CCW rotation of the mandible and maxilla

Ziov

Ziov

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Is CCW rotation of the mandible and maxilla possible after 18yo with orthodontics like for example does a MARPE improve it or ive read some things about facemask? Or is bimax the only way.

Ive got good bonemass but its downward grown a bit giving me a unideal gonial angle + subpar submental fat / hyoid muscles.
My frontal harmony is pretty good though so idk if i should fix it. Face can look a little long and jaw too obtuse though.

Recessed infras.

Could do with a little more forward growth on the zygomas like 1-2mm.

Nose isnt crooked but has a very slight bump.

I think my palatal width could also be a little bit better as i still have slight dark corners in my mouth. (Ive had a teeth anchored palatal expander when i was 15).
My palate might also be unevenly expanded.

Might have slight mandibular assymetry.

Have slight nct + scleral show.
 
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ccw rotation bimax is the only way.

Osteotomies and implants. Palate expander allows for horizontal palate growth along the midpalattal suture, it wont really influence your other planes
 
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ccw rotation bimax is the only way.

Osteotomies and implants. Palate expander allows for horizontal palate growth along the midpalattal suture, it wont really influence your other planes
Ive also heard of facemask. Its a sort of headgear where they surgically anchor it into your maxilla through the pallate to pull it forward.
 
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Ive also heard of facemask. Its a sort of headgear where they surgically anchor it into your maxilla through the pallate to pull it forward.
Lol haven't seen any results and its been 10 years

Mike Mew is done
 
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Without surgery, the best you can do with appliances is no-very minimal change lol, after the sutures close you cant rlly move the maxilla in any direction
 
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Ive also heard of facemask. Its a sort of headgear where they surgically anchor it into your maxilla through the pallate to pull it forward.
not gonna work buddy boyo, from your thread you are saying your 18 which is WELL over the ideal range for the headgear to show even noticeable results
 
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Is CCW rotation of the mandible and maxilla possible after 18yo with orthodontics like for example does a MARPE improve it or ive read some things about facemask? Or is bimax the only way.

Ive got good bonemass but its downward grown a bit giving me a unideal gonial angle + subpar submental fat / hyoid muscles.
My frontal harmony is pretty good though so idk if i should fix it. Face can look a little long and jaw too obtuse though.

Recessed infras.

Could do with a little more forward growth on the zygomas like 1-2mm.

Nose isnt crooked but has a very slight bump.

I think my palatal width could also be a little bit better as i still have slight dark corners in my mouth. (Ive had a teeth anchored palatal expander when i was 15).
My palate might also be unevenly expanded.

Might have slight mandibular assymetry.

Have slight nct + scleral show.
Bimax
 
Is CCW rotation of the mandible and maxilla possible after 18yo with orthodontics like for example does a MARPE improve it or ive read some things about facemask? Or is bimax the only way.

Ive got good bonemass but its downward grown a bit giving me a unideal gonial angle + subpar submental fat / hyoid muscles.
My frontal harmony is pretty good though so idk if i should fix it. Face can look a little long and jaw too obtuse though.

Recessed infras.

Could do with a little more forward growth on the zygomas like 1-2mm.

Nose isnt crooked but has a very slight bump.

I think my palatal width could also be a little bit better as i still have slight dark corners in my mouth. (Ive had a teeth anchored palatal expander when i was 15).
My palate might also be unevenly expanded.

Might have slight mandibular assymetry.

Have slight nct + scleral show.
@anjixzz made a really good post on ccw rotation read it
 

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