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Developing The face and the Airway Theodore R. Belfor, DDS 120 east - - PowerPoint PPT Presentation
Developing The face and the Airway Theodore R. Belfor, DDS 120 east - - PowerPoint PPT Presentation
Developing The face and the Airway Theodore R. Belfor, DDS 120 east 36 th street New York, N.Y. 10016 The Homeoblock Philosophy 21 st Century faces and airways are underdeveloped. Development is based on breathing, swallowing and chewing
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Polluted air, lack of breast feeding and soft refined diets contribute to facial and airway underdevelopment
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The Face and the Airway are Connected First the brain, the cranium and the basicranium (inferior region of the skull) develop in the womb. Next the face and the pharyngeal airway develop at the same time.
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The Airway Function in a Real Sense, as a Keystone of the Face Enlow, D.H.
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Our Faces Do Not Reach Their Full Potential For Growth We retain a 10% facial growth potential as adults Behrents, R.G.
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Weston Price a dentist of the 1950’s noted the great discrepancy in facial development between “civilized” and primitive cultures
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Identical Twin Sisters Separated at Birth Each with a Different Environment and Diet
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Weston Price Noted We are What We Eat. Current Research Teaches us We are How We Eat
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Study of Hyrax Monkeys Lieberman et al., 2004
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Two groups of growing animals ate a diet of apples carrots sweet potatoes Kale rabbit chow
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One group the food was lightly microwaved the other slightly desiccated. Microwaved group; magnitude of strains in chewing was half as much.
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The group that was fed microwaved food had about 10% less growth in many dimensions of the lower portion
- f the face.
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Our modern diet, which a full of sugar and soft refined foods, contributes to
- ur underdeveloped twenty-first
century faces.
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Neolithic man 10,000 BC vs Modern Man
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These differences in bone development are directly related to the force of chewing.
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The consistency of the food consumed by Neolithic man was that of beef jerky
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Forces of chewing in the second bicuspid and first molar regions
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Rotational Force
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Shearing force
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All these forces on bone produce changes in the bone. This is known as “Mechanotransduction”
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Let us view the changes in the face and the airway that we can generate by altering breathing swallowing and chewing with an intraoral night-time
- nly dental appliance
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The Homeoblock™
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We Can Change the Bone Around the Eyes
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Before After
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Improve The Lips and the Mouth by Increasing the Size of the Upper Jaw
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Before After
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Wider and more pronounced cheek bones
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Before After
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Higher Wider Cheekbones
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Before After
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Improve Facial Symmetry
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Before After
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Reduce Lines and Wrinkles
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Most Importantly The Airway Can Be Improved
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Improved Facial Symmetry and Improved Airway Symmetry
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What we can do for the airway
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Before Treatment
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After Treatment
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Before and After Using Virtual Endoscopy
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Before and After Nasal airway
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Before and After Nasal airway
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Improved Head Airway and Head Position
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Improved Airway Before and After Treatment
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Occlusal Balance and Harmony
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The following slides demonstrate the changes to the back and base of the tongue for a series of patients treated with appliance therapy. The changes are indicated in red.
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How Do We Get the Improvements to the Airway?
- Contraction of the genioglossus muscle.
- Creating more room for the tongue
- Through light force signaling to the teeth and the
periodontal ligament which stimulates growth and development through hormonal response which widens the jaw and improves the airflow
- By improving facial symmetry which enhances
autonomic nervous system tone and balance and reduces inflammation
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What can we achieve with appliance therapy?
1-Higher wider cheekbones. 2-Improved facial symmetry 3- Fuller upper lip 4- Improved nasal breathing 5- Reduced airway inflammation 6- Better tone at the base of the tongue. 7- Less tooth grinding
- 8. A better nights sleep
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Improved Base of the tongue
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Before After
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More symmetrical airway
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Before After
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Better nasal airway opening
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Before After
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Reduced inflammation
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The appliance has a particular advantage for folks that sleep on their stomach that cannot sleep on their back.
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