The conservative view of traditional orthodontics, according to which the position of the teeth and jawbones only developed by itself and is not connected to anything, as well as only developed due to genetic reasons, has become outdated. In genetic theories, epigenetic factors (environmental effects) came to the fore, i.e. genetic information is a predisposing factor and not a determining factor. The recognition of this, i.e. that the position of the teeth and jawbone and the function of the lips, tongue, and masticatory muscles are related, led to the development of myofunctional orthodontics. In other words, it can be said that the principles of myofunctional orthodontics are much closer to real relationships than the genetic concept. Myofunctional orthodontics is therefore much closer to health-oriented orthodontics, there are many similarities in goals:
Closed lip position
Stable nasal breathing
Ideal swallowing function
The difference is in the procedure. The concept of myofunctional trainers is based on the fact that there is no need for a device manufactured in a laboratory, and that devices can be given to patients quickly, regardless of their laboratory background. Many elements have been incorporated into the device in order to support closed lips and nasal breathing, and the arches created for the teeth also move the teeth.
Challenges with trainers are:
not all doctors who use a trainer give exercises, i.e. the patient is left alone and cannot get his body used to the trainer. Many patients stop wearing the trainer because they cannot keep it in their mouth
The thick soft material makes the patient clench their teeth. This works to some extent in shaping the dentures, but is not necessarily beneficial
Trainer treatment is not suitable for all dental arch forms and tooth congestion, so pre-treatment is required, which requires a laboratory background
If all treatment phases are carried out, i.e. the patient uses the trainer for a long time and squeezes at night, it can indeed treat the overbite between the incisors, but not only the lower jaw bone comes forward (which would be the ideal goal), but also the upper teeth and the middle face move back
In myofunctional orthodontics, there are clinics where some swallowing and breathing exercises are given, but in many cases a separate speech therapist and/or physiotherapist is required, for which you have to go to separate places
HermannOrtho Health-Centered Orthodontics works with individually manufactured devices, our goal is that the device is easy to get used to, suitable for all dental conditions, and we shape the jawbone position using the principle of gradualness to avoid side effects. The exercises also affect posture, they are given as part of the treatment in the doctor’s office and there is no need to go to a separate place