14
Type 1 Ideal InCos line
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
YZ 9yo M
bullLost upper d-spacebullInL = 36(+4)bullOJ = 9mmbullLip entrapmentbullLip Incompetence
Monday March 17 14
Y Z 9yo M
Monday March 17 14
Y Z 9yo M9mm OJ
Monday March 17 14
Y Z 9yo M
Monday March 17 14
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
Monday March 17 14
YZ 9yoM
50
40
30
20mm
yM A M J J A S O N D J F M A
boys
Hang Expanser
Upper and Lower
Brackets Hang Retainer
BB3
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 2 Treatment Develop arch just enough to uncrowd
Biobloc Myofunctional Ortho Myofunctional Therapy Crozat ALF Expansion Orthodontics
Monday March 17 14
Type 2 Uncrowding
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
HG
Monday March 17 14
50
40
30
20mm
y S O N D J F M A M J J
Lower Sweep
HG 9yo F
Expanser
Brackets
Hang Ret
Monday March 17 14
H G progress
Monday March 17 14
Monday March 17 14
HG progress
Next Bond lowers to level and alignRevisit deX to decrease vertical Also reduce InL to ideal
Monday March 17 14
ZP 9-5yoM
i
Monday March 17 14
Monday March 17 14
After Expansion Phase
Monday March 17 14
Incomplete profile improvement better breathing head posture and sleep
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 3 Treatment Maintain UI
Functional Orthodontics Expansion Orthodontics Distalization Ortho or No Treatment
Monday March 17 14
Type 3 Maintain
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
Incisor Goals
Type 4 Treatment RetractExtrude UI
Extraction Orthodontics Retraction Ortho Distalization Ortho
Monday March 17 14
Type 4 Retraction
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
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)
ldquothe dimension of the velopharynx glossopharynx and hypopharynx were decreased after maximal retraction of anterior teeth with extraction of four premolarshelliprdquo ldquoAny factors that can influence the posture and position of tongue and soft palate may displace them backward andencroach upon the pharynxrdquo
ldquothe more the incisors were retracted the more the pharyngeal airway was reducedrdquo
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Backed into a corner
bull
Moving teeth faster more efficientlyhellipin the wrong direction
Monday March 17 14
Now that wersquove made smoking unacceptable
could we not do the same withbull Sugarbull Processed foodbull Cheap milk and meatbull Fast foodbull Pill popping for symptomatic reliefbull Looking for the cure instead of the causebull Surgery as a quick fixbull Thinking braces are a status symbol
Each industry thrives on the status quoConsumers must drive the change
Monday March 17 14
Nicholas Plaskon 10yM
Monday March 17 14
NP
Monday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Using IndicatorCosmetic Line
bull To define a starting pointbull To set treatment goalsbull To track treatment progressbull To gauge the effectiveness of treatment
Monday March 17 14
Charting the InCos Line
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Monday March 17 14
Incisor pulled away from noseNot ldquoundertorquedrdquo or ldquogummy smilerdquo
Monday March 17 14
Hypothetical ClI OrthoMARA
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
OJ = 7mm
Starts Ortho
ldquoGreat Headgear
Effectrdquo
Monday March 17 14
Guiding Type2 Tx
50
40
30
20mm
y J F M A M J J A S O N
boys
Start Non-x
Expansion UncrowdingFinished
Start Cl II elastics
OK thatrsquos
enough
Monday March 17 14
Hypothetical Mouthbreather(Dr Mewrsquos Hamster Boy)
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Boy gets
hamster
MFT
Monday March 17 14
Hypothetical BBO 7yoM
50
40
30
20
5 6 7 8 9 10 11 12 13 14 15
girlsboys
Initial
StartBB1
BB3
Night
Monday March 17 14
bullLR 11-9yFbullMissing all 5s6s8s and upper 4sbullHad ortho to close diastemahellipbullInL = 39bullGP objects to deX plan equil
Monday March 17 14
LR Tx Plan
1Preparation Hang Expanser2deX 3Training BB3 to advance mandible4Myofunctional Therapy5Orthopostural Training6Myobrace to hold7 Reevaluate for dental detailing
Monday March 17 14
LR Spotty progress
50
40
30
20mm
y 313 4 5 6 7 8 9 10 11 12114
2 3
Expanser
Parents dragging30 turnsStart Adv
Rx deXGP
objects
After delays
Equil ersquosBB3
Monday March 17 14
bullLR 12-3 yF (6mo in tx)bullInL = 37 (+2)bull ersquos equilibratedbull OJ =10bull Appliance OJ = 5bull Still accommodating to BB3
Monday March 17 14
Is there a calculus for the Indicator Line
Monday March 17 14
Treatment GoalsBased on Indicator Line
Monday March 17 14
Incisor Goals
Type 1 Treatment Place U1 in ideal position
Biobloc Orthotropics Orthognathic Surgery Distraction Osteogenesis
Monday March 17 14
Type 1 Ideal InCos line
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
YZ 9yo M
bullLost upper d-spacebullInL = 36(+4)bullOJ = 9mmbullLip entrapmentbullLip Incompetence
Monday March 17 14
Y Z 9yo M
Monday March 17 14
Y Z 9yo M9mm OJ
Monday March 17 14
Y Z 9yo M
Monday March 17 14
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
Monday March 17 14
YZ 9yoM
50
40
30
20mm
yM A M J J A S O N D J F M A
boys
Hang Expanser
Upper and Lower
Brackets Hang Retainer
BB3
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 2 Treatment Develop arch just enough to uncrowd
Biobloc Myofunctional Ortho Myofunctional Therapy Crozat ALF Expansion Orthodontics
Monday March 17 14
Type 2 Uncrowding
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
HG
Monday March 17 14
50
40
30
20mm
y S O N D J F M A M J J
Lower Sweep
HG 9yo F
Expanser
Brackets
Hang Ret
Monday March 17 14
H G progress
Monday March 17 14
Monday March 17 14
HG progress
Next Bond lowers to level and alignRevisit deX to decrease vertical Also reduce InL to ideal
Monday March 17 14
ZP 9-5yoM
i
Monday March 17 14
Monday March 17 14
After Expansion Phase
Monday March 17 14
Incomplete profile improvement better breathing head posture and sleep
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 3 Treatment Maintain UI
Functional Orthodontics Expansion Orthodontics Distalization Ortho or No Treatment
Monday March 17 14
Type 3 Maintain
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
Incisor Goals
Type 4 Treatment RetractExtrude UI
Extraction Orthodontics Retraction Ortho Distalization Ortho
Monday March 17 14
Type 4 Retraction
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
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)
ldquothe dimension of the velopharynx glossopharynx and hypopharynx were decreased after maximal retraction of anterior teeth with extraction of four premolarshelliprdquo ldquoAny factors that can influence the posture and position of tongue and soft palate may displace them backward andencroach upon the pharynxrdquo
ldquothe more the incisors were retracted the more the pharyngeal airway was reducedrdquo
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Backed into a corner
bull
Moving teeth faster more efficientlyhellipin the wrong direction
Monday March 17 14
Now that wersquove made smoking unacceptable
could we not do the same withbull Sugarbull Processed foodbull Cheap milk and meatbull Fast foodbull Pill popping for symptomatic reliefbull Looking for the cure instead of the causebull Surgery as a quick fixbull Thinking braces are a status symbol
Each industry thrives on the status quoConsumers must drive the change
Monday March 17 14
Nicholas Plaskon 10yM
Monday March 17 14
NP
Monday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
Using IndicatorCosmetic Line
bull To define a starting pointbull To set treatment goalsbull To track treatment progressbull To gauge the effectiveness of treatment
Monday March 17 14
Charting the InCos Line
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Monday March 17 14
Incisor pulled away from noseNot ldquoundertorquedrdquo or ldquogummy smilerdquo
Monday March 17 14
Hypothetical ClI OrthoMARA
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
OJ = 7mm
Starts Ortho
ldquoGreat Headgear
Effectrdquo
Monday March 17 14
Guiding Type2 Tx
50
40
30
20mm
y J F M A M J J A S O N
boys
Start Non-x
Expansion UncrowdingFinished
Start Cl II elastics
OK thatrsquos
enough
Monday March 17 14
Hypothetical Mouthbreather(Dr Mewrsquos Hamster Boy)
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Boy gets
hamster
MFT
Monday March 17 14
Hypothetical BBO 7yoM
50
40
30
20
5 6 7 8 9 10 11 12 13 14 15
girlsboys
Initial
StartBB1
BB3
Night
Monday March 17 14
bullLR 11-9yFbullMissing all 5s6s8s and upper 4sbullHad ortho to close diastemahellipbullInL = 39bullGP objects to deX plan equil
Monday March 17 14
LR Tx Plan
1Preparation Hang Expanser2deX 3Training BB3 to advance mandible4Myofunctional Therapy5Orthopostural Training6Myobrace to hold7 Reevaluate for dental detailing
Monday March 17 14
LR Spotty progress
50
40
30
20mm
y 313 4 5 6 7 8 9 10 11 12114
2 3
Expanser
Parents dragging30 turnsStart Adv
Rx deXGP
objects
After delays
Equil ersquosBB3
Monday March 17 14
bullLR 12-3 yF (6mo in tx)bullInL = 37 (+2)bull ersquos equilibratedbull OJ =10bull Appliance OJ = 5bull Still accommodating to BB3
Monday March 17 14
Is there a calculus for the Indicator Line
Monday March 17 14
Treatment GoalsBased on Indicator Line
Monday March 17 14
Incisor Goals
Type 1 Treatment Place U1 in ideal position
Biobloc Orthotropics Orthognathic Surgery Distraction Osteogenesis
Monday March 17 14
Type 1 Ideal InCos line
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
YZ 9yo M
bullLost upper d-spacebullInL = 36(+4)bullOJ = 9mmbullLip entrapmentbullLip Incompetence
Monday March 17 14
Y Z 9yo M
Monday March 17 14
Y Z 9yo M9mm OJ
Monday March 17 14
Y Z 9yo M
Monday March 17 14
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
Monday March 17 14
YZ 9yoM
50
40
30
20mm
yM A M J J A S O N D J F M A
boys
Hang Expanser
Upper and Lower
Brackets Hang Retainer
BB3
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 2 Treatment Develop arch just enough to uncrowd
Biobloc Myofunctional Ortho Myofunctional Therapy Crozat ALF Expansion Orthodontics
Monday March 17 14
Type 2 Uncrowding
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
HG
Monday March 17 14
50
40
30
20mm
y S O N D J F M A M J J
Lower Sweep
HG 9yo F
Expanser
Brackets
Hang Ret
Monday March 17 14
H G progress
Monday March 17 14
Monday March 17 14
HG progress
Next Bond lowers to level and alignRevisit deX to decrease vertical Also reduce InL to ideal
Monday March 17 14
ZP 9-5yoM
i
Monday March 17 14
Monday March 17 14
After Expansion Phase
Monday March 17 14
Incomplete profile improvement better breathing head posture and sleep
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 3 Treatment Maintain UI
Functional Orthodontics Expansion Orthodontics Distalization Ortho or No Treatment
Monday March 17 14
Type 3 Maintain
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
Incisor Goals
Type 4 Treatment RetractExtrude UI
Extraction Orthodontics Retraction Ortho Distalization Ortho
Monday March 17 14
Type 4 Retraction
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
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)
ldquothe dimension of the velopharynx glossopharynx and hypopharynx were decreased after maximal retraction of anterior teeth with extraction of four premolarshelliprdquo ldquoAny factors that can influence the posture and position of tongue and soft palate may displace them backward andencroach upon the pharynxrdquo
ldquothe more the incisors were retracted the more the pharyngeal airway was reducedrdquo
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Backed into a corner
bull
Moving teeth faster more efficientlyhellipin the wrong direction
Monday March 17 14
Now that wersquove made smoking unacceptable
could we not do the same withbull Sugarbull Processed foodbull Cheap milk and meatbull Fast foodbull Pill popping for symptomatic reliefbull Looking for the cure instead of the causebull Surgery as a quick fixbull Thinking braces are a status symbol
Each industry thrives on the status quoConsumers must drive the change
Monday March 17 14
Nicholas Plaskon 10yM
Monday March 17 14
NP
Monday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
Charting the InCos Line
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Monday March 17 14
Incisor pulled away from noseNot ldquoundertorquedrdquo or ldquogummy smilerdquo
Monday March 17 14
Hypothetical ClI OrthoMARA
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
OJ = 7mm
Starts Ortho
ldquoGreat Headgear
Effectrdquo
Monday March 17 14
Guiding Type2 Tx
50
40
30
20mm
y J F M A M J J A S O N
boys
Start Non-x
Expansion UncrowdingFinished
Start Cl II elastics
OK thatrsquos
enough
Monday March 17 14
Hypothetical Mouthbreather(Dr Mewrsquos Hamster Boy)
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Boy gets
hamster
MFT
Monday March 17 14
Hypothetical BBO 7yoM
50
40
30
20
5 6 7 8 9 10 11 12 13 14 15
girlsboys
Initial
StartBB1
BB3
Night
Monday March 17 14
bullLR 11-9yFbullMissing all 5s6s8s and upper 4sbullHad ortho to close diastemahellipbullInL = 39bullGP objects to deX plan equil
Monday March 17 14
LR Tx Plan
1Preparation Hang Expanser2deX 3Training BB3 to advance mandible4Myofunctional Therapy5Orthopostural Training6Myobrace to hold7 Reevaluate for dental detailing
Monday March 17 14
LR Spotty progress
50
40
30
20mm
y 313 4 5 6 7 8 9 10 11 12114
2 3
Expanser
Parents dragging30 turnsStart Adv
Rx deXGP
objects
After delays
Equil ersquosBB3
Monday March 17 14
bullLR 12-3 yF (6mo in tx)bullInL = 37 (+2)bull ersquos equilibratedbull OJ =10bull Appliance OJ = 5bull Still accommodating to BB3
Monday March 17 14
Is there a calculus for the Indicator Line
Monday March 17 14
Treatment GoalsBased on Indicator Line
Monday March 17 14
Incisor Goals
Type 1 Treatment Place U1 in ideal position
Biobloc Orthotropics Orthognathic Surgery Distraction Osteogenesis
Monday March 17 14
Type 1 Ideal InCos line
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
YZ 9yo M
bullLost upper d-spacebullInL = 36(+4)bullOJ = 9mmbullLip entrapmentbullLip Incompetence
Monday March 17 14
Y Z 9yo M
Monday March 17 14
Y Z 9yo M9mm OJ
Monday March 17 14
Y Z 9yo M
Monday March 17 14
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
Monday March 17 14
YZ 9yoM
50
40
30
20mm
yM A M J J A S O N D J F M A
boys
Hang Expanser
Upper and Lower
Brackets Hang Retainer
BB3
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 2 Treatment Develop arch just enough to uncrowd
Biobloc Myofunctional Ortho Myofunctional Therapy Crozat ALF Expansion Orthodontics
Monday March 17 14
Type 2 Uncrowding
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
HG
Monday March 17 14
50
40
30
20mm
y S O N D J F M A M J J
Lower Sweep
HG 9yo F
Expanser
Brackets
Hang Ret
Monday March 17 14
H G progress
Monday March 17 14
Monday March 17 14
HG progress
Next Bond lowers to level and alignRevisit deX to decrease vertical Also reduce InL to ideal
Monday March 17 14
ZP 9-5yoM
i
Monday March 17 14
Monday March 17 14
After Expansion Phase
Monday March 17 14
Incomplete profile improvement better breathing head posture and sleep
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 3 Treatment Maintain UI
Functional Orthodontics Expansion Orthodontics Distalization Ortho or No Treatment
Monday March 17 14
Type 3 Maintain
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
Incisor Goals
Type 4 Treatment RetractExtrude UI
Extraction Orthodontics Retraction Ortho Distalization Ortho
Monday March 17 14
Type 4 Retraction
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
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)
ldquothe dimension of the velopharynx glossopharynx and hypopharynx were decreased after maximal retraction of anterior teeth with extraction of four premolarshelliprdquo ldquoAny factors that can influence the posture and position of tongue and soft palate may displace them backward andencroach upon the pharynxrdquo
ldquothe more the incisors were retracted the more the pharyngeal airway was reducedrdquo
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Backed into a corner
bull
Moving teeth faster more efficientlyhellipin the wrong direction
Monday March 17 14
Now that wersquove made smoking unacceptable
could we not do the same withbull Sugarbull Processed foodbull Cheap milk and meatbull Fast foodbull Pill popping for symptomatic reliefbull Looking for the cure instead of the causebull Surgery as a quick fixbull Thinking braces are a status symbol
Each industry thrives on the status quoConsumers must drive the change
Monday March 17 14
Nicholas Plaskon 10yM
Monday March 17 14
NP
Monday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
Monday March 17 14
Incisor pulled away from noseNot ldquoundertorquedrdquo or ldquogummy smilerdquo
Monday March 17 14
Hypothetical ClI OrthoMARA
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
OJ = 7mm
Starts Ortho
ldquoGreat Headgear
Effectrdquo
Monday March 17 14
Guiding Type2 Tx
50
40
30
20mm
y J F M A M J J A S O N
boys
Start Non-x
Expansion UncrowdingFinished
Start Cl II elastics
OK thatrsquos
enough
Monday March 17 14
Hypothetical Mouthbreather(Dr Mewrsquos Hamster Boy)
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Boy gets
hamster
MFT
Monday March 17 14
Hypothetical BBO 7yoM
50
40
30
20
5 6 7 8 9 10 11 12 13 14 15
girlsboys
Initial
StartBB1
BB3
Night
Monday March 17 14
bullLR 11-9yFbullMissing all 5s6s8s and upper 4sbullHad ortho to close diastemahellipbullInL = 39bullGP objects to deX plan equil
Monday March 17 14
LR Tx Plan
1Preparation Hang Expanser2deX 3Training BB3 to advance mandible4Myofunctional Therapy5Orthopostural Training6Myobrace to hold7 Reevaluate for dental detailing
Monday March 17 14
LR Spotty progress
50
40
30
20mm
y 313 4 5 6 7 8 9 10 11 12114
2 3
Expanser
Parents dragging30 turnsStart Adv
Rx deXGP
objects
After delays
Equil ersquosBB3
Monday March 17 14
bullLR 12-3 yF (6mo in tx)bullInL = 37 (+2)bull ersquos equilibratedbull OJ =10bull Appliance OJ = 5bull Still accommodating to BB3
Monday March 17 14
Is there a calculus for the Indicator Line
Monday March 17 14
Treatment GoalsBased on Indicator Line
Monday March 17 14
Incisor Goals
Type 1 Treatment Place U1 in ideal position
Biobloc Orthotropics Orthognathic Surgery Distraction Osteogenesis
Monday March 17 14
Type 1 Ideal InCos line
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
YZ 9yo M
bullLost upper d-spacebullInL = 36(+4)bullOJ = 9mmbullLip entrapmentbullLip Incompetence
Monday March 17 14
Y Z 9yo M
Monday March 17 14
Y Z 9yo M9mm OJ
Monday March 17 14
Y Z 9yo M
Monday March 17 14
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
Monday March 17 14
YZ 9yoM
50
40
30
20mm
yM A M J J A S O N D J F M A
boys
Hang Expanser
Upper and Lower
Brackets Hang Retainer
BB3
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 2 Treatment Develop arch just enough to uncrowd
Biobloc Myofunctional Ortho Myofunctional Therapy Crozat ALF Expansion Orthodontics
Monday March 17 14
Type 2 Uncrowding
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
HG
Monday March 17 14
50
40
30
20mm
y S O N D J F M A M J J
Lower Sweep
HG 9yo F
Expanser
Brackets
Hang Ret
Monday March 17 14
H G progress
Monday March 17 14
Monday March 17 14
HG progress
Next Bond lowers to level and alignRevisit deX to decrease vertical Also reduce InL to ideal
Monday March 17 14
ZP 9-5yoM
i
Monday March 17 14
Monday March 17 14
After Expansion Phase
Monday March 17 14
Incomplete profile improvement better breathing head posture and sleep
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 3 Treatment Maintain UI
Functional Orthodontics Expansion Orthodontics Distalization Ortho or No Treatment
Monday March 17 14
Type 3 Maintain
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
Incisor Goals
Type 4 Treatment RetractExtrude UI
Extraction Orthodontics Retraction Ortho Distalization Ortho
Monday March 17 14
Type 4 Retraction
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
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)
ldquothe dimension of the velopharynx glossopharynx and hypopharynx were decreased after maximal retraction of anterior teeth with extraction of four premolarshelliprdquo ldquoAny factors that can influence the posture and position of tongue and soft palate may displace them backward andencroach upon the pharynxrdquo
ldquothe more the incisors were retracted the more the pharyngeal airway was reducedrdquo
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Backed into a corner
bull
Moving teeth faster more efficientlyhellipin the wrong direction
Monday March 17 14
Now that wersquove made smoking unacceptable
could we not do the same withbull Sugarbull Processed foodbull Cheap milk and meatbull Fast foodbull Pill popping for symptomatic reliefbull Looking for the cure instead of the causebull Surgery as a quick fixbull Thinking braces are a status symbol
Each industry thrives on the status quoConsumers must drive the change
Monday March 17 14
Nicholas Plaskon 10yM
Monday March 17 14
NP
Monday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
Incisor pulled away from noseNot ldquoundertorquedrdquo or ldquogummy smilerdquo
Monday March 17 14
Hypothetical ClI OrthoMARA
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
OJ = 7mm
Starts Ortho
ldquoGreat Headgear
Effectrdquo
Monday March 17 14
Guiding Type2 Tx
50
40
30
20mm
y J F M A M J J A S O N
boys
Start Non-x
Expansion UncrowdingFinished
Start Cl II elastics
OK thatrsquos
enough
Monday March 17 14
Hypothetical Mouthbreather(Dr Mewrsquos Hamster Boy)
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Boy gets
hamster
MFT
Monday March 17 14
Hypothetical BBO 7yoM
50
40
30
20
5 6 7 8 9 10 11 12 13 14 15
girlsboys
Initial
StartBB1
BB3
Night
Monday March 17 14
bullLR 11-9yFbullMissing all 5s6s8s and upper 4sbullHad ortho to close diastemahellipbullInL = 39bullGP objects to deX plan equil
Monday March 17 14
LR Tx Plan
1Preparation Hang Expanser2deX 3Training BB3 to advance mandible4Myofunctional Therapy5Orthopostural Training6Myobrace to hold7 Reevaluate for dental detailing
Monday March 17 14
LR Spotty progress
50
40
30
20mm
y 313 4 5 6 7 8 9 10 11 12114
2 3
Expanser
Parents dragging30 turnsStart Adv
Rx deXGP
objects
After delays
Equil ersquosBB3
Monday March 17 14
bullLR 12-3 yF (6mo in tx)bullInL = 37 (+2)bull ersquos equilibratedbull OJ =10bull Appliance OJ = 5bull Still accommodating to BB3
Monday March 17 14
Is there a calculus for the Indicator Line
Monday March 17 14
Treatment GoalsBased on Indicator Line
Monday March 17 14
Incisor Goals
Type 1 Treatment Place U1 in ideal position
Biobloc Orthotropics Orthognathic Surgery Distraction Osteogenesis
Monday March 17 14
Type 1 Ideal InCos line
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
YZ 9yo M
bullLost upper d-spacebullInL = 36(+4)bullOJ = 9mmbullLip entrapmentbullLip Incompetence
Monday March 17 14
Y Z 9yo M
Monday March 17 14
Y Z 9yo M9mm OJ
Monday March 17 14
Y Z 9yo M
Monday March 17 14
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
Monday March 17 14
YZ 9yoM
50
40
30
20mm
yM A M J J A S O N D J F M A
boys
Hang Expanser
Upper and Lower
Brackets Hang Retainer
BB3
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 2 Treatment Develop arch just enough to uncrowd
Biobloc Myofunctional Ortho Myofunctional Therapy Crozat ALF Expansion Orthodontics
Monday March 17 14
Type 2 Uncrowding
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
HG
Monday March 17 14
50
40
30
20mm
y S O N D J F M A M J J
Lower Sweep
HG 9yo F
Expanser
Brackets
Hang Ret
Monday March 17 14
H G progress
Monday March 17 14
Monday March 17 14
HG progress
Next Bond lowers to level and alignRevisit deX to decrease vertical Also reduce InL to ideal
Monday March 17 14
ZP 9-5yoM
i
Monday March 17 14
Monday March 17 14
After Expansion Phase
Monday March 17 14
Incomplete profile improvement better breathing head posture and sleep
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 3 Treatment Maintain UI
Functional Orthodontics Expansion Orthodontics Distalization Ortho or No Treatment
Monday March 17 14
Type 3 Maintain
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
Incisor Goals
Type 4 Treatment RetractExtrude UI
Extraction Orthodontics Retraction Ortho Distalization Ortho
Monday March 17 14
Type 4 Retraction
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
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)
ldquothe dimension of the velopharynx glossopharynx and hypopharynx were decreased after maximal retraction of anterior teeth with extraction of four premolarshelliprdquo ldquoAny factors that can influence the posture and position of tongue and soft palate may displace them backward andencroach upon the pharynxrdquo
ldquothe more the incisors were retracted the more the pharyngeal airway was reducedrdquo
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Backed into a corner
bull
Moving teeth faster more efficientlyhellipin the wrong direction
Monday March 17 14
Now that wersquove made smoking unacceptable
could we not do the same withbull Sugarbull Processed foodbull Cheap milk and meatbull Fast foodbull Pill popping for symptomatic reliefbull Looking for the cure instead of the causebull Surgery as a quick fixbull Thinking braces are a status symbol
Each industry thrives on the status quoConsumers must drive the change
Monday March 17 14
Nicholas Plaskon 10yM
Monday March 17 14
NP
Monday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
Hypothetical ClI OrthoMARA
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
OJ = 7mm
Starts Ortho
ldquoGreat Headgear
Effectrdquo
Monday March 17 14
Guiding Type2 Tx
50
40
30
20mm
y J F M A M J J A S O N
boys
Start Non-x
Expansion UncrowdingFinished
Start Cl II elastics
OK thatrsquos
enough
Monday March 17 14
Hypothetical Mouthbreather(Dr Mewrsquos Hamster Boy)
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Boy gets
hamster
MFT
Monday March 17 14
Hypothetical BBO 7yoM
50
40
30
20
5 6 7 8 9 10 11 12 13 14 15
girlsboys
Initial
StartBB1
BB3
Night
Monday March 17 14
bullLR 11-9yFbullMissing all 5s6s8s and upper 4sbullHad ortho to close diastemahellipbullInL = 39bullGP objects to deX plan equil
Monday March 17 14
LR Tx Plan
1Preparation Hang Expanser2deX 3Training BB3 to advance mandible4Myofunctional Therapy5Orthopostural Training6Myobrace to hold7 Reevaluate for dental detailing
Monday March 17 14
LR Spotty progress
50
40
30
20mm
y 313 4 5 6 7 8 9 10 11 12114
2 3
Expanser
Parents dragging30 turnsStart Adv
Rx deXGP
objects
After delays
Equil ersquosBB3
Monday March 17 14
bullLR 12-3 yF (6mo in tx)bullInL = 37 (+2)bull ersquos equilibratedbull OJ =10bull Appliance OJ = 5bull Still accommodating to BB3
Monday March 17 14
Is there a calculus for the Indicator Line
Monday March 17 14
Treatment GoalsBased on Indicator Line
Monday March 17 14
Incisor Goals
Type 1 Treatment Place U1 in ideal position
Biobloc Orthotropics Orthognathic Surgery Distraction Osteogenesis
Monday March 17 14
Type 1 Ideal InCos line
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
YZ 9yo M
bullLost upper d-spacebullInL = 36(+4)bullOJ = 9mmbullLip entrapmentbullLip Incompetence
Monday March 17 14
Y Z 9yo M
Monday March 17 14
Y Z 9yo M9mm OJ
Monday March 17 14
Y Z 9yo M
Monday March 17 14
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
Monday March 17 14
YZ 9yoM
50
40
30
20mm
yM A M J J A S O N D J F M A
boys
Hang Expanser
Upper and Lower
Brackets Hang Retainer
BB3
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 2 Treatment Develop arch just enough to uncrowd
Biobloc Myofunctional Ortho Myofunctional Therapy Crozat ALF Expansion Orthodontics
Monday March 17 14
Type 2 Uncrowding
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
HG
Monday March 17 14
50
40
30
20mm
y S O N D J F M A M J J
Lower Sweep
HG 9yo F
Expanser
Brackets
Hang Ret
Monday March 17 14
H G progress
Monday March 17 14
Monday March 17 14
HG progress
Next Bond lowers to level and alignRevisit deX to decrease vertical Also reduce InL to ideal
Monday March 17 14
ZP 9-5yoM
i
Monday March 17 14
Monday March 17 14
After Expansion Phase
Monday March 17 14
Incomplete profile improvement better breathing head posture and sleep
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 3 Treatment Maintain UI
Functional Orthodontics Expansion Orthodontics Distalization Ortho or No Treatment
Monday March 17 14
Type 3 Maintain
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
Incisor Goals
Type 4 Treatment RetractExtrude UI
Extraction Orthodontics Retraction Ortho Distalization Ortho
Monday March 17 14
Type 4 Retraction
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
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)
ldquothe dimension of the velopharynx glossopharynx and hypopharynx were decreased after maximal retraction of anterior teeth with extraction of four premolarshelliprdquo ldquoAny factors that can influence the posture and position of tongue and soft palate may displace them backward andencroach upon the pharynxrdquo
ldquothe more the incisors were retracted the more the pharyngeal airway was reducedrdquo
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Backed into a corner
bull
Moving teeth faster more efficientlyhellipin the wrong direction
Monday March 17 14
Now that wersquove made smoking unacceptable
could we not do the same withbull Sugarbull Processed foodbull Cheap milk and meatbull Fast foodbull Pill popping for symptomatic reliefbull Looking for the cure instead of the causebull Surgery as a quick fixbull Thinking braces are a status symbol
Each industry thrives on the status quoConsumers must drive the change
Monday March 17 14
Nicholas Plaskon 10yM
Monday March 17 14
NP
Monday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
Guiding Type2 Tx
50
40
30
20mm
y J F M A M J J A S O N
boys
Start Non-x
Expansion UncrowdingFinished
Start Cl II elastics
OK thatrsquos
enough
Monday March 17 14
Hypothetical Mouthbreather(Dr Mewrsquos Hamster Boy)
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Boy gets
hamster
MFT
Monday March 17 14
Hypothetical BBO 7yoM
50
40
30
20
5 6 7 8 9 10 11 12 13 14 15
girlsboys
Initial
StartBB1
BB3
Night
Monday March 17 14
bullLR 11-9yFbullMissing all 5s6s8s and upper 4sbullHad ortho to close diastemahellipbullInL = 39bullGP objects to deX plan equil
Monday March 17 14
LR Tx Plan
1Preparation Hang Expanser2deX 3Training BB3 to advance mandible4Myofunctional Therapy5Orthopostural Training6Myobrace to hold7 Reevaluate for dental detailing
Monday March 17 14
LR Spotty progress
50
40
30
20mm
y 313 4 5 6 7 8 9 10 11 12114
2 3
Expanser
Parents dragging30 turnsStart Adv
Rx deXGP
objects
After delays
Equil ersquosBB3
Monday March 17 14
bullLR 12-3 yF (6mo in tx)bullInL = 37 (+2)bull ersquos equilibratedbull OJ =10bull Appliance OJ = 5bull Still accommodating to BB3
Monday March 17 14
Is there a calculus for the Indicator Line
Monday March 17 14
Treatment GoalsBased on Indicator Line
Monday March 17 14
Incisor Goals
Type 1 Treatment Place U1 in ideal position
Biobloc Orthotropics Orthognathic Surgery Distraction Osteogenesis
Monday March 17 14
Type 1 Ideal InCos line
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
YZ 9yo M
bullLost upper d-spacebullInL = 36(+4)bullOJ = 9mmbullLip entrapmentbullLip Incompetence
Monday March 17 14
Y Z 9yo M
Monday March 17 14
Y Z 9yo M9mm OJ
Monday March 17 14
Y Z 9yo M
Monday March 17 14
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
Monday March 17 14
YZ 9yoM
50
40
30
20mm
yM A M J J A S O N D J F M A
boys
Hang Expanser
Upper and Lower
Brackets Hang Retainer
BB3
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 2 Treatment Develop arch just enough to uncrowd
Biobloc Myofunctional Ortho Myofunctional Therapy Crozat ALF Expansion Orthodontics
Monday March 17 14
Type 2 Uncrowding
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
HG
Monday March 17 14
50
40
30
20mm
y S O N D J F M A M J J
Lower Sweep
HG 9yo F
Expanser
Brackets
Hang Ret
Monday March 17 14
H G progress
Monday March 17 14
Monday March 17 14
HG progress
Next Bond lowers to level and alignRevisit deX to decrease vertical Also reduce InL to ideal
Monday March 17 14
ZP 9-5yoM
i
Monday March 17 14
Monday March 17 14
After Expansion Phase
Monday March 17 14
Incomplete profile improvement better breathing head posture and sleep
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 3 Treatment Maintain UI
Functional Orthodontics Expansion Orthodontics Distalization Ortho or No Treatment
Monday March 17 14
Type 3 Maintain
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
Incisor Goals
Type 4 Treatment RetractExtrude UI
Extraction Orthodontics Retraction Ortho Distalization Ortho
Monday March 17 14
Type 4 Retraction
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
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)
ldquothe dimension of the velopharynx glossopharynx and hypopharynx were decreased after maximal retraction of anterior teeth with extraction of four premolarshelliprdquo ldquoAny factors that can influence the posture and position of tongue and soft palate may displace them backward andencroach upon the pharynxrdquo
ldquothe more the incisors were retracted the more the pharyngeal airway was reducedrdquo
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Backed into a corner
bull
Moving teeth faster more efficientlyhellipin the wrong direction
Monday March 17 14
Now that wersquove made smoking unacceptable
could we not do the same withbull Sugarbull Processed foodbull Cheap milk and meatbull Fast foodbull Pill popping for symptomatic reliefbull Looking for the cure instead of the causebull Surgery as a quick fixbull Thinking braces are a status symbol
Each industry thrives on the status quoConsumers must drive the change
Monday March 17 14
Nicholas Plaskon 10yM
Monday March 17 14
NP
Monday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
Hypothetical Mouthbreather(Dr Mewrsquos Hamster Boy)
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Boy gets
hamster
MFT
Monday March 17 14
Hypothetical BBO 7yoM
50
40
30
20
5 6 7 8 9 10 11 12 13 14 15
girlsboys
Initial
StartBB1
BB3
Night
Monday March 17 14
bullLR 11-9yFbullMissing all 5s6s8s and upper 4sbullHad ortho to close diastemahellipbullInL = 39bullGP objects to deX plan equil
Monday March 17 14
LR Tx Plan
1Preparation Hang Expanser2deX 3Training BB3 to advance mandible4Myofunctional Therapy5Orthopostural Training6Myobrace to hold7 Reevaluate for dental detailing
Monday March 17 14
LR Spotty progress
50
40
30
20mm
y 313 4 5 6 7 8 9 10 11 12114
2 3
Expanser
Parents dragging30 turnsStart Adv
Rx deXGP
objects
After delays
Equil ersquosBB3
Monday March 17 14
bullLR 12-3 yF (6mo in tx)bullInL = 37 (+2)bull ersquos equilibratedbull OJ =10bull Appliance OJ = 5bull Still accommodating to BB3
Monday March 17 14
Is there a calculus for the Indicator Line
Monday March 17 14
Treatment GoalsBased on Indicator Line
Monday March 17 14
Incisor Goals
Type 1 Treatment Place U1 in ideal position
Biobloc Orthotropics Orthognathic Surgery Distraction Osteogenesis
Monday March 17 14
Type 1 Ideal InCos line
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
YZ 9yo M
bullLost upper d-spacebullInL = 36(+4)bullOJ = 9mmbullLip entrapmentbullLip Incompetence
Monday March 17 14
Y Z 9yo M
Monday March 17 14
Y Z 9yo M9mm OJ
Monday March 17 14
Y Z 9yo M
Monday March 17 14
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
Monday March 17 14
YZ 9yoM
50
40
30
20mm
yM A M J J A S O N D J F M A
boys
Hang Expanser
Upper and Lower
Brackets Hang Retainer
BB3
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 2 Treatment Develop arch just enough to uncrowd
Biobloc Myofunctional Ortho Myofunctional Therapy Crozat ALF Expansion Orthodontics
Monday March 17 14
Type 2 Uncrowding
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
HG
Monday March 17 14
50
40
30
20mm
y S O N D J F M A M J J
Lower Sweep
HG 9yo F
Expanser
Brackets
Hang Ret
Monday March 17 14
H G progress
Monday March 17 14
Monday March 17 14
HG progress
Next Bond lowers to level and alignRevisit deX to decrease vertical Also reduce InL to ideal
Monday March 17 14
ZP 9-5yoM
i
Monday March 17 14
Monday March 17 14
After Expansion Phase
Monday March 17 14
Incomplete profile improvement better breathing head posture and sleep
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 3 Treatment Maintain UI
Functional Orthodontics Expansion Orthodontics Distalization Ortho or No Treatment
Monday March 17 14
Type 3 Maintain
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
Incisor Goals
Type 4 Treatment RetractExtrude UI
Extraction Orthodontics Retraction Ortho Distalization Ortho
Monday March 17 14
Type 4 Retraction
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
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)
ldquothe dimension of the velopharynx glossopharynx and hypopharynx were decreased after maximal retraction of anterior teeth with extraction of four premolarshelliprdquo ldquoAny factors that can influence the posture and position of tongue and soft palate may displace them backward andencroach upon the pharynxrdquo
ldquothe more the incisors were retracted the more the pharyngeal airway was reducedrdquo
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Backed into a corner
bull
Moving teeth faster more efficientlyhellipin the wrong direction
Monday March 17 14
Now that wersquove made smoking unacceptable
could we not do the same withbull Sugarbull Processed foodbull Cheap milk and meatbull Fast foodbull Pill popping for symptomatic reliefbull Looking for the cure instead of the causebull Surgery as a quick fixbull Thinking braces are a status symbol
Each industry thrives on the status quoConsumers must drive the change
Monday March 17 14
Nicholas Plaskon 10yM
Monday March 17 14
NP
Monday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
Hypothetical BBO 7yoM
50
40
30
20
5 6 7 8 9 10 11 12 13 14 15
girlsboys
Initial
StartBB1
BB3
Night
Monday March 17 14
bullLR 11-9yFbullMissing all 5s6s8s and upper 4sbullHad ortho to close diastemahellipbullInL = 39bullGP objects to deX plan equil
Monday March 17 14
LR Tx Plan
1Preparation Hang Expanser2deX 3Training BB3 to advance mandible4Myofunctional Therapy5Orthopostural Training6Myobrace to hold7 Reevaluate for dental detailing
Monday March 17 14
LR Spotty progress
50
40
30
20mm
y 313 4 5 6 7 8 9 10 11 12114
2 3
Expanser
Parents dragging30 turnsStart Adv
Rx deXGP
objects
After delays
Equil ersquosBB3
Monday March 17 14
bullLR 12-3 yF (6mo in tx)bullInL = 37 (+2)bull ersquos equilibratedbull OJ =10bull Appliance OJ = 5bull Still accommodating to BB3
Monday March 17 14
Is there a calculus for the Indicator Line
Monday March 17 14
Treatment GoalsBased on Indicator Line
Monday March 17 14
Incisor Goals
Type 1 Treatment Place U1 in ideal position
Biobloc Orthotropics Orthognathic Surgery Distraction Osteogenesis
Monday March 17 14
Type 1 Ideal InCos line
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
YZ 9yo M
bullLost upper d-spacebullInL = 36(+4)bullOJ = 9mmbullLip entrapmentbullLip Incompetence
Monday March 17 14
Y Z 9yo M
Monday March 17 14
Y Z 9yo M9mm OJ
Monday March 17 14
Y Z 9yo M
Monday March 17 14
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
Monday March 17 14
YZ 9yoM
50
40
30
20mm
yM A M J J A S O N D J F M A
boys
Hang Expanser
Upper and Lower
Brackets Hang Retainer
BB3
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 2 Treatment Develop arch just enough to uncrowd
Biobloc Myofunctional Ortho Myofunctional Therapy Crozat ALF Expansion Orthodontics
Monday March 17 14
Type 2 Uncrowding
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
HG
Monday March 17 14
50
40
30
20mm
y S O N D J F M A M J J
Lower Sweep
HG 9yo F
Expanser
Brackets
Hang Ret
Monday March 17 14
H G progress
Monday March 17 14
Monday March 17 14
HG progress
Next Bond lowers to level and alignRevisit deX to decrease vertical Also reduce InL to ideal
Monday March 17 14
ZP 9-5yoM
i
Monday March 17 14
Monday March 17 14
After Expansion Phase
Monday March 17 14
Incomplete profile improvement better breathing head posture and sleep
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 3 Treatment Maintain UI
Functional Orthodontics Expansion Orthodontics Distalization Ortho or No Treatment
Monday March 17 14
Type 3 Maintain
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
Incisor Goals
Type 4 Treatment RetractExtrude UI
Extraction Orthodontics Retraction Ortho Distalization Ortho
Monday March 17 14
Type 4 Retraction
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
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)
ldquothe dimension of the velopharynx glossopharynx and hypopharynx were decreased after maximal retraction of anterior teeth with extraction of four premolarshelliprdquo ldquoAny factors that can influence the posture and position of tongue and soft palate may displace them backward andencroach upon the pharynxrdquo
ldquothe more the incisors were retracted the more the pharyngeal airway was reducedrdquo
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Backed into a corner
bull
Moving teeth faster more efficientlyhellipin the wrong direction
Monday March 17 14
Now that wersquove made smoking unacceptable
could we not do the same withbull Sugarbull Processed foodbull Cheap milk and meatbull Fast foodbull Pill popping for symptomatic reliefbull Looking for the cure instead of the causebull Surgery as a quick fixbull Thinking braces are a status symbol
Each industry thrives on the status quoConsumers must drive the change
Monday March 17 14
Nicholas Plaskon 10yM
Monday March 17 14
NP
Monday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
bullLR 11-9yFbullMissing all 5s6s8s and upper 4sbullHad ortho to close diastemahellipbullInL = 39bullGP objects to deX plan equil
Monday March 17 14
LR Tx Plan
1Preparation Hang Expanser2deX 3Training BB3 to advance mandible4Myofunctional Therapy5Orthopostural Training6Myobrace to hold7 Reevaluate for dental detailing
Monday March 17 14
LR Spotty progress
50
40
30
20mm
y 313 4 5 6 7 8 9 10 11 12114
2 3
Expanser
Parents dragging30 turnsStart Adv
Rx deXGP
objects
After delays
Equil ersquosBB3
Monday March 17 14
bullLR 12-3 yF (6mo in tx)bullInL = 37 (+2)bull ersquos equilibratedbull OJ =10bull Appliance OJ = 5bull Still accommodating to BB3
Monday March 17 14
Is there a calculus for the Indicator Line
Monday March 17 14
Treatment GoalsBased on Indicator Line
Monday March 17 14
Incisor Goals
Type 1 Treatment Place U1 in ideal position
Biobloc Orthotropics Orthognathic Surgery Distraction Osteogenesis
Monday March 17 14
Type 1 Ideal InCos line
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
YZ 9yo M
bullLost upper d-spacebullInL = 36(+4)bullOJ = 9mmbullLip entrapmentbullLip Incompetence
Monday March 17 14
Y Z 9yo M
Monday March 17 14
Y Z 9yo M9mm OJ
Monday March 17 14
Y Z 9yo M
Monday March 17 14
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
Monday March 17 14
YZ 9yoM
50
40
30
20mm
yM A M J J A S O N D J F M A
boys
Hang Expanser
Upper and Lower
Brackets Hang Retainer
BB3
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 2 Treatment Develop arch just enough to uncrowd
Biobloc Myofunctional Ortho Myofunctional Therapy Crozat ALF Expansion Orthodontics
Monday March 17 14
Type 2 Uncrowding
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
HG
Monday March 17 14
50
40
30
20mm
y S O N D J F M A M J J
Lower Sweep
HG 9yo F
Expanser
Brackets
Hang Ret
Monday March 17 14
H G progress
Monday March 17 14
Monday March 17 14
HG progress
Next Bond lowers to level and alignRevisit deX to decrease vertical Also reduce InL to ideal
Monday March 17 14
ZP 9-5yoM
i
Monday March 17 14
Monday March 17 14
After Expansion Phase
Monday March 17 14
Incomplete profile improvement better breathing head posture and sleep
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 3 Treatment Maintain UI
Functional Orthodontics Expansion Orthodontics Distalization Ortho or No Treatment
Monday March 17 14
Type 3 Maintain
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
Incisor Goals
Type 4 Treatment RetractExtrude UI
Extraction Orthodontics Retraction Ortho Distalization Ortho
Monday March 17 14
Type 4 Retraction
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
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)
ldquothe dimension of the velopharynx glossopharynx and hypopharynx were decreased after maximal retraction of anterior teeth with extraction of four premolarshelliprdquo ldquoAny factors that can influence the posture and position of tongue and soft palate may displace them backward andencroach upon the pharynxrdquo
ldquothe more the incisors were retracted the more the pharyngeal airway was reducedrdquo
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Backed into a corner
bull
Moving teeth faster more efficientlyhellipin the wrong direction
Monday March 17 14
Now that wersquove made smoking unacceptable
could we not do the same withbull Sugarbull Processed foodbull Cheap milk and meatbull Fast foodbull Pill popping for symptomatic reliefbull Looking for the cure instead of the causebull Surgery as a quick fixbull Thinking braces are a status symbol
Each industry thrives on the status quoConsumers must drive the change
Monday March 17 14
Nicholas Plaskon 10yM
Monday March 17 14
NP
Monday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
LR Tx Plan
1Preparation Hang Expanser2deX 3Training BB3 to advance mandible4Myofunctional Therapy5Orthopostural Training6Myobrace to hold7 Reevaluate for dental detailing
Monday March 17 14
LR Spotty progress
50
40
30
20mm
y 313 4 5 6 7 8 9 10 11 12114
2 3
Expanser
Parents dragging30 turnsStart Adv
Rx deXGP
objects
After delays
Equil ersquosBB3
Monday March 17 14
bullLR 12-3 yF (6mo in tx)bullInL = 37 (+2)bull ersquos equilibratedbull OJ =10bull Appliance OJ = 5bull Still accommodating to BB3
Monday March 17 14
Is there a calculus for the Indicator Line
Monday March 17 14
Treatment GoalsBased on Indicator Line
Monday March 17 14
Incisor Goals
Type 1 Treatment Place U1 in ideal position
Biobloc Orthotropics Orthognathic Surgery Distraction Osteogenesis
Monday March 17 14
Type 1 Ideal InCos line
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
YZ 9yo M
bullLost upper d-spacebullInL = 36(+4)bullOJ = 9mmbullLip entrapmentbullLip Incompetence
Monday March 17 14
Y Z 9yo M
Monday March 17 14
Y Z 9yo M9mm OJ
Monday March 17 14
Y Z 9yo M
Monday March 17 14
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
Monday March 17 14
YZ 9yoM
50
40
30
20mm
yM A M J J A S O N D J F M A
boys
Hang Expanser
Upper and Lower
Brackets Hang Retainer
BB3
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 2 Treatment Develop arch just enough to uncrowd
Biobloc Myofunctional Ortho Myofunctional Therapy Crozat ALF Expansion Orthodontics
Monday March 17 14
Type 2 Uncrowding
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
HG
Monday March 17 14
50
40
30
20mm
y S O N D J F M A M J J
Lower Sweep
HG 9yo F
Expanser
Brackets
Hang Ret
Monday March 17 14
H G progress
Monday March 17 14
Monday March 17 14
HG progress
Next Bond lowers to level and alignRevisit deX to decrease vertical Also reduce InL to ideal
Monday March 17 14
ZP 9-5yoM
i
Monday March 17 14
Monday March 17 14
After Expansion Phase
Monday March 17 14
Incomplete profile improvement better breathing head posture and sleep
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 3 Treatment Maintain UI
Functional Orthodontics Expansion Orthodontics Distalization Ortho or No Treatment
Monday March 17 14
Type 3 Maintain
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
Incisor Goals
Type 4 Treatment RetractExtrude UI
Extraction Orthodontics Retraction Ortho Distalization Ortho
Monday March 17 14
Type 4 Retraction
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
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)
ldquothe dimension of the velopharynx glossopharynx and hypopharynx were decreased after maximal retraction of anterior teeth with extraction of four premolarshelliprdquo ldquoAny factors that can influence the posture and position of tongue and soft palate may displace them backward andencroach upon the pharynxrdquo
ldquothe more the incisors were retracted the more the pharyngeal airway was reducedrdquo
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Backed into a corner
bull
Moving teeth faster more efficientlyhellipin the wrong direction
Monday March 17 14
Now that wersquove made smoking unacceptable
could we not do the same withbull Sugarbull Processed foodbull Cheap milk and meatbull Fast foodbull Pill popping for symptomatic reliefbull Looking for the cure instead of the causebull Surgery as a quick fixbull Thinking braces are a status symbol
Each industry thrives on the status quoConsumers must drive the change
Monday March 17 14
Nicholas Plaskon 10yM
Monday March 17 14
NP
Monday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
LR Spotty progress
50
40
30
20mm
y 313 4 5 6 7 8 9 10 11 12114
2 3
Expanser
Parents dragging30 turnsStart Adv
Rx deXGP
objects
After delays
Equil ersquosBB3
Monday March 17 14
bullLR 12-3 yF (6mo in tx)bullInL = 37 (+2)bull ersquos equilibratedbull OJ =10bull Appliance OJ = 5bull Still accommodating to BB3
Monday March 17 14
Is there a calculus for the Indicator Line
Monday March 17 14
Treatment GoalsBased on Indicator Line
Monday March 17 14
Incisor Goals
Type 1 Treatment Place U1 in ideal position
Biobloc Orthotropics Orthognathic Surgery Distraction Osteogenesis
Monday March 17 14
Type 1 Ideal InCos line
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
YZ 9yo M
bullLost upper d-spacebullInL = 36(+4)bullOJ = 9mmbullLip entrapmentbullLip Incompetence
Monday March 17 14
Y Z 9yo M
Monday March 17 14
Y Z 9yo M9mm OJ
Monday March 17 14
Y Z 9yo M
Monday March 17 14
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
Monday March 17 14
YZ 9yoM
50
40
30
20mm
yM A M J J A S O N D J F M A
boys
Hang Expanser
Upper and Lower
Brackets Hang Retainer
BB3
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 2 Treatment Develop arch just enough to uncrowd
Biobloc Myofunctional Ortho Myofunctional Therapy Crozat ALF Expansion Orthodontics
Monday March 17 14
Type 2 Uncrowding
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
HG
Monday March 17 14
50
40
30
20mm
y S O N D J F M A M J J
Lower Sweep
HG 9yo F
Expanser
Brackets
Hang Ret
Monday March 17 14
H G progress
Monday March 17 14
Monday March 17 14
HG progress
Next Bond lowers to level and alignRevisit deX to decrease vertical Also reduce InL to ideal
Monday March 17 14
ZP 9-5yoM
i
Monday March 17 14
Monday March 17 14
After Expansion Phase
Monday March 17 14
Incomplete profile improvement better breathing head posture and sleep
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 3 Treatment Maintain UI
Functional Orthodontics Expansion Orthodontics Distalization Ortho or No Treatment
Monday March 17 14
Type 3 Maintain
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
Incisor Goals
Type 4 Treatment RetractExtrude UI
Extraction Orthodontics Retraction Ortho Distalization Ortho
Monday March 17 14
Type 4 Retraction
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
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)
ldquothe dimension of the velopharynx glossopharynx and hypopharynx were decreased after maximal retraction of anterior teeth with extraction of four premolarshelliprdquo ldquoAny factors that can influence the posture and position of tongue and soft palate may displace them backward andencroach upon the pharynxrdquo
ldquothe more the incisors were retracted the more the pharyngeal airway was reducedrdquo
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Backed into a corner
bull
Moving teeth faster more efficientlyhellipin the wrong direction
Monday March 17 14
Now that wersquove made smoking unacceptable
could we not do the same withbull Sugarbull Processed foodbull Cheap milk and meatbull Fast foodbull Pill popping for symptomatic reliefbull Looking for the cure instead of the causebull Surgery as a quick fixbull Thinking braces are a status symbol
Each industry thrives on the status quoConsumers must drive the change
Monday March 17 14
Nicholas Plaskon 10yM
Monday March 17 14
NP
Monday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
bullLR 12-3 yF (6mo in tx)bullInL = 37 (+2)bull ersquos equilibratedbull OJ =10bull Appliance OJ = 5bull Still accommodating to BB3
Monday March 17 14
Is there a calculus for the Indicator Line
Monday March 17 14
Treatment GoalsBased on Indicator Line
Monday March 17 14
Incisor Goals
Type 1 Treatment Place U1 in ideal position
Biobloc Orthotropics Orthognathic Surgery Distraction Osteogenesis
Monday March 17 14
Type 1 Ideal InCos line
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
YZ 9yo M
bullLost upper d-spacebullInL = 36(+4)bullOJ = 9mmbullLip entrapmentbullLip Incompetence
Monday March 17 14
Y Z 9yo M
Monday March 17 14
Y Z 9yo M9mm OJ
Monday March 17 14
Y Z 9yo M
Monday March 17 14
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
Monday March 17 14
YZ 9yoM
50
40
30
20mm
yM A M J J A S O N D J F M A
boys
Hang Expanser
Upper and Lower
Brackets Hang Retainer
BB3
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 2 Treatment Develop arch just enough to uncrowd
Biobloc Myofunctional Ortho Myofunctional Therapy Crozat ALF Expansion Orthodontics
Monday March 17 14
Type 2 Uncrowding
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
HG
Monday March 17 14
50
40
30
20mm
y S O N D J F M A M J J
Lower Sweep
HG 9yo F
Expanser
Brackets
Hang Ret
Monday March 17 14
H G progress
Monday March 17 14
Monday March 17 14
HG progress
Next Bond lowers to level and alignRevisit deX to decrease vertical Also reduce InL to ideal
Monday March 17 14
ZP 9-5yoM
i
Monday March 17 14
Monday March 17 14
After Expansion Phase
Monday March 17 14
Incomplete profile improvement better breathing head posture and sleep
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 3 Treatment Maintain UI
Functional Orthodontics Expansion Orthodontics Distalization Ortho or No Treatment
Monday March 17 14
Type 3 Maintain
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
Incisor Goals
Type 4 Treatment RetractExtrude UI
Extraction Orthodontics Retraction Ortho Distalization Ortho
Monday March 17 14
Type 4 Retraction
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
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)
ldquothe dimension of the velopharynx glossopharynx and hypopharynx were decreased after maximal retraction of anterior teeth with extraction of four premolarshelliprdquo ldquoAny factors that can influence the posture and position of tongue and soft palate may displace them backward andencroach upon the pharynxrdquo
ldquothe more the incisors were retracted the more the pharyngeal airway was reducedrdquo
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Backed into a corner
bull
Moving teeth faster more efficientlyhellipin the wrong direction
Monday March 17 14
Now that wersquove made smoking unacceptable
could we not do the same withbull Sugarbull Processed foodbull Cheap milk and meatbull Fast foodbull Pill popping for symptomatic reliefbull Looking for the cure instead of the causebull Surgery as a quick fixbull Thinking braces are a status symbol
Each industry thrives on the status quoConsumers must drive the change
Monday March 17 14
Nicholas Plaskon 10yM
Monday March 17 14
NP
Monday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
Is there a calculus for the Indicator Line
Monday March 17 14
Treatment GoalsBased on Indicator Line
Monday March 17 14
Incisor Goals
Type 1 Treatment Place U1 in ideal position
Biobloc Orthotropics Orthognathic Surgery Distraction Osteogenesis
Monday March 17 14
Type 1 Ideal InCos line
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
YZ 9yo M
bullLost upper d-spacebullInL = 36(+4)bullOJ = 9mmbullLip entrapmentbullLip Incompetence
Monday March 17 14
Y Z 9yo M
Monday March 17 14
Y Z 9yo M9mm OJ
Monday March 17 14
Y Z 9yo M
Monday March 17 14
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
Monday March 17 14
YZ 9yoM
50
40
30
20mm
yM A M J J A S O N D J F M A
boys
Hang Expanser
Upper and Lower
Brackets Hang Retainer
BB3
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 2 Treatment Develop arch just enough to uncrowd
Biobloc Myofunctional Ortho Myofunctional Therapy Crozat ALF Expansion Orthodontics
Monday March 17 14
Type 2 Uncrowding
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
HG
Monday March 17 14
50
40
30
20mm
y S O N D J F M A M J J
Lower Sweep
HG 9yo F
Expanser
Brackets
Hang Ret
Monday March 17 14
H G progress
Monday March 17 14
Monday March 17 14
HG progress
Next Bond lowers to level and alignRevisit deX to decrease vertical Also reduce InL to ideal
Monday March 17 14
ZP 9-5yoM
i
Monday March 17 14
Monday March 17 14
After Expansion Phase
Monday March 17 14
Incomplete profile improvement better breathing head posture and sleep
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 3 Treatment Maintain UI
Functional Orthodontics Expansion Orthodontics Distalization Ortho or No Treatment
Monday March 17 14
Type 3 Maintain
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
Incisor Goals
Type 4 Treatment RetractExtrude UI
Extraction Orthodontics Retraction Ortho Distalization Ortho
Monday March 17 14
Type 4 Retraction
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
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)
ldquothe dimension of the velopharynx glossopharynx and hypopharynx were decreased after maximal retraction of anterior teeth with extraction of four premolarshelliprdquo ldquoAny factors that can influence the posture and position of tongue and soft palate may displace them backward andencroach upon the pharynxrdquo
ldquothe more the incisors were retracted the more the pharyngeal airway was reducedrdquo
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Backed into a corner
bull
Moving teeth faster more efficientlyhellipin the wrong direction
Monday March 17 14
Now that wersquove made smoking unacceptable
could we not do the same withbull Sugarbull Processed foodbull Cheap milk and meatbull Fast foodbull Pill popping for symptomatic reliefbull Looking for the cure instead of the causebull Surgery as a quick fixbull Thinking braces are a status symbol
Each industry thrives on the status quoConsumers must drive the change
Monday March 17 14
Nicholas Plaskon 10yM
Monday March 17 14
NP
Monday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
Treatment GoalsBased on Indicator Line
Monday March 17 14
Incisor Goals
Type 1 Treatment Place U1 in ideal position
Biobloc Orthotropics Orthognathic Surgery Distraction Osteogenesis
Monday March 17 14
Type 1 Ideal InCos line
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
YZ 9yo M
bullLost upper d-spacebullInL = 36(+4)bullOJ = 9mmbullLip entrapmentbullLip Incompetence
Monday March 17 14
Y Z 9yo M
Monday March 17 14
Y Z 9yo M9mm OJ
Monday March 17 14
Y Z 9yo M
Monday March 17 14
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
Monday March 17 14
YZ 9yoM
50
40
30
20mm
yM A M J J A S O N D J F M A
boys
Hang Expanser
Upper and Lower
Brackets Hang Retainer
BB3
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 2 Treatment Develop arch just enough to uncrowd
Biobloc Myofunctional Ortho Myofunctional Therapy Crozat ALF Expansion Orthodontics
Monday March 17 14
Type 2 Uncrowding
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
HG
Monday March 17 14
50
40
30
20mm
y S O N D J F M A M J J
Lower Sweep
HG 9yo F
Expanser
Brackets
Hang Ret
Monday March 17 14
H G progress
Monday March 17 14
Monday March 17 14
HG progress
Next Bond lowers to level and alignRevisit deX to decrease vertical Also reduce InL to ideal
Monday March 17 14
ZP 9-5yoM
i
Monday March 17 14
Monday March 17 14
After Expansion Phase
Monday March 17 14
Incomplete profile improvement better breathing head posture and sleep
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 3 Treatment Maintain UI
Functional Orthodontics Expansion Orthodontics Distalization Ortho or No Treatment
Monday March 17 14
Type 3 Maintain
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
Incisor Goals
Type 4 Treatment RetractExtrude UI
Extraction Orthodontics Retraction Ortho Distalization Ortho
Monday March 17 14
Type 4 Retraction
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
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)
ldquothe dimension of the velopharynx glossopharynx and hypopharynx were decreased after maximal retraction of anterior teeth with extraction of four premolarshelliprdquo ldquoAny factors that can influence the posture and position of tongue and soft palate may displace them backward andencroach upon the pharynxrdquo
ldquothe more the incisors were retracted the more the pharyngeal airway was reducedrdquo
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Backed into a corner
bull
Moving teeth faster more efficientlyhellipin the wrong direction
Monday March 17 14
Now that wersquove made smoking unacceptable
could we not do the same withbull Sugarbull Processed foodbull Cheap milk and meatbull Fast foodbull Pill popping for symptomatic reliefbull Looking for the cure instead of the causebull Surgery as a quick fixbull Thinking braces are a status symbol
Each industry thrives on the status quoConsumers must drive the change
Monday March 17 14
Nicholas Plaskon 10yM
Monday March 17 14
NP
Monday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
Incisor Goals
Type 1 Treatment Place U1 in ideal position
Biobloc Orthotropics Orthognathic Surgery Distraction Osteogenesis
Monday March 17 14
Type 1 Ideal InCos line
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
YZ 9yo M
bullLost upper d-spacebullInL = 36(+4)bullOJ = 9mmbullLip entrapmentbullLip Incompetence
Monday March 17 14
Y Z 9yo M
Monday March 17 14
Y Z 9yo M9mm OJ
Monday March 17 14
Y Z 9yo M
Monday March 17 14
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
Monday March 17 14
YZ 9yoM
50
40
30
20mm
yM A M J J A S O N D J F M A
boys
Hang Expanser
Upper and Lower
Brackets Hang Retainer
BB3
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 2 Treatment Develop arch just enough to uncrowd
Biobloc Myofunctional Ortho Myofunctional Therapy Crozat ALF Expansion Orthodontics
Monday March 17 14
Type 2 Uncrowding
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
HG
Monday March 17 14
50
40
30
20mm
y S O N D J F M A M J J
Lower Sweep
HG 9yo F
Expanser
Brackets
Hang Ret
Monday March 17 14
H G progress
Monday March 17 14
Monday March 17 14
HG progress
Next Bond lowers to level and alignRevisit deX to decrease vertical Also reduce InL to ideal
Monday March 17 14
ZP 9-5yoM
i
Monday March 17 14
Monday March 17 14
After Expansion Phase
Monday March 17 14
Incomplete profile improvement better breathing head posture and sleep
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 3 Treatment Maintain UI
Functional Orthodontics Expansion Orthodontics Distalization Ortho or No Treatment
Monday March 17 14
Type 3 Maintain
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
Incisor Goals
Type 4 Treatment RetractExtrude UI
Extraction Orthodontics Retraction Ortho Distalization Ortho
Monday March 17 14
Type 4 Retraction
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
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)
ldquothe dimension of the velopharynx glossopharynx and hypopharynx were decreased after maximal retraction of anterior teeth with extraction of four premolarshelliprdquo ldquoAny factors that can influence the posture and position of tongue and soft palate may displace them backward andencroach upon the pharynxrdquo
ldquothe more the incisors were retracted the more the pharyngeal airway was reducedrdquo
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Backed into a corner
bull
Moving teeth faster more efficientlyhellipin the wrong direction
Monday March 17 14
Now that wersquove made smoking unacceptable
could we not do the same withbull Sugarbull Processed foodbull Cheap milk and meatbull Fast foodbull Pill popping for symptomatic reliefbull Looking for the cure instead of the causebull Surgery as a quick fixbull Thinking braces are a status symbol
Each industry thrives on the status quoConsumers must drive the change
Monday March 17 14
Nicholas Plaskon 10yM
Monday March 17 14
NP
Monday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
Type 1 Ideal InCos line
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
YZ 9yo M
bullLost upper d-spacebullInL = 36(+4)bullOJ = 9mmbullLip entrapmentbullLip Incompetence
Monday March 17 14
Y Z 9yo M
Monday March 17 14
Y Z 9yo M9mm OJ
Monday March 17 14
Y Z 9yo M
Monday March 17 14
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
Monday March 17 14
YZ 9yoM
50
40
30
20mm
yM A M J J A S O N D J F M A
boys
Hang Expanser
Upper and Lower
Brackets Hang Retainer
BB3
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 2 Treatment Develop arch just enough to uncrowd
Biobloc Myofunctional Ortho Myofunctional Therapy Crozat ALF Expansion Orthodontics
Monday March 17 14
Type 2 Uncrowding
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
HG
Monday March 17 14
50
40
30
20mm
y S O N D J F M A M J J
Lower Sweep
HG 9yo F
Expanser
Brackets
Hang Ret
Monday March 17 14
H G progress
Monday March 17 14
Monday March 17 14
HG progress
Next Bond lowers to level and alignRevisit deX to decrease vertical Also reduce InL to ideal
Monday March 17 14
ZP 9-5yoM
i
Monday March 17 14
Monday March 17 14
After Expansion Phase
Monday March 17 14
Incomplete profile improvement better breathing head posture and sleep
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 3 Treatment Maintain UI
Functional Orthodontics Expansion Orthodontics Distalization Ortho or No Treatment
Monday March 17 14
Type 3 Maintain
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
Incisor Goals
Type 4 Treatment RetractExtrude UI
Extraction Orthodontics Retraction Ortho Distalization Ortho
Monday March 17 14
Type 4 Retraction
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
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)
ldquothe dimension of the velopharynx glossopharynx and hypopharynx were decreased after maximal retraction of anterior teeth with extraction of four premolarshelliprdquo ldquoAny factors that can influence the posture and position of tongue and soft palate may displace them backward andencroach upon the pharynxrdquo
ldquothe more the incisors were retracted the more the pharyngeal airway was reducedrdquo
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Backed into a corner
bull
Moving teeth faster more efficientlyhellipin the wrong direction
Monday March 17 14
Now that wersquove made smoking unacceptable
could we not do the same withbull Sugarbull Processed foodbull Cheap milk and meatbull Fast foodbull Pill popping for symptomatic reliefbull Looking for the cure instead of the causebull Surgery as a quick fixbull Thinking braces are a status symbol
Each industry thrives on the status quoConsumers must drive the change
Monday March 17 14
Nicholas Plaskon 10yM
Monday March 17 14
NP
Monday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
YZ 9yo M
bullLost upper d-spacebullInL = 36(+4)bullOJ = 9mmbullLip entrapmentbullLip Incompetence
Monday March 17 14
Y Z 9yo M
Monday March 17 14
Y Z 9yo M9mm OJ
Monday March 17 14
Y Z 9yo M
Monday March 17 14
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
Monday March 17 14
YZ 9yoM
50
40
30
20mm
yM A M J J A S O N D J F M A
boys
Hang Expanser
Upper and Lower
Brackets Hang Retainer
BB3
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 2 Treatment Develop arch just enough to uncrowd
Biobloc Myofunctional Ortho Myofunctional Therapy Crozat ALF Expansion Orthodontics
Monday March 17 14
Type 2 Uncrowding
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
HG
Monday March 17 14
50
40
30
20mm
y S O N D J F M A M J J
Lower Sweep
HG 9yo F
Expanser
Brackets
Hang Ret
Monday March 17 14
H G progress
Monday March 17 14
Monday March 17 14
HG progress
Next Bond lowers to level and alignRevisit deX to decrease vertical Also reduce InL to ideal
Monday March 17 14
ZP 9-5yoM
i
Monday March 17 14
Monday March 17 14
After Expansion Phase
Monday March 17 14
Incomplete profile improvement better breathing head posture and sleep
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 3 Treatment Maintain UI
Functional Orthodontics Expansion Orthodontics Distalization Ortho or No Treatment
Monday March 17 14
Type 3 Maintain
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
Incisor Goals
Type 4 Treatment RetractExtrude UI
Extraction Orthodontics Retraction Ortho Distalization Ortho
Monday March 17 14
Type 4 Retraction
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
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)
ldquothe dimension of the velopharynx glossopharynx and hypopharynx were decreased after maximal retraction of anterior teeth with extraction of four premolarshelliprdquo ldquoAny factors that can influence the posture and position of tongue and soft palate may displace them backward andencroach upon the pharynxrdquo
ldquothe more the incisors were retracted the more the pharyngeal airway was reducedrdquo
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Backed into a corner
bull
Moving teeth faster more efficientlyhellipin the wrong direction
Monday March 17 14
Now that wersquove made smoking unacceptable
could we not do the same withbull Sugarbull Processed foodbull Cheap milk and meatbull Fast foodbull Pill popping for symptomatic reliefbull Looking for the cure instead of the causebull Surgery as a quick fixbull Thinking braces are a status symbol
Each industry thrives on the status quoConsumers must drive the change
Monday March 17 14
Nicholas Plaskon 10yM
Monday March 17 14
NP
Monday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
Y Z 9yo M
Monday March 17 14
Y Z 9yo M9mm OJ
Monday March 17 14
Y Z 9yo M
Monday March 17 14
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
Monday March 17 14
YZ 9yoM
50
40
30
20mm
yM A M J J A S O N D J F M A
boys
Hang Expanser
Upper and Lower
Brackets Hang Retainer
BB3
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 2 Treatment Develop arch just enough to uncrowd
Biobloc Myofunctional Ortho Myofunctional Therapy Crozat ALF Expansion Orthodontics
Monday March 17 14
Type 2 Uncrowding
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
HG
Monday March 17 14
50
40
30
20mm
y S O N D J F M A M J J
Lower Sweep
HG 9yo F
Expanser
Brackets
Hang Ret
Monday March 17 14
H G progress
Monday March 17 14
Monday March 17 14
HG progress
Next Bond lowers to level and alignRevisit deX to decrease vertical Also reduce InL to ideal
Monday March 17 14
ZP 9-5yoM
i
Monday March 17 14
Monday March 17 14
After Expansion Phase
Monday March 17 14
Incomplete profile improvement better breathing head posture and sleep
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 3 Treatment Maintain UI
Functional Orthodontics Expansion Orthodontics Distalization Ortho or No Treatment
Monday March 17 14
Type 3 Maintain
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
Incisor Goals
Type 4 Treatment RetractExtrude UI
Extraction Orthodontics Retraction Ortho Distalization Ortho
Monday March 17 14
Type 4 Retraction
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
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)
ldquothe dimension of the velopharynx glossopharynx and hypopharynx were decreased after maximal retraction of anterior teeth with extraction of four premolarshelliprdquo ldquoAny factors that can influence the posture and position of tongue and soft palate may displace them backward andencroach upon the pharynxrdquo
ldquothe more the incisors were retracted the more the pharyngeal airway was reducedrdquo
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Backed into a corner
bull
Moving teeth faster more efficientlyhellipin the wrong direction
Monday March 17 14
Now that wersquove made smoking unacceptable
could we not do the same withbull Sugarbull Processed foodbull Cheap milk and meatbull Fast foodbull Pill popping for symptomatic reliefbull Looking for the cure instead of the causebull Surgery as a quick fixbull Thinking braces are a status symbol
Each industry thrives on the status quoConsumers must drive the change
Monday March 17 14
Nicholas Plaskon 10yM
Monday March 17 14
NP
Monday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
Y Z 9yo M9mm OJ
Monday March 17 14
Y Z 9yo M
Monday March 17 14
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
Monday March 17 14
YZ 9yoM
50
40
30
20mm
yM A M J J A S O N D J F M A
boys
Hang Expanser
Upper and Lower
Brackets Hang Retainer
BB3
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 2 Treatment Develop arch just enough to uncrowd
Biobloc Myofunctional Ortho Myofunctional Therapy Crozat ALF Expansion Orthodontics
Monday March 17 14
Type 2 Uncrowding
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
HG
Monday March 17 14
50
40
30
20mm
y S O N D J F M A M J J
Lower Sweep
HG 9yo F
Expanser
Brackets
Hang Ret
Monday March 17 14
H G progress
Monday March 17 14
Monday March 17 14
HG progress
Next Bond lowers to level and alignRevisit deX to decrease vertical Also reduce InL to ideal
Monday March 17 14
ZP 9-5yoM
i
Monday March 17 14
Monday March 17 14
After Expansion Phase
Monday March 17 14
Incomplete profile improvement better breathing head posture and sleep
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 3 Treatment Maintain UI
Functional Orthodontics Expansion Orthodontics Distalization Ortho or No Treatment
Monday March 17 14
Type 3 Maintain
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
Incisor Goals
Type 4 Treatment RetractExtrude UI
Extraction Orthodontics Retraction Ortho Distalization Ortho
Monday March 17 14
Type 4 Retraction
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
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)
ldquothe dimension of the velopharynx glossopharynx and hypopharynx were decreased after maximal retraction of anterior teeth with extraction of four premolarshelliprdquo ldquoAny factors that can influence the posture and position of tongue and soft palate may displace them backward andencroach upon the pharynxrdquo
ldquothe more the incisors were retracted the more the pharyngeal airway was reducedrdquo
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Backed into a corner
bull
Moving teeth faster more efficientlyhellipin the wrong direction
Monday March 17 14
Now that wersquove made smoking unacceptable
could we not do the same withbull Sugarbull Processed foodbull Cheap milk and meatbull Fast foodbull Pill popping for symptomatic reliefbull Looking for the cure instead of the causebull Surgery as a quick fixbull Thinking braces are a status symbol
Each industry thrives on the status quoConsumers must drive the change
Monday March 17 14
Nicholas Plaskon 10yM
Monday March 17 14
NP
Monday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
Y Z 9yo M
Monday March 17 14
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
Monday March 17 14
YZ 9yoM
50
40
30
20mm
yM A M J J A S O N D J F M A
boys
Hang Expanser
Upper and Lower
Brackets Hang Retainer
BB3
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 2 Treatment Develop arch just enough to uncrowd
Biobloc Myofunctional Ortho Myofunctional Therapy Crozat ALF Expansion Orthodontics
Monday March 17 14
Type 2 Uncrowding
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
HG
Monday March 17 14
50
40
30
20mm
y S O N D J F M A M J J
Lower Sweep
HG 9yo F
Expanser
Brackets
Hang Ret
Monday March 17 14
H G progress
Monday March 17 14
Monday March 17 14
HG progress
Next Bond lowers to level and alignRevisit deX to decrease vertical Also reduce InL to ideal
Monday March 17 14
ZP 9-5yoM
i
Monday March 17 14
Monday March 17 14
After Expansion Phase
Monday March 17 14
Incomplete profile improvement better breathing head posture and sleep
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 3 Treatment Maintain UI
Functional Orthodontics Expansion Orthodontics Distalization Ortho or No Treatment
Monday March 17 14
Type 3 Maintain
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
Incisor Goals
Type 4 Treatment RetractExtrude UI
Extraction Orthodontics Retraction Ortho Distalization Ortho
Monday March 17 14
Type 4 Retraction
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
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)
ldquothe dimension of the velopharynx glossopharynx and hypopharynx were decreased after maximal retraction of anterior teeth with extraction of four premolarshelliprdquo ldquoAny factors that can influence the posture and position of tongue and soft palate may displace them backward andencroach upon the pharynxrdquo
ldquothe more the incisors were retracted the more the pharyngeal airway was reducedrdquo
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Backed into a corner
bull
Moving teeth faster more efficientlyhellipin the wrong direction
Monday March 17 14
Now that wersquove made smoking unacceptable
could we not do the same withbull Sugarbull Processed foodbull Cheap milk and meatbull Fast foodbull Pill popping for symptomatic reliefbull Looking for the cure instead of the causebull Surgery as a quick fixbull Thinking braces are a status symbol
Each industry thrives on the status quoConsumers must drive the change
Monday March 17 14
Nicholas Plaskon 10yM
Monday March 17 14
NP
Monday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
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
Monday March 17 14
YZ 9yoM
50
40
30
20mm
yM A M J J A S O N D J F M A
boys
Hang Expanser
Upper and Lower
Brackets Hang Retainer
BB3
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 2 Treatment Develop arch just enough to uncrowd
Biobloc Myofunctional Ortho Myofunctional Therapy Crozat ALF Expansion Orthodontics
Monday March 17 14
Type 2 Uncrowding
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
HG
Monday March 17 14
50
40
30
20mm
y S O N D J F M A M J J
Lower Sweep
HG 9yo F
Expanser
Brackets
Hang Ret
Monday March 17 14
H G progress
Monday March 17 14
Monday March 17 14
HG progress
Next Bond lowers to level and alignRevisit deX to decrease vertical Also reduce InL to ideal
Monday March 17 14
ZP 9-5yoM
i
Monday March 17 14
Monday March 17 14
After Expansion Phase
Monday March 17 14
Incomplete profile improvement better breathing head posture and sleep
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 3 Treatment Maintain UI
Functional Orthodontics Expansion Orthodontics Distalization Ortho or No Treatment
Monday March 17 14
Type 3 Maintain
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
Incisor Goals
Type 4 Treatment RetractExtrude UI
Extraction Orthodontics Retraction Ortho Distalization Ortho
Monday March 17 14
Type 4 Retraction
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
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)
ldquothe dimension of the velopharynx glossopharynx and hypopharynx were decreased after maximal retraction of anterior teeth with extraction of four premolarshelliprdquo ldquoAny factors that can influence the posture and position of tongue and soft palate may displace them backward andencroach upon the pharynxrdquo
ldquothe more the incisors were retracted the more the pharyngeal airway was reducedrdquo
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Backed into a corner
bull
Moving teeth faster more efficientlyhellipin the wrong direction
Monday March 17 14
Now that wersquove made smoking unacceptable
could we not do the same withbull Sugarbull Processed foodbull Cheap milk and meatbull Fast foodbull Pill popping for symptomatic reliefbull Looking for the cure instead of the causebull Surgery as a quick fixbull Thinking braces are a status symbol
Each industry thrives on the status quoConsumers must drive the change
Monday March 17 14
Nicholas Plaskon 10yM
Monday March 17 14
NP
Monday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
YZ 9yoM
50
40
30
20mm
yM A M J J A S O N D J F M A
boys
Hang Expanser
Upper and Lower
Brackets Hang Retainer
BB3
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 2 Treatment Develop arch just enough to uncrowd
Biobloc Myofunctional Ortho Myofunctional Therapy Crozat ALF Expansion Orthodontics
Monday March 17 14
Type 2 Uncrowding
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
HG
Monday March 17 14
50
40
30
20mm
y S O N D J F M A M J J
Lower Sweep
HG 9yo F
Expanser
Brackets
Hang Ret
Monday March 17 14
H G progress
Monday March 17 14
Monday March 17 14
HG progress
Next Bond lowers to level and alignRevisit deX to decrease vertical Also reduce InL to ideal
Monday March 17 14
ZP 9-5yoM
i
Monday March 17 14
Monday March 17 14
After Expansion Phase
Monday March 17 14
Incomplete profile improvement better breathing head posture and sleep
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 3 Treatment Maintain UI
Functional Orthodontics Expansion Orthodontics Distalization Ortho or No Treatment
Monday March 17 14
Type 3 Maintain
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
Incisor Goals
Type 4 Treatment RetractExtrude UI
Extraction Orthodontics Retraction Ortho Distalization Ortho
Monday March 17 14
Type 4 Retraction
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
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)
ldquothe dimension of the velopharynx glossopharynx and hypopharynx were decreased after maximal retraction of anterior teeth with extraction of four premolarshelliprdquo ldquoAny factors that can influence the posture and position of tongue and soft palate may displace them backward andencroach upon the pharynxrdquo
ldquothe more the incisors were retracted the more the pharyngeal airway was reducedrdquo
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Backed into a corner
bull
Moving teeth faster more efficientlyhellipin the wrong direction
Monday March 17 14
Now that wersquove made smoking unacceptable
could we not do the same withbull Sugarbull Processed foodbull Cheap milk and meatbull Fast foodbull Pill popping for symptomatic reliefbull Looking for the cure instead of the causebull Surgery as a quick fixbull Thinking braces are a status symbol
Each industry thrives on the status quoConsumers must drive the change
Monday March 17 14
Nicholas Plaskon 10yM
Monday March 17 14
NP
Monday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
Monday March 17 14
Incisor Goals
Type 2 Treatment Develop arch just enough to uncrowd
Biobloc Myofunctional Ortho Myofunctional Therapy Crozat ALF Expansion Orthodontics
Monday March 17 14
Type 2 Uncrowding
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
HG
Monday March 17 14
50
40
30
20mm
y S O N D J F M A M J J
Lower Sweep
HG 9yo F
Expanser
Brackets
Hang Ret
Monday March 17 14
H G progress
Monday March 17 14
Monday March 17 14
HG progress
Next Bond lowers to level and alignRevisit deX to decrease vertical Also reduce InL to ideal
Monday March 17 14
ZP 9-5yoM
i
Monday March 17 14
Monday March 17 14
After Expansion Phase
Monday March 17 14
Incomplete profile improvement better breathing head posture and sleep
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 3 Treatment Maintain UI
Functional Orthodontics Expansion Orthodontics Distalization Ortho or No Treatment
Monday March 17 14
Type 3 Maintain
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
Incisor Goals
Type 4 Treatment RetractExtrude UI
Extraction Orthodontics Retraction Ortho Distalization Ortho
Monday March 17 14
Type 4 Retraction
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
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)
ldquothe dimension of the velopharynx glossopharynx and hypopharynx were decreased after maximal retraction of anterior teeth with extraction of four premolarshelliprdquo ldquoAny factors that can influence the posture and position of tongue and soft palate may displace them backward andencroach upon the pharynxrdquo
ldquothe more the incisors were retracted the more the pharyngeal airway was reducedrdquo
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Backed into a corner
bull
Moving teeth faster more efficientlyhellipin the wrong direction
Monday March 17 14
Now that wersquove made smoking unacceptable
could we not do the same withbull Sugarbull Processed foodbull Cheap milk and meatbull Fast foodbull Pill popping for symptomatic reliefbull Looking for the cure instead of the causebull Surgery as a quick fixbull Thinking braces are a status symbol
Each industry thrives on the status quoConsumers must drive the change
Monday March 17 14
Nicholas Plaskon 10yM
Monday March 17 14
NP
Monday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
Incisor Goals
Type 2 Treatment Develop arch just enough to uncrowd
Biobloc Myofunctional Ortho Myofunctional Therapy Crozat ALF Expansion Orthodontics
Monday March 17 14
Type 2 Uncrowding
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
HG
Monday March 17 14
50
40
30
20mm
y S O N D J F M A M J J
Lower Sweep
HG 9yo F
Expanser
Brackets
Hang Ret
Monday March 17 14
H G progress
Monday March 17 14
Monday March 17 14
HG progress
Next Bond lowers to level and alignRevisit deX to decrease vertical Also reduce InL to ideal
Monday March 17 14
ZP 9-5yoM
i
Monday March 17 14
Monday March 17 14
After Expansion Phase
Monday March 17 14
Incomplete profile improvement better breathing head posture and sleep
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 3 Treatment Maintain UI
Functional Orthodontics Expansion Orthodontics Distalization Ortho or No Treatment
Monday March 17 14
Type 3 Maintain
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
Incisor Goals
Type 4 Treatment RetractExtrude UI
Extraction Orthodontics Retraction Ortho Distalization Ortho
Monday March 17 14
Type 4 Retraction
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
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)
ldquothe dimension of the velopharynx glossopharynx and hypopharynx were decreased after maximal retraction of anterior teeth with extraction of four premolarshelliprdquo ldquoAny factors that can influence the posture and position of tongue and soft palate may displace them backward andencroach upon the pharynxrdquo
ldquothe more the incisors were retracted the more the pharyngeal airway was reducedrdquo
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Backed into a corner
bull
Moving teeth faster more efficientlyhellipin the wrong direction
Monday March 17 14
Now that wersquove made smoking unacceptable
could we not do the same withbull Sugarbull Processed foodbull Cheap milk and meatbull Fast foodbull Pill popping for symptomatic reliefbull Looking for the cure instead of the causebull Surgery as a quick fixbull Thinking braces are a status symbol
Each industry thrives on the status quoConsumers must drive the change
Monday March 17 14
Nicholas Plaskon 10yM
Monday March 17 14
NP
Monday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
Type 2 Uncrowding
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
HG
Monday March 17 14
50
40
30
20mm
y S O N D J F M A M J J
Lower Sweep
HG 9yo F
Expanser
Brackets
Hang Ret
Monday March 17 14
H G progress
Monday March 17 14
Monday March 17 14
HG progress
Next Bond lowers to level and alignRevisit deX to decrease vertical Also reduce InL to ideal
Monday March 17 14
ZP 9-5yoM
i
Monday March 17 14
Monday March 17 14
After Expansion Phase
Monday March 17 14
Incomplete profile improvement better breathing head posture and sleep
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 3 Treatment Maintain UI
Functional Orthodontics Expansion Orthodontics Distalization Ortho or No Treatment
Monday March 17 14
Type 3 Maintain
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
Incisor Goals
Type 4 Treatment RetractExtrude UI
Extraction Orthodontics Retraction Ortho Distalization Ortho
Monday March 17 14
Type 4 Retraction
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
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)
ldquothe dimension of the velopharynx glossopharynx and hypopharynx were decreased after maximal retraction of anterior teeth with extraction of four premolarshelliprdquo ldquoAny factors that can influence the posture and position of tongue and soft palate may displace them backward andencroach upon the pharynxrdquo
ldquothe more the incisors were retracted the more the pharyngeal airway was reducedrdquo
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Backed into a corner
bull
Moving teeth faster more efficientlyhellipin the wrong direction
Monday March 17 14
Now that wersquove made smoking unacceptable
could we not do the same withbull Sugarbull Processed foodbull Cheap milk and meatbull Fast foodbull Pill popping for symptomatic reliefbull Looking for the cure instead of the causebull Surgery as a quick fixbull Thinking braces are a status symbol
Each industry thrives on the status quoConsumers must drive the change
Monday March 17 14
Nicholas Plaskon 10yM
Monday March 17 14
NP
Monday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
HG
Monday March 17 14
50
40
30
20mm
y S O N D J F M A M J J
Lower Sweep
HG 9yo F
Expanser
Brackets
Hang Ret
Monday March 17 14
H G progress
Monday March 17 14
Monday March 17 14
HG progress
Next Bond lowers to level and alignRevisit deX to decrease vertical Also reduce InL to ideal
Monday March 17 14
ZP 9-5yoM
i
Monday March 17 14
Monday March 17 14
After Expansion Phase
Monday March 17 14
Incomplete profile improvement better breathing head posture and sleep
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 3 Treatment Maintain UI
Functional Orthodontics Expansion Orthodontics Distalization Ortho or No Treatment
Monday March 17 14
Type 3 Maintain
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
Incisor Goals
Type 4 Treatment RetractExtrude UI
Extraction Orthodontics Retraction Ortho Distalization Ortho
Monday March 17 14
Type 4 Retraction
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
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)
ldquothe dimension of the velopharynx glossopharynx and hypopharynx were decreased after maximal retraction of anterior teeth with extraction of four premolarshelliprdquo ldquoAny factors that can influence the posture and position of tongue and soft palate may displace them backward andencroach upon the pharynxrdquo
ldquothe more the incisors were retracted the more the pharyngeal airway was reducedrdquo
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Backed into a corner
bull
Moving teeth faster more efficientlyhellipin the wrong direction
Monday March 17 14
Now that wersquove made smoking unacceptable
could we not do the same withbull Sugarbull Processed foodbull Cheap milk and meatbull Fast foodbull Pill popping for symptomatic reliefbull Looking for the cure instead of the causebull Surgery as a quick fixbull Thinking braces are a status symbol
Each industry thrives on the status quoConsumers must drive the change
Monday March 17 14
Nicholas Plaskon 10yM
Monday March 17 14
NP
Monday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
50
40
30
20mm
y S O N D J F M A M J J
Lower Sweep
HG 9yo F
Expanser
Brackets
Hang Ret
Monday March 17 14
H G progress
Monday March 17 14
Monday March 17 14
HG progress
Next Bond lowers to level and alignRevisit deX to decrease vertical Also reduce InL to ideal
Monday March 17 14
ZP 9-5yoM
i
Monday March 17 14
Monday March 17 14
After Expansion Phase
Monday March 17 14
Incomplete profile improvement better breathing head posture and sleep
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 3 Treatment Maintain UI
Functional Orthodontics Expansion Orthodontics Distalization Ortho or No Treatment
Monday March 17 14
Type 3 Maintain
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
Incisor Goals
Type 4 Treatment RetractExtrude UI
Extraction Orthodontics Retraction Ortho Distalization Ortho
Monday March 17 14
Type 4 Retraction
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
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)
ldquothe dimension of the velopharynx glossopharynx and hypopharynx were decreased after maximal retraction of anterior teeth with extraction of four premolarshelliprdquo ldquoAny factors that can influence the posture and position of tongue and soft palate may displace them backward andencroach upon the pharynxrdquo
ldquothe more the incisors were retracted the more the pharyngeal airway was reducedrdquo
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Backed into a corner
bull
Moving teeth faster more efficientlyhellipin the wrong direction
Monday March 17 14
Now that wersquove made smoking unacceptable
could we not do the same withbull Sugarbull Processed foodbull Cheap milk and meatbull Fast foodbull Pill popping for symptomatic reliefbull Looking for the cure instead of the causebull Surgery as a quick fixbull Thinking braces are a status symbol
Each industry thrives on the status quoConsumers must drive the change
Monday March 17 14
Nicholas Plaskon 10yM
Monday March 17 14
NP
Monday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
H G progress
Monday March 17 14
Monday March 17 14
HG progress
Next Bond lowers to level and alignRevisit deX to decrease vertical Also reduce InL to ideal
Monday March 17 14
ZP 9-5yoM
i
Monday March 17 14
Monday March 17 14
After Expansion Phase
Monday March 17 14
Incomplete profile improvement better breathing head posture and sleep
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 3 Treatment Maintain UI
Functional Orthodontics Expansion Orthodontics Distalization Ortho or No Treatment
Monday March 17 14
Type 3 Maintain
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
Incisor Goals
Type 4 Treatment RetractExtrude UI
Extraction Orthodontics Retraction Ortho Distalization Ortho
Monday March 17 14
Type 4 Retraction
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
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)
ldquothe dimension of the velopharynx glossopharynx and hypopharynx were decreased after maximal retraction of anterior teeth with extraction of four premolarshelliprdquo ldquoAny factors that can influence the posture and position of tongue and soft palate may displace them backward andencroach upon the pharynxrdquo
ldquothe more the incisors were retracted the more the pharyngeal airway was reducedrdquo
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Backed into a corner
bull
Moving teeth faster more efficientlyhellipin the wrong direction
Monday March 17 14
Now that wersquove made smoking unacceptable
could we not do the same withbull Sugarbull Processed foodbull Cheap milk and meatbull Fast foodbull Pill popping for symptomatic reliefbull Looking for the cure instead of the causebull Surgery as a quick fixbull Thinking braces are a status symbol
Each industry thrives on the status quoConsumers must drive the change
Monday March 17 14
Nicholas Plaskon 10yM
Monday March 17 14
NP
Monday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
Monday March 17 14
HG progress
Next Bond lowers to level and alignRevisit deX to decrease vertical Also reduce InL to ideal
Monday March 17 14
ZP 9-5yoM
i
Monday March 17 14
Monday March 17 14
After Expansion Phase
Monday March 17 14
Incomplete profile improvement better breathing head posture and sleep
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 3 Treatment Maintain UI
Functional Orthodontics Expansion Orthodontics Distalization Ortho or No Treatment
Monday March 17 14
Type 3 Maintain
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
Incisor Goals
Type 4 Treatment RetractExtrude UI
Extraction Orthodontics Retraction Ortho Distalization Ortho
Monday March 17 14
Type 4 Retraction
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
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)
ldquothe dimension of the velopharynx glossopharynx and hypopharynx were decreased after maximal retraction of anterior teeth with extraction of four premolarshelliprdquo ldquoAny factors that can influence the posture and position of tongue and soft palate may displace them backward andencroach upon the pharynxrdquo
ldquothe more the incisors were retracted the more the pharyngeal airway was reducedrdquo
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Backed into a corner
bull
Moving teeth faster more efficientlyhellipin the wrong direction
Monday March 17 14
Now that wersquove made smoking unacceptable
could we not do the same withbull Sugarbull Processed foodbull Cheap milk and meatbull Fast foodbull Pill popping for symptomatic reliefbull Looking for the cure instead of the causebull Surgery as a quick fixbull Thinking braces are a status symbol
Each industry thrives on the status quoConsumers must drive the change
Monday March 17 14
Nicholas Plaskon 10yM
Monday March 17 14
NP
Monday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
HG progress
Next Bond lowers to level and alignRevisit deX to decrease vertical Also reduce InL to ideal
Monday March 17 14
ZP 9-5yoM
i
Monday March 17 14
Monday March 17 14
After Expansion Phase
Monday March 17 14
Incomplete profile improvement better breathing head posture and sleep
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 3 Treatment Maintain UI
Functional Orthodontics Expansion Orthodontics Distalization Ortho or No Treatment
Monday March 17 14
Type 3 Maintain
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
Incisor Goals
Type 4 Treatment RetractExtrude UI
Extraction Orthodontics Retraction Ortho Distalization Ortho
Monday March 17 14
Type 4 Retraction
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
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)
ldquothe dimension of the velopharynx glossopharynx and hypopharynx were decreased after maximal retraction of anterior teeth with extraction of four premolarshelliprdquo ldquoAny factors that can influence the posture and position of tongue and soft palate may displace them backward andencroach upon the pharynxrdquo
ldquothe more the incisors were retracted the more the pharyngeal airway was reducedrdquo
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Backed into a corner
bull
Moving teeth faster more efficientlyhellipin the wrong direction
Monday March 17 14
Now that wersquove made smoking unacceptable
could we not do the same withbull Sugarbull Processed foodbull Cheap milk and meatbull Fast foodbull Pill popping for symptomatic reliefbull Looking for the cure instead of the causebull Surgery as a quick fixbull Thinking braces are a status symbol
Each industry thrives on the status quoConsumers must drive the change
Monday March 17 14
Nicholas Plaskon 10yM
Monday March 17 14
NP
Monday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
ZP 9-5yoM
i
Monday March 17 14
Monday March 17 14
After Expansion Phase
Monday March 17 14
Incomplete profile improvement better breathing head posture and sleep
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 3 Treatment Maintain UI
Functional Orthodontics Expansion Orthodontics Distalization Ortho or No Treatment
Monday March 17 14
Type 3 Maintain
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
Incisor Goals
Type 4 Treatment RetractExtrude UI
Extraction Orthodontics Retraction Ortho Distalization Ortho
Monday March 17 14
Type 4 Retraction
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
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)
ldquothe dimension of the velopharynx glossopharynx and hypopharynx were decreased after maximal retraction of anterior teeth with extraction of four premolarshelliprdquo ldquoAny factors that can influence the posture and position of tongue and soft palate may displace them backward andencroach upon the pharynxrdquo
ldquothe more the incisors were retracted the more the pharyngeal airway was reducedrdquo
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Backed into a corner
bull
Moving teeth faster more efficientlyhellipin the wrong direction
Monday March 17 14
Now that wersquove made smoking unacceptable
could we not do the same withbull Sugarbull Processed foodbull Cheap milk and meatbull Fast foodbull Pill popping for symptomatic reliefbull Looking for the cure instead of the causebull Surgery as a quick fixbull Thinking braces are a status symbol
Each industry thrives on the status quoConsumers must drive the change
Monday March 17 14
Nicholas Plaskon 10yM
Monday March 17 14
NP
Monday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
Monday March 17 14
After Expansion Phase
Monday March 17 14
Incomplete profile improvement better breathing head posture and sleep
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 3 Treatment Maintain UI
Functional Orthodontics Expansion Orthodontics Distalization Ortho or No Treatment
Monday March 17 14
Type 3 Maintain
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
Incisor Goals
Type 4 Treatment RetractExtrude UI
Extraction Orthodontics Retraction Ortho Distalization Ortho
Monday March 17 14
Type 4 Retraction
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
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)
ldquothe dimension of the velopharynx glossopharynx and hypopharynx were decreased after maximal retraction of anterior teeth with extraction of four premolarshelliprdquo ldquoAny factors that can influence the posture and position of tongue and soft palate may displace them backward andencroach upon the pharynxrdquo
ldquothe more the incisors were retracted the more the pharyngeal airway was reducedrdquo
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Backed into a corner
bull
Moving teeth faster more efficientlyhellipin the wrong direction
Monday March 17 14
Now that wersquove made smoking unacceptable
could we not do the same withbull Sugarbull Processed foodbull Cheap milk and meatbull Fast foodbull Pill popping for symptomatic reliefbull Looking for the cure instead of the causebull Surgery as a quick fixbull Thinking braces are a status symbol
Each industry thrives on the status quoConsumers must drive the change
Monday March 17 14
Nicholas Plaskon 10yM
Monday March 17 14
NP
Monday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
After Expansion Phase
Monday March 17 14
Incomplete profile improvement better breathing head posture and sleep
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 3 Treatment Maintain UI
Functional Orthodontics Expansion Orthodontics Distalization Ortho or No Treatment
Monday March 17 14
Type 3 Maintain
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
Incisor Goals
Type 4 Treatment RetractExtrude UI
Extraction Orthodontics Retraction Ortho Distalization Ortho
Monday March 17 14
Type 4 Retraction
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
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)
ldquothe dimension of the velopharynx glossopharynx and hypopharynx were decreased after maximal retraction of anterior teeth with extraction of four premolarshelliprdquo ldquoAny factors that can influence the posture and position of tongue and soft palate may displace them backward andencroach upon the pharynxrdquo
ldquothe more the incisors were retracted the more the pharyngeal airway was reducedrdquo
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Backed into a corner
bull
Moving teeth faster more efficientlyhellipin the wrong direction
Monday March 17 14
Now that wersquove made smoking unacceptable
could we not do the same withbull Sugarbull Processed foodbull Cheap milk and meatbull Fast foodbull Pill popping for symptomatic reliefbull Looking for the cure instead of the causebull Surgery as a quick fixbull Thinking braces are a status symbol
Each industry thrives on the status quoConsumers must drive the change
Monday March 17 14
Nicholas Plaskon 10yM
Monday March 17 14
NP
Monday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
Incomplete profile improvement better breathing head posture and sleep
Monday March 17 14
Monday March 17 14
Incisor Goals
Type 3 Treatment Maintain UI
Functional Orthodontics Expansion Orthodontics Distalization Ortho or No Treatment
Monday March 17 14
Type 3 Maintain
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
Incisor Goals
Type 4 Treatment RetractExtrude UI
Extraction Orthodontics Retraction Ortho Distalization Ortho
Monday March 17 14
Type 4 Retraction
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
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)
ldquothe dimension of the velopharynx glossopharynx and hypopharynx were decreased after maximal retraction of anterior teeth with extraction of four premolarshelliprdquo ldquoAny factors that can influence the posture and position of tongue and soft palate may displace them backward andencroach upon the pharynxrdquo
ldquothe more the incisors were retracted the more the pharyngeal airway was reducedrdquo
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Backed into a corner
bull
Moving teeth faster more efficientlyhellipin the wrong direction
Monday March 17 14
Now that wersquove made smoking unacceptable
could we not do the same withbull Sugarbull Processed foodbull Cheap milk and meatbull Fast foodbull Pill popping for symptomatic reliefbull Looking for the cure instead of the causebull Surgery as a quick fixbull Thinking braces are a status symbol
Each industry thrives on the status quoConsumers must drive the change
Monday March 17 14
Nicholas Plaskon 10yM
Monday March 17 14
NP
Monday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
Monday March 17 14
Incisor Goals
Type 3 Treatment Maintain UI
Functional Orthodontics Expansion Orthodontics Distalization Ortho or No Treatment
Monday March 17 14
Type 3 Maintain
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
Incisor Goals
Type 4 Treatment RetractExtrude UI
Extraction Orthodontics Retraction Ortho Distalization Ortho
Monday March 17 14
Type 4 Retraction
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
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)
ldquothe dimension of the velopharynx glossopharynx and hypopharynx were decreased after maximal retraction of anterior teeth with extraction of four premolarshelliprdquo ldquoAny factors that can influence the posture and position of tongue and soft palate may displace them backward andencroach upon the pharynxrdquo
ldquothe more the incisors were retracted the more the pharyngeal airway was reducedrdquo
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Backed into a corner
bull
Moving teeth faster more efficientlyhellipin the wrong direction
Monday March 17 14
Now that wersquove made smoking unacceptable
could we not do the same withbull Sugarbull Processed foodbull Cheap milk and meatbull Fast foodbull Pill popping for symptomatic reliefbull Looking for the cure instead of the causebull Surgery as a quick fixbull Thinking braces are a status symbol
Each industry thrives on the status quoConsumers must drive the change
Monday March 17 14
Nicholas Plaskon 10yM
Monday March 17 14
NP
Monday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
Incisor Goals
Type 3 Treatment Maintain UI
Functional Orthodontics Expansion Orthodontics Distalization Ortho or No Treatment
Monday March 17 14
Type 3 Maintain
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
Incisor Goals
Type 4 Treatment RetractExtrude UI
Extraction Orthodontics Retraction Ortho Distalization Ortho
Monday March 17 14
Type 4 Retraction
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
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)
ldquothe dimension of the velopharynx glossopharynx and hypopharynx were decreased after maximal retraction of anterior teeth with extraction of four premolarshelliprdquo ldquoAny factors that can influence the posture and position of tongue and soft palate may displace them backward andencroach upon the pharynxrdquo
ldquothe more the incisors were retracted the more the pharyngeal airway was reducedrdquo
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Backed into a corner
bull
Moving teeth faster more efficientlyhellipin the wrong direction
Monday March 17 14
Now that wersquove made smoking unacceptable
could we not do the same withbull Sugarbull Processed foodbull Cheap milk and meatbull Fast foodbull Pill popping for symptomatic reliefbull Looking for the cure instead of the causebull Surgery as a quick fixbull Thinking braces are a status symbol
Each industry thrives on the status quoConsumers must drive the change
Monday March 17 14
Nicholas Plaskon 10yM
Monday March 17 14
NP
Monday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
Type 3 Maintain
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
Incisor Goals
Type 4 Treatment RetractExtrude UI
Extraction Orthodontics Retraction Ortho Distalization Ortho
Monday March 17 14
Type 4 Retraction
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
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)
ldquothe dimension of the velopharynx glossopharynx and hypopharynx were decreased after maximal retraction of anterior teeth with extraction of four premolarshelliprdquo ldquoAny factors that can influence the posture and position of tongue and soft palate may displace them backward andencroach upon the pharynxrdquo
ldquothe more the incisors were retracted the more the pharyngeal airway was reducedrdquo
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Backed into a corner
bull
Moving teeth faster more efficientlyhellipin the wrong direction
Monday March 17 14
Now that wersquove made smoking unacceptable
could we not do the same withbull Sugarbull Processed foodbull Cheap milk and meatbull Fast foodbull Pill popping for symptomatic reliefbull Looking for the cure instead of the causebull Surgery as a quick fixbull Thinking braces are a status symbol
Each industry thrives on the status quoConsumers must drive the change
Monday March 17 14
Nicholas Plaskon 10yM
Monday March 17 14
NP
Monday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
Incisor Goals
Type 4 Treatment RetractExtrude UI
Extraction Orthodontics Retraction Ortho Distalization Ortho
Monday March 17 14
Type 4 Retraction
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
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)
ldquothe dimension of the velopharynx glossopharynx and hypopharynx were decreased after maximal retraction of anterior teeth with extraction of four premolarshelliprdquo ldquoAny factors that can influence the posture and position of tongue and soft palate may displace them backward andencroach upon the pharynxrdquo
ldquothe more the incisors were retracted the more the pharyngeal airway was reducedrdquo
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Backed into a corner
bull
Moving teeth faster more efficientlyhellipin the wrong direction
Monday March 17 14
Now that wersquove made smoking unacceptable
could we not do the same withbull Sugarbull Processed foodbull Cheap milk and meatbull Fast foodbull Pill popping for symptomatic reliefbull Looking for the cure instead of the causebull Surgery as a quick fixbull Thinking braces are a status symbol
Each industry thrives on the status quoConsumers must drive the change
Monday March 17 14
Nicholas Plaskon 10yM
Monday March 17 14
NP
Monday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
Incisor Goals
Type 4 Treatment RetractExtrude UI
Extraction Orthodontics Retraction Ortho Distalization Ortho
Monday March 17 14
Type 4 Retraction
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
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)
ldquothe dimension of the velopharynx glossopharynx and hypopharynx were decreased after maximal retraction of anterior teeth with extraction of four premolarshelliprdquo ldquoAny factors that can influence the posture and position of tongue and soft palate may displace them backward andencroach upon the pharynxrdquo
ldquothe more the incisors were retracted the more the pharyngeal airway was reducedrdquo
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Backed into a corner
bull
Moving teeth faster more efficientlyhellipin the wrong direction
Monday March 17 14
Now that wersquove made smoking unacceptable
could we not do the same withbull Sugarbull Processed foodbull Cheap milk and meatbull Fast foodbull Pill popping for symptomatic reliefbull Looking for the cure instead of the causebull Surgery as a quick fixbull Thinking braces are a status symbol
Each industry thrives on the status quoConsumers must drive the change
Monday March 17 14
Nicholas Plaskon 10yM
Monday March 17 14
NP
Monday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
Failed Profile Result
Monday March 17 14
Incisor Goals
Type 4 Treatment RetractExtrude UI
Extraction Orthodontics Retraction Ortho Distalization Ortho
Monday March 17 14
Type 4 Retraction
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
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)
ldquothe dimension of the velopharynx glossopharynx and hypopharynx were decreased after maximal retraction of anterior teeth with extraction of four premolarshelliprdquo ldquoAny factors that can influence the posture and position of tongue and soft palate may displace them backward andencroach upon the pharynxrdquo
ldquothe more the incisors were retracted the more the pharyngeal airway was reducedrdquo
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Backed into a corner
bull
Moving teeth faster more efficientlyhellipin the wrong direction
Monday March 17 14
Now that wersquove made smoking unacceptable
could we not do the same withbull Sugarbull Processed foodbull Cheap milk and meatbull Fast foodbull Pill popping for symptomatic reliefbull Looking for the cure instead of the causebull Surgery as a quick fixbull Thinking braces are a status symbol
Each industry thrives on the status quoConsumers must drive the change
Monday March 17 14
Nicholas Plaskon 10yM
Monday March 17 14
NP
Monday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
Incisor Goals
Type 4 Treatment RetractExtrude UI
Extraction Orthodontics Retraction Ortho Distalization Ortho
Monday March 17 14
Type 4 Retraction
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
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)
ldquothe dimension of the velopharynx glossopharynx and hypopharynx were decreased after maximal retraction of anterior teeth with extraction of four premolarshelliprdquo ldquoAny factors that can influence the posture and position of tongue and soft palate may displace them backward andencroach upon the pharynxrdquo
ldquothe more the incisors were retracted the more the pharyngeal airway was reducedrdquo
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Backed into a corner
bull
Moving teeth faster more efficientlyhellipin the wrong direction
Monday March 17 14
Now that wersquove made smoking unacceptable
could we not do the same withbull Sugarbull Processed foodbull Cheap milk and meatbull Fast foodbull Pill popping for symptomatic reliefbull Looking for the cure instead of the causebull Surgery as a quick fixbull Thinking braces are a status symbol
Each industry thrives on the status quoConsumers must drive the change
Monday March 17 14
Nicholas Plaskon 10yM
Monday March 17 14
NP
Monday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
Type 4 Retraction
50
40
30
20mm
y 5 6 7 8 9 10 11 12 13 14 15
girlsboys
Monday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
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)
ldquothe dimension of the velopharynx glossopharynx and hypopharynx were decreased after maximal retraction of anterior teeth with extraction of four premolarshelliprdquo ldquoAny factors that can influence the posture and position of tongue and soft palate may displace them backward andencroach upon the pharynxrdquo
ldquothe more the incisors were retracted the more the pharyngeal airway was reducedrdquo
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Backed into a corner
bull
Moving teeth faster more efficientlyhellipin the wrong direction
Monday March 17 14
Now that wersquove made smoking unacceptable
could we not do the same withbull Sugarbull Processed foodbull Cheap milk and meatbull Fast foodbull Pill popping for symptomatic reliefbull Looking for the cure instead of the causebull Surgery as a quick fixbull Thinking braces are a status symbol
Each industry thrives on the status quoConsumers must drive the change
Monday March 17 14
Nicholas Plaskon 10yM
Monday March 17 14
NP
Monday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
Bimax retrusion
Monday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
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)
ldquothe dimension of the velopharynx glossopharynx and hypopharynx were decreased after maximal retraction of anterior teeth with extraction of four premolarshelliprdquo ldquoAny factors that can influence the posture and position of tongue and soft palate may displace them backward andencroach upon the pharynxrdquo
ldquothe more the incisors were retracted the more the pharyngeal airway was reducedrdquo
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Backed into a corner
bull
Moving teeth faster more efficientlyhellipin the wrong direction
Monday March 17 14
Now that wersquove made smoking unacceptable
could we not do the same withbull Sugarbull Processed foodbull Cheap milk and meatbull Fast foodbull Pill popping for symptomatic reliefbull Looking for the cure instead of the causebull Surgery as a quick fixbull Thinking braces are a status symbol
Each industry thrives on the status quoConsumers must drive the change
Monday March 17 14
Nicholas Plaskon 10yM
Monday March 17 14
NP
Monday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
Successful dental result
Monday March 17 14
Failed Profile Result
Monday March 17 14
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)
ldquothe dimension of the velopharynx glossopharynx and hypopharynx were decreased after maximal retraction of anterior teeth with extraction of four premolarshelliprdquo ldquoAny factors that can influence the posture and position of tongue and soft palate may displace them backward andencroach upon the pharynxrdquo
ldquothe more the incisors were retracted the more the pharyngeal airway was reducedrdquo
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Backed into a corner
bull
Moving teeth faster more efficientlyhellipin the wrong direction
Monday March 17 14
Now that wersquove made smoking unacceptable
could we not do the same withbull Sugarbull Processed foodbull Cheap milk and meatbull Fast foodbull Pill popping for symptomatic reliefbull Looking for the cure instead of the causebull Surgery as a quick fixbull Thinking braces are a status symbol
Each industry thrives on the status quoConsumers must drive the change
Monday March 17 14
Nicholas Plaskon 10yM
Monday March 17 14
NP
Monday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
Failed Profile Result
Monday March 17 14
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)
ldquothe dimension of the velopharynx glossopharynx and hypopharynx were decreased after maximal retraction of anterior teeth with extraction of four premolarshelliprdquo ldquoAny factors that can influence the posture and position of tongue and soft palate may displace them backward andencroach upon the pharynxrdquo
ldquothe more the incisors were retracted the more the pharyngeal airway was reducedrdquo
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Backed into a corner
bull
Moving teeth faster more efficientlyhellipin the wrong direction
Monday March 17 14
Now that wersquove made smoking unacceptable
could we not do the same withbull Sugarbull Processed foodbull Cheap milk and meatbull Fast foodbull Pill popping for symptomatic reliefbull Looking for the cure instead of the causebull Surgery as a quick fixbull Thinking braces are a status symbol
Each industry thrives on the status quoConsumers must drive the change
Monday March 17 14
Nicholas Plaskon 10yM
Monday March 17 14
NP
Monday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
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)
ldquothe dimension of the velopharynx glossopharynx and hypopharynx were decreased after maximal retraction of anterior teeth with extraction of four premolarshelliprdquo ldquoAny factors that can influence the posture and position of tongue and soft palate may displace them backward andencroach upon the pharynxrdquo
ldquothe more the incisors were retracted the more the pharyngeal airway was reducedrdquo
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Backed into a corner
bull
Moving teeth faster more efficientlyhellipin the wrong direction
Monday March 17 14
Now that wersquove made smoking unacceptable
could we not do the same withbull Sugarbull Processed foodbull Cheap milk and meatbull Fast foodbull Pill popping for symptomatic reliefbull Looking for the cure instead of the causebull Surgery as a quick fixbull Thinking braces are a status symbol
Each industry thrives on the status quoConsumers must drive the change
Monday March 17 14
Nicholas Plaskon 10yM
Monday March 17 14
NP
Monday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Backed into a corner
bull
Moving teeth faster more efficientlyhellipin the wrong direction
Monday March 17 14
Now that wersquove made smoking unacceptable
could we not do the same withbull Sugarbull Processed foodbull Cheap milk and meatbull Fast foodbull Pill popping for symptomatic reliefbull Looking for the cure instead of the causebull Surgery as a quick fixbull Thinking braces are a status symbol
Each industry thrives on the status quoConsumers must drive the change
Monday March 17 14
Nicholas Plaskon 10yM
Monday March 17 14
NP
Monday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
Backed into a corner
bull
Moving teeth faster more efficientlyhellipin the wrong direction
Monday March 17 14
Now that wersquove made smoking unacceptable
could we not do the same withbull Sugarbull Processed foodbull Cheap milk and meatbull Fast foodbull Pill popping for symptomatic reliefbull Looking for the cure instead of the causebull Surgery as a quick fixbull Thinking braces are a status symbol
Each industry thrives on the status quoConsumers must drive the change
Monday March 17 14
Nicholas Plaskon 10yM
Monday March 17 14
NP
Monday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
Now that wersquove made smoking unacceptable
could we not do the same withbull Sugarbull Processed foodbull Cheap milk and meatbull Fast foodbull Pill popping for symptomatic reliefbull Looking for the cure instead of the causebull Surgery as a quick fixbull Thinking braces are a status symbol
Each industry thrives on the status quoConsumers must drive the change
Monday March 17 14
Nicholas Plaskon 10yM
Monday March 17 14
NP
Monday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
Nicholas Plaskon 10yM
Monday March 17 14
NP
Monday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
NP
Monday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
Monday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
Monday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
Sisterrsquos non-x ortho
Shersquos happyhellipbut Irsquom not so
Monday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
I make my pitch for BBO
Monday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
The dilemma of progress
(I forgot the progress pictureshellip)
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
Monday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
Connecting the dots
bull Adult SDB and OSA
bull Narrow jaws and faces
bull Soft tissue dysfunction
bull Early parafunctional habits ie open mouth posture
bull Environmental stressors
bull CPAP MARAUPPP SurgWherersquos the best
place to start treatment here
or here
Monday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
1 Prevention 2 Undo the damage already done3 Establish good habits
When to start When damage from poor breathing is noticed and when bad habits are discovered
The strategies of Airway Orthodontics
Monday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
Prevention
bull Remove ankyloglossiabull Promote breastfeedingbull Harden the dietbull Discourage oral habitsbull Promote whole-foods low sugar dietbull Reduce oropharyngeal obstructionbull Promote nasal breathing
Monday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
Breathing retraining
bull Nasal rinsingbull Nasal clearingbull Decongesting
Monday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
The goals of Airway Orthodontics
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Optimal forward facial development6 Class I occlusion7 Straight teeth8 Better stability long term
Monday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
Myofunctional Trainers
Professors R Soulet and A Besombes
Dr Earl Bergeson
Dr Chris Farrell
The Multi ndash Family System
Monday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
Soft Tissue Dysfunctions
bullLip incompetencebullLip entrapmentbullHypermentalisbullMouthbreathing
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
12 month progress
Monday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
12 month progress
Monday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
After Treatment
Bent-wire6 monthsMyobrace12 months
Hey RaphaelWhat about that
profile
Monday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
Orofacial MyofunctionalTherapy
Oral MyologyMyofunctional TherapyTongue Thrust Therapy
Monday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
B Hockel 2012 Back
Undoing Bimaxillary Dysplasia
1 Maxillary deconstriction2 Maxillary advancement3 Maxillary impaction4 Mandibular advancement
Monday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
1 Maxillary Expansion
Treatment for Bimaxillary Dysplasia
ALFCrozat
Bent Wire
HyraxHaas
Niti Exp BioBlocSchwartz
Monday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
The Farrell BENT WIRE Systemtrade
Monday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
Recommended Age Group 5-12 yrs
Arch Development in conjunction with the TRAINER Systemtrade
Monday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
At age 16
Twin Study
Monday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
Four years earlier
One of them has crooked teethMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
3 August 2003 3 August 2003
RHYS - 10Y 11MHow did these teeth get this way
Different genes than his brotherMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
1 March 2007 1 March 2007
RHYS - 14Y 5M Four years later after successful MFO
Text
(Treatment by Dr Chris Farrell)
Monday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
RHYS - 16 AUGUST 2007 KYLE - 16 AUGUST 2007
TRAINER BWS MYOBRACE MINIMAL SWA
RHYS amp KYLE - 13Y 8M
Did genetics make the teeth straight again
Did genetics make the teeth crooked
Monday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
Dr John MewMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
Establish Good Habits
1 Breathing through the nose2 Lips together at rest3 Correct tongue position4 No facial muscles moving on swallowing5 Stand and sit in balance6 Breath gently using the diaphragm7 Eat to nourish8 Sleep to rest
Monday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
Ortho-Postural TrainingWorkshops
Breathing
Nutrition
Posture
Sleep
Monday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
Monday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
COPYRIGHTRoger L PriceOctober 2012
Monday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
Posture Number
Forward head posturecan be a compensationfor a deficient airway
Monday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
Sleep Screening and Hygiene
SQI = 10 SQI = 98
Monday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
Integrative Healthcare
Function ProfessionalNasal clearing ENT Pulm MFT BreathingMuscle balance and tone MFT Myofunctional OrthoUndoing damage GP Pedo Ortho OMFSBreathing dynamics OPT MFT Breath PhysiologistPosture DC OPT PT OsteopathCranial balance OsteopathNutrition RDH Nutritionist Dietitian Sleep ENT Sleep Med DentNeurocognitive development Pedrsquon SLP Psych SpEd
The Interdisciplinary CenterMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
1Crooked teeth are A SYMPTOM
2 The UPPER incisor directs treatment
3Patients donrsquot want to be exploited
4Teeth that grow straight are stable
Monday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
Now that I know
My personal missionTo create from what Irsquove
learned from the besta model for others to followhellipespecially the orthodontists
Monday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
Myofunctional Orthodontics
Chris Farrell
John Flutter
German Ramierez
Damien OrsquoBrien
Myofunctional Research CoRancho Cucamonga
2008-2012Monday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
Oral Myology
Oral Myology Basic CourseJoy MoellerNYC 2011LA 2012
Oral Myology Levels 2 3Kim BenkertClifton 2012
Habit CessationShari GreenClifton 2013
Monday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
Biobloc Orthotropics
BBO Mini-residencyBill Hang
Agora Hills2012-13
BBO IntensiveDrs John and Mike
MewLSFO2013
Monday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
Breathing and Sleep
Buteyko MentorshipThe Breathing Center
Woodstock2010
Breathing Well ProgrammeJohn Flutter
2010 Ortho-Postural TrainingRoger Price
2013
Sleep DentistryMichael Gelb etal
NYU2012
Monday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
ALF and Cranial
Jim Bronson2013 Tasha Turzo
Cranial Academy2014
Monday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
Bucket Listbull ALF and Crozat (Bronsonrsquos course)bullMore on Biobloc (Hangrsquos Advanced London School)bull More Cranial and Chirodontics (The Farm)bull Airway Dentistry with Marc Cruz Jeff Rousebull Sleep Dentistrybull Less-than-Six with Kevin Boydbull Intra-mandibular Distraction Osteogenesis
Off My ListAnything that moves the teeth faster in the wrong direction
Monday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
Whatrsquos an RO to do
To create from what Irsquove learned from the best
a model for others to followhellipespecially orthodontists
Monday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
Teaching
Mt Sinai Pedo ResidencyAli Attaie
2010-2012
Montefiore Ortho ResidencyTony Maganzini
2012
2009-PresentMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
Mt Sinai School of MedicinePedodontic Residency
Guest SpeakersJim BronsonMike MewKevin BoydSandra KahnJennifer TowRoger PricePaula Fabbie
Damien OrsquoBrien
First clinical program in myofunctional orthodontics
Monday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
Airway and Facial DevelopmentCollaborative Webcast
Mark Cruz
Monday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
AAPMD Symposium
wwwaapm
dorg
Annual MeetingApril 25-26 2014
Westin Chicago North Shore
Monday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
the raphael center for integrative orthodontics
wwwalignminecomwwwbioblocnjcom
wwwmyobracenjcom
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
Integrative vs Conventional
Monday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
Integrative vs Conventional
Monday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
ldquoWith 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 oerrdquo
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
wwwalignminecomLearn about the choices you have in orthodontics
dr barry raphael Why its
too Early never
1425
bro
ad
str
ee
tc
lifto
n n
j 070
13
973-
778-
4222
fax
973-
778-
9625
nj s
pe
c
368
4
1425 broad street clifton nj 07013973-778-4222
wwwalignminecom
the raphael centerforintegrative orthodontics
the
raph
ael c
ente
r fo
rin
tegr
ativ
e or
thod
onti
cs
Learn about an important choice you need to make before starting braces
Monday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
Monday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
the raphael center for integrative education
Monday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
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
Monday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
Orthodontics in the 21st Century
EstheticOrthodontics
AirwayOrthodontics
GeneticTooth-Focused
Dental PerfectionEsthetics Primary
Treating SymptomsAirway Ignorant
AdaptationMuscle-FocusedMedical Better
Esthetics SecondaryTreating Causes
Airway ConsciousMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
Monday March 17 14
The EndAnd
The BeginningMonday March 17 14
The EndAnd
The BeginningMonday March 17 14