Functional Orthodontics

Dental Healing Arts Treatment System offers Orthodontic solutions for patients of all ages and all aspirations. From purely cosmetic outcomes to comprehensive Orthodontics, ControlledArch has it covered. ControlledArch Treatment options are designed to work with and not against nature, by simply assisting or reminding the body of the natural genetic intention of your facial development. This is approached through an understanding that as we go through childhood and become adults, we can often be confronted with environmental and behavioural circumstances that can conspire against the natural and intended growth and development of our face. Traditional Orthodontics can sometimes require unnecessarily invasive procedures for adolescents and young adults designed to simply deliver the patient straight teeth. This is often done with little or no regard for the impact this methodology can and does have on the overall appearance of the face. The underlying philosophy of all the Dental Healing Arts techniques is to not just deliver straight teeth but also balanced faces and beautiful smiles. Full mouth braces are still regarded as the benchmark when it comes to achieveing straight teeth and the perfect bite. For most, the major downside of this therapy is and has always been the time it often takes to achieve the desired outcomes. The treatment time for this process can often tend to be a bit open ened given the unpredicable nature of tooth movement.

NEUROMUSCULAR ORTHODONTICS

Neuromuscular or Orthopedic orthodontics is an option for Phase 2 (making the jaw healthy permanently) of our treatment for TMJ disorders. Placing the word Neuro-muscular or Orthopedic in front of the word Orthodontics means that we are not just straightening teeth, we are doing so much more! We are increasing the volume of air that goes down the throat, we are aligning the vertebrae in the neck to be in-line with the dental arches of the teeth, we are enabling patients to breathe more comfortably through their nose, we are making sure that your jaw joints do not click crack or pop and have sufficient space to open and close smoothly. How do we do all this you ask? Keep reading.

Why Is Orthopedic Or Neuromuscular Orthodontics The Final Stage In Curing Or Ending TMJ?

Phase 2 TMJ therapy utilizing orthodontics can come into play. The goal is to maintain the correct position/bite without the continuing need for a Phase 1 TMJ orthotic device. Neuromuscular orthodontics can move the teeth to make this new found corrected position permanent!

Often this involves widening and bringing forward the upper and lower teeth arches that will actually grows bone 3 dimensionally in the upper jaw. This is upper arch development is usually accomplished with a fixed upper orthodontic appliance called a FAGGA. Again, the goal is to permanently move the teeth into the position that physiologically correct for your head and neck and posture.

The Controlled Arch System

Dr. Frey utilizes the Controlled Arch System to rehabilitate your mouth. By utilizing the Controlled Arch System, Dr. Frey can reposition your jaw in a physiologically balanced position, reducing pain and correcting your bite. The Controlled Arch Approach develops the jaw first and then moves the teeth to fit the jaw placement, rather than the reverse.

Anterior Guided Growth Appliances

Also referred to as AGGA, the Anterior Guided Growth Appliance is used to correct damage done due to a misaligned jaw and a bad bite. There are two different types of anterior guided growth appliances: fixed (FAGGA) and removable (RAGGA). Both growth appliances meet the same goal, but the logistics are where they differ.

  • Fixed: this growth appliance is the best treatment option for adults who suffer from sleep apnea, breathing issues, and most commonly, severe TMJ. FAGGA is able to open the airways by expanding the upper jaw, allowing for relief for breathing. FAGGA may also improve facial appearances as well.
  • Removable: this growth appliance is best recommended for children who have yet to grow their full set of adult teeth. This appliance works much like a retainer, however instead of keeping the teeth in place, it expands the jaw similarly to a palate expander. This creates enough space in the mouth for the child’s adult teeth to erupt without overlap.

To see FAGGA results, view photo set below.

Who Is A Good Candidate For Anterior Guided Growth Appliances?

Of course the best way to know if you are a candidate for AGGA is to schedule a consultation with Dr. Frey. However, if you have experienced any of the following, you may be suited for an AGGA:

  • Struggled with sleep apnea
  • Discomfort while chewing
  • Jaw pain
  • Severe TMJ
  • Bad posture due to jaw alignment
  • Dissatisfaction with facial structure

Who Will Benefit From Neuromuscular Orthodontics?

After Dr. Frey has located the patient’s most relaxed, natural jaw position through use sophisticated medical equipment, the job is to now make that position permanent, curtailing the need for the temporary orthotic device. This is what we call Phase 2 of our TMJ disorder treatment. Once you’re completely comfortable with your new bite, Dr. Frey may recommend either a restorative, cosmetic dental procedure or orthodontics to sustain the results of your TMJ treatment. If your teeth need to be moved to attain the proper bite alignment, orthodontics may be best for Phase 2.

How Long Will I Need To Wear My Braces To Correct TMJ?

There is no set duration for your orthodontic treatment. This is unique to every patient and depends on the amount the teeth need to be moved to attain the proper alignment. We like to accomplish everything within 14-and 24 months. Each person is different so it will vary.

Will This Permanently Relieve My TMJ Symptoms?

Orthopedic or Neuromuscular Orthodontic movement, will many times make the patient’s TMJ disorder symptoms resolve completely or diminish greatly. This is because the jaw muscles no longer need to work harder to maintain a stable jaw position.

What Happens After My Braces Are Taken Off?

Just as with teenage orthodontics, keeping the teeth in place after they have been moved is crucial to long-term neuromuscular orthodontic success. Because orthopedic orthodontics is a place that is in harmony with the muscles of the jaw, and the jaw joint, retainers are not needed long term.

Overbite & Underbite

What Is A Bad Bite?

If patients have a bad bite, this means that muscles are not relaxed or their jaw joint may be clicking and popping. This means that the patient has an increased risk for Temporomandibular Joint Disorder (TMJ). TMJ can cause headaches, along with neck, back and shoulder pain. The existence of an overbite or underbite can present challenges that extend far beyond looking good.

Benefits Of A Healthy Bite

Having a bite that is in harmony with the muscles of your face and the jaw joint is essential for long term health. Most orthodontists may give you straight teeth, but if the muscles and jaw joint are not in its ideal position, problems may occur. A healthy bitecan allow patients to avoid dental problems like breaking teeth and allow their teeth to last for years.

Overbite & Underbite Correction

Historically, both the overbite and the underbite have been considered a challenge in terms of treatment. Many patients believe that a bad bite can only be corrected with jaw surgery or with orthodontic braces, but that is not true. Technology today can allow dentists to find a physiologic correct (harmonized) bite without surgery or braces. For many years, the most common recommendation for correction was orthognathic, or jaw-correcting surgery. This process of reconstruction could span over a few years, beginning with surgery and progressing to orthodontic treatment with conventional braces. The surgery involves wiring your mouth shut and having to drink and eat with a straw for two months. Braces can be painful with visits that can extend into two plus years.

Can Jaw Problems Be Corrected Without Surgery?

Dr. Frey can correct your jaw problems and subsequent TMJ symptoms without surgery! Dr. Frey uses a two-phase system to grow the maxilla bone or upper jaw forward without the need for jaw surgery.

Avoid Jaw Surgery With Non-Surgical Bite Correction

Adults who did not undergo early treatment for their bad bite may assume that the bite cannot be improved. On the contrary, it can, and it should be addressed. According to research, a bad bite can lead to poor oral health and a shortened lifespan. Beverly Hills cosmetic dentist Dr. David Frey has an alternative to surgery for overbite and underbite that is making a positive impact on our patient’s lives.

Oral reconstruction is a process that takes time and attention to detail, even when surgery is not involved. The bite is related to functionality, not just aesthetics. For that reason, our multi-phase corrective treatment for overbite and underbite begins with a comprehensive assessment of oral structure, guided by Dr. Frey’s advanced training in neuromuscular dentistry techniques.

Phase One: Relaxing The Jaw Joints

This phase involves the use of TENS and/or EMG to relax the overworked muscle of the jaw. Only when these muscles are relaxed can the doctor obtain the most accurate data related to bite. This means determining proper position, taking into consideration the interaction between the jaw joints, muscles, and the teeth. Once the desired state has been achieved, the position of the jaw, using high-quality molds, can be captured.

During this initial phase of treatment, existing restorations, such as crowns or fillings, may be replaced in order to support structural integrity in the bite. Using the collected data, Dr. Frey will design a “trial bite” that is worn for a short time. When this trial bite has been thoroughly tested, phase two may begin.

Phase Two: Final Restorations

This phase involves the fabrication of final restorations, such as porcelain veneers or crowns, to recreate the ideal bite as indicated in the trial period. Non-surgical correction for overbite or underbite is strategic, precise, and long-lasting. The use of durable restorations resolves speech and other functional consequences, and significantly improves facial aesthetic.

What Is A Bite Plate?

A bite plate is an oral appliance that clips to the inside of the teeth to help correct a deep bite. Dr. Frey may choose to use a bite plate when the front teeth overlap the lower teeth too much. This bite plate is to be worn at all times and only removed for cleaning.

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