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The Biobloc technique was developed by Dr. John
Mew of London, England in the 1950's. Simply
stated, the Biobloc technique is effective for
children in the 6-10 age range and is based on
first placing the upper front teeth ideally in
the face and then bringing the lower jaw forward.
Because the downward and backward movement of
the front teeth is the first sign of less than
ideal facial balance, a simple measurement from
the upper front teeth can predict in a young child
or show in an older child or adult that the upper
front teeth are not in their proper position.
(See "Interactive FINDER")
The first step in the Biobloc technique is to
move the upper front teeth to their ideal position.
Very seldom are upper front teeth too far forward
in the face! Even though the upper front teeth
may appear to stick out (buck teeth) they are
almost always down and back from their ideal position.
It is the lower jaw which is too far back that
gives the illusion that the upper teeth are too
far forward. ("Components of Class II Malocclusion
in Children 8-10 Years of Age" Angle Orthodontist
1981)
The upper front teeth are positioned ideally
by having the child wear a removable upper appliance
which widens the upper arch and moves the upper
front teeth upward and forward. This appliance
is worn full time, except for tooth brushing,
for approximately six months. Depending on the
situation, this creates from a mild to a very
pronounced discrepancy between the upper and lower
teeth.
The second appliance, usually referred to as
the Biobloc, is also a removable appliance. It
attaches to the upper teeth but has flanges which
come down to keep the lower jaw forward. The child
needs to wear the Biobloc as much as possible,
but is given a regular retainer to wear on the
upper when playing sports, singing or playing
a musical instrument, giving a report in class,
or when he or she needs a break from the Biobloc.
The Biobloc is taken out to eat and to brush the
teeth, but otherwise it is extremely important
that either the Biobloc or the retainer be in
the mouth at all times. A correction is usually
achieved in six to eight months. At this point
the child is encouraged to continue to wear the
Biobloc around the house and to bed, but to wear
the retainer to school.
The goal of Biobloc treatment is not actually
to make the teeth perfectly straight. The goal
is to produce proper oral posture and improve
the facial balance to be as close to the genetic
plan for that child as possible. The positions
of the teeth can be idealized at a later date
after the face has come into better balance and
the oral posture improved. No treatment in adolescence,
except for surgery, can produce the facial balance
we can achieve with Biobloc treatment.
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