6 rcio spreecast int ortho
DESCRIPTION
Raphael Center for Integrative Orthodontics Dr. Barry Raphael. Spreecast: Better Faces Less Braces.TRANSCRIPT
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Better Faces - Less Braces
A Spreecast Webinar by
Dr. Barry RaphaelOf the
Raphael Center for Integrative Orthodontics
November 13, 2013
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What is“Integrative Orthodontics”?• Integrative Orthodontics• Myofunctional Orthodontics• Airway Orthodontics• Preventive Orthodontics• Preventive Sleep Dentistry• Darwinian Dentistry (Evolutionary Medicine)• Holistic Dentistry/Orthodontics
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Integrative Orthodontics
• Crooked teeth are not the PROBLEM.• Crooked teeth are a SYMPTOM of an imbalance somewhere in the face, head, neck or body.• We treat the CAUSES of the imbalance as much as possible.
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Integrative Orthodontics
1. Breathing through the nose2. Lips together at rest3. Correct tongue position4. No facial muscles moving on swallowing5. Optimal facial development6. Class I occlusion7. Straight teeth8. Better Stability long term
Goals of Treatment
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Integrative Orthodontics
1.Prevention2.Undoing the damage3.Habit Control4.Tooth Alignment5. Retention
Methods of Treatment
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Integrative Orthodontics Prevention
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Frenectomy
From Paula Fabbie, COM
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Breast-feeding
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Hardening the Diet
• start with fiber crackers• then fruits, fresh and dried• then vegetables• then small, cooked meat• progressively over 4 to 12 months, depending on child
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Baby Led Weaning
•Starting at 6mo•Give baby real food•Let them explore and choose•Establish Chewing skills naturally
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Myomunchie
Soft, chewable, durableSqueeze for a count of 10, relax, repeat 10 times
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• Thumb Sucking• Pacifiers• Nail Biting• Tongue Sucking• Object Mouthing• Lip Biting• Chin-Leaning• Trichotillomania
Oral Habits
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Tonsil- and Adenectomy
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Carole L. Marcus, MBBCh, Lee J. Brooks, MD, Sally Davidson Ward, MD,Kari A. Draper, MD, David Gozal, MD, Ann C. Halbower, MD, Jacqueline Jones, MD, Christopher Lehmann, MD, Michael S. Schechter, MD, MPH,Stephen Sheldon, MD, Richard N. Shiffman, MD, MCIS, and Karen Spruyt, PhD
American Academy of PediatricsSUBCOMMITTEE ON
OBSTRUCTIVE SLEEP APNEA SYNDROME
Diagnosis and Management of Childhood Obstructive Sleep Apnea Syndrome
-Clinical Guidelines--Technical Report-
http://pediatrics.aappublications.org/content/early/2012/08/22/peds.2012-1672
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Integrative Orthodontics Undoing the damage
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Palate Expanders
Hyrax
Haas
Bonded
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Tongue-Friendly Slow
ALFAdvanced Lightwire Functional
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Biobloc Orthotropics
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B. Hockel 2012
This is the profile Biobloc children start with: long and retrusive
This is the profile Biobloc children finish with: Forward with lips
together
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B. Hockel 2012
And THAT is the beauty of Biobloc!
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Integrative Orthodontics Habit Control
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Can you really get kids to change habits?
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Habit Training
• Trainers for Kids
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• Habit Correction Exercises
Habit Training
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The Most Important Partner
• …is the Patient
• Only you can correct your own habits– Analogy: Physical Fitness– Analogy: Learning Piano
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Ortho-Postural TrainingWorkshops
Addressing the Causes of Crooked Teeth
Breathing
Nutrition
Posture
Sleep
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Breathing PowerUPs
1.Diaphragm Breathing
2.Tuna Can
3.Shoulder Hold
4.Mouse Breathing
5.Breath Well Website
6.Breath Well App
Breathing Techniques
1
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Health Lifestyle
Food that requires ChewingLower the CarbsEat natural foods
Exercise with Nasal Breathing
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Training
• Additional Exercises• From Rogers• Jaw Stretches• Neck Stretches• From Kondo• Tongue Lift (with gum)• From Flutter/Buteyko• 3M Micropore tape• Nasal rinsing
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Game:FACE
PowerUPs: things you do that make you Better
Villians : things you do that make you worse
Allies: people and things that help you
Quests: Challenges to meet
Epic Wins: All the Ways in which you get BETTER
We teach:
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Integrative Orthodontics Tooth Alignment
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Integrative Orthodontics Retention
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