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Tongue thrusting is a type of orofacial myofunctional disorder, which is defined as habitual resting or thrusting the tongue forward and/or sideways against or between the teeth while swallowing, chewing, resting, or speaking. Abnormal swallowing patterns push the upper teeth forward and away from the upper alveolar processes and cause open bites.
This can cause the covered teeth to be intruded, and those that are not covered to over-erupted. I.e. a partial coverage splint can act as a Dahl appliance. Examples of partial coverage splints include the NTI-TSS ("nociceptive trigeminal inhibitor tension suppression system"), which covers the upper front teeth only.
Its place of articulation is dental or alveolar, which means it is articulated behind upper front teeth or at the alveolar ridge. It is most often apical, which means that it is pronounced with the tip of the tongue. Its phonation is voiced, which means the vocal cords vibrate during the articulation.
More technically, it is the relationship between the maxillary (upper) and mandibular (lower) teeth when they approach each other, as occurs during chewing or at rest. Static occlusion refers to contact between teeth when the jaw is closed and stationary, while dynamic occlusion refers to occlusal contacts made when the jaw is moving. [1]
This is the most common type of tongue thrust. It is often associated with a low, forward tongue rest posture. Sometimes the tongue can be seen protruding beyond the lips at rest and/or during the swallow. Upper incisors can be extremely protruded and the lower incisors are pulled in by the lower lip.
Edge-to-edge articulation is when opposing front teeth meet along their incisal edges when teeth are in maximal intercuspal position. [16] In Posselt's envelope this happens in ICP as the incisors of the mandible slide past the cingulum of the upper incisors to meet the biting edge and continue to maintain tooth contact as mandible protrudes ...
The meta-analysis undertaken in a recent Cochrane review found that 'early orthodontic treatment for children with prominent upper front teeth is more effective in reducing the incidence of incisal trauma than providing one course of orthodontic treatment when the child is in early adolescence'. [5]
An open bite malocclusion is when the upper teeth don't overlap the lower teeth. When this malocclusion occurs at the front teeth it is known as anterior open bite. An open bite is difficult to treat due to multifactorial causes, with relapse being a major concern. This is particularly so for an anterior open bite. [58]