PROTOCOL FLOWCHART

Habit Correction Phase Arch Development Phase Final Alignment and Retention Phase
Establish Nasal Breathing Establish Correct Tongue Position Correct Swallow and Maintain Lip Posture
Nasal breathing is established when the patient retains their appliance Arch expansion is achieved when there is enough room in both Dental alignment should be driven by patient request (as it is often cosmetic)
overnight for at least 30 consecutive days and improves their breathing arches to accommodate the tongue and the erupting teeth. In and if treatment is started early, dental alignment is often not needed.
function on the ME check form. This shouldn't take longer than 3-6 months, children above the age of 8, this may involve the use of an auxiliary Retention involves retaining dental alignment and the arch form, in
assuming good patient compliance. arch expansion appliance simultaneous to Myobrace® wear. conjunction with ensuring final habit correction, which will be the long term
determinants of stability.
Start Myobrace®
treatment

N Y

Referrals to
allied health Issue first Establish Nasal breathing Y Consider indication Issue second Arch expanding Y Sufficient arch Y Dental alignment
N Issue retention Retain expansion and
Function fully
Arch expansion as expected? expansion alignment until function
stage appliance nasal breathing established? for Myolay ® stage appliance appliance corrected?
professional N achieved needed? has resolved
needed?

Y Y N Y N Y N
Y
See retention
in Myobrace®
Make referral treatment
N Y N
Secure Y
Terminate Agreement Poor appliance Terminate Agreement Y Poor appliance
See agreement Poor appliance
secured secured FAQs
treatment
to comply?
compliance? treatment
to comply?
compliance? N to comply? compliance?

N N N
Treatment complete
Either offer final dental alignment
using conventional orthodontics
Consider activity Y Poor breathing Consider activity Y Poor tongue then issue conventional Consider activitiy Y Poor activity
activity activity retainers OR if patient is happy support session compliance?
support session support session
compliance? compliance? with dental alignment, offer
treatment complete with
compromised result and issue
conventional retainers
N N N

Assessment and
Y Referral to
See auxiliary Y Auxiliary arch Extra use of Y
treatment performed arch expansion expansion Myotalea®
by ENT ENT needed?
protocol needed? needed?

N N N

See See See

FAQs FAQs FAQs

Breathing Tongue Swallowing Lips & Cheeks

1. Light Breathing Awareness 4. Correct Tongue Rest Position & Tongue Clicks 8. Correct Swallow & Funny Face Swallow 11. Lip Trainer™
5. Tongue Suction Hold & Stretch
2. Paces 9. Myobrace® Swallow 12. Lip Pops & Pufferfish Stretch
6. Surfboard Tongue
Activity Sequence 3. Nose Clearing 7. Fat Tongue Skinny Tongue & Tongue Tip Ups 10. Drinking Swallow & Tongue Cup Water Seal

Typical Myobrace® treatment extends for around 24 months and can vary by plus or minus 6 months.
Key Trigger Action Decision Link Out The ideal patient will finish their Myobrace® Activities in 12 months, however this is very rare and can extend for the entire 24 months.
Treatment is completed when the patient's function is resolved and dental changes are made to facilitate the stability of function.

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