Crowding and open bite: options for treatment? (photos)
Doctor Answers 1
The DNA Appliances create Orthopedic Growth along with Orthodontic tooth movement
I would strongly suggest maxillary expansion with a DNA appliance to orthopedically grow your maxilla. It is also possible to do Surgically Assisted Rapid Palatal Expansion or SARPE procedure. This will create the space to fit all your teeth, fill the buccal corridorsand will provide better function.
A myofunctional therapy consult and exercises may give better results as well.
I would divide treatment into two phases orthopedic growth and pneumpedic growth (airway) first along with oral and myofunctional therapy if indicated (probable) followed by E-cligner therapy
Web reference is a youtube video of a patient.
Ira L Shapira DDS, D,ABDSM, D,AAPM, FICCMO
Chair, Alliance of TMD Organizations
Diplomat, American Academy of Pain Management
Diplomat, American Board of Dental Sleep Medicine
Regent & Fellow, International College of CranioMandibular Orthopedics
Board Eligible, American Academy of CranioFacial Pain
Dental Section Editor, Sleep & Health Journal
Member, American Equilibration Society
Member, Academy of Applied Myofunctional Sciences
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