Craniofacial Dystrophy: Modern Melting Faces Mike Mew B.D.S., M.Sc.
Crooked teeth/ facial deformity? 95% to 5%
What is happening This obstructs the airway and so the ramus remodels forward creating an anti-gonial notch.
Distortion of the skull The mandible moulds to fit The overall mandibula length for these two However the arch subjects is almost the same. lengths differ by 14mm. Crowded front teeth . and impacted molars
Faces melting down Gross changes hidden, by head posture
Craniofacial Dystrophy If the face is not the correct shape then it does not function correctly • Breathing (blocked noses, sleep apnoea, and snoring) • Hearing (glue ear, eustation tube) • Speaking (tongue space, 3D) • Chewing (crooked teeth + TMD ) • Appearance and (adenoid face, tribal uniformity) recognition
Why Environment, Genetic - muli-factorial, Whole face problem with Vertical missed vertical issue involvement OD Orthodontic OT WAP Temporary aesthetic fix Orthotropic PN injury worsening underlying problem Muscle tone Vit A + D T posture T function
Vit A + D deficiency Vit A Vit D
Malnutrition in general
What are the likely causes? • 1 Muscle usage • 2 Mandibulo-lingual posture • 3 Swallowing pattern
Muscle usage
Late onset muscle weakness
Muscle usage • Hard food/ low calories • Soft food/ high calories Resting muscle tone affects posture Sugar, wheat, rice, potatoes, pulses
Wear related to usage • Hard food/ low calories • Soft food/ high calories 5% effort, Sugar, wheat, rice, potatoes, pulses
Jaw/tongue posture + breathing Most important thing in your life
Experimental Animals z Poor animals
Orthodontic treatment Young or late, avoid fixed extractions, retractive mechanics
Craniofacial Dystrophy If the face is not the correct shape then it does not function correctly • Breathing (blocked noses, sleep apnoea, and snoring) • Hearing (glue ear, eustation tube) • Speaking (tongue space, 3D) • Chewing (crooked teeth + TMD ) • Appearance and (adenoid face, tribal uniformity) recognition
Breathing problems,- sleep apnoea and snoring, Snoring today apnoea tomorrow, how many? Blocked noses, weekly, monthly, yearly
Breathing problems,- sleep apnoea and snoring
ENT problems (deviant nasal septum, sinusitis, glue ear, tonsillitis ) Roman nose, retro attractive
ENT problems (deviant nasal septum, sinusitis, glue ear, tonsillitis )
ENT problems (deviant nasal septum, sinusitis, glue ear, tonsillitis ) Tonsils- air pathway
TMD, Tempromandibular Disorders
Upper back and neck problems, Ascending or Descending
Long faces (Adenoid face, less attractive faces) Allergic shiner
Identical Twins to compare results Age 8 Age 13 FIXED WITH PREMOLAR EXTS He is now in fixed retainers ORTHOTROPIC TREATMENT No fixed appliances, no extractions, no retention and no relapse
Facebook “Orthotropics”, “Y Crooked Teeth”, Orthotropics.co.uk or Orthotropics.com
My perfect Tara Lynn
My perfect Kate and friends
Tongue posture a fraction down Beauty in the eye of the beholder
Beauty in eye of beholder? Beauty on maxilla position Lyney Symmetery etc
Tongue posture a touch more down, but good muscle tone Jude Law
Both good muscle tone, but who has the better tongue posture? Kiera or Angelina
Tongue posture a touch more down, but good muscle tone James and Michael (getting better or worse), lips seal
Getting better or worse over time People do not stay the same, lips apart?
Facebook “Orthotropics”, “Y Crooked Teeth”, Orthotropics.co.uk or Orthotropics.com
• Debate for the cause of crooked teeth • Join us at; To follow orthotropics http://www.facebook.com/orthotropics To support the debate http://www.facebook.com/YCrookedTeeth Info http://www.orthotropics.co.uk/ Meetings October 6th AAPMD (aapmd.org)
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