Orthotown June 2023 - 61

she have stopped mouth breathing and snoring?
Would her allergies have improved? Would her
tongue space have increased? Would her canine
eruption pattern have normalized? Would her
soft-tissue profi le have improved? Would her
smile aesthetics have improved so signifi cantly?
Would her self-confi dence have improved? I contend
that the answer to all these questions is a
resounding " no. "
Patients, parents, team members and doctors
love this approach, and incorporating it into your
practice will allow you to change more lives and
fi nd more joy in the treatment of preadolescent
patients than you imagined possible. It is time to
embrace the new paradigm!
In the next course, we'll explore why slow
expansion with braces and wires is a superior
approach to RME in preadolescent patients, as
well as present additional cases treated with this
approach. OT
References
7. Kuhn T. The Structure of Scientific Revolutions (1962), p. 54.
8. Mills LF. " Arch Width, Arch Length, and Tooth Size in Young Males. " Angle
Orthod 1964; 34:124-129.
9. McKeown M. " The Diagnosis of Incipient Arch Crowding in Children. " NZ Dent.
J 1981; 77:93-96.
10. Howe RP, McNamara JA, O'Connor KA. " An Examination of Dental Crowding
and Its Relationship to Tooth Size And Arch Dimension. " Am J Orthod 1983;
83:363-373.
11. Indriyanti R, Efendi SH, Maskoen AM, Riyanti E. " Predisposing Factors
Analysis of Mandibular Anterior Tooth Crowding in the Mixed Dentition
Period by the Tooth Size and Dental Arch Width. " Padjadjaran Journal of
Dentistry. Nov 30, 2018:207-213.
12. Holtzman AC. International Journal of Orthodontia, Oral Surgery and
Radiography, 1928; Vol 14, Issue 5, 390-392.
13. Moss ML. " The Functional Matrix. " In: Vistas in Orthodontics. Karus B, Riedel
R, editors. (Philadelphia: Lea & Febiger 1962: 85-98).
14. Enlow DN. " A Morphogenetic Analysis of Facial Growth. " Am J Orthod 1966;
52:283-299.
15. Harvold EP, Vargervik K, Chierici G. " Primate Experiments on Oral Sensation
and Dental Malocclusions. " American Journal of Orthodontics 1973;
63:494-508.
16. Harvold EP, Tomer BS, Vargervik K, Chierici G. " Primate Experiments on Oral
Respiration. " American Journal of Orthodontics 1981; 79:359-372.
17. Ciprandi G, Tosca MA, Gallo F, Passali GC, Ameli F. " Turbinate Hypertrophy in
Children With Allergic Rhinitis: Clinical Relevance. " Acta Biomed 2020 Feb
17; 91(1-S):43-47.
18. Tsubamoto-Sano N, Ohtani J, Tanimoto K. " Influences of Mouth Breathing on
Memory and Learning Ability in Growing Rats. " Journal of Oral Science 2019;
61:119--124.
19. Pereira L, Monyror J, Almeida FT, et al. " Prevalence of Adenoid Hypertrophy: A
Systematic Review and Meta-Analysis. " Sleep Med Rev 2018; 38:101-112.
20. Kara CO, Ergin H, Kocak G, et al. " Prevalence of Tonsillar Hypertrophy and
Associated Oropharyngeal Symptoms in Primary School Children in Denizli,
Turkey. " Int J Pediatr Otorhinolaryngol 2002; 66(2):175-179.
21. Yoon A, Abdelwahab M, Bockow R, Vakili A, Lovell K, Chang I, Ganguly R, Liu
SY, Kushida C, Hong C. " Impact of Rapid Palatal Expansion on the Size of
Adenoids and Tonsils in Children. " Sleep Med. 2022 Apr; 92:96-102.
Dr. Michael K. DeLuke is a board-certified
orthodontist who received his specialty training at
the University of Connecticut. DeLuke practiced for
18 years at DeLuke Orthodontics before retiring from
private practice to teach full time. He has served as a
faculty member at several hospitals and orthodontic
residencies, including as the cleft-craniofacial
orthodontist at Albany Medical Center in New York.
DeLuke recently founded DeLuke Orthodontic
Coaching (DOC), an ADA-CERP-recognized
provider. He also created The DOC Podcast to help
his colleagues attain the highest level of personal,
professional and financial success. DeLuke is a
fitness enthusiast and former boxer who still actively
trains. He resides in Naples, Florida, with his wife and
two teenage daughters.
JUNE 2023 | 61 | ORTHOTOWN.COM
22. D'Onofrio L. " Oral Dysfunction As a Cause of Malocclusion. " Orthodontics and
Craniofacial Research.
23. Proff it W, Fields H, Larson B, Sarver D. Contemporary Orthodontics, 6th
Edition (St. Louis: Mosby/Elsevier 2007).
24. Evensen JP, Ogaard B. " Are Malocclusions More Prevalent and Severe Now?
A Comparative Study of Medieval Skulls From Norway. " Am J Orthod Dentofac
Orthop 2007; 131:710-716.
25. Von Cramon-Taubadel N. " Global Human Mandibular Variation Reflects
Diff erences in Agricultural and Hunter-Gatherer Subsistence Strategies. "
Proceedings of the National Academy of Sciences 2011; 108(49):19546-19551.
26. Pinhasi R et al. Incongruity Between Aff inity Patterns Based on Mandibular
and Lower Dental Dimensions Following the Transition to Agriculture in the
Near East, Anatolia and Europe. PLoS One 2015; 10(2):e0117301.
27. Diamond J. The Third Chimpanzee: The Evolution and Future of the Human
Animal (New York: HarperCollins, 1992).
28. Price WA. Nutrition and Physical Degeneration, 8th Edition (Lemon Grove, CA:
Price Pottenger Nutrition Foundation, 2009).
29. Sim Wallace J. " Heredity with Special Reference to the Diminution in Size of
the Human Jaw. " Digest of Dental Record. Dec 1901, in Dental Digest 8, No.2
(Feb 1902):135-40.
Stay tuned for Part 2
In Part 2 of this series, Dr. Michael K. DeLuke will
explain the drawbacks to some of the typical
approaches many orthodontists would take to
treat cases similar to the one in this article, and
share additional case studies that illustrate a more
eff ective way of treatment.
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Orthotown June 2023

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