Automation: A New Therapeutic Goal in MFT – Achieving It Through the Integration of the Anoetic Approach

BACKGROUND/OBJECTIVES/AIMS:

Swallowing plays a crucial role in the development and functional equilibrium of the oral system. Among the various factors contributing to orthodontic problems in our patients, the primary epigenetic causative component is static and dynamic dysfunctions of the tongue. In the context of adult patient rehabilitation, our main objective is to prioritize aesthetics while simultaneously restoring proper masticatory function in alignment with biological principles.

MATERIALS/METHODS: In the context of interdisciplinary rehabilitation, our initial diagnostic phase focuses on the functional and postural evaluation of the three major muscle groups within the oral system: mastication, swallowing, and breathing. This comprehensive assessment forms the basis for effective treatment planning.

RESULTS: Lingual dysfunctions manifest in diverse ways, impacting orthodontic occlusion. Consequently, it is imperative to address and correct these dysfunctions before considering dental realignment. Swallowing rehabilitation is a cornerstone of orthodontic therapies, spanning from childhood to adulthood.

LIMITATIONS: It is important to acknowledge that successful rehabilitation in adult patients involves a phased approach. This typically includes correcting atypical swallowing patterns, realigning teeth, establishing proper interarch coherence, and potentially performing dental restorations to enhance the smile and address structural issues caused by wear.

CONCLUSIONS/IMPLICATIONS: Our ultimate goal is to transform the tongue from a potential source of destabilization and risk for relapse and joint dysfunction into a tool that contributes to the balance of rehabilitated oral structures. This presentation will showcase various techniques used in my practice, such as speech therapy, osteopathy, and the Froggymouth functional rehabilitation device. 

Dr. Patrick Fellus created his orthodontic practice in Paris in 1974, specializing in paediatric orthodontics. At the same time, he worked as a consulting practitioner at the Bretonneau hospital, then at the Robert Debré hospital.