First stage, preparatory phase

The aim of the preparatory phase is to increase the space for the tongue and teeth. Sideways expansion and lengthening of the dental arches is done with removable braces. The patient wears braces all the time, also during meals. They are taken out only for a few minutes to brush his teeth and clean the braces. 

Narrow arches and therefore lack of space
for permanent teeth

Expansion is best done when child is young and bone is malleable

All the teeth align themselves correctly without need of fixed braces in the future

Guiding teeth into correct position

Palatal Expansion with removable braces is the first stage of Orthotropics treatment. Expansion at a young age is most advantageous. In older patients, expansion and moving teeth has the risk of gum recessions.

Narrow arches and therefore lack of space
for permanent teeth. The Lower incisor was erupting a few millimetres away from its correct position.

When child is young, teeth can be aligned easily. Consequently, correct oral posture secures stable result.

Easy cases

For some children just preparatory phase coupled with exercises is sufficient. This is a lucky situation as the child usually develops correctly from then on. Easy cases are the ones started young or with a mild malocclusion. 

Difficult cases

More severe cases or older children require full course of Orthotropics treatment: preparatory, training and retention phase.

Training Phase, crucial part of Orthotropics

This is the most important stage of treatment as it teaches the child to maintain correct oral posture. The training phase requires an excellent cooperation from the patient. While in the first phase - preparatory, the braces did most of the work, in the second, training phase, the appliance is only an auxiliary tool and the main work is done by the patient. The training appliance is passive and its main task is to remind the child to keep correct oral posture continuously i.e. 'do Mewing'.

2016: oral breathing, loud and restless, periods of sleep apnea.

2018: nasal breathing, calm and inaudible, school marks have greatly improved. 

Retention phase, night -time wear

During this time the patient wears training appliance at night. Its task is to constantly remind about the correct oral posture. Over time, the face becomes more and more beautiful. Be patient. If child learns closed mouth posture; when they are mature adults, they are indefinitely more beautiful, than when we finish our active and retentive treatment.

Retention after fixed braces vs. after Orthotropics

Mainstream orthodontics recommends using retention for many years after treatment and relapses still occur. 

On the other hand, after orthotropics natural retention is ensured by correct oral posture.

Teeth have better and more stable position if the lips, cheeks and tongue are 'employed' to do retention.

Advantages of early Orthotropics are numerous: treatment is less complicated and brings the most benefit to your child. 

In children, the tongue is able to guide the face in the right direction while it is still growing. 
When you are older and finished growth, this is much more difficult. 

What Orthotropic treatment and Mewing have in common?

The essence of both Mewing and Orthotropics is correct closed oral posture (when we do not eat or speak):

  1.  lips together,
  2.  teeth together,
  3. tongue on the palate.

Unfortunately many children do not have closed oral posture.

Habitual open oral posture causes malocclusion. Other symptoms, which often come later, are: ENT (ear nose and throat) problems (e.g. oversized palatal and throat tonsils, nasal septum deviation, blocked nose), sleep apnea, problems with temporomandibular joint,  possible asymmetry of the face etc. Orthotropics therapy offers a cure for malocclusion. It can significantly help the child's general health and further development. 

How are Orthotropics and Mewing different?

Orthotropics is treatment done by a dentist with removable appliances. Appliances create great positive changes, resolve malocclusions and help to develop the habit of correct oral posture. It is done for growing patients.

Mewing can (and we believe it should) be applied by patients of all ages. It is done by patients themselves. Reviewing of the technique by a specialist might be helpful.

Azeitão - Setúbal

Book an Appointment, we are happy to help!

Dr. Arletta Hejne BDS (1998), PhD (2002), (OMD 13078)

Orthotropics Portugal
Clínica Fonte dos Pasmados
R. José Augusto Coelho 8B,
Azeitão, 2925-538

Tel: +351 933 890 335
Tel: +351 212 190 152

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