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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.
As teeth start to erupt and solid foods are introduced, pharyngeal muscles, posterior tongue, and elevator muscles of the lower jaw play a role in the swallowing pattern. As the child's primary molars erupt, swallowing follows a somatic pattern characterized by the contact of the molars, tongue positioning behind the maxillary incisors, and ...
When there is maxillary or alveolar prognathism which causes an alignment of the maxillary incisors significantly anterior to the lower teeth, the condition is called an overjet. When the reverse is the case, and the lower jaw extends forward beyond the upper, the condition is referred to as retrognathia (reverse overjet) .
Typically, the front areas of the jaw maintain more bone volume suitable for implants, whereas the back regions often suffer greater bone loss. This sequence occurs due to the typical loss of molars initially, followed by premolars, while the front teeth tend to remain intact for the longest duration.
Corrective surgery is the most common treatment to correct this disorder. It involves the repositioning of the upper jaw to align with the lower jaw, to provide symmetry. The surgery may be performed in consultation with an Orthodontist who works on repositioning the teeth in the mouth. [1]
Macrodontia is not a lethal disease, rather, it is a disorder which affects the physical appearance of the teeth and can have implications with the surrounding teeth, thereby affecting the overall positioning of the teeth, jaw pain, and other crowding issues resulting in future misalignment.
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The tongue starts to develop at about four weeks. The tongue originates from the first, second, and third pharyngeal arches which induces the migration of muscles from the occipital myotomes. A U-shaped sulcus develops in front of and on both sides of the oral part of the tongue.
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