Achieving Treatment Objectives: Class I Malocclusion, Anterior Open Bite Skeletal Class III

Braces will correct GG’s bite but once they are removed, the tongue is strong enough to cause the teeth to return to their original opened position. For this reason, it is important to correct the tongue thrust before orthodontic treatment begins and we will make that part of our treatment.

The tongue plays an important role in respiration, mastication, swallowing and speech. With normal swallowing, the tip of the tongue rests on the lingual part of the maxillary anterior dentoalveolar area; the teeth then come into momentary contact and minimal contraction of the perioral muscles occurs.1

Tongue thrusting is a predominate swallowing pattern in infants, but by the age of 2 – 4 years old, a functional mature swallow develops. A tongue thrust habit is a condition in which the tongue makes contact with any teeth anterior to the molars during swallowing.2

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