Orthotown September 2016 - 39
feature \\ clinical orthodontics
19mm
23mm
Fig. 3: These 3-D models, which represent a before-and-after case over a six-month
time period, were printed to show only bone.
Fig. 2: On this 3-D maxillary model, the clear plastic represents bone and red plastic represents soft tissue.
6.5mm
1.5mm
Fig. 4: Note the dramatic airway improvement post-RME on this 3-D model of a patient
who had been diagnosed with severe sleep apnea despite two adenoidectomies. The
patient's post-RME sleep study (PSG) was normal.
Fig. 5: Dr. John M. Grady holds a 3-D airway
model.
Through these models, we now have
the ability to easily and clearly illustrate
and share the airway changes that RME
has created in sleep apnea patients.
Communication has greatly improved
with patients, parents, general dentists,
sleep apnea dentists, sleep physicians
and otolaryngologists. Referrals of apnea
patients have increased by multiples. And
most importantly, many more children are
benefitting from a much-needed, and often
overlooked, treatment.
I believe we have acquired a new and
correct paradigm: Most/many pediatric
OSA patients need both adenoidectomy
and RME. The ENT surgeon can clear
the airway surgically, but the maxilla and
nasal cavity may remain hypoplastic. An
orthodontist can enlarge the maxilla and
airway to normal proportions. And this
can make a life-changing difference to
our patients. n
Questions or comments for the author? Head to the online version of this article
at orthotown.com and leave a comment.
orthotown.com \\ SEPTEMBER 2016
39
http://www.orthotown.com/Article.aspx?i=423&aid=6039
http://www.orthotown.com
Table of Contents for the Digital Edition of Orthotown September 2016
Orthotown.com Highlights
Dental Hygiene— in an Orthodontic Practice?
Industry News
New Products
Monthly Poll: Bonding
Non-Sx. Plan for This Case?
A Winning Combination
Townie Talks: Transitions Q&A
Clinical Orthodontics: A Great Future in Plastics
Dolphin Imaging & Management Solutions
GORP 2016
Product Profile: Ormco
Orthotown September 2016 - Cover1
Orthotown September 2016 - Cover2
Orthotown September 2016 - 1
Orthotown September 2016 - 2
Orthotown September 2016 - 3
Orthotown September 2016 - 4
Orthotown September 2016 - 5
Orthotown September 2016 - Orthotown.com Highlights
Orthotown September 2016 - 7
Orthotown September 2016 - Dental Hygiene— in an Orthodontic Practice?
Orthotown September 2016 - 9
Orthotown September 2016 - 10
Orthotown September 2016 - 11
Orthotown September 2016 - Industry News
Orthotown September 2016 - 13
Orthotown September 2016 - New Products
Orthotown September 2016 - 15
Orthotown September 2016 - Monthly Poll: Bonding
Orthotown September 2016 - 17
Orthotown September 2016 - 18
Orthotown September 2016 - 19
Orthotown September 2016 - Non-Sx. Plan for This Case?
Orthotown September 2016 - 21
Orthotown September 2016 - 22
Orthotown September 2016 - 23
Orthotown September 2016 - A Winning Combination
Orthotown September 2016 - 25
Orthotown September 2016 - 26
Orthotown September 2016 - 27
Orthotown September 2016 - 28
Orthotown September 2016 - 29
Orthotown September 2016 - 30
Orthotown September 2016 - 31
Orthotown September 2016 - Townie Talks: Transitions Q&A
Orthotown September 2016 - 33
Orthotown September 2016 - 34
Orthotown September 2016 - 35
Orthotown September 2016 - 36
Orthotown September 2016 - 37
Orthotown September 2016 - Clinical Orthodontics: A Great Future in Plastics
Orthotown September 2016 - 39
Orthotown September 2016 - Dolphin Imaging & Management Solutions
Orthotown September 2016 - 41
Orthotown September 2016 - 42
Orthotown September 2016 - 43
Orthotown September 2016 - GORP 2016
Orthotown September 2016 - 45
Orthotown September 2016 - 46
Orthotown September 2016 - Product Profile: Ormco
Orthotown September 2016 - 48
Orthotown September 2016 - Cover3
Orthotown September 2016 - Cover4
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