Case Study 4 - This patient is in the mixed-dentition with very severe crowding. The patient’s parents were told to wait 5 years before she would potentially require extractions and braces. Treatment focused on correcting the patient’s poor myofunctional habits of an open-mouth posture and reverse swallowing patterns.
Space in the maxilla was created for the tongue to position correctly using an upper-arch Biobloc appliance. The important thing is improving maxillary development. Getting the tongue up into the maxilla is the key to this treatment.
Alignment was improved mostly through the use of theK2™ (formally the i-2®) followed by the T3™ (formally the Myobrace Regular™). Along with major improvements in tooth alignment, the patient has seen a vast improvement in mid-face development.
When you work on improving growth and development, the result is almost always more space for the teeth, with less force required to align the teeth.
When treating younger patients, it’s important to go beyond just issuing the appliance. If there are habits to be corrected, it’s crucial to get down to the child’s level and make sure they understand that it’s their habits that need to be corrected.
MRC’s appliances can improve dental alignment, but this requires an awareness of soft tissue dysfunction and an understanding of how growth and development can be improved through correcting poor myofunctional habits. This allows for positive and stable results for the patient.
Diagnosis & Treatment Planning
Developing a Treatment Plan