autistic ramblings part 2

yussimania

yussimania

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Glossary:

MPA - Mandibular Plane Angle
LAFH - Lower Anterior Facial Height
CCW - Counter Clockwise
FHP - Frankfurt Horizontal Plane

Ramus height and MPA:

Gonion being lower than the Stomion when in the FHP is a good start - if it's above it then GG.

1000094727


There are different factors here with overall facial length - by increasing the ramus height superficially you don't actually change the LAFH. Ramus height is basically a prerequisite to MPA - if your ramus is too short your MPA usually compensates by becoming an obtuse angle but this makes you look retarded and downgrown.

1000094735


taken from this thread go rep it


As we can see above, the ramus height changes don't affect LAFH it's only the side view - having a balanced optimum of the gonion below the stomion but above the menton - for example the 2nd and 3rd morph there.

The only way to change ramus height in affecting the whole LAFH is to either do Inverted L osteotomy, a distraction osteogenesis or total joint replacement (lol) in conjunction with bimax. These kinda treatments are used on people with severe Idiopathic condylar resorption, micrognathia or asymmetry - so for many of us here we will NOT be getting this.

For overall skull aside from LAFH superficial ramus augmentation like implants can still add to the mog. However there are issues when using implants for height such as implant reveal and dehiscence.

My proposed alternative is to achieve ramus augmentation with hydroxyapatite paste as this won't cause the issues described above.

1000091639


looks natural and mogs implants (done with bimax as well)

Imo filler shouldn't be used to achieve this as it's inefficient - requires alot of it and causes a cantilever effect where filler is stacked on one another which no longer gives support as it isn't a rigid bone replicating material.

Unrelated sidenote but important to clear the matter:

For those with Long Face Syndrome or are downswung you don't actually have a big skull - you have suboptimal development. Removing bone to fix it will result in a loss of tissue support and accelerated facial aging so instead opt for anterior projection with CCW rotation.

1000094753

1000094756


Note how much smaller the ramus is in hyperdivergent profiles than hypodivergent - where we would expect just off the pretense of the name "short face syndrome" to have a shorter ramus than a "long face syndrome". Funny how MPA works.

Alveolar process height:

Very fucking underrated that barely anyone mentions this.

40% of your mandible height - therefore the thicker and taller this is the more LAFH you have.

1000094664


How far the roots of your teeth penetrate into the alveolar process is a key indicator to this - roots that penetrate less than half into it have great vertical height and thickness whereas roots that penetrate all the way are suboptimal.

1000092849


Extractions resorb the alveolar bone - bone grafts don't restore just prevent any further loss. However standard orthodontic extractions (2-4) will decrease the alveolar bone density but not significantly enough to affect LAFH. Note how her mandible ccw rotates when all teeth are lost causing a mega compact look.

Vertical Alveolar Distraction Osteogenesis - increases the height of the alveolar process by up to more than a cm but it's got a high complication rate of around 50% and is only currently done for people like the old woman above who have lost alot of alveolar bone - perhaps something to keep in mind in case you lose your teeth :forcedsmile:

Maybe in the future someone could invent something safer and better than this to augment the alveolar bone so our skulls can look like Cro Magnon or our Hunter Gatherer ancestors. Although I'm sure there are numerous other vectors to account for.

1000094765

1000094764
 
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Reactions: Shobek, MouthBreathingElite, ltn_looksminner and 8 others
Glossary:

MPA - Mandibular Plane Angle
LAFH - Lower Anterior Facial Height
CCW - Counter Clockwise
FHP - Frankfurt Horizontal Plane

Ramus height and MPA:

Gonion being lower than the Stomion when in the FHP is a good start - if it's above it then GG.

View attachment 4586843

There are different factors here with overall facial length - by increasing the ramus height superficially you don't actually change the LAFH. Ramus height is basically a prerequisite to MPA - if your ramus is too short your MPA usually compensates by becoming an obtuse angle but this makes you look retarded and downgrown.

View attachment 4586855

taken from this thread go rep it


As we can see above, the ramus height changes don't affect LAFH it's only the side view - having a balanced optimum of the gonion below the stomion but above the menton - for example the 2nd and 3rd morph there.

The only way to change ramus height in affecting the whole LAFH is to either do Inverted L osteotomy, a distraction osteogenesis or total joint replacement (lol) in conjunction with bimax. These kinda treatments are used on people with severe Idiopathic condylar resorption, micrognathia or asymmetry - so for many of us here we will NOT be getting this.

For overall skull aside from LAFH superficial ramus augmentation like implants can still add to the mog. However there are issues when using implants for height such as implant reveal and dehiscence.

My proposed alternative is to achieve ramus augmentation with hydroxyapatite paste as this won't cause the issues described above.

View attachment 4586875

looks natural and mogs implants (done with bimax as well)

Imo filler shouldn't be used to achieve this as it's inefficient - requires alot of it and causes a cantilever effect where filler is stacked on one another which no longer gives support as it isn't a rigid bone replicating material.

Unrelated sidenote but important to clear the matter:

For those with Long Face Syndrome or are downswung you don't actually have a big skull - you have suboptimal development. Removing bone to fix it will result in a loss of tissue support and accelerated facial aging so instead opt for anterior projection with CCW rotation.

View attachment 4587005
View attachment 4587006

Note how much smaller the ramus is in hyperdivergent profiles than hypodivergent - where we would expect just off the pretense of the name "short face syndrome" to have a shorter ramus than a "long face syndrome". Funny how MPA works.

Alveolar process height:

Very fucking underrated that barely anyone mentions this.

40% of your mandible height - therefore the thicker and taller this is the more LAFH you have.

View attachment 4585076

How far the roots of your teeth penetrate into the alveolar process is a key indicator to this - roots that penetrate less than half into it have great vertical height and thickness whereas roots that penetrate all the way are suboptimal.

View attachment 4585052

Extractions resorb the alveolar bone - bone grafts don't restore just prevent any further loss. However standard orthodontic extractions (2-4) will decrease the alveolar bone density but not significantly enough to affect LAFH. Note how her mandible ccw rotates when all teeth are lost causing a mega compact look.

Vertical Alveolar Distraction Osteogenesis - increases the height of the alveolar process by up to more than a cm but it's got a high complication rate of around 50% and is only currently done for people like the old woman above who have lost alot of alveolar bone - perhaps something to keep in mind in case you lose your teeth :forcedsmile:

Maybe in the future someone could invent something safer and better than this to augment the alveolar bone so our skulls can look like Cro Magnon or our Hunter Gatherer ancestors. Although I'm sure there are numerous other vectors to account for.

View attachment 4587194
View attachment 4587193
HA paste for my ramus? ya or nah?
 
  • +1
Reactions: yussimania
g
Glossary:

MPA - Mandibular Plane Angle
LAFH - Lower Anterior Facial Height
CCW - Counter Clockwise
FHP - Frankfurt Horizontal Plane

Ramus height and MPA:

Gonion being lower than the Stomion when in the FHP is a good start - if it's above it then GG.

View attachment 4586843

There are different factors here with overall facial length - by increasing the ramus height superficially you don't actually change the LAFH. Ramus height is basically a prerequisite to MPA - if your ramus is too short your MPA usually compensates by becoming an obtuse angle but this makes you look retarded and downgrown.

View attachment 4586855

taken from this thread go rep it


As we can see above, the ramus height changes don't affect LAFH it's only the side view - having a balanced optimum of the gonion below the stomion but above the menton - for example the 2nd and 3rd morph there.

The only way to change ramus height in affecting the whole LAFH is to either do Inverted L osteotomy, a distraction osteogenesis or total joint replacement (lol) in conjunction with bimax. These kinda treatments are used on people with severe Idiopathic condylar resorption, micrognathia or asymmetry - so for many of us here we will NOT be getting this.

For overall skull aside from LAFH superficial ramus augmentation like implants can still add to the mog. However there are issues when using implants for height such as implant reveal and dehiscence.

My proposed alternative is to achieve ramus augmentation with hydroxyapatite paste as this won't cause the issues described above.

View attachment 4586875

looks natural and mogs implants (done with bimax as well)

Imo filler shouldn't be used to achieve this as it's inefficient - requires alot of it and causes a cantilever effect where filler is stacked on one another which no longer gives support as it isn't a rigid bone replicating material.

Unrelated sidenote but important to clear the matter:

For those with Long Face Syndrome or are downswung you don't actually have a big skull - you have suboptimal development. Removing bone to fix it will result in a loss of tissue support and accelerated facial aging so instead opt for anterior projection with CCW rotation.

View attachment 4587005
View attachment 4587006

Note how much smaller the ramus is in hyperdivergent profiles than hypodivergent - where we would expect just off the pretense of the name "short face syndrome" to have a shorter ramus than a "long face syndrome". Funny how MPA works.

Alveolar process height:

Very fucking underrated that barely anyone mentions this.

40% of your mandible height - therefore the thicker and taller this is the more LAFH you have.

View attachment 4585076

How far the roots of your teeth penetrate into the alveolar process is a key indicator to this - roots that penetrate less than half into it have great vertical height and thickness whereas roots that penetrate all the way are suboptimal.

View attachment 4585052

Extractions resorb the alveolar bone - bone grafts don't restore just prevent any further loss. However standard orthodontic extractions (2-4) will decrease the alveolar bone density but not significantly enough to affect LAFH. Note how her mandible ccw rotates when all teeth are lost causing a mega compact look.

Vertical Alveolar Distraction Osteogenesis - increases the height of the alveolar process by up to more than a cm but it's got a high complication rate of around 50% and is only currently done for people like the old woman above who have lost alot of alveolar bone - perhaps something to keep in mind in case you lose your teeth :forcedsmile:

Maybe in the future someone could invent something safer and better than this to augment the alveolar bone so our skulls can look like Cro Magnon or our Hunter Gatherer ancestors. Although I'm sure there are numerous other vectors to account for.

View attachment 4587194
View attachment 4587193
good thread little bit easier to understand than previous one
 
  • +1
Reactions: yussimania
HA paste for my ramus? ya or nah?
if you want a longer ramus yes but I don't think you need it based off what i remember
g

good thread little bit easier to understand than previous one


I rehoned it a bit in this version I posted to .com

basically the key point is that your gonial angle won't change in bimax unless you have long face syndrome or short face syndrome

1000094756

you can see for this LFS patient her gonial angle has changed although it's very obvious where thr cut was performed
1000093562

This SFS patient ascended hard and the step off is subtl

if you are neither of the 2 then don't worry about it
 
  • +1
Reactions: Nahorscend and nishka
Nice post
 
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Reactions: yussimania
Glossary:

MPA - Mandibular Plane Angle
LAFH - Lower Anterior Facial Height
CCW - Counter Clockwise
FHP - Frankfurt Horizontal Plane

Ramus height and MPA:

Gonion being lower than the Stomion when in the FHP is a good start - if it's above it then GG.

View attachment 4586843

There are different factors here with overall facial length - by increasing the ramus height superficially you don't actually change the LAFH. Ramus height is basically a prerequisite to MPA - if your ramus is too short your MPA usually compensates by becoming an obtuse angle but this makes you look retarded and downgrown.

View attachment 4586855

taken from this thread go rep it


As we can see above, the ramus height changes don't affect LAFH it's only the side view - having a balanced optimum of the gonion below the stomion but above the menton - for example the 2nd and 3rd morph there.

The only way to change ramus height in affecting the whole LAFH is to either do Inverted L osteotomy, a distraction osteogenesis or total joint replacement (lol) in conjunction with bimax. These kinda treatments are used on people with severe Idiopathic condylar resorption, micrognathia or asymmetry - so for many of us here we will NOT be getting this.

For overall skull aside from LAFH superficial ramus augmentation like implants can still add to the mog. However there are issues when using implants for height such as implant reveal and dehiscence.

My proposed alternative is to achieve ramus augmentation with hydroxyapatite paste as this won't cause the issues described above.

View attachment 4586875

looks natural and mogs implants (done with bimax as well)

Imo filler shouldn't be used to achieve this as it's inefficient - requires alot of it and causes a cantilever effect where filler is stacked on one another which no longer gives support as it isn't a rigid bone replicating material.

Unrelated sidenote but important to clear the matter:

For those with Long Face Syndrome or are downswung you don't actually have a big skull - you have suboptimal development. Removing bone to fix it will result in a loss of tissue support and accelerated facial aging so instead opt for anterior projection with CCW rotation.

View attachment 4587005
View attachment 4587006

Note how much smaller the ramus is in hyperdivergent profiles than hypodivergent - where we would expect just off the pretense of the name "short face syndrome" to have a shorter ramus than a "long face syndrome". Funny how MPA works.

Alveolar process height:

Very fucking underrated that barely anyone mentions this.

40% of your mandible height - therefore the thicker and taller this is the more LAFH you have.

View attachment 4585076

How far the roots of your teeth penetrate into the alveolar process is a key indicator to this - roots that penetrate less than half into it have great vertical height and thickness whereas roots that penetrate all the way are suboptimal.

View attachment 4585052

Extractions resorb the alveolar bone - bone grafts don't restore just prevent any further loss. However standard orthodontic extractions (2-4) will decrease the alveolar bone density but not significantly enough to affect LAFH. Note how her mandible ccw rotates when all teeth are lost causing a mega compact look.

Vertical Alveolar Distraction Osteogenesis - increases the height of the alveolar process by up to more than a cm but it's got a high complication rate of around 50% and is only currently done for people like the old woman above who have lost alot of alveolar bone - perhaps something to keep in mind in case you lose your teeth :forcedsmile:

Maybe in the future someone could invent something safer and better than this to augment the alveolar bone so our skulls can look like Cro Magnon or our Hunter Gatherer ancestors. Although I'm sure there are numerous other vectors to account for.

View attachment 4587194
View attachment 4587193
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