Orthotropics, is the field of dentistry that deals with the growth modification. The need for orthotropic therapy surfaces when there is diagnosis of para functional habits such as habitual mouth breathing. Taping test for lip seal, Sleep studies, ENT check ups all come into picture as and when required.
Orthotropics is a vast field on its own and does require elaborate discussion and treatment planning. In general, this appointment is kept exclusive and seperate from the regular dental appointments.
An age old phenomenon introduced by Prof. John Mew explains the importance of Tropic premise: Tongue in upper jaw, lips sealed; teeth in contact; straight posture which means back straight and chin up.
Orthotropics rely on this tropic premise and it explains that the facial development is in alignment with the tropic premise.
When children develop the habit of mouth breathing and poor posture, it affects the development of face and chin growth reduces significantly, This leads to development of long face with deficient mid face growth.
Since Tongue is in low lying position, it leads to constriction of maxillary arch, and further crowding of teeth.
Orthotropics focuses on the importance of posture and the use of myofunctional appliances that benefit postural corrections. In general, and totality, these appliances are given over the period of twelve to twenty four months, starting from Stage I active appliance to stage II training appliance and finally ending with Stage III retention appliance.
The forces applied are slow and steady which allow teeth to develop around the modified and corrected surrounding facial structures, thereby ruling out the need for lifelong retention.
The treatment does not focus on straightening the teeth but, certainly emphasizes on development and maintenance of correct postural habits and facial development lasting life time.
As a pediatric dentist, Orthotropics can be applied from the age between five to ten years. Treatment can certainly be well extended to older kids if and when the need arises. In conclusion, tropic premise and the the tools to maintain the same for life is the philosophy of Orthotropics that compliments the organic facial and dental growth.
