Stimuloteraphy with MFS

Created by Dr. Durán, its application is seen in both the fields of orthodontics and speech therapy

About the Multifunction System

Working from a diagnosis of oral functions, based on an objective codification of nostril collapse, adenoid and tonsil hypertrophy, tongue movement and swallowing patterns, the “programmed stimulus therapy” protocol allows each of the MFS products to be used, in a determined sequence, to create automated exercises which facilitate the normalization of the triumvirate of oral function: mastication, swallowing and breathing.

The concept of using stimuli as the basis of a treatment comes from them being clinically observed to bring about functional alterations. All of this forms the basis for rehabilitation in both patients with removable or fixed appliances as well as those without any in-mouth appliance. This latter case, when applied to patients at an early age, implies the use of a preventative orthodontic program. In addition, specific programs for snoring, apnoea, and bruxism can also be applied clinically.

The MFS brackets have different torques and slopes which allow them to be personalized to the needs of each individual patient.

This complete range of possibilities means that MFS PRODUCTS bring a whole new clinical vision and treatment perspectives to the orthodontic clinic. They can be applied in both early and late treatments, as well as a new preventative orthodontic method.

NS/Nasal Stimulator

Nasal stimulators are two tubes, joined by a stabilizing strip, with a flat section which lies against the nasal septum, a rounded outer which pushes against the inside of the nostril, a small tongue which stimulates the muscle insertions in the nostril and a cap on the end which prevents the tubes accidentally lodging up the nose. It stimulates the perinasal muscle insertions around the alar groove, makes the air passage in the nostril permeable, and reshapes the nasal cartilage, thus harmonizing the shape of the nasal pyramid. It is used to improve air flow in the noses of patients who have or are:

  • Collapsing of the nostrils during inhalation
  • Mouth breathers
  • Snorers
  • Patients with apnoea

They are of particular use for patients who suffer a collapse of the nasal alar resulting in restricted airflow in the nostrils. Their use is also beneficial for mouth breathers in order to facilitate nasal breathing. Due to the improved airflow generated in the nostrils, their use is also suggested for subjects who snore in order to alleviate this problem. This particular effect allows for increased airflow through the nostrils and hence improves pulmonary alveolar oxygenation. This appliance can be used in conjunction with a fixed apparatus treatment. The effects obtained through night-time use of nasal stimulators are of significant clinical importance to the functional reduction of mouth breathing and alar collapse of the nostril thanks to their immediate effect and medium-term action.

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LS/Lip Stimulator

With an oval shape and upper and lower front flanges, the lip stimulator works on the orbicularis oris muscles. Its stimulation causes a closing action of the lips which in turn causes a lengthening of the upper lip and an overall lip incompetence correction.

Indirectly, the lip closing exercises also help to reposition the tongue further back in the mouth. The use of lip stimulators is recommended for patients with lip incompetence, who have a short upper lip which results in a “gummy” smile and/or with irregular swallowing in which the tongue moves forward pressing on the incisors.

The clinical effects of the lip stimulator on the shape and position of the lips are important, with their use recommended for facial aesthetics, for toning the lips.

This medical device can be used in conjunction with fixed orthodontics.

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OB/Obturator

Oral obturators are used to seal the mouth and gradually prevent mouth breathing, something which can cause various malocclusions as well as relapse following an orthodontic treatment. Obturators are little more than plates which block the flow of air through the mouth in mouth breathers.

The oral obturators have a suitable design which fits to the shape of the arches and acts as a plate to prevent mouth breathing. The upper and lower peripheral ribs encourage lip exercises in the patient.

The use of oral obturators is recommended for mouth breathing patients in order to normalize the problem by gradually re-educating the passage of air through the mouth and diverting it to the nose. An orthodontist should carry out a full diagnosis of the case and prescribe this piece, either in combination with other treatments or even on its own.

They can be used in combination with nasal stimulators to avoid the “choking” effect that a patient may experience. In addition, they should be used after the physical causes of mouth breathing have been suppressed, with rhinitis, deviated nasal septum, hypertrophic adenoids or tonsils being the most common among these.

Oral obturators offer a dual function with the control of airflow through the mouth as well as the stimulation of lip muscles. These effects occur progressively and need sufficient time in order to be clinically verified.

The material used is a SEBS polymer (styrene-ethylene/butylene-styrene).

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MR/Muscle Relaxant

The muscle relaxant is a medical device in the MFS range which can be used on its own or in combination with a bite plane. Due to its special design, the muscle relaxant permits various in-mouth functions:

  • Relax the masticatory muscles by means of its lateral discs which have a high vertical dimension and keep the mouth half open while keeping the masticatory strap muscles stretched and with less tone
  • Relax the buccinator muscles by means of outward pressure at cheek level
  • Relax the orbicularis muscles of the lips by means of forward pressure against the lips

Particularly recommended for patients with a tight musculature (brachycephalic) and in subjects with peribuccal muscle stiffness, a complete diagnosis should be carried out by an orthodontist who can then prescribe this treatment alone or in combination with others.

  • Patients with tight masticatory musculature (brachycephalic).
  • Patients with contracted lips.
  • Patients with perioral muscle stiffness.

The muscle relaxant can be used on its own as well as in combination with a bite plane. The former is useful for patients with a moderately tight musculature, while the latter is recommended for those with a more extreme pattern and patients with bruxism. This appliance can be used in conjunction with fixed orthodontics.

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OB/Open Bite

This medical device for an open bite allows for the following oral functions:

  • Stimulate the masticatory muscles by means of the side plates on which the patient bites. If the masticatory muscles increase in tone, the rear teeth in the occlusion will be introduced and the posterior vertical dimension diminished.
  • Control the forward push of the tongue by means of the apparatus’ front shield.

The medical device for open bite is particularly recommended for:

  • Patients with an anterior open bite: with slack masticatory musculature and a tongue that is pushed forward so that it goes between the teeth.
  • Patients with a lax masticatory musculature (dolichocephalic) with a tendency towards a long face.

In patients with limited tongue movement or when hypertrophic tonsils are present, it is best to first resolve these issues before using this device, so that it functions better.

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BP/Bite Plane

The bite plane or plate is not used in isolation, rather in combination with the muscle relaxant, thus making up the MFS anti-bruxism device. The bite plane acts as an anterior bite plane, commonly used in orthodontics, correcting an anterior overbite with a displacement of the hind teeth in the occlusion and the posterior rotation of the jaw.

The bite plane is not used in isolation, rather in combination with the muscle relaxant, which is recommended to relieve bruxism as well as for patients who have a severe anterior overbite. An orthodontist should carry out a complete diagnosis of the case and prescribe this appliance, in conjunction with others or on its own.

The bite plane and the muscle relaxant together form the anti-bruxism device which is used at night. It is placed in the mouth in such a way that the muscle relaxing element is between the teeth, the cheeks and the lips, while the bite plane goes between the incisors.

Although the bite plane is used in conjunction with the muscle relaxant to relieve bruxism, it is advisable that the patient sees a dentist in order to obtain a correct diagnosis of the problem.

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