How to reverse maxillary recession caused by wearing braces with elastics?

[SurgerySoon]

I wore braces with elastics from age 16-19 and my maxilla is recessed because of it. Besides bimax surgery, what options are there for reversing the damage? MSE alone, MSE with facepuller, Homeoblock, etc.?

 

[Hades]

MSE with facepuller is probably your best most efficient option (except surgery). The longest term option is Mewing, but it is IMPERATIVE that you’re doing it correctly or it will NOT work.

 

[Bewusst]

.

 

[SurgerySoon]

MSE with facepuller is probably your best most efficient option (except surgery). The longest term option is Mewing, but it is IMPERATIVE that you’re doing it correctly or it will NOT work.

So with the MSE and facepuller, I'll need braces afterwards since using both of those will create a gap between my incisor teeth, right?

 

[Hades]

So with the MSE and facepuller, I'll need braces afterwards since using both of those will create a gap between my incisor teeth, right?

Yes, that’s correct. I wouldn’t expand too much though, depends on where you currently stand. It’ll take a long time, but I’m sure it’ll be worth it.

 

[kota]

MSE alone will make lateral expansion (if succesful in splitting the suture) but won't do anything for forward expansion. In theory it can be combined with forward protraction by attaching a facepull device attached to the MSE device. The question is how good the effect is on an adult.

The MSE would create gaps, yes.

 

[SurgerySoon]

Absolutely

So ironically enough, I'll need to undergo the same treatment that led to me having a recessed maxilla in the first place. So an MSE has to be surgically placed, right? Can an orthodontist do this or do I need to find an oral surgeon or something?

 

[SurgerySoon]

Ronald Ead is using clear aligners. MSE has to be screwed preferably by someone with a lot of experience. Any dentist can do this, they just have to have the proper training.

Ok, thanks. So basically it's going to be a case of finding a redpilled dentist/dental specialist.

 

[kota]

Ok, thanks. So basically it's going to be a case of finding a redpilled dentist/dental specialist.

Preferably you want someone with experience in MSE. There is a risk of the device failing especially on older patients and a Corticopuncture done at the time of the installation may help.

Coincidentally I'm consulting with an MSE experienced ortho in a couple of hours.

 

[SurgerySoon]

Preferably you want someone with experience in MSE. There is a risk of the device failing especially on older patients and a Corticopuncture done at the time of the installation may help.

Coincidentally I'm consulting with an MSE experienced ortho in a couple of hours.

Cool, be sure to let us know how the appointment goes

 

[RAITEIII]

Preferably you want someone with experience in MSE. There is a risk of the device failing especially on older patients and a Corticopuncture done at the time of the installation may help.

Coincidentally I'm consulting with an MSE experienced ortho in a couple of hours.

Yeah tell us

 

[SurgerySoon]

Preferably you want someone with experience in MSE. There is a risk of the device failing especially on older patients and a Corticopuncture done at the time of the installation may help.

Coincidentally I'm consulting with an MSE experienced ortho in a couple of hours.

Also, can you ask him if it can get results that are reasonably close to what someone with mild recession would get from LF1?

 

[Slyfex8]

Orthodontic elastics are causing alveolar ridge recession mainly.

Not a recession of the whole maxilla.

Also, can you ask him if it can get results that are reasonably close to what someone with mild recession would get from LF1?

In terms of targeted zone and movement , it's the whole maxilla, so more like a lefort 3, that said it's very unlikely that you are going to get as much advancement as a lefort 3, varbrah reported 3 to 4mm forward movement.

 

[kota]

Also, can you ask him if it can get results that are reasonably close to what someone with mild recession would get from LF1?

Yes, I will ask him about the potential of using a facepull device with the MSE in an older patient.

In terms of targeted zone and movement , it's the whole maxilla, so more like a lefort 3, that said it's very unlikely that you are going to get as much advancement as a lefort 3, varbrah reported 3 to 4mm forward movement.

This is one reason I would prefer it over lefort 1. If 3-4 mm is possible, it should go a long way as well for those who aren't severely recessed like @SurgerySoon. I'm in a similar situation with slight recession and consulted with a maxfac for bimax. His plan for the maxilla advancement was only 2.8 mm.

 

[Slyfex8]

Yes, I will ask him about the potential of using a facepull device with the MSE in an older patient.



This is one reason I would prefer it over lefort 1. If 3-4 mm is possible, it should go a long way as well for those who aren't severely recessed like @SurgerySoon. I'm in a similar situation with slight recession and consulted with a maxfac for bimax. His plan for the maxilla advancement was only 2.8 mm.

4mm of advancement is great, for anyone recessed even if ideally we would want more for the most recessed of us.

Also varbrah was injecting GH peptides Ipamorelin and Mod GRF 1-29 3 times a day at 100mcg during the treatment, I think ideally we should replace ipamorelin by GHRP-2 as it is definitely more powerful .

He was applying 1.5kg force on each side 8 hours a day using the facepuller. I would apply a 3kg force on each side if I can handle it as Won Moon, the creator of MSE clearly said that on adults we should apply "As much force as the patient can handle".

 

[SurgerySoon]

Yes, I will ask him about the potential of using a facepull device with the MSE in an older patient.



This is one reason I would prefer it over lefort 1. If 3-4 mm is possible, it should go a long way as well for those who aren't severely recessed like @SurgerySoon. I'm in a similar situation with slight recession and consulted with a maxfac for bimax. His plan for the maxilla advancement was only 2.8 mm.

Yeah, 3-4 mm would be perfect for me. The only issue would be if it makes my midface implants look even less noticeable

Orthodontic elastics are causing alveolar ridge recession mainly.

Not a recession of the whole maxilla.

So my maxilla would probably still be just as recessed even if I hadn't had braces w/elastics?

 

[kota]

4mm of advancement is great, for anyone recessed even if ideally we would want more for the most recessed of us.

Also varbrah was injecting GH peptides Ipamorelin and Mod GRF 1-29 3 times a day at 100mcg during the treatment, I think ideally we should replace ipamorelin by GHRP-2 as it is definitely more powerful .

He was applying 1.5kg force on each side 8 hours a day using the facepuller. I would apply a 3kg force on each side if I can handle it as Won Moon, the creator of MSE clearly said that on adults we should apply "As much force as the patient can handle".

Are you referring to this study? https://pdfhost.io/v/Ms6lJujW_Class...sk_FM_and_maxillary_skeletal_expander_MSE.pdf

Or do you have other sources on results by facepull for adults? I'm oldcel so would really like more info on that.

Yeah, 3-4 mm would be perfect for me. The only issue would be if it makes my midface implants look even less noticeable

Facepull would hopefully pull the whole midface structure forward in one piece, and not just the lefort 1 area that is cut loose and moved in a bimax. So by that logic the midface would follow somewhat and not be left behind.

 

[Deleted member 3962]

Orthodontic elastics are causing alveolar ridge recession mainly.

Not a recession of the whole maxilla.



In terms of targeted zone and movement , it's the whole maxilla, so more like a lefort 3, that said it's very unlikely that you are going to get as much advancement as a lefort 3, varbrah reported 3 to 4mm forward movement.

So do both lefort 1 and face puller

get your 3-4mm advancement from fp(which is pretty fucking decent) and then do lefort for even more.