English Appliances MYOBRACE® System™ MYOBRACE® Selection | |
MYOBRACE® SelectionThe MYOBRACE® RulerAppliance selection using the MYOBRACE® Ruler is applicable to both the MYOBRACE® Regular and the MBN™ (MYOBRACE® with No Inner Core). Rulers are available with all MYOBRACE® and MBN™ appliances.
MYOBRACE® Size SelectionThe appropriate MYOBRACE® (or MBN™) is selected by measuring across the four upper incisors. The measurement is based on the width of the upper anteriors. If there is spacing or crowding the dimension does not alter as the reference is the teeth, not their positioning. Click image to enlarge The appliance is available in seven individual sizes, which cover the majority of everyday cases. When in place, check the upper canine position corresponds to the MYOBRACE® tooth slots. Click image to enlarge Wearing the MYOBRACE® for a minimum of two hours each day, plus overnight is all that is required to provide adequate arch expansion and positive forces to align the anterior dentition. Click image to enlarge Age SelectionThe optimum age is during the eruptive and growth changes in the late mixed dentition. The longer the permanent dentition is in place, the less effective the MYOBRACE® will be. However, factors such as compliance, degree of myofunctional correction, and malocclusion all have an influence. The application of the MYOBRACE® will always improve dental alignment and treat myofunctional habits at any stage of development. Therefore individual assessment is necessary, just as in all orthodontic treatment.
Patient MotivationDue to the nature of removable appliances, patient compliance is essential. Therefore it is important to only select motivated patients and parents. If motivation is a problem, it may be better to use conventional fixed brackets instead of the MYOBRACE®.
Post-initial FittingAfter the appliance is fitted, it is important to establish routine reviews to assist in assuring that treatment is proceeding correctly. Expect to see soft tissue and dental changes in the first 2-3 months. Review the patient every 1-2 months. Take models and photos at these visits to record and measure progress.
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