I’m getting mse what should I ask ortho

[Deleted member 23218]

I have a consultation saturgday

 

[Deleted member 19620]

Usually it’s pointless. Most people who need MSE are Lefort 1 candidates.

 

[Deleted member 23218]

Usually it’s pointless. Most people who need MSE are Lefort 1 candidates.

Brootal. I wanna get invasalign to fix my teeth that why is going to ortho but I have 8 tooth smile I want 12

 

[rand anon]

Brootal. I wanna get invasalign to fix my teeth that why is going to ortho but I have 8 tooth smile I want 12

Wouldn't invisalign come after mse in that case?

I'm currently using invisalign btw, shit is annoying I wish I just got braces, I only wear the aligners at night

 

[Deleted member 23218]

Wouldn't invisalign come after mse in that case?

I'm currently using invisalign btw, shit is annoying I wish I just got braces, I only wear the aligners at night

Yea after. I dunno if I’m a candiadate yet I’m gonna ask but I think I have narrow palate. I just want smile gains tbh

 

[Deleted member 1901]

I don’t know why users are against MSE. Functional gain, palate gain, and subtle but natural-looking gain in multiple features like cheek bones and mouth. If I was getting it I would ask to get as much expansion as you can so you get the most benefit out of it.

 

[Deleted member 23218]

I don’t know why users are against MSE. Functional gain, palate gain, and subtle but natural-looking gain in multiple features like cheek bones and mouth. If I was getting it I would ask to get as much expansion as you can so you get the most benefit out of it.

I already have wide zygos tho so I’m scared of over expanding. I will be conservative

 

[Deleted member 23218]

I

I don’t know why users are against MSE. Functional gain, palate gain, and subtle but natural-looking gain in multiple features like cheek bones and mouth. If I was getting it I would ask to get as much expansion as you can so you get the most benefit out of it.

want smile gains mostly

 

[Deleted member 1901]

I already have wide zygos tho so I’m scared of over expanding. I will be conservative

What’s your ES ratio?

 

[Deleted member 23218]

What’s your ES ratio?

What’s that

 

[Deleted member 1901]

What’s that

IPD/bizygomatic width

 

[Deleted member 23218]

IPD/bizygomatic width

You mean my bingonial?

 

[Deleted member 1901]

You mean my bingonial?

No, bizygomatic

 

[Deleted member 23218]

No, bizygomatic

My Es is .45

 

[Deleted member 23218]

No, bizygomatic

I need to calculate that how should I?

 

[Deleted member 1901]

I need to calculate that how should I?

*For es ratio. Just use website below and adjust the lines if necessary

http://looksrate.rf.gd/?i=1

 

[Deleted member 1901]

I need to calculate that how should I?

If you want an actual measurement, just use a measuring tape

 

[Deleted member 24427]

IPD/bizygomatic width

mine is 0.46 but still narrow palate

 

[Deleted member 23218]

*For es ratio. Just use website below and adjust the lines if necessary

http://looksrate.rf.gd/?i=1

I used this site for Es but not bizygo

 

[RAMU KAKA]

Wouldn't invisalign come after mse in that case?

I'm currently using invisalign btw, shit is annoying I wish I just got braces, I only wear the aligners at night

Why do you think its annoying?

 

[canon5d]

Usually it’s pointless. Most people who need MSE are Lefort 1 candidates.

MSE expands the palate and nasal airway much more than lefort one unless the lefort is a 3 way segmented. Even then a 3 way lefort wont produce the expansion up the length of the nasal volume the way an MSE will. The optimal procedure in many cases is to get MSE, then follow up with MMA.

 

[canon5d]

I

want smile gains mostly

MSE is spectacular for that, though many orthos will want a health/breathing/occlusion reason for providing MSE as aesthetic reasons are subjective and patients can be uncomfortable with changes to their appearance, even if the changes are objectively an improvement to outsiders.

 

[canon5d]

As for what to ask.

What planning do they do for an MSE?
Does it include CBCT imaging before and after?
How do they deal with asymmetry?
What if the palate doesn't split?

That's just off the top of my head, not an exhaustive list.

 

[rand anon]

Why do you think its annoying?

Gotta take them out every time you eat. Every time you hve to switch aligners it’s a fucking struggle. Lastly, it gives me a lisp. Braces mog

 

[Deleted member 23218]

MSE expands the palate and nasal airway much more than lefort one unless the lefort is a 3 way segmented. Even then a 3 way lefort wont produce the expansion up the length of the nasal volume the way an MSE will. The optimal procedure in many cases is to get MSE, then follow up with MMA.

What is MMA?

 

[Deleted member 23218]

As for what to ask.

What planning do they do for an MSE?
Does it include CBCT imaging before and after?
How do they deal with asymmetry?
What if the palate doesn't split?

That's just off the top of my head, not an exhaustive list.

Thanks man. What about expanding the lower jaw could that be necacarry?

 

[canon5d]

What is MMA?

Maxillomandibular Advancement - double jaw surgery. MSE expands laterally, the MMA expands forward.

 

[Deleted member 23218]

Gotta take them out every time you eat. Every time you hve to switch aligners it’s a fucking struggle. Lastly, it gives me a lisp. Braces mog

Braces will make you look like a child tho

 

[rand anon]

Braces will make you look like a child tho

Clear ones aren’t too bad

 

[Deleted member 23218]

Maxillomandibular Advancement - double jaw surgery. MSE expands laterally, the MMA expands forward.

Will I need a bimax if I get mse?

 

[canon5d]

Thanks man. What about expanding the lower jaw could that be necacarry?

Usually they can make the lower teeth tilt to match the expansion of the upper jaw. There are one or two rothos who expand the lower jaw along with the upper when doing MSE but its rare. Most people dont need it.

 

[Deleted member 23218]

Usually they can make the lower teeth tilt to match the expansion of the upper jaw. There are one or two rothos who expand the lower jaw along with the upper when doing MSE but its rare. Most people dont need it.

Thanks for the reply. I will ask about mse tommorow and see

 

[rand anon]

Will I need a bimax if I get mse?

Mse will only widen ur palate, and maybe help with ipd and jaw width. Bimax is to fix recession

 

[canon5d]

Will I need a bimax if I get mse?

Not unless you already need it. Look at your profile, is your upper lip further forward than your forehead? In that case and no sleep breathing issues then probably not.

 

[Deleted member 23218]

I

Not unless you already need it. Look at your profile, is your upper lip further forward than your forehead? In that case and no sleep breathing issues then probably not.

ll ask my ortho to see

 

[rand anon]

@HimmyButler ask ur sister for a rate when u get a chance pls

 

[Deleted member 23218]

@HimmyButler ask ur sister for a rate when u get a chance pls

Il@ try

 

[Deleted member 8758]

I have a consultation saturgday

My suggestion is to have conservative expansion. I got 8 mm when the ortho said 6mm and now I think it was too much. I discovered that my feeling of being boneless was partly due to have not payed attention to my facial bloat. Dehydrate for a few days before considering if you want wide expansion. It might affect your ability for hollow cheeks.

In my experience MSE only has a tiny net positive, there are changes but they were more of a trade-off. Your midface might become flatter due to more surface area for skin. Id have done 5-6mm if I were to do it again since I STILL have a cross bite dealing with invisalign.

Also consider if you have maxillary cant. If one side droops more than the other, the drooping side will drop even more.

Also facepulling is a meme if you are not flat faced.

 

[Deleted member 23218]

My suggestion is to have conservative expansion. I got 8 mm when the ortho said 6mm and now I think it was too much. I discovered that my feeling of being boneless was partly due to have not payed attention to my facial bloat. Dehydrate for a few days before considering if you want wide expansion. It might affect your ability for hollow cheeks.

In my experience MSE only has a tiny net positive, there are changes but they were more of a trade-off. Your midface might become flatter due to more surface area for skin. Id have done 5-6mm if I were to do it again since I STILL have a cross bite dealing with invisalign.

Also consider if you have maxillary cant. If one side droops more than the other, the drooping side will drop even more.

Also facepulling is a meme if you are not flat faced.

How do you facepull and what do you do if you have maxillary can’t?

 

[Sondern]

Usually it’s pointless. Most people who need MSE are Lefort 1 candidates.

Imagine spewing this garbage. No one’s getting lefort

 

[Deleted member 8758]

How do you facepull and what do you do if you have maxillary can’t?

There are molar bands that have attachment sides, you use certain rubber bands that stretch but also have resistance. You'll end up wearing an autistic appliance like a facebow or neckbrace.

Not much you can do except osteotomies for maxillary cant.

 

[Deleted member 23218]

As for what to ask.

What planning do they do for an MSE?
Does it include CBCT imaging before and after?
How do they deal with asymmetry?
What if the palate doesn't split?

That's just off the top of my head, not an exhaustive list.

My suggestion is to have conservative expansion. I got 8 mm when the ortho said 6mm and now I think it was too much. I discovered that my feeling of being boneless was partly due to have not payed attention to my facial bloat. Dehydrate for a few days before considering if you want wide expansion. It might affect your ability for hollow cheeks.

In my experience MSE only has a tiny net positive, there are changes but they were more of a trade-off. Your midface might become flatter due to more surface area for skin. Id have done 5-6mm if I were to do it again since I STILL have a cross bite dealing with invisalign.

Also consider if you have maxillary cant. If one side droops more than the other, the drooping side will drop even more.

Also facepulling is a meme if you are not flat faced.

Thoughts on this @canon5d

 

[canon5d]

Thoughts on this @canon5d

These kind of aesthetic concerns are really dependent on what your are starting with. It's too complex to get into without visual reference. Patients expanding more than the ortho recommends and then regretting it is quite a common story. MSE has a tendency to accentuate any existing symmetry, such as a cant. Again it all comes down to your face.

 

[5'7 zoomer]

Get a good ortho with MSE experience, ask him how many cases he's had in total minimum 250 is safe