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At Yakima Smiles, Dr. Pete Nathe offers an innovative and exciting new type of orthodontics that addresses the actual cause of orthodontic problems and adverse facial growth. This allows for an ideal and stable result as well as an aesthetically pleasing face and profile. The ultimate goal is a broad, beautiful smile AND a healthy airway and lifetime TMJ health. We invite you to contact our office at (509) 941-2957 to learn more about the benefits of face-focused orthodontics in Yakima, Washington, and schedule your appointment with our experienced and specially trained dentist.

The REAL causes of orthodontic problems (malocclusion and incorrect facial development):

  • Mouth breathing due to soft tissue dysfunction (enlarged tonsils, adenoids, allergies)
  • Incorrect tongue position
  • Poor oral positions (lips apart, tongue not resting on palate)
  • Adverse swallowing patterns
  • Thumb and finger sucking
  • Genetics – only 10%

 

Effects of Incorrect tongue position due to mouth breathing or poor oral position


 

Normal Growth


 

Abnormal Growth


 

Why is tongue position SO important?

 

Fact: The tongue is one of the strongest muscles in our body and can exert up to 500g (17.5oz) of force. To put that in perspective, it only takes 1.7g (0.05oz) of force to move a tooth.

Did you know there is a spot in your mouth where the tongue should naturally rest whenever you are not eating or speaking?

The tongue determines the shape and size of the upper jaw. If the child habitually has a low tongue position (as in mouth breathing) the upper teeth will not have enough space and the lower jaw is forced back and down, affecting the way the face grows.

A normal top jaw grows properly because the tongue rests in the correct position (known as the Correct Tongue Resting Position), which is in the roof of your mouth.

If your tongue does not rest in the roof of your mouth, the top jaw will become too narrow and teeth won’t have enough room to grow straight.

For more information about correct tongue positioning and to schedule an appointment with Dr. Pete Nathe at Yakima Smiles, please contact our office at (509) 941-2957. We will be happy to provide you with additional information and help you schedule a consultation with our caring dentist to receive treatment.

Mouth Breathing

 

Dr. Pete Nathe can help your child correct a habit of mouth breathing so that his or her face and jaws can grow and develop properly and minimize the need for future orthodontic treatment. Yakima Smiles will work with you and your child to develop proper breathing habits for overall health. Call Yakima Smiles today at (509) 941-2957 to schedule your child’s appointment with our friendly dentist and learn more about the harmful effects of mouth breathing in Yakima, Washington.

 

The Damaging Effects of Mouth Breathing, Poor Oral Posture and Myofunctional Habits in your Baby and Developing Child

 

It is critical to your child’s proper facial growth, airway development and jaw joint health that the child consistently and exclusively nasal breath and that the child maintains proper oral posture (lips together at rest) and that all damaging myofunctional (oral and tongue) habits are eliminated.

Tongue position is largely responsible for the normal growth and development of the face and jaws. The tongue is a powerful muscle and should rest against the upper palate (roof of mouth) and cause the upper jaw to broaden and grow forward in the healthy and aesthetically appealing manner. When this does not happen, because of mouth breathing and open mouth posture, the midface does not grow properly and the lower face narrows and elongates. At Yakima Smiles, we screen for this abnormal facial growth, by measuring the child’s “cosmetic line” and by analyzing the child’s sagittal photograph with the computerized Bolton Analysis. Facial feature defects that are noted in the mouth-breathing child include:

 

 

  • High narrow palate/narrow maxillary arch
  • Mid-face deficiency
  • Flattened face
  • Elongated lower face
  • Narrow face
  • Recessed chin/jaw
  • Sunken cheeks
  • Small jaws without room for all the permanent teeth

 

Not only does mouth breathing and poor oral rest cause changes in facial growth, they also impact the child’s long- term health because the jaws, palate and airways develop abnormally and lead to:

  • Future TMJ issues
  • Current or future Obstructive Sleep Apnea
  • Headaches/shoulder & neck pain/poor posture
  • Dental crowding and malocclusion

The causes of mouth-breathing include:

  • Enlarged tonsils and adenoids
  • Allergies
  • Frequents viral infections
  • Chronic open mouth posture
  • Myofunctional (tongue) habits

 

Signs that your child may be a mouth-breather:

 

  • Lips not together at rest
  • Snoring and restless sleep
  • Mouth open when sleeping
  • Grinds teeth
  • Constant stuffy nose
  • Large tonsils
  • Allergic shiners under eyes
  • Fatigue, attention deficit

 

It is so important for the child’s current and future health as well as to the aesthetic development of the child’s face that nasal patency and consistent nasal breathing are established and maintained. Yakima Smiles will provide complementary screening with Bolton Analysis to evaluate the child’s facial growth and can refer the child to an ENT and/or allergist if indicated. The two main food allergens are dairy and gluten. Dr. Nathe encourages parents to be very proactive in monitoring this aspect of their child’s health and appearance and to insist on treatment and intervention when necessary to ensure proper face and jaw development and a lifetime free from jaw joint pain and obstructive sleep apnea. Dr. Pete Nathe of Yakima Smiles will do a free facial growth analysis if you would like.

If mouth breathing has already resulted in some detrimental growth patterns, these can be addressed by talking to Dr. Nathe about a growth appliance that re-directs the growth of the jaws in the proper direction. Contact our office today for more information.

 

Poor growth due to mouth breathing


 

Pediatric Sleep Disordered Breathing

 

Have you noticed that your child has difficulty breathing while asleep? In children, facial shape development may be adversely affected by mouth breathing at night. Sleep breathing disorders can also impact your child’s overall health and is linked to hyperactivity. A recently published article has children with snoring, apnea or mouth breathing are 40% – 100% more likely to suffer from attention deficit hyperactivity disorder (ADHD). Dr. Pete Nathe of Yakima Smiles can help! Contact our office at (509) 941-2957 to learn more about pediatric sleep disordered breathing in Yakima, Washington, and make your child’s appointment with our dentist.

 

If a child is a mouth breather, his or her tongue won’t rest on the roof of the mouth, which often results in an underdeveloped upper jaw and restricted forward growth of the lower jaw. Along with the concern of crowding, incorrect development of the upper jaw can affect a child’s breathing by restricting airway. Obstructive sleep apnea (OSA) in children is associated with narrow faces and small jaws. There is simply not room for the tongue and, at sleep it obstructs the airway. It’s like parking a semi-truck in a garage built for a compact car.

Early evaluation for the signs of poor jaw development is increasingly becoming a treatment option more dentists, orthodontists and medical practitioners are implementing.

As well as affecting jaw and facial development, the medical profession now recognizes that mouth breathing is abnormal and is also one of the main contributors of Sleep Disordered Breathing (SDB) problems.

 

Symptoms commonly associated with Sleep Disordered Breathing (SDB) can include:

  • Snoring, gasping, open mouth posture at night
  • Morning tiredness and daytime fatigue
  • Developmental and behavioral problems
  • Interrupted sleep
  • Hyperactivity
  • Withdrawal
  • Executive dysfunction
  • Depression
  • Learning difficulties
  • Social issues
  • Bed Wetting

 

The Bolton Analysis

Advanced computer- generated analysis of your child’s facial growth to assess for proper development, optimal aesthetics and HEALTH.
At Yakima Smiles, Dr. Pete Nathe is happy to do this at no charge.

 

The Myobrace®

 

Dr. Pete Nathe may recommend the Myobrace® as an alternative to traditional orthodontic treatment. With Myobrace, we can help you child grow and develop properly so that they avoid malocclusion and incorrect facial development. This may also help them avoid the need for extensive orthodontic care in the future. Call Yakima Smiles at (509) 941-2957 to make your appointment with our caring dentist and learn more about the Myobrace in Yakima, Washington.

 

Recent studies show that 75% of growing children have malocclusion and incorrect facial development. Soft tissue disfunction is the major cause. By age 3-5, crooked teeth and abnormal face and jaw development can already be noted. These changes are often blamed on genetics, but mouth breathing, incorrect tongue position, and reverse swallow are the real causes of poor cranio-facial growth.

If a child breathes through his/her mouth at night, the tongue drops to the mouth and no-longer holds and spreads the upper jaw into a healthy and aesthetically pleasing position. The restricted development limits the space for erupting teeth and prevents them from emerging into their ideal natural position.

The Myobrace® is newly developed myofunctional orthodontic appliance that teaches children to breathe through their nose, put their tongue on the roof of their mouth in the resting position, keep their lips together and swallow correctly for optimal facial and jaw development AND early alignment of erupting teeth.

The Myobrace is worn 1-2 hours per day and at night and is an excellent myofunctional trainer and also serves to identify children with an obstruction or other issue needing medical intervention to establish nasal breathing.

  • Myobrace and special exercises can be used to train a child to breathe through his or her nose and maintain proper tongue and lip position.

 

  • Myobrace may confirm an obstruction and a child’s INABILITY to nasal breathe and indicate the need for medical intervention to establish nasal patency

For more information and to schedule a consultation, please contact our office today!

 

The Growth Appliance

 

Dr. Pete Nathe at Yakima Smiles may recommend a growth appliance to correct damaging effects and help your child’s face and jaws develop correctly. We invite you to contact our office at (509) 941-2957 to learn more about the growth appliance in Yakima, Washington, and schedule an appointment with our dentist.

Interceptive and Corrective Orthodontics: Growth Guidance Appliance (For Younger Children)

 

The Growth Guidance Appliance is an exciting new orthopedic technology that actually stimulates the production of new bone and models and shapes existing bone. It corrects the devastating effects of mouth-breathing on the development of a child’s face, airway and jaw joints. It can:

  • Widen the upper palate
  • Cause the upper jaw to grow forward
  • Creates space and allows teeth to move to proper position
  • Decrease the need for future orthodontics if facial development problems are caught early and interceptive treatment initiated!

 

Mouth breathing, open mouth posture and tongue positioning habits are known to have a very destructive influence on a child’s developing face. Without the scaffolding effect of the tongue resting on the palate, the maxilla deforms in three dimensions and changes the shape of the maxilla and lower half of the face causing:

  • mid-face deficiency
  • elongated face
  • narrow face
  • larger appearing nose
  • thin lips
  • retracted lower jaw and chin
  • sloping forehead
  • increased chance of Temporal Mandibular Disorder (TMD or TMJ)
  • increased chance of clenching or grinding your teeth
  • increased chance of headaches
  • increased chance shoulder and neck pain
  • increased chance of back problems
  • increased chance of Obstructive Sleep Apnea

 

Achieving proper tongue posture and function by proactively addressing mouth-breathing requires addressing nasal and pharyngeal patency first.

Once, nasal breathing and proper oral posture have been re-established, it is possible to reverse the facial defects that have begun to develop in the small child with the help of the newly developed growth appliance. A dentist or other specialist can evaluate a child’s facial growth with a Cosmetic Line Score or with a Bolton Analysis. Yakima Smiles offers complimentary screening. If deficient growth tendency is discovered, growth guidance orthopedics can be used to correct the trajectory of growth and this can have dramatic effects on the face, jaw and airway.

A comfortable custom oral appliance is fabricated for the child that stimulates the palate to produce more bone and grow in each dimension. The entire midface and upper jaw broaden and grow forward allowing for a beautiful broad smile, a healthy airway, painless jaw joints and plenty of space for the teeth to evenly erupt. In some instances, a growth appliance can eliminate the need for future retraction orthodontics. A broad arch is critical for facial beauty, a healthy airway and the child’s overall well-being.

 

SAVE YOUR CHILD FROM DISFIGURING EXTRACTION/RETRACTION ORTHODONTICS!!

Schedule a consultation with our skilled dentist today to learn more about interceptive orthodontics and the growth appliance.

 

Face-Focused Orthodontics and Dentofacial orthopedics for Children and Adults

 

Innovative, cutting-edge technology combines facial growth analysis and development with non-retraction orthodontics to achieve straight teeth and ALSO a beautiful broad smile, proper facial proportions and profile and healthy joints and airway. Treatment, following reestablishment of nasal breathing, consists of an orthopedic growth phase to achieve aesthetic facial dimensions and profile and an orthodontic phase to straighten teeth and preserve newly created space without retraction orthodontics. Sounds complex and high tech? It is! But, Dr. Pete Nathe of Yakima Smiles has had extensive education and training in face- focused orthodontics and the results are nothing short of amazing.

 

Phase 1: Evaluate and reestablish nasal breathing, if necessary

 

Oral position (lips together, tongue on palate) is largely responsible for the normal growth and development of the face and jaws. The tongue is a powerful muscle and should rest against the upper palate (roof of mouth) and cause the upper jaw to broaden and grow forward in the healthy and aesthetically appealing manner. When this does not happen, because of mouth breathing and open mouth posture, the midface does not grow properly and the lower face narrows and elongates (which Dr. Nathe can access with the Bolton Analysis) causing:

  • mid-face deficiency
  • elongated or flattened face
  • narrow face
  • nose seeming larger than it is
  • thin lips
  • sunken cheeks
  • retracted lower jaw and recessed chin
  • sloping forehead
  • high, narrow palate

Not only does mouth breathing and poor oral rest cause changes in facial growth, they also impact long- term health because the jaws, palate and airways develop abnormally and can lead to:

  • TMJ issues
  • Obstructive Sleep Apnea
  • Headaches/shoulder & neck pain/poor posture
  • Dental crowding

The most common causes of mouth-breathing, poor oral rest and constricted face and jaw development include:

  • Enlarged tonsils and adenoids
  • Allergies
  • Frequents viral infections
  • Chronic open mouth posture
  • Myofunctional (tongue) habits
  • Genetics
  • Retraction orthodontics

Possible steps to reestablish nasal breathing and proper oral posture may include:

  • Gentle lip taping to confirm or train (if no obstruction) consistent nasal breathing
  • ENT evaluation and treatment
  • Allergist evaluation and treatment
  • Myofunctional therapy in our office (included in fee)
  • Tongue tie release in our office (included in fee)

 

Phase 2: The Growth Appliance (6-12 months)

 

The Growth Guidance Appliance is an exciting new orthopedic technology that actually stimulates the production of bone and models and shapes existing bone. It corrects facial growth abnormalities associated with mouth-breathing, genetics, previous retraction orthodontics, poor oral rest and tongue position by:

  • Widening the upper palate
  • Cause the upper jaw to grow forward
  • Creates space and allows teeth to move to proper position

Mouth breathing, open mouth posture and tongue positioning habits are known to have a very destructive influence on facial development. Without the scaffolding effect of the tongue resting on the palate, the maxilla deforms in three dimensions and changes the shape of the maxilla and lower half of the face causing:

  • mid-face deficiency
  • elongated face
  • narrow face
  • larger appearing nose
  • thin lips
  • retracted lower jaw and chin
  • sloping forehead
  • increased chance of Temporal Mandibular Disorder (TMD or TMJ)
  • increased chance of clenching or grinding your teeth
  • increased chance of headaches
  • increased chance shoulder and neck pain
  • increased chance of back problems
  • increased chance of Obstructive Sleep Apnea

A comfortable custom oral appliance is fabricated that stimulates the palate to produce more bone and grow in each dimension. The entire midface and upper jaw broaden and grow forward allowing for a beautiful smile and pleasing profile, a healthy airway, pain-free jaw joints and overall well-being.

Phase 3: Controlled Arch Orthodontics – NO Retraction! (18 – 24 months)

 

Innovative, modern orthodontics to preserve the newly created space and achieve straight teeth, a beautiful profile and properly developed face, a healthy airway and uncompromised jaw joints. It takes a dentist with a commitment to training and dedication to clinical excellence but it CAN be done!

  • Dr. Pete Nathe and his Yakima Smiles team are happy to provide a complimentary Bolton Analysis of your child’s face and jaw development.

There is a lot more to orthodontics than just straight teeth!!!

Contact our office today at (509) 941-2957 to make an appointment with our experienced dentist and learn more about how face-focused orthodontics in Yakima, Washington, can benefit you!

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Pete Nathe, D.D.S. • 119 North 50th Ave.
Yakima, WA 98908 • 509-941-2957