People may automatically register orthodontics or orthopedic appliances with familiar methods such as braces, expanders or Invisalign®. However, there is a large array of orthopedic appliances that Dr. Gloeckner may choose to treat a patient. The appliance Dr. Gloeckner uses for treatment will depend entirely on the individual’s needs.
While orthopedic appliances all have the similar purpose, which is to help a child’s teeth/jaw develop normally and achieve facial balance, these appliances still have differences that can affect the mouth differently. Fortunately for patients, many of these appliances are nearly invisible and difficult for other people to see. Patients do not need to feel embarrassed or worry that the orthopedic appliance they end up wearing will drastically alter their appearance. Dr. Gloeckner will choose one of the following appliances that best matches the patient’s needs for treatment.
The Herbst appliance, traditionally used to treat sleep apnea, also works with braces and helps to develop the lower jaw in a forward direction. The Herbst appliance consists of two metal bars that are placed between the top and bottom rows of braces to help change the direction of the jaw. The appliance holds the lower jaw forward and promotes growth in the proper direction. It may take a day or two for the child to adjust to wearing the appliance, but once the child adjusts, he or she will notice it less and not feel any soreness.
A quad helix is cemented to the roof of the mouth to widen the arch of the mouth. Dr. Gloeckner will attach the quad helix to the molars with two bands, while also using helix springs to make room for extra teeth. In other cases, the quad helix can also correct the posterior cross-bite, cleft palate thumb sucking habits well after infancy. Patients may need time to adjust to the stainless-steel wire on the roof of their mouth but will be able to feel comfortable after a few days of time to become used to it.
Rapid Palatal Expander
If there is not enough space in the upper jaw to accommodate all of the upper teeth growing in, then a patient will benefit from a rapid palatal expander. A rapid palatal expander is a metal device that attaches to the roof of the mouth and several molars. We adjust the expander by inserting a small key into a piece of the expander that rests at the center of the roof of the mouth. While there are some food restrictions to what a patient can eat when wearing a palatal expander (Not eating gum or other sticky candy), the patient will be able to have more room for the upper teeth and a more comfortable smile in the process.
A crozat is a metal orthopedic appliance that corrects malocclusions in the mouth. A crozat does not simply move the teeth; rather it widens the jaw so that the teeth will grow in properly. The crozat treatment affects the bone and tissue in the mouth, gradually promoting healthy expansion. Patients who worry that the crozat will negatively affect their appearance have nothing to worry about, since the crozat is difficult for others to notice and comfortable to wear.
Upper/Lower Lingual Arches
A lingual arch is a space maintainer that keeps the molars from drifting forward and blocking the space where the permanent teeth will erupt. While many people may assume that the premature loss of baby teeth is not an issue, it can cause serious problems in the growth of a child’s teeth. Lingual arches are the device that many professionals use to treat this issue and also treat children with crowded lower teeth.
Dr Gloeckner has been straightening teeth and correcting bites for 36 years using his unique orthopedic experience.
He calls it developmental Orthodontics. And it’s based on the simple idea that prevention is at a less expensive and easier than repair. Dr. Gloeckner illustrates the idea with case where a child is born with a misshapen leg. Rather than wait until the child is 14 then undertaking Extreme Measures to repair it, modern orthopedists will use braces and therapy to straighten the leg so that when the child is 14, everything is as it should be.
Dr. Gloeckner teaches that it’s the same thing for our jaws and teeth. There are several factors that may adversely affect the growth and alignment of your upper teeth and Jaws in infancy. So that when our adult teeth are developing and coming in there isn’t a proper foundation for them to come in straight. Until now that has meant costly and involved reparation of misaligned teeth which often occurs in adulthood because their main problem, jaw alignment, wasn’t treated properly in the first place.
Dr. Gloeckner identifies things like food allergies, respiratory impairment and inappropriate diet as contributing to improper growth of the jaw and therefore a misaligned teeth in the teen years.
By being able to recognize that the jaw isn’t informing properly and identifying the causes Dr. Gloeckner can Implement some basic Orthopedic Corrections that will help assure that the jaw and mouth are aligned properly, thus providing the proper foundation for a healthy smile and a beautiful smile he also points out that much of today’s plastic surgery nose jobs lip injections chin implants are merely correcting the long-term effects of misapplied Orthodontics or Misaligned teeth that were never treated.
Doctor Gloeckner is able to diagnose deformation problems as young as children as Age 5 or 6 hopefully saving them long and costly repair or even plastic surgery later on.
How is our approach different? Dr. Gloeckner has a unique way of solving orthodontic and bite problems – often finding solutions for patients who wish to avoid jaw surgery or taking out permanent teeth. This way is much different than the traditional philosophy of many of today’s orthodontists. He is a member of the AAGO
For over sixty years AAGO members have assumed leadership roles in the exploration and development of innovative techniques and approaches to the treatment of orthodontic problems for both the child and the adult patient. In our treatments, we strive to preserve the patient’s natural dentition with non-extraction orthopedic techniques and holistic concepts that help develop the jaws to accommodate all of the patient’s permanent teeth. We avoid invasive procedures such as extraction and orthognathic surgery whenever possible.
Different from many traditional orthodontist of the times Dr. Gloeckner uses many different types fixed appliances that utilize function (chewing, swallowing and rest oral posture) in combination with light forces on the teeth to create changes in the underlying bone. This philosophy is to create larger dental arches, both upper and lower smiles , that produce a big broad beautiful smile but also allow for more tongue space, which may improve breathing chewing and swallowing.
Orthodontic treatment may reduce painful self-image problems forgo invasive plastic surgery procedures such as the the popular chin implant or orthognathic surgery (breaking the jaw and moving it forward to produce a more attractive profile)
Research shows that early intervention by an orthodontist using these orthopedic treatments allow for the widening of the jaw bone so that all the teeth will come in properly. This is more stable than allowing teeth to come in crooked, and then straightening them later with braces. This unique functional concepts help dentists periodontists and orthodontists move dental care into a future world of medical dentistry which will include airway development
My orthodontist wants to extract four teeth? Why not just pull teeth and straighten them with braces? Research shows that small jaws create small airways and may increase the likelihood of life-threatening disorders. Since the upper and lower jaws form the gateway to the human airway, new orthodontic protocols and standard may be warranted.
Dr Gloeckner’s non-traditional orthodontic treatments differ from some orthodontist’s training … it focuses on function of the push and pull of soft tissues of the human mouth with the emphasis on breathing chewing and swallowing and the function of the human bite.
Your posture and your bite are closely related. One affects the other, involving muscles in the neck, back, pelvis, and legs. Our bodies have a high center of gravity on a very small base. This is further complicated by the fact that we carry a veritable bowling ball – our head – on top of our shoulders.
There is enough data that shows the human dentition may affect the body’s entire posture . The teeth are part of the skeletal system. When your teeth are improperly aligned, there is often a compensating effect throughout the postural chain. The body will adjust itself. This can involve muscles in the neck, back, and even those of the pelvis, legs, and feet. Poor posture is not often thought of as a health problem. Over time, however, the consequences of postural neglect can be as damaging as an injury.When your upper and lower teeth are closed together, each tooth actually forms a skeletal relationship with its opposing tooth. This bite determines the position of your jaw, and in turn, the position of your head on your spine. This may throw an entire body out of alignment. Correcting long-term postural habits, however, is not so simple as learning to “stand up straight.”
Dr Gloeckner’s non-traditional orthopedic philosophy’s differ from the traditional orthodontists treatments his treatment may include stretching muscles which have become shortened over a period of time by using the Ortho¬-Tain system and many many orthopedic devices.
These devices allow teeth to come in as nature intended. In his nontraditional orthodontic / orthopedic treatment belief’s is that the law nature gave the human being 32 teeth for good reason— and pulling them out to create an easy orthodontic case just won’t do. Pulling teeth may cause undue pressure on the existing teeth over a lifetime of a human being. Too much pressure may cause the periodontal ligaments to stretch too far making your existing teeth mobile.
You may not experience gum recession, root resorption or bone loss right away. Often times the unintended consequences of extractions will not surface until the patient is their late 30s or early 40s.
Dr Gloeckner focuses on your bite …When your bite is involved with a postural problem, the dentist or orthodontist must correct it so that the muscles, bones, and teeth can function without strain and tension. Because the postural position of the head, neck, and shoulders is so closely related to the bite, both dental, Orthodontic and orthopedic therapy may be needed to correct the bite.
Non-traditional orthodontic treatment using orthopedic appliances may have many other advantages like.
Most of these appliances are invisible or removable which make it easier to keep teeth clean reducing the chance of gingivitis. Dr Gloeckners Nontraditional orthodontic treatments may differ from many other orthodontists treatment.
As he has combined Early orthodontic intervention with Orthopedics These treatments May provide more Stability… allowing Teeth come in straight, into an arch that has room.
Instead of coming in crooked and needing to be straightened later with braces .
They May Reduce Gum Problems — When teeth erupt into a normal arch there is reduced incidence of gum problems. The forces using orthopedic devices are much lighter than with braces, which means the roots are less likely to be shortened. Correcting alignment problems early results in a shorter time in braces and in some cases no braces are needed at all.
Dr. Gloeckner uses many Orthopedic appliances. Orthopedic appliances all have a similar purpose. To help your child develop normally and help you achieve facial balance. The are many appliances most commonly used they are the Herbst, Power Scope, Quad Helix, Crozat, upper and lower lingual arches along with Rapid Palate Expander at all of these appliances are mostly invisible and may increase the growth of your job and improve facial balance. If your teeth are not crooked but your jaw has receded your orthodontist may recommend a Twin Block Appliance or a Bionator appliance both of those may be used to eliminate an overbite or buck teeth this problem is usually caused by your lower jaw not growing forward enough these types of appliances will make your jaw grow larger. Some patients may also have crowded teeth. In patients with significant problems appliances may be used to make skinny or narrow Jaws grow wider while making the lower jaw grow forward. In some instances the upper jaw may be expanded before treatment to help eliminate crowded teeth problems.
The important thing to remember is that these appliances can help you have a really, really nice face – a face that looks more balanced with a normal jawline and a pleasing smile. Your jaw needs a lot of persuading to grow properly so your Orthopedic Appliance must be worn nearly at all times and may be cemented in to provide 24hours of gentle pressure. Success with your Appliance depends upon you being an active team member by wearing them as directed this success may take between 12 and 24 months the actual time will depend on how fast you grow and how helpful you are with treatment. Growing Jaws is hard work… if you persevere you will see the improvements that will take a few months but will last a lifetime.
Orthodontists, dentists and orthopedic gnathologists may use the following appliances:
The Herbst appliance, usually in conjunction with braces, is used to help the lower jaw develop in a forward direction. This eventually leads to an ideal bite. Left untreated, an improper bite may threaten the long-term health of your child’s teeth, gums, and jaw. A Herbst appliance is fixed to your child’s braces inside the mouth.
There are many methods that an orthodontist may use to correct a particular problem. In your case we may decide that a Herbst Appliance will bring your chin forward and improve your bite better than any other we could use. There Herbst Appliance Works by holding your lower jaw forward your face will immediately look more balanced. If your face is still growing this position will help speed the growth of your lower jaw and 3 your total treatment time will be shortened.
The first few days wearing your Appliance you may have some slight tenderness in your jaw muscle you may also have some irritation inside the cheeks because of the extra space has been taken up by your Appliance to help ease the discomfort you may Place soft wax Over the Hedge next to the tender areas of your mouth. You will notice that as your mouth becomes more accustomed to having the appliance in place 24 hours a day you will not need to use wax anymore if for some reason soreness persist after a few days please call us we want you to be comfortable as possible
Your orthodontist dentist or orthopedic gnathologist may also use a Quadhelix
Another orthodontic appliance Dr. Gloeckner may use is a Quad Helix. A Quad Helix (or quadhelix) is an orthodontic appliance for the upper teeth that is cemented in the mouth. It is attached to the molars by 2 bands and has two or four active helix springs that widen the arch of the mouth to make room for crowded teeth, or correct a posterior cross-bite, where lower teeth are buccal (outer) than upper teeth. It is usually made from a stainless steel wire and is primarily indicated for mixed or adult dentition or cleft palate patients and those with the harmful habits of thumbsucking. A variety of this appliance are inserted into attachments that are welded to the bands. In this way the orthodontist can adjust the appliance without removing the bands.
An orthodontist may also use The Crozat appliance is a precious-metal removable appliance which has been designed and developed to correct malocclusions and dentofacial deformities according to the concept and philosophy of Dr. George B. Crozat, for whom the appliance is named. The use of the appliance without full appreciation of that philosophy will bring failure and disappointment to him who employs it as a mechanism for straightening teeth.
The appliance is not designed as a mechanical tooth-moving device. Rather, it is designed to deliver stress through the medium of the teeth to the supporting structures, resulting in tissue changes and, eventually, tooth movement.the orthodontist or orthopedic gnathologist you choose must recognize to the fullest that in the correction of malocclusion. Stress is applied to help this growth change from an undesirable form and shape (abnormal) to a desirable form and shape (normal) and, in so doing, to achieve a harmony of structure so that the results will become esthetically pleasing.
It must be recognized that treatment cannot be a continuous process, beginning with a given deformity and proceeding through one or two school terms to a termination point when retainers are applied. It is, rather, a program of helping the patient grow and develop in the desired direction so that he may be brought up to par for his age and stage of development.
In the Crozat philosophy, then, treatment does not suddenly end in retention, but treatment is gradually decreased or diminished as harmony is established—harmony in form and structure as well as harmony in function. In this connection, it should be thoroughly recognized that, with the changes taking place in growth and development, time is our greatest ally in bringing about a correction that will be stable. For him who is willing to study for an understanding and appreciation of growth and development, the Crozat appliance, used in harmony with the Crozat philosophy, offers a satisfying reward in orthodontic practice.
Treatment using orthopedic devices bring teeth into a more natural position
A dentist, orthopedic gnathologist or orthodontist may use a Lingual Arch. This device acts as a space maintainer to keep the molars from drifting forward, and prevent them from blocking the space where permanent teeth will eventually erupt. This appliance is commonly used in cases of premature loss of baby tooth or when the lower teeth of a growing child are slightly crowded and no permanent teeth are extracted to correct the problem.
Upper and lower lingual arches
Your orthodontist, dentist or orthopedic gnathologist may also use a Tongue Cage for tongue thrust therapy.
What is tongue thrusting?
Tongue thrusting, simply defined, is the habit of placing the tongue in the wrong position during swallowing, either too far forward or to the sides. It is estimated that every 24 hours, you swallow a total of 1,200 to 2,000 times, with about four pounds of pressure per swallow.
This constant pressure of the tongue will force the teeth and arches out of alignment. Aside from the pressure exerted while swallowing, nervous thrusting also pushes the tongue against the teeth while it is at rest. This is an involuntary, subconscious habit that is difficult to correct.
What causes tongue thrust?
No one specific cause has actually been determined for the tongue thrust problem. There are several suspected causes: Thumb sucking, Mouth breathing, which can cause the tongue’s posture to be very low in the mouth. Nasal congestion, allergies, or obstructions may contribute to this.
Difficulty swallowing which can be a result of adenoids, frequent sore throats, or tonsils.
An exceptionally large tongue along with The angle of the jaw line or other hereditary factors within a family Muscular, neurological, or other physiological abnormalities like Being “tongue tied”: having a short lingual frenum.
Different types of tongue thrusting
There are several variations of tongue-thrust and related orthodontic problems:
Your orthodontist or dentist may diagnose you with the following conditions:
- Anterior open bite — This is the most typical and common form of tongue thrust. In such cases, the lips do not close properly, and a child often has an open mouth and tongue protruding beyond the lips. Generally, this type of tongue thrust is accompanied by a large tongue.
- Anterior thrust — The lower lip pulls in the lower incisors and the upper incisors are extremely protruded. The anterior thrust is frequently accompanied by a strong muscle of the chin (mentalis).
- Unilateral thrust — The bite is typically open on either side.
- Bilateral thrust — Posterior teeth from the first bicuspid through back molars can be open on both sides and the anterior bite is closed. The bilateral thrust is the most difficult to correct.
- Bilateral anterior open bite — The only teeth that touch are the molars. The bite is completely open on both sides, including the front teeth. A large tongue is often noted.
- Closed bite thrust — Both the upper and lower teeth are spread apart and flared out. The closed-bite thrust is typically a double protrusion.
The term “tongue thrust” has been described and discussed in speech and dental publications since 1958 by many writers. The fact that a significant number of school-age children have tongue thrust has been noted by specialists.
In the United States, 20 to 80 percent of orthodontic patients exhibit some form of tongue thrust.
What are the consequences?
The force of the tongue against the teeth is an important factor in contributing to malformation (“bad bites”). Many orthodontists have had the discouraging experience of completing dental treatment with great results, only to discover that the patient had a tongue thrust swallowing pattern. This continual habit will push the teeth out of alignment and reverse the orthodontists work.
Is speech affected by tongue thrusting?
Speech is not frequently affected by the tongue-thrust swallowing pattern. The “S” sound (lisping) is the one most affected. The lateral lisp (air forced on the side of the tongue rather than forward) shows dramatic improvement when the tongue thrust is also corrected. However, one problem is not always associated with the other.
At what age does a child usually exhibit a tongue-thrust swallowing pattern?
A child exhibits a tongue-thrust pattern from birth, because it is an infantile swallowing pattern. It is acceptable to have this swallowing pattern up to the age of four.
Most children will outgrow the infantile pattern and develop the mature pattern of swallowing; in other words, they will not develop a problematic tongue thrust. If the child has not naturally outgrown the pattern by age four, the thrust is strengthened, becomes an issue, and will require a training program to correct the thrusting pattern.
Who diagnoses tongue thrust?
The most difficult problem of all is the diagnosis. As a rule, orthodontists, general dentists, pedodontists, some pediatricians, and speech therapists detect the problem.
In many cases, tongue thrust may not be detected until the child is under orthodontic care. However, diagnosis usually is made when the child displays a dental or speech problem that needs correction.
What is the probability of correction?
With sincere commitment and cooperation of the child and parent a 100% correction is possible in many cases.
Tongue thrusting is the reason for misalignment and bite problems in nearly half of orthodontic patients. Tongue therapy is usually completed during orthodontic treatment. Generally, the tongue-thrust swallowing treatments are similar to “physical therapy” for the tongue, which is taught by a trained dentist orthodontist or orthopedic gnathlogist .
There are in-office visits and home exercises. The length of therapy is based upon the patient’s cooperation and dedication. The appliance that is placed in the mouth by the dentist or orthodontist, And is generally very successful….. It is NOT simply a punishment for the tongue , instead it retrains the swallowing mechanisms.
Your orthodontist or dentist may also use Rapid palatal expanders
There are certain types of orthodontic problems that are caused by not having enough bone growth to accommodate the upper teeth. In other cases there is room for upper teeth but the palate or roof of the mouth is so narrow that the speech is impaired or made difficult. And still another type the palate is so high that it not actually cuts down the amount of air that can pass through the nose so that deep breathing without opening them out is almost impossible. In all cases a palate expanding device is most helpful.
That sounds pretty drastic doesn’t it? Surprisingly though it isn’t really that bad the maxilla or upper jaw is joined in the center by a suture or a joint which allows it to be separated or to be spread. Temporarily you may see a space develop between your two front teeth. This will slowly go away in a few days. Once this has occurred the two halves will knit itself back together and a new bone will be laid down to make the job later. That is how your palatal expanding device works. It does not hurt. Your teeth will be a bit uncomfortable for a day or two. Sometimes about a week after the devices cemented into place, the roof of your mouth may feel a little itchy. Don’t worry this is a normal sensation while the fibers that are there stretch and expand.
Please ask your dentist or orthodontist for turning instructions for your Appliance. It is required that you eat with it in place, wear it all day and sleep with it in your mouth eating with the appliance will take some getting used to your orthodontist may suggest that you start off with soft foods. However within a few days all of your usual Foods may be eaten. Speech will be a problem in the beginning as well but after a few days this too will be back to normal. Please review your do’s and dont’s at your orthodontists’ office. And remember absolutely no gum chewing with these appliances.
Many different types of expanders are available for the process of palatal expansion in the field of orthodontics. There can be many types of transverse dimension appliances. These appliances can be used to achieve expansion in the maxillary arch. In past many years, different types of appliances have been made. These types are: 1) Tissue-borne 2) Tooth-borne 3) Slow Maxillary Expansion Type 4) Rapid Maxillary Expansion Type 5) Bone-Anchored Type
How does an RPE work Between the ages of 6 and 13, according to the American Dental Association (ADA) Mouth Healthy site, your child’s baby teeth will be replaced by permanent teeth. Unfortunately, not every child’s jaw is big enough to accommodate his adult set, resulting in crowding and misalignment. Removing a tooth as a part of orthodontic treatment is one solution, but an upper or lower jaw expander can make room for your child’s permanent teeth without extraction. Dr. Gloeckner
Upper Jaw Expander
An upper jaw expander stretches the bone and cartilage of the palate in order to expand a growing child’s arch and prevent crowding and cross bites. According to many many orthodontist’s successful palatal expansion treatment is done before the child’s growth plate or midpalatal suture fuses – usually between ages 14 and 16.
Upper expanders are traditionally attached to the molars with metal rings, but they can be removable in certain cases. Expansion screws are built into the appliance, and when activated, slowly separate and stretch the soft cartilage of the palate over the course of several weeks or months. As expansion takes place, you may notice a gap form between your child’s two front teeth; this indicates that the palate is actually expanding rather than the teeth just tipping outward.
Some appliances for lower jaw expansion look similar to those used in the upper arch, but some orthodontists prefer using removable retainers (sagittal appliances) with built-in expansion screws. Dr. Gloeckner opts for traditional fixed braces to tip and align the teeth at the same time.
Creating space so that big teeth fit into a little mouth means aligning the upper and lower jaws to meet properly, and this is the goal of an expander. An orthodontist will need to evaluate your child’s overall orthodontic needs before deciding if this item will yield the best result and the most fantastic smile.
Your orthodontist or dentist may use an orthodontic appliance that is called a Schwartz Appliance
A Schwartz Plate is a removable appliance designed to widen or expand a patient’s jaw. Some lower expanders are non-removable and also will widen or expand a patient’s jaw. By widening the jaw, we will be making more room for the remaining permanent teeth and correcting any crossbites that may exist. It is our desire to obtain the best possible result from the orthodontic treatment, and in order to achieve this result, it is essential that a cooperative relationship exist between the orthodontist, the patient, and even the parents. By working together, we can attain the very best smile for each patient.
Head gear treatments your dentist or orthodontist may treat your condition with headgear
Headgear therapy is used for one type of early correction it slows the upper jaw and its forward growth and allows the lower jaw to catch up simply by developing at its natural rate. The treatment consists of placing bands or metal rings around this 6 year molars to act as anchors on to which the headgear fits. Your part in the headgear process please wear the appliance 12 to 24 hours a day or as you have been instructed some discomfort may be experienced during the first night or two molar teeth may become tender even a little loose and falling asleep may be difficult remember this is temporary and your teeth need you to be very patient while they adjust to your new Direction. You’re orthodontist or dentist would not provide headgear treatment unless it was necessary.
Once you start headgear treatment, keep it up continuously. If you leave it off for one night you may have to extend your therapy being consistent will keep you on schedule. Handle everything carefully especially the inner both insert and remove it smoothly protect it and yourself so it can continue to do its job properly. Never try to pull headgear off without first unhooking the safety strap which is attached to the outer bow.
Never wear your head gear anytime you’re rough-housing or playing any game where they had gear may be grabbed by a friend. Bring all parts of your head gear to the office for each office visit. Nature does interesting things to our Faces Sometimes teeth stick out too far sometimes teeth stick out to back the headgear or face mask allows rubber bands to hook onto the front braces and allows for the outer both of them asked this slowly eases the teeth forward or backward and it she’s being a more pleasing profile
If you would like to learn more about Orthopedic Appliances and the various treatments we provide, call 661-349-4709 to schedule a consultation.