Understanding and Managing Dental Malocclusion
Understanding and Managing Dental Malocclusion: A Whole-Patient Approach
Dental malocclusion, a common oral health issue, refers to misalignment of the teeth resulting in an improper bite. It can lead to various complications, affecting both oral health and overall well-being. Malocclusion encompasses a range of conditions affecting chewing, speech, oral hygiene, and facial appearance. Dental occlusions can be classified into the following classes:
- Class I Occlusion: The most common type, where the bite is normal, with the upper teeth slightly overlapping the lower teeth.
- Class II Malocclusion: Also known as overbite, where the upper teeth and jaw significantly overlap the lower jaw and teeth.
- Class III Malocclusion: Known as underbite, where the lower jaw protrudes, causing the lower teeth to overlap the upper teeth.
Prevalence of Dental Malocclusion
Dental malocclusion is a widespread condition, affecting people of all ages. It is often identified in childhood and can persist into adulthood if not addressed.
Symptoms of Dental Malocclusion
- Difficulty Chewing or Biting: Due to misaligned teeth.
- Speech Difficulties: Particularly with certain sounds that require precise tongue-tooth contact.
- Increased Risk of Tooth Decay and Gum Disease: Caused by challenges in maintaining proper oral hygiene.
- Jaw Pain and Discomfort: Often associated with temporomandibular joint disorders (TMJD).
- Altered Facial Appearance: Impacting aesthetics and often feelings of low self-esteem.
Contributing Factors
- Genetic Factors: Inherited jaw and teeth structures.
- Habits in Childhood: Such as thumb sucking, prolonged use of pacifiers, or bottle feeding beyond the recommended age.
- Trauma or Injury: Leading to misalignment of the jaw.
- Poor Dental Practices: Delayed or improper dental treatments and extractions.
Diagnosis of Dental Malocclusion
Diagnosis involves a comprehensive dental examination, including assessing the teeth’s alignment, bite, and jaw structure. It may also involve dental X-rays or 3D imaging to understand the extent and nature of the malocclusion.
An Integrated Approach to Treatment
A team of multidisciplinary providers is crucial to accurate and individualized treatment:
- Orthodontic Treatment: Braces or aligners to correct teeth alignment and occlusion.
- Restorative Dental Procedures: Such as crowns, bridges, or veneers to improve bite and aesthetics.
- Surgery: In severe cases, orthognathic surgery may be recommended to reposition the jaw.
- Myofunctional Therapy: Exercises to strengthen oral muscles and support proper alignment.
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BreatheWorks’ Interdisciplinary Approach
Our approach includes:
- Whole-Patient Assessment: Conducted by a Speech-Language Pathologist, we take a detailed case history to get a clear picture of your body’s story and assess the function of the speech, swallowing, and breathing mechanisms. We will observe how the muscles perform tasks like speaking, chewing, swallowing, clearing your teeth, and breathing and identify the contributing factors that may relate to your symptoms.
- Collaboration with Dental Professionals: Orthodontists, dentists, and oral surgeons.
- Customized Treatment Plans: Based on the individual’s specific needs and condition.
- Ongoing Support and Education: Guidance for patients and families on managing malocclusion and maintaining oral health.
Prevention and Management Strategies
- Regular Dental Check-ups: Early detection and intervention are key.
- Awareness of Oral Habits: Discouraging habits that can lead to malocclusion in children.
- Proper Oral Hygiene: Maintaining good dental practices to prevent complications.
Conclusion
Dental malocclusion, though common, requires careful management to prevent further complications and to ensure overall oral health. At BreatheWorks, we offer a comprehensive and personalized approach, addressing both the physical and lifestyle aspects of malocclusion. Our goal is to improve oral functionality, aesthetic appearance, and the quality of life of our patients.
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This is specific to each patient, their needs, and how often they are practicing their exercises. We see faster progress with patients who are in weekly sessions and practicing exercises daily. In some cases patients can complete the in person/teletherapy phase of treatment in 4-12 sessions. Our phase 1 of treatment is typically weekly with our in-home program that typically lasts between 3-6 months. Phase 2 treatment which involves remote monitoring and in many cases less need for more in-clinic based treatments takes between 8-12 months depending on individual progress.
Yes, we offer teletherapy services through Breatheworks virtual therapy platform. This option gives our patients the flexibility to receive high-quality, patient-centered care when and where they want it. Our teletherapy ensures our patients receive the same level of care as our in-person services, tailored to fit into any lifestyle. Teletherapy has many benefits like increased scheduling flexibility, easier follow-ups, and in many cases improved outcomes, all while contributing to a healthier environment by reducing travel related emissions. Whether from the comfort of your home or on the go, we’re here to support your health journey every step of the way.
Orofacial Myofunctional Disorders (OMD)
Orofacial Myofunctional Disorders (OMD) refer to a group of conditions characterized by abnormal patterns of muscle function and incorrect habits involving the face, mouth, and throat. These disorders can affect various aspects of oral function, including speech, swallowing, breathing, and facial development. Examples of OMD include tongue thrust (where the tongue pushes against or between the teeth during swallowing or at rest), open mouth posture (habitual mouth breathing with the mouth consistently open), and incorrect tongue resting position. OMD can contribute to dental malocclusions, speech articulation difficulties, temporomandibular joint (TMJ) dysfunction, and other orofacial issues.Orofacial Myofunctional Therapy (OMT or MYO)
Orofacial myofunctional therapy (OMT) is a specialized form of therapy designed to address and correct Orofacial Myofunctional Disorders (OMD). It focuses on retraining the muscles of the face, mouth, and throat to achieve proper resting posture, swallowing patterns, and speech articulation. OMT involves a variety of exercises, techniques, and behavioral modifications tailored to the individual’s specific needs and goals. The goals of OMT include improving orofacial muscle strength and coordination, correcting abnormal swallowing patterns, promoting nasal breathing, and enhancing overall oral function and health. OMT is typically provided by speech-language pathologists or therapists trained in orofacial myofunctional therapy techniques.Benefits of Orofacial Myofunctional Therapy (OMT)
Orofacial myofunctional therapy (OMT) can be highly beneficial for individuals with Orofacial Myofunctional Disorders (OMD). By addressing underlying muscle dysfunction and promoting proper oral habits, OMT can help improve speech clarity, correct swallowing patterns, alleviate breathing difficulties, and optimize facial development. However, the effectiveness of OMT depends on various factors, including the severity of the OMD, the individual’s commitment to therapy, and consistency in practicing exercises and techniques. OMT is often recommended as part of a comprehensive treatment plan in collaboration with other healthcare professionals, such as dentists, orthodontists, and ENT specialists, especially when addressing complex orofacial issues.We hold space in our clinicians’ schedules for new patients because we know that early intervention is the best approach. We like to see new patients in less than 2 weeks and typically schedule phase one treatments during the first visit. We can see you virtually or in person. Get started now.