Spreecast Ep32 Ramirez Intercept Malocclusion
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Transcript of Spreecast Ep32 Ramirez Intercept Malocclusion
Disclosure
The concepts expressed on this lecture are based on my studies, the
current scientific evidence and clinical experience.
They do not represent the teaching philosophy at the College of Dentistry,
University of Manitoba
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10.89 9.065.52 5.56 3.8
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0.4 1 2 3 4 5 16Age
Modified from Liu Yi-Ping, Behrents Rolf G, Buschang Peter H.
Mandibular growth, remodeling and maturation during infancy and early
childhood. Angle Orthod 2010; 80: 97-105
Co-Gn
Distance
Is this the ideal
moment
to start
treatment?
Ramirez-Yañez G.
Treatment of anterior crossbite in primary
dentition with esthetic crowns: report of 3
cases.
Pediatr Dent. 2011 Jul-Aug;33(4):339-42.
Anterior crossbite treatment changes
the direction of the occlusal force,
affecting the periodontal receptors,
which modify the response of the
trigeminal nerve and the muscular
activity
Sohn et al. 1997. Changes in jaw movement and jaw closing
in muscle activity after orthodontic correction of incisor
crossbite. Am. J. Orthod. Dentofacial Orthop. 112: 403
ZR - May 4, 2010
ZR - May 24, 2010
ZR – August 27, 2010
TAR 11.5µV TAL 11.8µV MMR 4.8µV MML 5.8µV
OOS 5.2µV ME 4.9µV DAR 0.4µV DAL 33.7µV
TAR 17.9µV TAL 24.6µV MMR 16.7µV MML 31.0µV
OOS 5.7µV ME 7.4µV DAR 11.4µV DAL 13.1µV
May 4, 2010
Aug 27, 2010
May 4, 2010 – August 27, 2010 - Nov 12, 2012
INFANT TRAINER T4I
&
LIP TRAINER
DevelopmentDiferentiation – Maduration
GrowthIncrease in mass and size
AdaptationPlasticity & Compensatory Growth
2 g/cm²
2 g/cm²
2.7 g/cm²
1 g/cm²
Thuer U et. al. 1999 Cheek and tongue posture in the molar areas and the atmospheric pressure
in the palatal vault in young adults. Eur J Orthod 21: 299-309
21 g/cm²
1 g/cm²
80 g/cm²
FIRSTLY,
CONTROL THE HABIT THEN,
USE THE TRAINER
HABITS
MANAGEMENT
NEURAL STIMULATION
PLANAS’ DIRECT TRACKS
POSTERIOR CROSSBITE
PLANAS’ DIRECT TRACKS
POSTERIOR CROSSBITE
Ramirez-Yañez, G.O. J Clin Orthod 2003; 37(6): 294-8
The earliest a malocclusion is
corrected, the better and the
simpler treatment is
PLANAS’ DIRECT TRACKS
Bone-Muscle Unit
Signals
Loads
Biological
Responses
Hormones
Cytokines
Modelling
Remodelling
Biomechanic
Feedback
Jee WSS. J Musculoskel Neuron Interact 2000; 11-13
Forwood MR, Osteoporosis Int 2001; 12:77-83
Frost HM. Angle Orthod 2004; 74:3-15
The Modus Operandi of the Trainer to correct malocclusions?
Change the posture of themandible
Usumez, 2004
The Modus Operandi of the Trainer to correct malocclusions?
Stimulate transversedevelopment
Ramirez-Yañez, 2007
THE FUTURE OF ORTHODONTICS
IS NOT ONLY THERAPY AND
INTERCEPTION
BUT ALSO PREVENTION
Petrovic AG, Stutzmann JJ. Research methodology and findings in applied
craniofacial growth studies. In: Dentofacial Orthopedics with Functional
Appliances, 2nd Edition Graber TM, Rakosi T, Petrovic AG. Mosby 1997
Thank you for taking careof my teeth and myFACIAL GROWING
issues !!!
OBSERVE THE MOUTHOF THE CHILD,
NOT ONLY THE TEETH
LISTEN TO THE NEEDS OF THE CHILD
REMEMBERWE CAN INTERCEPT AND
PREVENT MANY DEVELOPING ISSUES IN
CHILDREN
Mizaru Kikazaru Iwazaru