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The Myobrace System™ : An Evolution in Orthodontics

Rohan Wijey B Oral H (Dent. Sci.), Grad. Dip. Dent. (Griffith). O.M

IT IS now accepted The Myobrace System™ is peerless in terms of the potential to cajole the orofacial muscles into widening arches and allowing good dental alignment.

There exists a common misconception amongst dentofacial orthopaedists, however, that although The Myobrace System™ is proficient at straightening teeth, traditional functional appliance systems are better for facial development.

Image of child learning myobrace activities.   Scroll to top of enewsletter and click 'view in browser' to view this.

This was a belief to which even I subscribed before I began to actually use the system myself. Although I paid lip service to role of muscles in malocclusion, I had not truly appreciated the potential to correct malocclusion by re-training these muscles.

Indeed, most experienced Myobrace® practitioners have come to regard traditional functional appliance therapy as simply another allotropic form of traditional orthodontics: Mechanical interventions that ignore the role of muscles.

To be fair, much of the skepticism leveled at The Myobrace System™ seems to be borne out of misgivings about myofunctional therapy.

Myofunctional therapy (MT) as a science has been extant for more than 100 years, enjoying great popularity, especially in the 1970s. Although it has been proven to be able to elicit impressive results, Smithpeter and Covell (2010)i have cited a number of reasons for a general lack of enthusiasm:

1. Limited office space for providing therapy
2. Absence of MT providers
3. Difficulty and amount of time requiredii
4. Inadequate training
5. Hope that function will follow form
6. Belief that there is insufficient scientific evidence to support OMTiii
7. Observations that not all MT providers have the same expertise, so successful results are unpredictableiv

The Myobrace System™ has managed to package traditional myofunctional therapy into a system that has ensured easily reproducible, better results, in less time, with less effortv.

The system thus represents a confluence, and evolution, of fixed appliance therapy, functional appliance therapy and myofunctional therapy.

The case below* is a prime example of treatment outcomes satisfying the goals of proper alignment, facial development and treating muscle dysfunction for a more stable result. She was treated with an upper Farrell Bent Wire System™, together with a K1 Myobrace®, followed by a K2 and the Myobrace® T1 and T3 for final alignment. From a dental perspective, of note is the space recovered for the upper right and lower left canine teeth. From a facial perspective, the naso-labial angle has improved significantly, while it is clear that the vertical clockwise direction of growth has been re-orientated to a more horizontal direction. These outcomes have been achieved by harnessing the power of the muscles with a system that is more time and cost-efficient than any other system in the history of orthodontics.


i Smithpeter J and Covell D. Relapse of anterior open bites treated with orthodontic appliance with and without orofacial myofunctional therapy. AJODO May 2010, p 605-614
ii Sim JM. Twelve rules of orthodontic treatment during mixed dentition. J Gen Orthod 1998;9:22-7.
iii Zuroff J. Orthodontic treatment of anterior open-bite malocclusion: stability ten years post-retention. Cited by Shapiro PA. Stability of open bite treatment. Am J Orthod Dentofacial Orthop 2002;121:566-8.
iv Ohno T, Yogosawa F, Nakamura K. An approach to openbite cases 48. Gugino CF, Dus I. Unlocking orthodontic malocclusions: interplay between form and function. Semin Orthod 1998; 4:246-55.
V Uysal T, Yagci A, Kara S, Okkesim S. Influence of Pre-Orthodontic Trainer treatment on the perioral and masticatory muscles in patients with Class II division 1 malocclusion. European Journal of Orthodontics 2011

Video Tip - Troubleshooting BWS

Patients who have severely crooked teeth may require arch correction to create more room for the tongue to sit correctly in the roof of the mouth. This is accomplished with appliances such as The Farrell Bent Wire System™ (BWS). This month's video tip, by Dr Dan Hanson, details BWS troubleshooting techniques.

...More info >>

Image of the BWS.   Scroll to top of enewsletter and click 'view in browser' to view this.

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Case Study

The patient is a female who started treatment at 10 years of age. Treatment took 3 years and 4 months.

More information can be found in the article above: The Myobrace System™ : An Evolution in Orthodontics

Myofunctional Evaluation
Breathing Mouth Breathing
Tongue Lowered posture.
Swallow Mentalis activity on swallowing. (Reverse Swallow)
Lips & Cheeks Lips apart at rest.
Treatment Plan
Myobrace Appliance Sequence K1 -> ( BWS + K1) -> K2 -> T1 -> T3

Before Treatment with
Myobrace Appliance Sequence

After Treatment with
Myobrace Appliance Sequence

Case study.   Scroll to top of enewsletter and click 'view in browser' to view this. Case study.   Scroll to top of enewsletter and click 'view in browser' to view this.

Comments from Doctors

Barry Raphael Re. Orienting parents to a new way of looking at orthodontics.

Most people grasp the idea of preventive medicine quite readily, but those who have already had an experience with conventional orthodontics, whether with another child or from their own childhood, sometimes have trouble seeing orthodontics in a new way. When you have the preconception that crooked teeth are the PROBLEM instead of just a symptom of an imbalance, it's hard to shake that point of view.

So I find that if I have information to offer them, eventually it starts to sink in that there is another possibility. To wit, I have several methods that are useful in my information campaign:

  1. A practice brochure. Using an online service, you can design and print a brochure in small quantities very cheaply. You can put your picture, pictures of your practice, pictures of kids' faces, etc. and some text about your philosophy and treatments in just a couple of hours time. Hand them out in the office when someone gives you that deer-in-the-headlights look.
  2. Website: I designed my website to highlight the difference between conventional and "Integrative" orthodontics. You don't have to do the whole website, but even include a page on the issue.
  3. Web references: Every time I encounter something on the web that is just perfect to show a parent, I copy the link and store it on my computer or cloud drive. It could be an article, a video, a book to buy, an interesting website, etc. You don't have to copy all the information - just the link. I keep the links in categories: Breathing, Nutrition, Baby, Oral Myology, etc. When I come upon an appropriate conversation, rather than go running for information, I ask if I might send something by email, write their address on a card and put the card in my pocket. At the end of the day, I shoot off a quick "Here's the information" email, paste the link, hit send, and hope that every little bit of information I pass along will help build the awareness for that person, and everyone they talk to as well.

Around the World

Brazil: 32nd Congresso Internacional de Odontologia de São Paulo
January 29 - February 2

MRC Clinics® myofunctional therapist Ingrid Seibert represented MRC at the recent CIOSP dental expo. Ms Seibert worked alongside Dr Paulo Faria from MRC's sole Brazilian distributor Orthodmundi and helped present lectures regarding The Myobrace System™ each hour during the busy event.

Brazilian orthodontic professionals showed a lot of interest in The Myobrace System™, especially those who have started using the system and were looking to further their knowledge. Following the expo Ms Seibert spent several days working with sales and distribution staff at Orthomundi to further educate them regarding MRC's Myobrace® treatment system, including the new Myobrace Activities

Image of Ingrid Seibert, Dr Antonio Bueno, Dr Paulo Soares, Dr Fabiano Guerreia, Cynthia (Brazillian Distributor) and Dr Paulo Faria attending CIOSP.   Scroll to top of enewsletter and click 'view in browser' to view this.

Dubai: UAE International Dental Conference & Arab Dental Exhibition
February 4 - February 6

MRC founder and CEO Dr Chris Farrell and MRC international sales and training representative Damien O'Brien recently spent three busy days during the AEEDC expo at MRC's sales and education booth. Dr Farrell and Mr O'Brien had the opportunity to discuss the Myobrace® treatment system with attendees at the conference who were particularly interested in achieving greater patient compliance.

Government health officials from Dubai and Bahrain were among the delegates Dr Farrell and Mr O'Brien made contact with during the event.

Following the expo Dr Farrell presented a private lecture regarding the myofunctional influences on dental and facial development in growing children for 25 orthodontic professionals.

Image of Dr Chris Farrell and Damien O'Brien conversing with other AEEDC participates about Myobrace.   Scroll to top of enewsletter and click 'view in browser' to view this.

MRC worldwide contacts


Head Office & Training Center
Unit 1-4, 44 Siganto Drive
PO Box 14
Helensvale QLD 4212 Australia

Phone: 61 7 5573 5999
Toll-free: 1800 074 032
Fax: 61 7 5573 6333

General enquiries:


Regional Office & Training Center
9267 Charles Smith Avenue
PO Box 2781
Rancho Cucamonga CA 91730 USA

Phone: 1 909 587 4940
Toll-free: 1866 550 4696
Fax: 1 909 945 3332

General enquiries:


Regional Office & Training Center
Gompenstraat 21c 5145 RM
PO Box 718, 5140 AS
Waalwijk, The Netherlands

Phone: 31 416 651 696
UK toll-free: 800 69612345
Fax: 31 416 652 745

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