A short presentation of the Myofunctional Appliances from RMO. They are Preformed silicon appliances for orthopedic and myofunctional therapy.

1. Myofunctional Therapy
Dr Franco Bruno
ARONA

2. francobruno@me.com
www.facebook.com/effe.bruno
@franco__bruno
www.linkedin.com/in/orthodontics
DR FRANCO BRUNO

3. The Appliances

4. The Multi System
h"p://www.rmoeurope.com

5. The Multi Appliances
• Multi-S
• Multi-T
• Multi-P
– 2 Bite-Plane Thickness
– 2 Lengths
• Multi-TB

6. The Multi Appliances are an
integrated system of
appliances that allow the
orthodontists to choose the
ideal appliance according to
the age and the
malocclusion of the patients

7. Multi Appliances
• Monobloc
• Protrusion of the Mandible
• Soft Bite-Plane
• Vestibular Shield
• Lingual Guidance
• Lip-Bumper

8. The gold standard…
• Teeth Guidance
– Multi-S -> Incisors
– Multi-T -> Incisors and Cuspids
– Multi-P -> Incisors, Cuspids and Bicuspids
The
Mul2-­‐TB
has
NO
guidance:
its
for
braces
only

9. Multis
• Indications for use of Multi products
– Multi
– Multi
– Multi
– Multi
S, age and indications
T, age and indications
P, age and indications
TB, age and indications

10. The Multi-S
1
size
From
4/5
years
to
7
years

11. Multis
• Indications for use of Multi products
– Multi
– Multi
– Multi
– Multi
S, age and indications
T, age and indications
P, age and indications
TB, age and indications

12. The Multi-T
1
size
From
6/7
years
to
9/10
years

13. Multis
• Indications for use of Multi products
– Multi
– Multi
– Multi
– Multi
S, age and indications
T, age and indications
P, age and indications
TB, age and indications

14. Multi-P
From
8/9
years
to
12/14
years

15. Multi-P
Low
Volume:
13
sizes
High
Volume:
11
sizes
OPTION:
Short
or
Long

16. Multis
• Indications for use of Multi products
– Multi
– Multi
– Multi
– Multi
S, age and indications
T, age and indications
P, age and indications
TB, age and indications

17. Multi-TB

18. Only 4 Appliances

19. Condyle Fracture
2008

20. 2011

21. 8 Months Therapy
Preformed Functional Appliance
... and Nothing Else...

22. Myfunctional Therapy
How to drive the Therapy

23. Letizia
francobruno@me.com

24. The Malocclusion
francobruno@me.com

25. Panorex
francobruno@me.com

26. www.siob.it

27. The Trace
Treatment Plane
a) Upper Expansion
b) Lower Reshape
c) Orthopedic (Multi-P)

28. Quad-Helix

29. Bi-Helix

30. Multi-P
francobruno@me.com

31. After 13 Months Multi-P
francobruno@me.com

32. Esthetic
francobruno@me.com

33. Panorex

34. The Trace

35. Superimposition
Ba-Na on CC
1°
NO
Facial Axis Change
or
GOOD Control

36. Superimposition
Xi-Pm on Pm
The Mandibular
GROWTH
or
Orthopedic
EFFECT
NO
Dento-­‐Alveolar
Movements

37. New One Day Course 2014
THE PROGRAM

38. USE YOUR BRAIN AND NOT YOUR WALLET!
A JOURNEY AROUND MYOFUNCTIONAL ORTHODONTICS
BY DR. FRANCO BRUNO
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Introduction to Myofunctional Orthodontics
Functional Orthodontics and Sailing: a life philosophy
Principles of Elastic Orthodontics
Elastic Orthodontics and Biomechanics: a nonsense?
The Preformed Functional Appliances
The Multi Appliances
A short story of functional orthodontics
Evidence Base in elastic orthodontics
Early Treatments
The rationale of early orthodontics
The choose of the right patient
The treatment plan
Treatment objectives and myths in the early treatment approach
The two bullet philosophy
Some clinical evidences and results
The expansion and arch-shape problem
Diagnosis and treatment plan in expansion therapy
The concept of potential cross-bite
Myofunctional Therapy with preformed appliances
Dental Effects and Management
Skeletal Effects and Management
Functional Effects and Management
How to manage the preformed functional appliances
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The choice
The clinical management
The compliance indicators
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Let’s modify them: how and when
Conclusions: a philosophy in evolution
francobruno@me.com

39. BYE BYE…