Maxillary Hypoplasia: A Cosmetic Problem With Postural Physiologic Implications Including Sleep Apnea

Dr. Shapira Blog, Breathing problems can cause TMJ, Sleep, TMJ 0 Comments

Question from Jeff:

I was told I have maxillary hypoplasia. I cannot show any teeth when i smile. I don’t want to re-arrange my face and have it go numb. Pls tell me of all other options

Dr Shapira Reply:

Dear Jeff.
There are numerous methods to address your  cosmetic problem.  The first is to do nothing as you can function for a lifetime with maxillary hypoplasia.  There are some common medical concerns related to maxillary hypoplasia .  There is usually a nasopharyngeal airway restriction associated with Max Hypo.  During the day this can lead to forward head posture and over time lead to other problems including back pain, neck pain and numbness of the hands and arms.  This same airway restriction can lead to sleep  apnea and snoring at night.  RERAs or UARS are a milder form of apnea and all can lead to heart problems, endocrine problems increased weight, cognition problems etc.
Cosmetic approaches can vary based on examination and is based on several factors.  As you know maxilary advancement carries a risk and is a major surgical procedure.  It is possible to do a Rapid maxillary expansion and anteriorization with a surgical assist which is a much less invasive procedure and movement is done orthopdically.
The DNA Appliance utilizes Epigenetic Orthopedics to grow bone and AIRWAY orthopedically and pneumopedically.  There are limits to intraoral movement but 
use of headgear (reverse pull) can be incorporated.  I am in Illinois and do many DNA and RNA cases but if the condition is extreme Dr Martha Cortes in NYC is probably the premiere DNA practitioner in the world and I have sent he patients who commute to NY for treatment.
There is no reason that you can’t use an overlat denture on your maxilla to give and excellent look without actually correcting the problem.  Snap in Smile treatment can give you an instant makeover for minimal cost.   Depending on the degree of hypoplasia and the costs you want to incur it is possible to do a reconstruction with veneers, onlays and crowns to build the teeth out to a full smile.  There will be increased thickness and a tendency to have some food retention after eating, usually a minor problem but some patients find it annoying.
In my practice I offer cosmetic only solutions but my preference is to achieve ideal airway and physiology as an integral component of cosmetic reconstruction. A large portion of my patients have been treated for sleep disorders, TMJ disorders, chronic neck,back or head pain and the cosmetics are used as a finishing technique.  Most patients get the best cosmetic results when they are built on a platform of health.
The use of Physiologic Dentistry and the diagnostic aids they provide are essential in finding the best position regardless of the type of treatment decided on.

TMJ Orthodontics

Dr. Shapira Epigenetic orthodontics, TMJ Orthodontics 0 Comments

Epigenetic orthodontics for TMJ patients

tmj-orthodontics-chicagoEpigenetic orthodontics is a growing trend in the world of dental care. The process uses a patient’s own DNA to correct crooked teeth and fix other problems that can cause TMJ.

Millions of people in the United States suffer from this condition, but many doctors do not look for the disorder and others don’t know how to treat it. DNA appliances can reduce the symptoms of TMJ, including sleep problems and jaw locking, and aren’t as invasive as other procedures.

Why use a TMJ dental appliance?

TMJ is one of several disorders that can significantly impair the autonomic nervous system, which consists of your pharynx, which is a long tube that transports air from your nose and mouth to your stomach and lungs, and other parts. When your tongue and jaw are out of alignment, it keeps food, air and other materials from moving through the proper channels. Difficulty sleeping ranks as one of the most common symptoms of TMJ.

TMJ orthodontics will slowly change your bite and the alignment of your jaw as it pushes your teeth into the proper spaces to fill out any gaps. This type of orthodontic can also assist with headaches, wear and tear on your teeth, grinding and the other symptoms that you experience.

What is a TMJ DNA appliance?

Braces are one of the more common treatment options suggested for TMJ sufferers, but many people find that once the braces come off, their teeth slowly shift back into the original positions within a few years.

A DNA orthodontic treatment for TMJ might be a better solution. Prior to creating a dental appliance, the dentist takes a mold of your teeth, which the doctor then uses that mold to create a piece that fits over your existing teeth. You can tighten or loosen the appliance as needed in just a few seconds, and most patients notice little to no discomfort.

dna-appliancesYou need to wear the device for a minimum of eight hours a day and up to 16 hours a day, but you can decide when you want to wear it and when you want to take it out. DNA appliances slowly force your teeth into the proper alignment, and many patients notice an increased lack of TMJ symptoms after a few weeks. After up to a year, you can stop using the device.

Epigenetic orthodontics, also known as functional orthodontics, can repair damage caused by your genes, including a misaligned bite, poor jaw structure or small palate. The removable piece essentially corrects the development problems that led to your TMJ and repairs your palate from the inside out, using a biological force that slowly forces the joints, bones and teeth into proper alignment without leading to any discomfort or putting too much pressure on your skull.

Find out more about TMJ orthodontics

tmj-orthodonticsWhile braces for TMJ is a common treatment, adults often feel self-conscious about wearing braces. You need to wear those braces for a long period of time, and even invisible braces may still make others stop and notice you.

DNA dental appliances offer the same benefits as braces, but you can wear the appliance when you want and take it out when you need. Some patients even wear the device for just a few hours throughout the day and at night when they sleep.

If you want to find out more about TMJ and how a dental appliance can help you, or if you just want to find out more about the available treatment options, please download and read a copy of my e-book.