Orthotropics Overview; Resetting My Jaw. Modern Melting Faces By Dr Mike Mew

简要总结

本视频是关于正畸学中祖先视角的演讲,探讨了现代牙齿排列问题与古代人类的对比。主要观点包括:

  • 现代人牙齿排列偏差严重,面部发育不良,与古代人类形成鲜明对比。
  • 这种变化导致呼吸问题、睡眠呼吸暂停等健康问题。
  • 传统正畸治疗可能加剧潜在问题,需要重新审视牙齿不齐的原因和治疗方法。
  • 强调了肌肉使用、舌头位置和吞咽模式在面部发育中的重要性,以及饮食硬度对颌骨的影响。

引言

演讲者感谢邀请,并表示将从正畸医生的角度分享对会议的看法。他提到自己是正畸医生,拥有相当于医学博士的学位,并在丹麦专攻正畸学。他将本次演讲称为“祖先正畸学”,强调了了解事物发展现状的重要性。

现代牙齿排列问题

现代社会中,95%的人牙齿排列不齐,超过30%的人需要正畸治疗,其中部分人甚至需要拔除前磨牙。相比之下,古代人类95%的牙齿排列整齐,牙弓宽阔,面部发育良好。这种巨大的变化导致现代人的面部垂直增长,面部下垂,下颌骨角度发生变化,影响呼吸道。

面部形态变化与健康问题

由于下巴水平方向发育不足,舌头容易进入气道,导致呼吸问题。面部变长变窄,牙齿水平空间变小,影响呼吸道,导致打鼾、睡眠呼吸暂停和鼻塞。演讲者提到,他在耳鼻喉科和正畸科看到的患者面部类型非常相似,都存在下颌关节问题和腺样体面容。

牙齿不齐的原因与传统正畸的局限性

正畸医生普遍承认他们不清楚牙齿不齐的原因,教科书上通常认为是多因素造成的,但忽略了垂直问题。目前正畸评估使用的X光片规范数据基于60年代的面部轮廓,这与现代人的理想面部形态存在差异。传统正畸治疗可能只是在治疗症状,反而加剧了潜在问题。

营养与肌肉使用

演讲者否定了维生素A和维生素D缺乏是导致牙齿不齐的主要原因,认为肌肉的使用、舌头和下颌骨的位置以及吞咽模式更为重要。他展示了肌肉萎缩症患者的面部变化,强调了肌肉在面部发育中的作用。

饮食与呼吸

现代人获取卡路里的方式发生了巨大变化,饮食过于软,缺乏咀嚼的努力。鼻塞会导致张口呼吸,改变舌头位置,影响面部发育。实验表明,改变舌头位置会显著影响面部高度。

案例分析与姿势的重要性

演讲者展示了同卵双胞胎的案例,说明正畸治疗会改变面部生长方式。他还强调了姿势对呼吸和面部发育的影响,认为保持良好姿势有助于改善面部发育。

改善面部发育的方法

演讲者认为,改善面部发育是可能的,即使在晚年也可以实现。他建议嘴唇合拢,牙齿靠近,舌头抵住上颚。他向英国的牙齿矫正医师发起挑战,就牙齿不齐的原因展开辩论,以促进科学进步。

问答环节

演讲者回答了观众关于舌头姿势、儿童正畸干预年龄、西方饮食干预以及阻塞性睡眠呼吸暂停等问题。他强调了饮食硬度、咀嚼和社交对颌骨发育的重要性,并表示需要进一步研究舌头姿势对呼吸和面部发育的影响。

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文字稿

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0:11 hello and welcome thank you very much for inviting me your conference um it's been an excellent conference so far um I'm saying I'm coming from a very different angle um to your conference um I'm an orthodontist and my BDS is your equivalent to an MD I think um like came in England um I went to my MSC so I specialized in Orthodontics in Denmark um you could in a way call this presentation ancestral Orthodontics um I think it's important with anything to ask where are we today 95% of us have deviations in our

0:59 Dental alignment 30 plus% are recommended orthodontic treatment and of that half to a quarter of those are recommended premolar extractions nearly half of all wisdom teeth are removed now we need to compare that to paleo man who had 95% well aligned teeth broad Den arches with well-developed faces showing tribal similarity we have had almost a sea change can you can anyone see that

1:44 yes better than me um it's almost like we' become a different mammal we've forgotten where we've come from there's been a big change now we should have horizontal growth like this and what we're getting is vertical growth like this Western price and others described exactly this happening it's as if our faces are melting down with wax work model we're put a little bit too close to the fire and

2:30 it's dropping down now of interesting to note in this is how the angle of the mandible changes this is it doesn't matter how much I move my head around my angle of my mandible won't smack my throat that's quite important um now we look at the overall length of a man understandable it hasn't changed during this change in facial form however the dental bearing area has changed quite dramatically it's specifically changed in the area of the

3:16 wisdom teeth and the area of the incizors which is where we're seeing the dental orthodontic problems today in 3D this whole face is narrowing as described by Western price now research by thailander and Sweden shows that every single skull found a thousand years ago that had wisdom teeth had wisdom teeth working and in function pick anyone out of the bush in Africa or out of the Jungle in the Amazon and they will have a space behind their wisdom teeth now if you have no Chin in the

4:01 horizontal Direction your tongue is going to be in your Airway now we have a major change in the human facial skeleton in the blink of an evolutionary eye now the images on the left are people who are largely unaffected and the images on the right are people who are largely affected most of you you probably occupy a middle ground now that group on the left they're the 5% who aren't affected the rest of you account for that 90% who are affected it's now almost as if affected people are normal and we can no longer

4:46 see the woods for the trees the faces are dropping down as the face dropped down the tongue is pushed in the airway that's uncomfortable you then respond in various different ways Vincent is describing the classical pattern as the face drops down it goes down balanced Margaret's describing the classical angos Saxon as a face drops down the jaw drops bottom jaw drops down more and Richards described demonstrating the classical Asian pattern by this would mean Japanese Chinese where as the face drops down the mandible gets longer but

5:32 these are all vertical changes described with different patterns maybe due to your genetic predisposition I'm not describing why now but what I am describing as a syndrome this is my conservative estimation of the effects of your face getting longer but primarily faces that that aren't the right shape don't work correctly um you get breathing problems as your tongue comes into your throat you're more likely to get sleep apnea you're more likely to get snoring

6:19 um as the face lengthens it's narrowing there's less horizontal space for the teeth there's the an the airway is affected which is leading to snoring oh sorry get a bit confused snoring sleep apnea and of course more block noses in my training as an orthodontist I spent some time in an ENT department that's an ear noos and throat Department as I would walk into the ear nose and throat Department I would see the children sitting waiting for their appointments these were the very same facial type I would see waiting for orthodontic treatment many of them in fact were the same facial people were

7:06 the same people waiting that I saw in my orthodontic Department it's a very similar type of people also in these are the people who are getting jaw joint problems these are the people who are getting that typical adenoid face and losing their tribal uniformity as Western price did describe now we can break the groups into the the treat group and treating this or believe looking at this issue basically into the genetic group and the environmental groups depending on what you believe of course you've got the orthodontists in this group

7:53 here they s don't they admit they don't know what causes crooked teeth it's widely recognized in the textbooks that they don't know the cause however they say it's multifactorial That's a classic modern excuse that they've missed the vertical issue they've missed this vertical drop down many of you must be aware of the x-rays orthodontist take when they make an assessment these x-rays are based on normative data from when they first did these x-rays in the 60s now in the 60s was facial profile facial shape normal I'd argue not but this is the normative data we're

8:38 using on your children now if you look at indigenous tribes alive today if you look at the 5% of people with naturally occurring perfect Mal occlusions occlusions if you look at the model the most attractive faces these groups are very similar SAR but they're not the same as our x-ray Norms they're much more same as the ideals that I described earlier so we have this discontin between norms and ideals now if we look at Weston Price who was looking at

9:24 people looking at people with these facial shap changes he was looking he was considering at a prenatal injury and he suspected it may be due to vitamin A and vitamin D now I'm within the orthotropic community I feel it's probably from a change in muscle tone a change in tongue posture and a change in tongue function now before I came here I went on to some web forums to get people from the pale lithic and the Wern price foundation opinions of what were causing this problem I was asking around about vitamin A and vitamin D because that's what western price was

10:11 suspecting I was asking for hard evidence and I haven't really found hard evidence Western price suspected it he made it as a suspicion now here on the left is a map of the deficiency of vitamin A in the world now it's very interesting that North America America Europe Australia and New Zealand are some of the countries that don't have a vitamin A deficiency yet those are the very countries with the worst level of malocclusion doesn't really add up that it could be a vitamin A deficiency now I don't know if you know but Australia has one of the highest levels of skin cancer and because of that um they must be getting quite a lot of vitamin D and yet

10:59 they have quite a high level of um malocclusion and so there are British there're an anglosaxon Community that's now in Australia they should have less vitamin D but they don't have a they have the same level of malocclusion now also if we look at Mal malnutrition and malocclusion it doesn't seem to be related now I do most of my consultations just looking at faces not looking at the teeth the child in the bottom Cent there has fairly good facial form but obvious problems with bone formation so I don't think rickets and vitamin A vitamin D deficiency are um sorry and Mal cusion is related what I

11:46 think is more likely is muscle usage the tongue and mandible position and the swallowing pattern I think the first two have better evidence and they're more related to the shape of the face the last one is more related to sh the position of the teeth now muscle usage this person has muscular distrophy this is a disease of the muscles not the bones and it's causing a gross change in facial shape this person has their teeth together and yet that's an image of what the normal is as I said I don't think that's ideal but that's an image of Norm this G gentleman had late onset muscle

12:34 weakness and he's got gross change in his facial shape now we have changed massively our effort to gain calories how much effort does it take to take a soda down and how many calories do you gain from it I estimate we're doing about 5% of the effort of eating now that we did in the past and that's before you consider non-nutritional exercise of the Jaws if I want a leather coat I can buy a leather coat if paleo man wanted a leather coat he had a lot of

13:19 chewing now this is a normal level of wear and it has been for the last 200,000 years we are are abnormal now if you have a block nose what are you going to do you either die or you open your mouth and lower your tongue you don't have any other options this child got a total nasal obstruction off of this Photograph it's dramatically changed how his face has grown most young children as infants are getting block noses for one reason or another they're changing their posture it's becoming permanent these are two types of

14:05 experiments that were done one done simply placing a piece of plastic in the roof of the mouth making it uncomfortable to place the tongue in the roof of the mouth you're getting a gross increase in facial height these monkeys had the muscles pulled further back reattached causing a more bite that's caused a reduction in the facial height you've got experiments in both directions that's good science now orthodontic treatment every orthodontic study I have ever seen against controls has shown an increase in facial height so we're treating symptoms but we are worsening the underlying problem that's bad medicine

15:01 now this is a set of identical twins I say would suggest the twin on the lower has less of a well-placed mandible than his brother above incidentally twins have the greatest V variation in their bodies in their faces now he was given orthotropic treatment and that dramatically changed the way his face grew now if we take these two girls the girl on the left she's going to have less straight teeth than the girl

15:47 on the right she's going to have more breathing problems than the girl on the right she's going to have more ear nose and throat problems than the girl on the right and she's going to breathe easier now I'd like to ask you what do you think her posture which girl do you think has the best posture the girl on that side or the girl on this side the girl on this side now I was very impressed yesterday with Esther goal presentation I doubt she stands as well as some of the slides that Esther showed yesterday but she stands better and there's a debate in the profession about

16:32 the ascending and the descending and I think if you can get people to posture better they will get better facial growth but that is an argument for another day and I am better looking than I was s years ago that is hard work and effort I think it's probably more difficult than staying on a PO lithic diet but it's possible if you look at someone like Steven Hawkins whose face went wrong at a late age you should be able to make your face grow right at a late age all of my dental nurses have looked better when I've met up with them well over a 5 to

17:19 10 year period I'm amazed how many of you someone like Keith North who has great body but tends to hang his mouth open a lot of work in one area but not so much work in another area now it is relatively simple you have to have your lips together teeth together all near together and tongue on the roof of your mouth that is it it's not more complex if you were like the characters in Matrix and I could plug you in and program that into you you would get good facial growth there was nothing specially genetic about those faces I showed you on the left far side of the

18:05 slide they learned to do that naturally that wasn't in their genes now I challenged the British orthodontists to a debate on what causes crooked teeth this is one area where we can have a specific debate with good research in peer reviewed quality journals because when we have a debate like this we can come to a definitive conclusion we can draw a line in the sand and move forward now my point of presenting to you here is to say if you're scientists

18:52 if you believe in the truth you need to support me in this debate that that's how science moves forwards we are treating onethird of the population of all westernized civilizations with a method where we admit we don't know what causes it and we are avoiding open debate um and so here's my um Facebook site that you can write down and join and here are the websites that I recommend you go and

19:37 visit and I recommend lips together teeth together tongue on the roof of your mouth [Applause] okay now I don't know if we've got time any questions do we who's in charge we do now can we not have anecdotal case study questions we got a comment about you and your family I'll be afterwards down by the coconut coconut water stand in the chairs down there and you can ask me about you and your family and friends just general

20:23 questions so general question on the posture that you just uh prescribed the tongue on the roof the mouth is it flat on the roof of the mouth or is it curved because in Orthodontics they used to talk about tongue thrusting the full section of your tongue for some reason if you pull a cheesy smile when you swallow the back of your tongue goes up I don't know why but it's worthwhile interestingly physiotherapists do that when they're teaching people deep cervical net exercises because the top posterior third of the tongue is related to the Deep cervical postural centus I could go on about that but my second question was um on the orthotropic intervention for children what's the age range of efficiency for that if I'm going to treat a child and I'm going a good a

21:09 good result I want to cut off at 9 years old 6 years old to 9 years old optimal seven or eight is when I want to get in question so I was impressed when I read the Weston Price Book several years ago it's dramatic when you look at the different faces pre- and post you know intervention with the Western diet so you ruled out vitamin A and vitamin D but how do you explain the differences it's certainly not just that one group had better posture or kept their tongue on the roof of the mouth is it or is that the explanation so how how how do you explain that a whole population had this habit and then they changed the Habit after was a product of his

21:56 environment he sold these changes he was greatly influenced by melon be who had come out with vitamin D deficiency in rickets it made sense bendy Bon's not growing right fa is not growing right the diet changing well that was it but he didn't look at the hardness of the diet this is Paleo light you are in the Paleo light movement I went to the wellness food exhibition over here and they're saying they're even making some of those products softer for people Western price missed hardness of the food we have gone from a very hard diet to a very soft diet we had most of our food calories used to come from hard things we've introduced

22:44 all of these carbohydrates they're soft to eat they're high nutritious we we're just we're not making that effort anymore I'm sorry yes eat good food but eat hard food thank you and by the way it is a mix it is the two things it's a lowered tongue posture and it's weak muscles so we have gone from this to this it's evident around I I'm sorry standing here watching you a lot of you have got your mouths open if you've got your mouth open where are you growing sorry another question I think oh yeah sorry so I was just going to say

23:32 it seemed interesting the people you showed on the left the models well first of all they don't do a lot of talking that's one thing so is talking that's making that exercise well so that's what I was going to ask you though you're saying to keep your mouth closed and lips together and tongue in the roof but it's like so how does chewing come into play in terms of frequency and the difficulty and then also just talking and socializing if people do that mostly throughout the day yeah some of these detail specifics we can't know much about the problem with looking at tongue posture is the fact that how can you look at the position of the tongue without affecting the position of the tongue whether it's the tongue up there 100% of the time whether it's the tongue up there a momentary important swallow moments whether it's the tongue up there

24:17 we don't know exactly and how we we need to research this but how can you research it without looking in there I mean I think well some people are putting people in MRI scanners but I don't think of a normal environment to be in to have a normal posture thanks for the presentation uh what's your luck with r resolving obstructive sleep Avenue with this um it's it's something I personally haven't focused on I've got members of our community in um California and in Chicago and recently they've pulled a couple of subjects out of um surgery and CPAP cuz you put CPAP on someone you are just putting the N nail

25:03 in the coffin that will just pull the face back like that yeah especially in kids yeah oh yeah disaster your banana their face very quickly thank [Applause] you and if you want any more questions I'll be out by the um second pool of chairs

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