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.

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

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, 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

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

Sugar, wheat, rice, potatoes, pulses

Resting muscle tone affects posture

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

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

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)