What is the ALF Appliance?

 

The ALF is a very gentle expander that is usually installed on the back surfaces of the upper and lower teeth. The ALF resembles a permanent retainer and is quite comfortable to wear. It is a great alternative to braces when it comes to straightening kids teeth. The forces applied by the ALF are very gentle compared to braces and the ALF has the advantage of maintaining or correcting jaw and facial balance.  The ALF works by exerting a light forward force that works in concert with tongue pressure and natural growth. The ALF is the Advanced Lightwire Functional Appliance invented to Dr. Nordstrom in the 1980s. The ALF appliance has five very important benefits when your child’s development is going ideally.

 

1. Forward growth of the jaws and facial profile
2. Creates space in the palate for the tongue to fit and function properly
3. improved nasal breathing and curbs mouth breathing
4. Improves facial balance and symmetry between the jaws and facial structures
5. Improves the bite and occlusion

 

What Does the ALF Appliance Look Like?

 

 

 

Improve Mouth Breathing and Sleep with the ALF

 

If your child breathes loudly, snores, clenches their teeth at night time, suffers from nasal obstruction, the ALF can help. Many children have pediatric sleep apnea. Creating space in the jaws and nose increases the space available for breathing and proper tongue postion. There is a big link between straight teeth, proper spaces in the jaws and upper airway. Holistic orthodontics seeks to correct all these issues as well as creating a straight smile. There are several different palatal expander and orthodontic appliances that we use.

 

Orthodontic Myofunctional Therapy in Clearwater Florida

 

Orthodontic Myofunctional Therapy uses to treating orthodontic and sleep apnea problems. We treat kids and adults with advanced lightwire functional appliances in many situations. A diagnosis is very important in selecting the best orthodontic appliance. The ALF is commonly used for improving jaw and bite balance. And the device also expands the palates and improves tongue posture. Our job is to treat the entire body and not only straighten teeth. The goal is health and correcting the root cause of any diagnosed problems. We see patients from Tampa, Clearwater and Sarasota Florida. We also have traveling patients from through out the US and abroad.

 

ALF Expander Appliance Youtube Video

 

 

How does the ALF Expander Appliance Work?

 

The ALF produces a light expansion and works with tongue pressure and chewing forces. The ALF creates ideal conditions for jaw development in adults and kids. The main stimulus for growth is the jaws is the tongue. The tongue experts pressure during eating, talking, swallowing, etc. The pressure is outward on the teeth and jaw structure. In a growing child, pressure on jaw by the tongue is the primary stimulus for jaw growth. When tongue and lip ties are present, the pressure is less and there is less natural growth of the jaws. Correcting tongue and lip ties is very important in correcting orthodontic and sleep apnea problems. 

 

Tongue Ties Lip Ties and Myofuctional Therapy

 

Lip ties tighten the lips back on the teeth and produce a resistance to anterior growth of the jaws and face. Proper function of the tongue is pivotal to successful ALF treatment. Therefore treatment of tongue ties with myofunctional therapy and tongue and lip tie release is necessary for success. In general, the reviews for ALF orthodontic appliances are great and the results are superb for kids with teeth crowding and crooking.

The ALF is the go to appliance for kids with crowded teeth, but it is also a great craniofacial device for adults who have minor tooth crowding and who could use some jaw and facial balancing. The Vivoslife DNA is a much better appliance for adults who have TMJ, posture, headaches and sleep apnea problems. The DNA device produces more growth of bone in adults and enables the DNA appliance provider to place the patient into a different bite and better treat TMJ pain quickly.

 

ALF Expander Cost

 

ALF appliance treatment usually lasts 6 – 18 months. It includes a 3D xray, full evaluation and diagnosis, treatment plan, upper a lower ALF appliances. The therapy includes monthly adjustments and office visits. The cost for the entire therapy is all inclusive and costs between $4000 – $6000 depending on the complexity of the case. Adult cases can be more expensive.

 

Is the ALF Appliance a Palatal Expander?

 

The Advanced Lightwire is really a palatal expander that uses the aid of a functional force. The tongue and chewing forces are the forces used in ALF palatal “expansion” therapy. We are not sure where the word “expansion” came from in the world of dentistry, but is sounds scary…what really happens is targeted stimulation of jaw bone growth with the aid of natural function forces – the tongue. The tongue is the natural palatal expander. The ALF promotes a natural increase in bone volume and jaw space. The new space allows additional room for teeth to fit and the tongue to function normally. Successful ALF treatment in this regard is what prevents TMJ problems and sleep apnea in adulthood.

Braces work well to straighten crooked teeth as long as there is enough room in the jaw for the teeth to all fit. If there is not enough room, expanders are necessary. Braces can be used after dental expanders to correct crooked teeth, spacing and other cosmetic issues. Often times there is not a need for braces after the ALF. Spaces and minor bite issues often self resolve 3-6 months after being treated with an expander.

 

The ALF is a Gentle Alternative to Braces?

 

In our opinion, The ALF is a better appliance for correcting tooth crowding because the ALF creates room for the tongue and the teeth to fit in the mouth. The ALF also results in the jaw being the shape of the tongue rather than shaped as a wire or another appliance that does not use functional tongue forces. The ALF expansion stops when the tongue stops pushing outward on the appliance and teeth – that is at the time the tongue has enough room to function properly. As if it were magic, the human mouth is designed to be large enough to fit all the teeth and tongue – naturally when teeth have enough room to fit, so does the tongue. This is the way things were naturally intended to be. The ALF is truly a natural expander. While using the ALF appliance therapy, a craniofacial dentist can slowly adjust the omega loops on the wire to slowly increase the diameter of the ALF. By increasing the profile of the appliance, the result is a lightwire force of pressure and stimulation of outward and jaw regeneration. Promotion of a larger jaw creates more tongue space, more room for the teeth to fit better and more room for better night-time breathing.

 

The ALF is the goto appliance for kids with crooked and crowded teeth. The ALF has also been shown to reverse the effects of poor facial development, facial damage caused by traumatic birth, some TMJ pain, and pain and facial damage caused by aggressive retractive extraction orthodontics. The ALF can also correct facial asymmetries, produce palatal expansion, and open the Airway.

 

ALF Expansion vs Rapid Palatal Expander (RPE)

 

 

The ALF uses light forces and the appliance is shaped like a mouth and tongue are shaped. A rapid palatal expander uses a screw to do all the expansion and most of the time only expands in the back of the top maxillary jaw. The result can often be tipping of the teeth and a V-shaped mouth. The two main problems with rapid palatal expansion:

1. expansion does not occur in the front part of the upper jaw
2. expansion is too fast and less bone grows and sometimes teeth move and tip. In cases where more palatal expansion is needed, a Crozat expander or a Schwarz appliances should.

Naturally there is tooth crowding in a small mouth. Crowding of teeth is usually treated as a cosmetic problem in orthodontics. Children who have small mouths and crowded teeth may have breathing problems through their mouths and noses and may sleep poorly. Pediatric sleep apnea appliances and holistic orthodontists can be hard to find. Often there is too much focus in cosmetics and straight teeth.

 

Benefits of ALF Orthodontics:

 

1. Corrects Crowding of Teeth by creating more room in the mouth for the teeth to fit side-by-side.
2. Achieves Expansion in the natural shape of the mouth
3. Decreases or Eliminates the need for complex orthodontics and braces
4. Improves tongue position and function
5. Improves the size of the airway (mouth and nose)
6. Improves sleep
7. Decreases TMJ disorder
8. Improves bite or occlusion
9. Improves nose breathing
10. Improves sinus drainage
11. Improves overall symmetry of the jaw bones
12. Improves posture

 

TMJ Pain is Linked to Sleep Apnea and UARS

 

The ALF is an “Elgiloy” wire of 0.025” or 0.028”. The advanced lightwire functional has a high degree of flexibility. ALF can be adjusted to increase the size of the upper and lower jaws. ALF was originally designed and created by Dr. Nordstrom in the 1980s. The ALF appliance uses the tongue ( “functional force” ) and strategic adjustments by the dentist to correct tooth crowding by producing a “light” outward force to promote jaw bone growth.

 

Lip Ties

 

 

A lip tie is also called a maxillary frenum. A lip tie is an attachment that connects the lip muscles to the upper jaw. When the connection is to close to the upper teeth or when it draws the lips too tightly up against the upper teeth, problems can be causes. Problems may include displacement of the teeth backwards, loss of gum tissue around the teeth and opening of a space in between the teeth – aka diastema. A maxillary frenum can usually be very easily removed without bleeding with a laser. ALF Dentist Appliance.

 

Tongue Tie?

 

 

a tongue tie is also called a lingual frenum. The tie is a connection between the tongue and the lower jaw. A strong lingual frenum can limit the range of motion of the tongue, deform the shape of the tongue in function. Usually a tie will cause the tongue to get pointy and taper on extension. Tongue ties can cause speech problems in kids, feeding problems for babies. The biggest problem with tongue tie is then tongue will not apply proper pressure to the jaw bones in a growing child. Less pressure leads to less bone growth and a smaller amount of room in the mouth for vital functions such as breathing, talking, eating, etc. Ultimately, tongue dysfunction can lead to sleep apnea and tmj problems. Tongue ties can be easily corrected with a laser.  The procedure called a lingual frenectomy is usually done with minimal pain and no bleeding. After a lingual frenectomy, it is advisable to do some tongue exercises aka myofunctional therapy.