Myofunctional Therapy in Orthodontics

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A short presentation of the Myofunctional Appliances from RMO. They are Preformed silicon appliances for orthopedic and myofunctional therapy.

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Myofunctional Therapy

Dr Franco Bruno

ARONA

DR FRANCO BRUNO

francobruno@me.com www.facebook.com/effe.bruno @franco__bruno www.linkedin.com/in/orthodontics

The Appliances

The Multi System

h"p://www.rmoeurope.com  

The Multi Appliances

• Multi-S • Multi-T • Multi-P – 2 Bite-Plane Thickness – 2 Lengths

• Multi-TB

The Multi Appliances are an integrated system of

appliances that allow the orthodontists to choose the ideal appliance according to

the age and the malocclusion of the patients

Multi Appliances • Monobloc • Protrusion of the Mandible • Soft Bite-Plane • Vestibular Shield • Lingual Guidance • Lip-Bumper

The gold standard…

• Teeth Guidance – Multi-S -> Incisors – Multi-T -> Incisors and Cuspids – Multi-P -> Incisors, Cuspids and Bicuspids

The  Mul2-­‐TB  has  NO  guidance:  its  for  braces  only  

Multis

• Indications for use of Multi products – Multi S, age and indications – Multi T, age and indications – Multi P, age and indications – Multi TB, age and indications

The Multi-S

1  size  

From  4/5  years  to  7  years  

Multis

• Indications for use of Multi products – Multi S, age and indications – Multi T, age and indications – Multi P, age and indications – Multi TB, age and indications

The Multi-T

1  size  

 From  6/7  years  to  9/10  years  

Multis

• Indications for use of Multi products – Multi S, age and indications – Multi T, age and indications – Multi P, age and indications – Multi TB, age and indications

Multi-P

From  8/9  years  to  12/14  years  

Multi-P

Low  Volume:  13  sizes    High  Volume:  11  sizes  

OPTION:  Short  or  Long  

Multis

• Indications for use of Multi products – Multi S, age and indications – Multi T, age and indications – Multi P, age and indications – Multi TB, age and indications

Multi-TB

Only 4 Appliances

Condyle Fracture

2008

2011

8 Months Therapy Preformed Functional Appliance

... and Nothing Else...

Myfunctional Therapy

How to drive the Therapy

Letizia

francobruno@me.com

francobruno@me.com

The Malocclusion

Panorex

francobruno@me.com

www.siob.it

The Trace

Treatment Plane a) Upper Expansion b) Lower Reshape c) Orthopedic (Multi-P)

Quad-Helix

Bi-Helix

Multi-P

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After 13 Months Multi-P

francobruno@me.com

Esthetic

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Panorex

The Trace

Superimposition Ba-Na on CC

1° NO Facial Axis Change or GOOD Control

Superimposition Xi-Pm on Pm

The Mandibular GROWTH or Orthopedic EFFECT

NO  Dento-­‐Alveolar  Movements  

THE PROGRAM New One Day Course 2014

USE YOUR BRAIN AND NOT YOUR WALLET! A JOURNEY AROUND MYOFUNCTIONAL ORTHODONTICS

BY DR. FRANCO BRUNO •  Introduction to Myofunctional Orthodontics •  Functional Orthodontics and Sailing: a life philosophy •  Principles of Elastic Orthodontics •  Elastic Orthodontics and Biomechanics: a nonsense? •  The Preformed Functional Appliances •  The Multi Appliances •  A short story of functional orthodontics •  Evidence Base in elastic orthodontics •  Early Treatments •  The rationale of early orthodontics •  The choose of the right patient •  The treatment plan •  Treatment objectives and myths in the early treatment approach •  The two bullet philosophy •  Some clinical evidences and results •  The expansion and arch-shape problem •  Diagnosis and treatment plan in expansion therapy •  The concept of potential cross-bite •  Myofunctional Therapy with preformed appliances •  Dental Effects and Management •  Skeletal Effects and Management •  Functional Effects and Management •  How to manage the preformed functional appliances •  The choice •  The clinical management •  The compliance indicators •  Let’s modify them: how and when •  Conclusions: a philosophy in evolution

francobruno@me.com  

BYE BYE…

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