Invariably, when I post a photo of a diastema case on a dental group, the usual suspects come out of the woodwork to explain why the spaces are there. Usually, it’s the “myofunctional therapy” and “dental sleep apnea” fanbois and girls.
If the only tool you have is a hammer, everything looks like a nail.
Oftentimes, from a single photo, they’ll make the call. “The patient obviously has tongue thrust and needs myofunctional therapy!” I posted the following case on some dental social media groups and got exactly that.
This patient drove 180 miles and likely passed 2,000 dentists on the way… to come see me. Her chief complaint was the gaps between her teeth. She’s a model. She’s had orthodontics TWICE.
Sure enough, the tongue is pressed FIRMLY up against the teeth in this pre-operative photo. It’s GOTTA be the dreaded tongue thrust that caused the spaces, riiiiiiiiiiiiiight? Continue reading
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Remember the days when “herodontics” was all the rage? Hmmmm… maybe you don’t. Now, if there’s even a question about a tooth’s restorability, it’s reflexively diagnosed as acute titanium deficiency syndrome. When in doubt, take it out (and replace it with an implant). 
All it took to change our focus from COVID was RIOTS and widespread violence! LOL!
Many times, I’ve been asked why I refuse to comply with the new rules or indulge the “new ABnormal.” I’ve been called every name “in the book.” Someone told me she hopes I get sick and “a tube is jammed down my sorry throat.” Others have wished me dead.
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