eNewsletter - Myofunctional Research Co.

To avoid your email program blocking the MRC eNewsletter as SPAM, add listadmin@myoresearch.com to your address book.

Issue 8, September 2006

In this Issue

From the CEO The development of the MYOBRACE® System™.		Guest Section Triumphing Over TMJ Disorder.

Scientifically Speaking Your Questions Answered.		Events and Education Our upcoming training events listed.

MRC Global The Power of Communication.		Share Your Thoughs Share your experiences with our readers.

From the CEO

Hello,

The MYOBRACE® System™, has been developed further and it now comes in three distinct models. This will take us over the next few years, allowing the MYOBRACE® to be updated and used with many more patients. The MYOBRACE® Starter™, has a DynamiCore™ only and no individual tooth slots. This is best if you only want arch expansion. The regular MYOBRACE®, which has both the DynamiCore™ and individual tooth slots, gives you the best arch development and dental alignment. Next we have the MBN™, which has no inner core but has the tooth slots, gives better flexibility, and will be available in size 7. With the MBN™, you will get less tooth alignment and less arch development than the other MBS™ and MB™ appliances, however it is more compliant with the patient, and also allows you to treat more patients in more extreme ranges. We said with the regular MYOBARCE®, when it first came out, to use it with cases with no more than 4 to 5 millimeters of crowding, 4 to 5 millimeters of Overjet. With the MYOBRACE® MBN™ (with no inner core) you can extend that range to maybe treat 6, 7, or 8 millimeters of Overjet and more crowding. It also adapts better to patients with fairly unusual bites. We haven't specifically said which cases you should use these on, because it is very much up to the doctor's discretion of what he really wants to apply to his patient.

The MBN™ (left) with no inner core is a modern version of the older, conventional type positioners. The advantage it has is that it's made from medical grade silicone and not PVC. Unlike many of the other PVC appliances, it doesn't have the toxicity, and has obviously better bio-compatability. In addition it's a very modern appliance. It's a CAD design, where most of the others are pretty much twenty or thirty years old in concept.

The MBN™ (MYOBRACE® No Core™)

Regards,
Dr Chris Farrell BDS (Syd Uni)
CEO and Founder

Dr German Scientifically Speaking

"My patient looses the appliance over the night. What can I do?"

The MYOBRACE®, and in general all of MRC's functional appliances need to be accepted by the patient as a treatment. It means the patient has to be motivated to use the appliance as it is a bulk that will be introduced into their mouth. If the patient is forced or pushed to use the appliance without their consent, they will tend to loose it overnight because they are trying to avoid use. This is an unconscious response. Therefore, you have to show the patient in a very clear way and using words that they understand, why you are recommending them to use the appliance and how beneficial the treatment will be for them.

Another factor that you have to keep in mind is if the patient is breathing through the mouth and the airway is blocked. Generally, hypertrophy of the adenoids reduces the quantity of air that the patient needs, and so, the patient has to breathe through their mouth. In this case you may observe that the tongue is protruded because the patient needs to avoid the contact between the tongue and the adenoids (this contact produces a lot of discomfort). When you put an appliance into the mouth of a mouth breathing patient with hypertrophied adenoids, particularly a MYOBRACE®, you are stimulating the tongue to go to a more physiological position. Thus, the tongue retrudes and touches the hypertrophied adenoids. Immediately the tongue overreacts to avoid this situation and the appliance is expulsed from the mouth. Therefore, you have to diagnose if your patient has hypertrophied adenoids, and if so, you have to interact with the specialist in this area and probably to discuss with them about removing the adenoids prior to starting your treatment.

In addition, patients with Class II and Open bite generally present a flattened tongue with the tip resting on the lower incisors. When you put the appliance into the mouth, the tongue is restricted and stimulated to go to a more physiological position, with the dorsum about the gingival third of the premolars' crown and the tip resting behind the upper incisors. Remember that the tongue is formed by 13 muscles. If the patient is not able to seal the lips when they are wearing the MYOBRACE®, the force of the tongue overwhelms the resistance of the lips and the patient spits the appliance out. In this case, I would recommend increasing daytime use and after 1 -2 months, gradualy introduce the patient into night use.

As you can see, every case has some particularities and we have to observe in detail what is going on with each patient.

Best regards,
Dr. German O. Ramirez-Yañez
Scientific Researcher for MRC

MRC Global - A World Perspective

It's great to see more and more people around the world getting the message, and understanding the power of making treatments easier and more stable. Certainly when a patient walks in to the clinic already understanding the issues of bad oral habits and their affect on CranioFacial growth, then the dentists have a much easier job during the first steps of treatment and in turn helping the patient.

In the past year, MRC has seen many television networks talking about this issue: having healthier kids with better faces and certainly easier orthodontic/dental treatments. Already Costa Rica, Bolivia and the Philippines have lead the way with segments on Better Oral Habits, Better CranioFacial Growth, Better Treatments. Many other countries are set to follow suit later this year.

Awareness and communication are the keys in everything!!

Check out the Philippino Brekky Show.

Regards,
Damien O'Brien
MRC Global Sales & Training Executive

Triumphing over TMJ Disorder.

Stuart Finlay is an active 41 year old who leads an active business life, whilst also training for triathlons.

After regular treatments using NeuroStructural Integration technique (a form of Bowen therapy) it was assessed that he was suffering for a chronic TMJ disorder. Stabilsation of the joint was not achievable by the treatment alone and the TMJ appliance was introduced.

Stuart is quoted as saying " Since I have used the TMJ appliance, I have been waking up without headaches which had hampered me intermittently since 1993. This was in conjunction with the NST treatment. Then, because of my training, I started to use the TMD which alleviated the symtoms that would return after running. These appliances have stabilised the effects of the treatment."

Regards,
Ron Phelan
Victoria, Australia

Upcoming Training Events

September 2006
20-23	MEXICO. IV Congreso Internacional de AMOCOAC 2006
TBA	Manta, ECUADOR. Congreso de Odontólogos de Manabí.
October 2006
4-7	Sao Paulo, BRAZIL. Orthodontic Meeting.
7-8	Quito, ECUADOR. EXPO DENTAL
16-19	Las Vegas NV, USA. ADA Annual Scientific Session & Marketplace Exhibition.
19-22	Dallas TX, USA. AOS Annual Meeting.
November 2006
4-5	CANADA. Delta Regina Hotel *Jaw Functional Orthopedics Hands-On Course (Session Three)
15-19	MEXICO. Mexico City. Congreso AMIC.
23-24	Kuala Lumpur, MALAYSIA. Pediatric Meeting.
24-29	New York, USA. GNYDM.
TBA	ECUADOR. Gran Congreso Nacional e Internacional De Machala