REMOVABLE AIRWAY APPLIANCE

Abstract

The present disclosure provides removable airway appliance for guiding and developing the lower and upper jaws forward. The present invention prevents crowding of the teeths and makes room for all the teeth, making room for all permanent teeth without crowding, creates space for all the permanent teeth. The present invention may grow the upper jaw forward and unrestrict the lower jaw that is often trapped back behind the upper jaw. The present invention guides and develops the lower and upper jaws forward, and widen the upper jaw, making room for the tongue in the mouth to maximize the airway space. In removable airway appliance, on the horizontal axis the screws can be positioned flat at a small angle or at a steeper angle to help direct the direction of growth and development of the upper and lower jawbones.

Claims

1. A “U” shaped removable airway appliance (100) having two protruded portions (8) on the front side, for reverse excessing vertical/downward growth and developing the upper and lower jaws bones permanently in a forward position, comprising of; a. Anterior/Front acrylic section having a specified amount of the palate/roof of the mouth and lingual side/inside of top front teeth to direct the forces of development (1.1); b. a support wire embedded in the acrylic for added strength (1.2); c. Posterior/back acrylic section (2) providing retention over the primary /baby molars (3); d. Expansion screws set (4) at different angles for up/down and side/side growth and development having full coverage over canines (5); e. Hang clasps (6) (for retention (in case if permanent teeth are present) including (front clasp (6.1) and back clasp (6.2)); f. Front support wire screw at 30√ (7).

2. The “U” shaped removable airway appliance (100) having two protruded portions on the front side, having two protruded portions (8) on the front side, for reverse excessing vertical/downward growth and developing the upper and lower jaws bones permanently in a forward position, as claimed in claim 1, wherein the said appliance (100) uses in all primary dentition (all baby teeth) and permanent teeth for people from age 2-to older adult and can be used in a one year old with only 16 baby teeth.

3. The “U” shaped removable airway appliance (100) having two protruded portions on the front side, having two protruded portions (8) on the front side, for reverse excessing vertical/downward growth and developing the upper and lower jaws bones permanently in a forward position, as claimed in claim 1, wherein the said the occlusal thickness of the expander (9) is assessed using calipers and the lowest cusp on either side is measured from left to right to ensure proper thickness.

4. The “U” shaped removable airway appliance (100) having two protruded portions on the front side, having two protruded portions (8) on the front side, for reverse excessing vertical/downward growth and developing the upper and lower jaws bones permanently in a forward position, as claimed in claim 1, wherein the said expander is applied in patient's mouth and hold securely where the key is being inserted into the hole and the key is turned in the direction of the arrow, towards the floor. Turning the key to a full 90.

5. The “U” shaped removable airway appliance (100) having two protruded portions on the front side, having two protruded portions (8) on the front side, for reverse excessing vertical/downward growth and developing the upper and lower jaws bones permanently in a forward position, as claimed in claim 1, wherein the said screws are positioned at a zero degree to thirty degrees, using a higher degree angle If the direction of growth and development is in the forward direction.

6. The “U” shaped removable airway appliance (100) having two protruded portions on the front side, having two protruded portions (8) on the front side, for reverse excessing vertical/downward growth and developing the upper and lower jaws bones permanently in a forward position, as claimed in claim 1, wherein the said appliance is combined in different ways for different applications such as for; severe overbite, moderate overbite, slight overbite, open bite, Class I, II, or III with Maxillary deficiency, and narrow or wide jaws.

7. The “U” shaped removable airway appliance (100) having two protruded portions on the front side, having two protruded portions (8) on the front side, for reverse excessing vertical/downward growth and developing the upper and lower jaws bones permanently in a forward position, as claimed in claim 1, wherein the said Appliance is worn 24 hours a day (only removing a few minutes a day to brush) for younger children (age 1-13) and worn 22 hours a day for older teenagers and adults age 14+.

8. A process for application of the removable airway appliance (100) comprising the steps of; a. reversing Up-down angle at 0 degrees, 5 degrees, 10 degrees, 15 degrees, 20 degrees, 25 degrees, 30 degrees for excess vertical/downward growth; b. resetting Up-down angle parallel to teeth for upward and forward development; c. retention of the Passive retention for all baby teeth and clasping system when permanent teeth come in; d. controlling the amount of lateral/sideways growth using Side angle for development; e. helping Acrylic covering palate and back of front teeth for controlling forces of forward/upward growth and development.

Description

BRIEF DESCRIPTION OF THE DRAWINGS

[0076] The drawings 1 to 8 accompanying and forming part of this specification are included to depict certain aspects of the disclosure.

DETAILED DESCRIPTION OF THE DISCLOSURE

[0077] In the following detailed description, reference is made to the accompanying drawings which form a part hereof, and in which is shown by way of illustration specific embodiments in which the disclosure may be practiced. These embodiments are described in sufficient detail to enable those skilled in the art to practice the disclosure, and it is to be understood that other embodiments may be utilized and that mechanical, procedural and other changes may be made without departing from the spirit and scope of the disclosure. The following detailed description is, therefore, not to be taken in a limiting sense, and the scope of the disclosure is defined only by the appended claims, along with the full scope of equivalents to which such claims are entitled.

[0078] The present invention is a removable airway appliance for developing jaw structure. The screws are set at an up/down angle and a side-side angle. The screws are set on the appliance, and it is for the primary dentition on the baby teeth, a second system for permanent teeth, and for those that have some baby teeth and some permanent teeth.

[0079] In one embodiment, the present invention is that it may grow the upper jaw forward and unrestrict the lower jaw that is often trapped back behind the upper jaw. The present invention guides and develops the lower and upper jaws forward, and widens the upper jaw, making room for the tongue in the mouth to maximize the airway space. The present removable airway appliance guides and makes room for all the teeth, making room for all permanent teeth without crowding. Parents who begin their young children with this treatment can create space for all the permanent teeth before they come in and prevent crowding. The present invention develops the upper and lower jaws forward that help get the back of the tongue forward away from the back of the throat which improves airflow for breathing and sleeping. The present invention develops the upper and lower jaws forward to get the back of the tongue forward away from the back of the throat which improves airflow for breathing and sleeping.The present invention helps in growth of the the upper jaw forward and unrestrict the lower jaw that is often trapped back behind the upper jaw. The present invention provides better airway, better nasal breathing, upper and lower jaw forward growth, provides better cheek structure and better lip support to the human face. The removable airway appliance can be worn 24 hours a day only removing a few minutes a day to brush for younger children (age 1-13) and worn 22 hours a day for older teenagers and adults age 14+. Removable airway appliance method uses the removable airway appliance in all primary dentition (all baby teeth) and permanent teeth for people from age 2-to older adult and it can be used with only 16 baby teeth.

[0080] The present invention reverses excess vertical/downward growth (controlling the amount and direction of growth/development) by using the removable airway appliance. The present invention controls growing jaws to improve airway (covering canines) or making room for teeth (acrylic behind canines) and provides a smooth surface over the biting area of the teeth and help to stimulate the forward growth of the lower jaw. The present invention creates a more open airway to breathe better and to reduce or eliminate sleep apnea.

[0081] The present invention uses in all primary dentition (all baby teeth) and permanent teeth for people from age 2-to older adult. The present invention is used with only 16 baby teeth and to reverse excess vertical/downward growth (controlling the amount and direction of growth/development). The present invention controls growing jaws to improve airway (covering canines) or making room for teeth (acrylic behind canines) and Smooth surface over the biting area of the teeth help to stimulate the forward growth of the lower jaw.

[0082] The present invention creates a more open airway to breathe better and to reduce or eliminate sleep apnea. For wearing the appliance, the occlusal thickness of the expander is assessed using calipers and the lowest cusp on either side is measured from left to right to ensure proper thickness. Any type of adjustments are carried out if needed. The expander is applied in patient's mouth. Some precaution are taken before application of the appliance like: acrylic is fully pressed up against the palate, the bite is checked to see if articulating paper holds on both sides for proper thickness. Care should be taken that the appliance is not rocking in the mouth when they bite down, when patient is hitting both sides evenly, when they bite down. Care should be taken that the patient is not feeling any pain. If any adjustments are needed, are done to acrylic for removal of sharp or rough edges and care should be taken that an even occlusal surface is there from left to right. Instructions are given to the guardian/adult person on how to turn the key hold expander with the section that is up against the roof of the mouth towards the floor. The expander is hold securely where the key is being inserted. This prevents pressure that could break the expander. The key is inserted into the hole and the key is turned in the direction of the arrow, towards the floor. Turning the key to a full 90. It is always a “downhill” direction to expand. Reset the expander back to the beginning and allow the guardian to turn the key to ensure they understand watching for which direction, which keyhole and that they are supporting the expander well

[0083] The steps for applying the removable airway appliance of the present invention are as follows: Up-down angle reversing excess vertical/downward growth. This gets upward and forward development. This vertical angle can be 0 degrees, 5 degrees, 10 degrees, 15 degrees, 20 degrees, 25 degrees, 30 degrees.

[0084] Up-down angle parallel to teeth for upward and forward development.

[0085] Passive retention for all baby teeth and clasping system when permanent teeth come in.

[0086] Side angle used to control the amount of lateral/sideways growth and development.

[0087] Acrylic covering palate and back of front teeth to help control forces of forward/upward growth and development.

[0088] With an edge to edge or open bite, there is no overbite, the upper teeth have not come too far downward. There is not a gummy smile. However, the jaws still need to be developed forward. Developing the upper and lower jaws forward will give an improved airway for improved breathing and sleeping. The screws are positioned at a zero degree angle the direction of growth and development is in the forward direction. Again, this angle can be zero degrees to thirty degrees, using a higher degree angle when we want to correct a severe overbite, an excess of vertical growth or a gummy smile.

[0089] In another embodiment, the present invention has the retention through the complete coverage of the back teeth/back molars, for all primary/all baby teeth. There are no hooks or metal clasps hooking to the teeth to hold it in place. When permanent teeth are in then the retention is from the metal “hang clasps” that hook onto two of the back teeth on each side. The two metal hooks shown are the clasps that are on two back teeth on each side of the upper teeth. Another aspect is the amount of acrylic covering the palate/roof of the mouth and the lingual side/back side of the upper front teeth. When we want to change the vertical or up/down position of the front of the upper jaw we have less acrylic on the palate and more covering the back side of the upper teeth. When we want forward growth at zero or 5 degrees, we have the acrylic wider on the front palate/roof of the mouth and no acrylic on the back side of the upper front teeth. Anterior acrylic section covers a specified amount of the palate/roof of the mouth and lingual side/inside of top front teeth to direct the forces of development.

[0090] In Combination, these unique features can combine in different ways for different applications such as for; severe overbite, moderate overbite, slight overbite, open bite, Class I, II, or III with Maxillary deficiency, and narrow or wide jaws. When the side-to-side position of the screws are set, they can be placed parallel for no lateral or no sideways development and only forward development. The side-to-side angle/position of the screws can be placed at as light angle to get increased width of the molars and a wider mouth as the forward growth is developed. The side-to-side angle of the screws can be put at a much steeper angle in relation to each other. This would be used for a very narrow mouth and achieve significant increased width or widening and lateral or sideways development of the mouth.

[0091] In case, when the mouth is very wide already and for forward development, the screws are placed parallel. When the mouth is average width, the screws are placed at a slight angle for gradual increase in width. When the mouth is very narrow, the screws are placed at an angle to increase the width faster.

[0092] In another embodiment, the removable airway appliance is “U” shaped appliance having two protruded portions on the front side. The removable airway appliance comprising of [0093] a. Anterior/Front acrylic section having a specified amount of the palate/roof of the mouth and lingual side/inside of top front teeth to direct the forces of development and a support wire embedded in the acrylic for added strength. [0094] b. Posterior/back acrylic section providing retention over the primary /baby molars. [0095] c. Expansion screws set at different angles for up/down and side/side growth and development having full coverage over canines. [0096] d. Hang clasps (for retention (in case if permanent teeth are present) including (front clasp and back clasp) [0097] e. Front support wire screw at 30°.

[0098] In another embodiment, in removable airway appliance, on the horizontal axis the screws can be positioned flat at a small angle or at a steeper angle to help direct the direction of growth and development of the jawbone. The side angle is directing the amount of increased width of the arch. Appliances are worn 24 hours a day only removing a few minutes a day to brush for younger children (age 1-13) and worn 22 hours a day for older teenagers and adults age 14+.

[0099] The screw assembly is fabricated of acrylic alloys. The front and back section are fabricated from acrylic. There is a complete acrylic coverage over the primary molars.

[0100] Both sides are connected by front support wire which maintains the desired lateral separation between front section and back sect.

[0101] In another embodiment, 1. Stage 1 Early Primary Dentition Open Bite (in which Front teeth do not touch), Narrow Mouth Embodiment: 16 primary teeth, complete acrylic coverage over the primary first molar and primary canine. Acrylic behind the upper front teeth, screws parallel to teeth and ridge, screws at a 0 degree vertical angle (straight). [0102] Stage 1 Early Primary Dentition Slight Overbite (1-30% Overbite), Narrow Mouth Embodiment: 16 primary teeth, complete acrylic coverage over the primary first molar and primary canine. Acrylic behind the upper front teeth, screws parallel to teeth and ridge, screws at a 10 degree angle upward. [0103] Stage 1 Early Primary Dentition Moderate Overbite (31-65% Overbite), Narrow Mouth Embodiment: 16 primary teeth, complete acrylic coverage over the primary first molar and primary canine. Acrylic behind the upper front teeth, screws parallel to teeth and ridge, screws at a 20 degree angle upward. [0104] Stage 1 Early Primary Dentition Deep Bite (66-100% Overbite), Narrow Mouth Embodiment: 16 primary teeth, complete acrylic coverage over the primary first molar and primary canine. Acrylic behind the upper front teeth, screws parallel to teeth and ridge, screws at a 30 degree angle upward. [0105] Stage 1 Early Primary Dentition Open Bite (Front teeth do not touch), Wide Mouth Embodiment: 16 primary teeth, complete acrylic coverage over the primary first molar and primary canine. Acrylic behind the upper front teeth, screws parallel to each other, screws at a 30 degree angle upward. [0106] Stage 1 Early Primary Dentition Slight Overbite (1-30% Overbite), Wide Mouth Embodiment: 16 primary teeth, complete acrylic coverage over the primary first molar and primary canine. Acrylic behind the upper front teeth, screws parallel to each other, screws at a 30 degree angle upward. [0107] Stage 1 Early Primary Dentition Moderate Overbite (31-65% Overbite), Wide Mouth Embodiment: 16 primary teeth, complete acrylic coverage over the primary first molar and primary canine. Acrylic behind the upper front teeth, screws parallel to each other, screws at a 30 degree angle upward. [0108] Stage 1 Early Primary Dentition Deep Bite (66-100% Overbite), Wide Mouth Embodiment: 16 primary teeth, complete acrylic coverage over the primary first molar and primary canine. Acrylic behind the upper front teeth, screws parallel to each other, screws at a 30 degree angle upward. [0109] Stage 1 Primary Dentition Open Bite (Front teeth do not touch), Narrow Mouth Embodiment: 20 primary teeth, complete acrylic coverage over the primary molars. Acrylic behind the upper front teeth, screws parallel to teeth and ridge, screws at a 0 degree vertical angle (straight). [0110] Stage 1 Primary Dentition Slight Overbite (1-30% Overbite), Narrow Mouth Embodiment: 20 primary teeth, complete acrylic coverage over the primary molars. Acrylic behind the upper front teeth, screws parallel to teeth and ridge, screws at a 10 degree angle upward. [0111] Stage 1 Primary Dentition Moderate Overbite (31-65% Overbite), Narrow Mouth Embodiment: 20 primary teeth, complete acrylic coverage over the primary molars. Acrylic behind the upper front teeth, screws parallel to teeth and ridge, screws at a 20 degree angle upward. [0112] Stage 1 Primary Dentition Deep Bite (66-100% Overbite), Narrow Mouth Embodiment: 20 primary teeth, complete acrylic coverage over the primary molars. Acrylic behind the upper front teeth, screws parallel to teeth and ridge, screws at a 30 degree angle upward. [0113] Stage 1 Primary Dentition Open Bite (Front teeth do not touch), Wide Mouth Embodiment: 20 primary teeth, complete acrylic coverage over the primary molars. Acrylic behind the upper front teeth, screws parallel to each other, screws at a 30 degree angle upward. [0114] Stage 1 Primary Dentition Slight Overbite (1-30% Overbite), Wide Mouth Embodiment: 20 primary teeth, complete acrylic coverage over the primary molars. Acrylic behind the upper front teeth, screws parallel to each other, screws at a 30 degree angle upward. [0115] Stage 1 Primary Dentition Moderate Overbite (31-65% Overbite), Wide Mouth Embodiment: 20 primary teeth, complete acrylic coverage over the primary molars. Acrylic behind the upper front teeth, screws parallel to each other, screws at a 30 degree angle upward. [0116] Stage 1 Primary Dentition Deep Bite (66-100% Overbite), Wide Mouth Embodiment: 20 primary teeth, complete acrylic coverage over the primary molars. Acrylic behind the upper front teeth, screws parallel to each other, screws at a 30 degree angle upward. [0117] Stage 1 Mixed Dentition Open Bite (Front teeth do not touch), Narrow Mouth Embodiment: 20 primary teeth, complete acrylic coverage over the primary molars. Acrylic behind the upper front teeth, screws parallel to teeth and ridge, screws at a 0 degree vertical angle (straight). [0118] Stage 1 Mixed Dentition Slight Overbite (1-30% Overbite), Narrow Mouth Embodiment: 20 primary teeth, complete acrylic coverage over the primary molars. Acrylic behind the upper front teeth, screws parallel to teeth and ridge, screws at a 10 degree angle upward. [0119] Stage 1 Mixed Dentition Moderate Overbite (31-65% Overbite), Narrow Mouth Embodiment: 20 primary teeth, complete acrylic coverage over the primary molars. Acrylic behind the upper front teeth, screws parallel to teeth and ridge, screws at a 20 degree angle upward. [0120] Stage 1 Mixed Dentition Deep Bite (66-100% Overbite), Narrow Mouth Embodiment: 20 primary teeth, complete acrylic coverage over the primary molars. Acrylic behind the upper front teeth, screws parallel to teeth and ridge, screws at a 30 degree angle upward. [0121] Stage 1 Mixed Dentition Open Bite (Front teeth do not touch), Wide Mouth Embodiment: 20 primary teeth, complete acrylic coverage over the primary molars. Acrylic behind the upper front teeth, screws parallel to each other, screws at a 30 degree angle upward. [0122] Stage 1 Mixed Dentition Slight Overbite (1-30% Overbite), Wide Mouth Embodiment: 20 primary teeth, complete acrylic coverage over the primary molars. Acrylic behind the upper front teeth, screws parallel to each other, screws at a 30 degree angle upward. [0123] Stage 1 Mixed Dentition Moderate Overbite (31-65% Overbite), Wide Mouth Embodiment: 20 primary teeth, complete acrylic coverage over the primary molars. Acrylic behind the upper front teeth, screws parallel to each other, screws at a 30 degree angle upward. [0124] Stage 1 Mixed Dentition Deep Bite (66-100% Overbite), Wide Mouth Embodiment: 20 primary teeth, complete acrylic coverage over the primary molars. Acrylic behind the upper front teeth, screws parallel to each other, screws at a 30 degree angle upward. [0125] Stage 1 Permanent Dentition Open Bite (Front teeth do not touch), Narrow Mouth Embodiment: 20 primary teeth, complete acrylic coverage over the primary molars. Acrylic behind the upper front teeth, screws parallel to teeth and ridge, screws at a 0 degree vertical angle (straight). [0126] Stage 1 Permanent Dentition Slight Overbite (1-30% Overbite), Narrow Mouth Embodiment: 20 primary teeth, complete acrylic coverage over the primary molars. Acrylic behind the upper front teeth, screws parallel to teeth and ridge, screws at a 10 degree angle upward. [0127] Stage 1 Permanent Dentition Moderate Overbite (31-65% Overbite), Narrow Mouth Embodiment: 20 primary teeth, complete acrylic coverage over the primary molars. Acrylic behind the upper front teeth, screws parallel to teeth and ridge, screws at a 20 degree angle upward. [0128] Stage 1 Permanent Dentition Deep Bite (66-100% Overbite), Narrow Mouth Embodiment: 20 primary teeth, complete acrylic coverage over the primary molars. Acrylic behind the upper front teeth, screws parallel to teeth and ridge, screws at a 30 degree angle upward. [0129] Stage 1 Permanent Dentition Open Bite (Front teeth do not touch), Wide Mouth Embodiment: 20 primary teeth, complete acrylic coverage over the primary molars. Acrylic behind the upper front teeth, screws parallel to each other, screws at a 30 degree angle upward. [0130] Stage 1 Permanent Dentition Slight Overbite (1-30% Overbite), Wide Mouth Embodiment: 20 primary teeth, complete acrylic coverage over the primary molars. Acrylic behind the upper front teeth, screws parallel to each other, screws at a 30 degree angle upward. [0131] Stage 1 Permanent Dentition Moderate Overbite (31-65% Overbite), Wide Mouth Embodiment: 20 primary teeth, complete acrylic coverage over the primary molars. Acrylic behind the upper front teeth, screws parallel to each other, screws at a 30 degree angle upward. [0132] Stage 1 Permanent Dentition Deep Bite (66-100% Overbite), Wide Mouth Embodiment: 20 primary teeth, complete acrylic coverage over the primary molars. Acrylic behind the upper front teeth, screws parallel to each other, screws at a 30 degree angle upward.

[0133] In another embodiment, [0134] Stage 2 Primary Dentition Open Bite (Front teeth do not touch), Narrow Mouth Embodiment: 20 primary teeth, complete acrylic coverage over the primary molars. Acrylic completely over the upper canines and behind the other upper front teeth, screws parallel to teeth and ridge, screws at a 0 degree vertical angle (straight). [0135] Stage 2 Primary Dentition Slight Overbite (1-30% Overbite), Narrow Mouth Embodiment: 20 primary teeth, complete acrylic coverage over the primary molars. Acrylic completely over the upper canines and behind the other upper front teeth, screws parallel to teeth and ridge, screws at a 10 degree angle upward. [0136] Stage 2 Primary Dentition Moderate Overbite (31-65% Overbite), Narrow Mouth Embodiment: 20 primary teeth, complete acrylic coverage over the primary molars. Acrylic completely over the upper canines and behind the other upper front teeth, screws parallel to teeth and ridge, screws at a 20 degree angle upward. [0137] Stage 2 Primary Dentition Deep Bite (66-100% Overbite), Narrow Mouth Embodiment: 20 primary teeth, complete acrylic coverage over the primary molars. Acrylic completely over the upper canines and behind the other upper front teeth, screws parallel to teeth and ridge, screws at a 30 degree angle upward. [0138] Stage 2 Primary Dentition Open Bite (Front teeth do not touch), Wide Mouth Embodiment: 20 primary teeth, complete acrylic coverage over the primary molars. Acrylic completely over the upper canines and behind the other upper front teeth, screws parallel to each other, screws at a 30 degree angle upward. [0139] Stage 2 Primary Dentition Slight Overbite (1-30% Overbite), Wide Mouth Embodiment: 20 primary teeth, complete acrylic coverage over the primary molars. Acrylic completely over the upper canines and behind the other upper front teeth, screws parallel to each other, screws at a 30 degree angle upward. [0140] Stage 2 Primary Dentition Moderate Overbite (31-65% Overbite), Wide Mouth Embodiment: 20 primary teeth, complete acrylic coverage over the primary molars. Acrylic completely over the upper canines and behind the other upper front teeth, screws parallel to each other, screws at a 30 degree angle upward. [0141] Stage 2 Primary Dentition Deep Bite (66-100% Overbite), Wide Mouth Embodiment: 20 primary teeth, complete acrylic coverage over the primary molars. Acrylic completely over the upper canines and behind the other upper front teeth, screws parallel to each other, screws at a 30 degree angle upward. [0142] Stage 2 Mixed Dentition Open Bite (Front teeth do not touch), Narrow Mouth Embodiment: 20 primary teeth, complete acrylic coverage over the primary molars. Acrylic completely over the upper canines and behind the other upper front teeth, screws parallel to teeth and ridge, screws at a 0 degree vertical angle (straight). [0143] Stage 2 Mixed Dentition Slight Overbite (1-30% Overbite), Narrow Mouth Embodiment: 20 primary teeth, complete acrylic coverage over the primary molars. Acrylic completely over the upper canines and behind the other upper front teeth, screws parallel to teeth and ridge, screws at a 10 degree angle upward. [0144] Stage 2 Mixed Dentition Moderate Overbite (31-65% Overbite), Narrow Mouth Embodiment: 20 primary teeth, complete acrylic coverage over the primary molars. Acrylic completely over the upper canines and behind the other upper front teeth, screws parallel to teeth and ridge, screws at a 20 degree angle upward. [0145] Stage 2 Mixed Dentition Deep Bite (66-100% Overbite), Narrow Mouth Embodiment: 20 primary teeth, complete acrylic coverage over the primary molars. Acrylic completely over the upper canines and behind the other upper front teeth, screws parallel to teeth and ridge, screws at a 30 degree angle upward. [0146] Stage 2 Mixed Dentition Open Bite (Front teeth do not touch), Wide Mouth Embodiment: 20 primary teeth, complete acrylic coverage over the primary molars. Acrylic completely over the upper canines and behind the other upper front teeth, screws parallel to each other, screws at a 30 degree angle upward. [0147] Stage 2 Mixed Dentition Slight Overbite (1-30% Overbite), Wide Mouth Embodiment: 20 primary teeth, complete acrylic coverage over the primary molars. Acrylic completely over the upper canines and behind the other upper front teeth, screws parallel to each other, screws at a 30 degree angle upward. [0148] Stage 2 Mixed Dentition Moderate Overbite (31-65% Overbite), Wide Mouth Embodiment: 20 primary teeth, complete acrylic coverage over the primary molars. Acrylic completely over the upper canines and behind the other upper front teeth, screws parallel to each other, screws at a 30 degree angle upward. [0149] Stage 2 Mixed Dentition Deep Bite (66-100% Overbite), Wide Mouth Embodiment: 20 primary teeth, complete acrylic coverage over the primary molars. Acrylic completely over the upper canines and behind the other upper front teeth, screws parallel to each other, screws at a 30 degree angle upward. [0150] Stage 2 Permanent Dentition Open Bite (Front teeth do not touch), Narrow Mouth Embodiment: 20 primary teeth, complete acrylic coverage over the primary molars. Acrylic completely over the upper canines and behind the other upper front teeth, screws parallel to teeth and ridge, screws at a 0 degree vertical angle (straight). [0151] Stage 2 Permanent Dentition Slight Overbite (1-30% Overbite), Narrow Mouth Embodiment: 20 primary teeth, complete acrylic coverage over the primary molars. Acrylic completely over the upper canines and behind the other upper front teeth, screws parallel to teeth and ridge, screws at a 10 degree angle upward. [0152] Stage 2 Permanent Dentition Moderate Overbite (31-65% Overbite), Narrow Mouth Embodiment: 20 primary teeth, complete acrylic coverage over the primary molars. Acrylic completely over the upper canines and behind the other upper front teeth, screws parallel to teeth and ridge, screws at a 20 degree angle upward. [0153] Stage 2 Permanent Dentition Deep Bite (66-100% Overbite), Narrow Mouth Embodiment: 20 primary teeth, complete acrylic coverage over the primary molars. Acrylic completely over the upper canines and behind the other upper front teeth, screws parallel to teeth and ridge, screws at a 30 degree angle upward. [0154] Stage 2 Permanent Dentition Open Bite (Front teeth do not touch), Wide Mouth Embodiment: 20 primary teeth, complete acrylic coverage over the primary molars. Acrylic completely over the upper canines and behind the other upper front teeth, screws parallel to each other, screws at a 30 degree angle upward. [0155] Stage 2 Permanent Dentition Slight Overbite (1-30% Overbite), Wide Mouth Embodiment: 20 primary teeth, complete acrylic coverage over the primary molars. Acrylic completely over the upper canines and behind the other upper front teeth, screws parallel to each other, screws at a 30 degree angle upward. [0156] Stage 2 Permanent Dentition Moderate Overbite (31-65% Overbite), Wide Mouth Embodiment: 20 primary teeth, complete acrylic coverage over the primary molars. Acrylic completely over the upper canines and behind the other upper front teeth, screws parallel to each other, screws at a 30 degree angle upward. [0157] Stage 2 Permanent Dentition Deep Bite (66-100% Overbite), Wide Mouth Embodiment: 20 primary teeth, complete acrylic coverage over the primary molars. Acrylic completely over the upper canines and behind the other upper front teeth, screws parallel to each other, screws at a 30 degree angle upward.

[0158] The removable appliance can be taken out, the patient comes in for simple adjustments every four to twelve weeks. The upper arch expands anteriorly (to the front) by approximately 1 mm a month as can be seen by the pictures below. Once the desired spaces are achieved between the upper canines and the first primary molars behind, the appliance is removed and a retainer is inserted inside the mouth to avoid relapse, to make sure that the teeth do not collapse back to the original position. After the permanent teeth come in the bone is stable. Braces may not be needed in all cases. If needed, braces are placed on both upper and lower teeth. The braces with the help of elastic bands moves the back teeth forward to close the gaps, while maintaining the position of the front teeth. This procedure enhances the chance of all wisdom teeth erupting in the correct position, without the need for extractions or headgear.

[0159] In the meantime, the lower braces can straighten the lower teeth if needed. Once all the gaps are closed, the upper and lower teeth are coordinated to ensure optimal aesthetics and function.

[0160] The end result is an expanded upper jaw both towards the front and the sides. The jaw is able to accommodate all permanent teeth (may include wisdom teeth if the conditions are right) to erupt in the correct position, the lower jaw is able to occlude into the ideal bite in harmony with the TMJ joints and the facial muscles. The ensuing enlarged space in the mouth allows the tongue to position itself correctly against the roof of the mouth, opening good airways at the back of the throat and inside the nose. The removable appliance is designed for children to accommodate the orofacial growth. The appliance is turned (activated) twice a week by the patients themselves, or for the very young ones, by their parents. It is to be worn 24/7 including eating. The appliance expands the upper jaw in all dimensions, to lay down the foundation and to accommodate the eruption of the incoming permanent teeth. When the permanent teeth are ready to erupt down there will be adequate amount of space.

[0161] The working of the removable airway appliance is as follows.

[0162] The removable airway appliance is attached to back teeth and gently, pressure is put on the nasopalatine nerve that runs through palate as well as right forward pressure on the bone and the canines and front teeth stimulating bone remodeling and development. This pressure stimulates growth in the upper jaw, which also allows the lower jaw to develop forward. When this growth takes place, it can create room for even severely crowded teeth to align, and it can open up the airway, enlarge your airway and move the mid and lower face forward. The present invention helps to expand the jaws forward without the need for surgery. More benefits can include long-term relief from issues like TMD pain and Sleep Apnea without the long-term use of oral appliances. The present invention helps in sleep apnea and snoring because when a person undergoes the maxillary expansion of jaw, the airway can be opened. And when upper jaw expands during this treatment process, it can effectively realign the lower jaw, helping to relieve TMD clicking, popping and pain without surgery. This happens because as the upper and lower jaws develop forward, there is more space for the disc of the TMJ to function smoothly.

[0163] Up-down angle parallel to teeth for upward and forward development. Up-down angle reverses excess vertical/downward growth. This gets upward and forward development. This angle can be 0 degrees, 5 degrees, 10 degrees, 15 degrees, 20 degrees, 25 degrees, 30 degrees. The side angle used to control the amount of lateral/sideways growth and development. Acrylic covering palate and back of front teeth to help control forces of forward/upward growth and development.

[0164] Advantages of the present invention:

[0165] The present invention uses in all primary dentition (all baby teeth) and permanent teeth for people from age 2-to older adult and Can be used not only in the all primary dentition, but also with only 16 baby teeth. The present invention has the Ability to reverse excess vertical/downward growth (controlling the amount and direction of growth/development) and has the ability to control growing jaws to improve airway (covering canines) or making room for teeth (acrylic behind canines). Smooth surface over the biting area of the teeth help to stimulate the forward growth of the lower jaw and creates a more open airway to breathe better and to reduce or eliminate sleep apnea. The present invention helps to grow and develop the jaw structures permanently in more forward and ideal position. The present invention helps develops the bone of the upper and lower jaws forward permanently. It can non-surgically develop the Maxilla in an upward direction reversing a gummy smile.