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john mew orthotropics the alternative to orthodontics without extractions or facial surgery. menu skip to content home symposium 2018 2018 symposium booking form symposium payment information for patients & parents orthotropics guidance what causes crooked teeth? does facial appearance matter? orthodontics facts and figures pros and cons of orthotropics and orthodontics extraction versus non-extraction can orthodontics damage your face? what can mothers do? balance the evidence common sense in science what are the early signs of crooked teeth? scientific evidence bibliography of useful references information by john mew extraction research john mew – teeth don’t meet john mew – avoid extractions john mew – jaw joint problems john mew – sinus problems john mew – can’t breathe john mew – root resorption john mew – jaw surgery john mew – lower teeth in front john mew – teeth stick out books and products for dentists the cause and cure of malocclusion indicator rulers the suppression of orthotropics symposium payment other payments orthotropics ​guidance for professionals and patients from professor mew request guidance examples: class i malocclusions (both jaws too small) age 12 15 months later age 9 age 13 more examples of class i malocclusions age 7 age 11 age 8 age 11 class ii malocclusions (lower jaw too small) age 11, waiting for surgery age 14, after orthotropics age 9 five years later more examples of class ii malocclusions age 13, waiting for surgery age 16, orthropics instead age 15 with anterior open bite and class ii malocclusion age 18. note change in natural head posture age 10y 7m. before age 13y 3m. after 2nd cycle class ii div 2 malocclusions (teeth back and gummy smile) forward growth benefits class ii/2. age 8 age 13 age 12y 6m age 20 class iii malocclusions (lower jaw in front of upper) age 7y 11m age 10y 2m age 8 "will need surgery" after 14 moths orthotropics more examples of class iii malocclusions age 8 age 14 age 5 age 11 age 9 age 16 open bite malocclusions (some teeth do not meet) age 8 age 15 temporo-mandibular disfunction (painful jaw joints) 2001 2008 she had had persistent tmd pain which recurred if she left her splint out. she wore a stage 3 biobloc for 20 months and as a result of the forward growth her symptoms disappeared and did not return. orthotropics instead of surgery these patients were told they needed jaw surgery but were treated with orthotropics instead. ‘orthognathic surgery' waiting for surgery. age 10, 14mm overjet age 20 aged 14, waiting for surgery she subsequently became an international model age 17y 5m four months later after st 1 age 17y 5m age 32 adult treatment ​ biobloc treatment instead of surgery. age 23 age 26 how to stop this happening to your children: from a very young age the faces of some children grow downwards (vertically) and they develop receding chins, flat faces, crowded teeth and big noses. on the other hand some children grow forward (horizontally) looking much better (see below right). most orthodontists think that these problems are inherited and that little can be done to correct them other than to mechanically straighten the teeth. however, orthotropists® believe that vertical growth is caused by open mouth postures or tongue habits so they convert the vertical growth to horizontal by training the children to change these habits (see below right). obviously, orthotropics must be started young but it can have a big effect on facial appearance (see other faces on this site). orthodontic treatment tends to increase vertical growth so look for treatments that encourage horizontal growth. how can parents balance the evidence? this was the concern that brought a group of dentists, orthodontists, chiropractors and other health workers together, from all over the world, to open a site that discussed various methods of treatment so that patients could consider some of the more natural options. unfortunately, some clinicians make claims that are difficult to justify and the rest of this site contains information for patients, dentists and orthodontists and we hope this will help them to decide which option is best. vertical growth damages faces this child’s face was damaged by vertical growth following orthodontic treatment. vertical growth is associated with thick lips, receding chins, protruding noses, sloping foreheads and tired eyes. horizontal growth improves faces this boy received orthotropics®. although his front teeth stuck out both jaws were encouraged to grow forward. few other techniques achieve this because they pull the teeth back. horizontal growers retain naturally straight teeth for a life time. orthodontic treatment with extractions. research judged by the public and dentists’ showed the improvement on the face and teeth using the orthotropic method was ‘highly significant’ in comparison to conventional orthodontics (mew 2015). dentists much prefer orthotropic results but may not recommend them because growth guidance takes longer and is more expensive. however orthodontic treatment usually requires extractions and wearing a brace afterwards for many years to hold the teeth straight. (mew jrc 2015. visual comparison of excellent orthodontic results with excellent postural results? kieferorthopädie 2015;29(4):1–15) parents have a simple choice: preventive orthotropics while their child is young (5 to 8) or conventional orthodontics when they are older. for the last hundred years, most orthodontists have taken the second option because it is easier and quicker than guiding the growth of the jaws. this is despite knowing that this option usually increases unattractive vertical growth and many good looking children finish with obvious damage (see mary below). teeth can be straightened at any age but if the jaws have grown the wrong way they are likely to require surgery. hundreds of children in the uk are sent for surgery each year although it can be completely avoided with orthotropics . showing the facial damage after three years orthodontic treatment mary all orthodontists are legally obliged to tell patients about alternative methods of treatment, especially if they are recommending irreversible procedures such as extractions or surgery. unfortunately, not all do so. if you were not told about alternatives, you have a legal right to complain. mary above was told she would have to have four extractions and her teeth pulled back but she was not informed there was any alternative. you can see how the ‘train tracks’ changed her horizontally growing face to vertical, with flat cheeks, and a receding chin (illustration above). because her parents complained about the damage to her face, the orthodontist suggested surgery to cut and reposition her jaws, so her parents sought a second opinion but by then it was too late to restore her growth. unfortunately citizens of the uk are unlikely to receive much help from the general dental council because this type of facial damage is considered normal. so we recommend that before treatment patients explore the various websites for themselves and balance the needs of their children against the effort and expense involved. do they want a ‘cure’ or are they content to settle for straight teeth with the risk of facial damage and the need to wear permanent retention afterwards. what goes wrong? few parents realize how malleable the facial bones of a six-year-old child are and how quickly things like ‘leaving the mouth open’ or ‘sucking the thumb’ can spoil a child’s appearance forever (see below). it is difficult for a layperson to know if the face of a young child is growing correctly because most young children look cute (see above) but orthotropists® are trained to recognise the early signs of poor facial growth so that treatment can be started in time. it may be too late at 8 (see above). many websites promote orthodontic practices by showing beautiful women with straight teeth, often models that have never been treated. so ask to

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