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