Interceptive orthodontic treatment may be initiated at this stage of development to help with crowding or to help relate the upper and lower jaws. Consistent with a high palate is a narrow arch shape of the upper teeth as they line up in the mouth. This may cause the upper front teeth to flare out and become more prone to fracture if accidentally hit. Interceptive orthodontics has an important role in this situation. Appliances that expand the upper arch tend to bring the front teeth back into a more normal position.
Some appliances can even help allow the front teeth to close to normal in an open bite situation.
The mouth and lips may tend to get dry with the Moebius patient. Oral products such as Oral Balance, Xerolube, or Salvert Spray may be helpful. A patient that has not been able to close or swallow well, probably will have an open bite, deficient lower jaw growth, a narrow archform with crowded teeth and upper anterior flaring of teeth. This should be completed in most situations before someone like Dr. Zuker would do the smile surgery where the Gracilis Muscle is grafted to the face. In addition water irrigation devises can be very helpful.