Fig. 13 engage in its ‘keystone’ role could result in cranial strain, tension or torsion -largely affecting the infant’s ability to nurse and breathe. (Figs. 13–16) Fig. 14 Fig. 15 b Possible tongue tie b Possible cranial strain or torsion Fig. 16 The Unappreciated Role of Fascia While the tendons attach the muscle to bones, and the ligaments connect bone to bone and create and maintain joints, the fascia is a collective tissue that essentially holds the entire body together. It can almost be visualized as ‘cling wrapping’ the various components to keep them in their correct posi-tions. “The strands that bind us” run from the top of our head to the soles of our feet and play as important a role in our posture, development, balance and full body integrity as do the guy ropes in a tent. (Fig. 17) What good is the center pole if it’s pulled to one side, or if the ropes at one end are pulled taut while the ropes on the opposite side lie slack? (Fig. 18) Fascia, tendons and ligaments require the same care and attention that is lavished on muscles. There is not much point in trying to release a muscle that is in spasm because it is out of balance or alignment. The problem will simply return unless the original issue is addressed. b Retained neonatal reflexes Form Equals Function; Function Equals Form This is a well-known concept in the field of dentistry and orthodon-tics but where does one start to tease out whether it is the form or the function that is the issue? For function, read behavior and it becomes easier to see. Behaviorial changes happen in order to ensure survival, and the prime survival issue facing any living being is the ability to take the next breath. The stark reality is that if you fail to take the next breath -nothing else matters -so people will go to inor-dinate extremes to ensure that they can breathe. Telltale Signs What can you see in this picture? (Fig. 19) b Open mouth b Head tilted to the right b Hands not at rest b Body torqued This child should be carefully evaluated for: b Compromised birth Fig. 17 Fig. 18 16 Summer 2019 JAOS
Journal of the American Orthodontic Society Summer 2019: Page 16
