PEOT (Personalised Early Orthodontic Treatment) is a new generation, scientifically validated orthodontic system for children that integrates myofunctional therapy principles with advanced customisation and a fully digital workflow. Unlike generic appliances, PEOT is tailored to each patient for superior comfort, compliance, and optimal craniofacial development.

It offers cross-disciplinary therapeutic benefits, addressing not only tooth alignment but also oral habits, airway optimisation, and muscle function balance. Rooted in the philosophy that “Function Dictates Form,” PEOT applies the equilibrium force theory to correct the underlying myofunctional and behavioural causes of malocclusion, ensuring stable, long-term results by improving the functions that guide facial growth.

The best results are achieved when treatment begins between 6 and 12 years of age, with 6–8 years being optimal for guiding jaw growth and correcting oral habits. However, the therapy can be adapted for younger or older patients when clinically indicated.

Indicated for mixed dentition cases with mild-to-moderate crowding, crossbites, habits (mouth breathing, tongue thrust, thumb sucking), and early Class II/III corrections where fixed appliances are not suitable.

Contraindicated in cases with severe nasal blockage, syndromic skeletal malocclusions, severe maxillary constriction (may respond better to RPE), or non-motivated patients with poor compliance.

PEOT appliances are fully customised and designed for both functional and orthopedic correction with staged progression. They feature built-in breathing and tongue trainers, guide/relief zones, and biocompatible materials for a comfortable treatment experience.

OPG (Orthopantomogram)
Lateral cephalogram
Digital intraoral scans with maximum gum and palate coverage, capturing the habitual bite and any peculiar occlusal relationships
Extraoral photographs and videos
Tongue resting position documentation
Functional analysis
Bite registration

Record both habitual and advanced bites.

Advanced bite = 70% of maximum comfortable protrusion with 1 mm interincisal opening.

Attempt midline coincidence; document deviations with photos.
Label all scans clearly and include both habitual and forward registrations.

Capture complete anatomy—arches, sulcus, palate, frenum, and tongue rest spot.
Record both habitual and advanced bites.
Verify full coverage and label scans systematically before submission.

Minimum 4 hours/day, split into shorter intervals, plus night-time wear where tolerated. Consistency is more important than continuous duration.

Typically, 12–18 months, depending on case complexity, growth, and compliance. Each appliance stage lasts 3–6 months before progression.

Every 2–3 months for fit assessment, exercise reinforcement, and progress documentation. Updated scans and photos are required at each stage.

Replace every 3–6 months or earlier if worn or damaged. Advance when clinical goals (arch development, habit correction, midline improvement) are met, supported by updated records.

Exercises train tongue posture, lip seal, and nasal breathing—correcting the underlying functional cause of malocclusion. They are mandatory for lasting orthopedic and orthodontic stability.

Check appliance fit and compliance first. Reassess airway, tongue posture, and growth factors. Update scans and modify treatment staging if progress remains limited.

Accurate records, functional correction, patient motivation, and strict adherence to follow-ups and exercises.

The guiding principle remains “Function Dictates Form,” — stable structure follows correct oral function.