Is there anyway to widen lower arch other than MSDO?

Sicilian Cyclops

Sicilian Cyclops

59mm IPD Mogger
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MSDO seems like a shit surgery ngl. too unstable and makes your gonians more inwards + has a change to give you TMD.
 
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Necrobump tbf..

but yea wondering how to not make gonians more narrow while doing msdo. Would holding them in place via a device do anything or just rape your tmjs.
I need to get expansion but can’t afford losing gonian and mandible width
 
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Necrobump tbf..

but yea wondering how to not make gonians more narrow while doing msdo. Would holding them in place via a device do anything or just rape your tmjs.
I need to get expansion but can’t afford losing gonian and mandible width
I was doing some research and apparently some surgeons perform a 2 piece BSSO, where they do a normal BSSO cut plus a midline cut and widen it manually. it does all the widening of MSDO without making the gonians more inward + it's more stable as it doesn't use the condyles/TMJs as an anchoring hinge point. only problem is that it's expensive af and only a few perform it.
 
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I was doing some research and apparently some surgeons perform a 2 piece BSSO, where they do a normal BSSO cut plus a midline cut and widen it manually. it does all the widening of MSDO without making the gonians more inward + it's more stable as it doesn't use the condyles/TMJs as an anchoring hinge point. only problem is that it's expensive af and only a few perform it.
I’ll keep it in mind. Cost?
 
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I was doing some research and apparently some surgeons perform a 2 piece BSSO, where they do a normal BSSO cut plus a midline cut and widen it manually. it does all the widening of MSDO without making the gonians more inward + it's more stable as it doesn't use the condyles/TMJs as an anchoring hinge point. only problem is that it's expensive af and only a few perform it.
that sounds cool
 
MSDO seems like a shit surgery ngl. too unstable and makes your gonians more inwards + has a change to give you TMD.
SMO,BMBO etc. there are a lot of alternatives to widen your lower arch but most of them aren’t really effective since it’s a risky surgery in general.
 
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