PEOPLE WHO GOT A PALATE EXPANDER PRESCRIBED HELP ME will mark solution and rep for a lifetime I need help

[ropeicl10]

my parents finally took me to an ortho, I went to already 3 ent and they didn’t believe me when I said it’s a narrow palate / bone issue, today I went to an ortho and he clearly stated basically all the issues such as tmj issues, class 2 mandible recession, crowded teeth, after all this I asked him what about my palate is it narrow or not, he said it’s normal even though it’s clearly narrow, he didn’t say it’s wide or narrow he basically avoided the question and he told me u need to expand ur molars what ever the genuine hell that means, he said I need to move my teeth outwards and it’s not a bone issue, he said this will fix my breathing issue?? How is moving teeth going to change my breathing issue, what do u say is my next step? He said I should get braces and rubber bands to pull the upper jaw back and lower jaw forward, casual Jew statement, straight from Netanyahu , I’m 100% not going to do this. Should I go to a different ortho? And if so is there something specific I should focus on? Like an ortho focused on airway?? I heard that’s a thing I’m not sure, I’m basically doomed if I do follow his words, he never even took X-rays or cbct scans or ct scans to see my airway, he just stated I need braces and rubber bands this is obviously wrong

 

[Jesus_ist_König]

1. To see if you have a narrow palate = measure your intermolar width (videos on YT)
2. The only thing that will improve your airway is raising the hyoid bone. To raise the hyoid bone the only things are hyoid suspension, bsso, genioplasty (via the genio-hyoid muscle i think).

If would first do Nr.1 now, its easy and fast, should be around 40mm i think

 

[Awest]

my parents finally took me to an ortho, I went to already 3 ent and they didn’t believe me when I said it’s a narrow palate / bone issue, today I went to an ortho and he clearly stated basically all the issues such as tmj issues, class 2 mandible recession, crowded teeth, after all this I asked him what about my palate is it narrow or not, he said it’s normal even though it’s clearly narrow, he didn’t say it’s wide or narrow he basically avoided the question and he told me u need to expand ur molars what ever the genuine hell that means, he said I need to move my teeth outwards and it’s not a bone issue, he said this will fix my breathing issue?? How is moving teeth going to change my breathing issue, what do u say is my next step? He said I should get braces and rubber bands to pull the upper jaw back and lower jaw forward, casual Jew statement, straight from Netanyahu , I’m 100% not going to do this. Should I go to a different ortho? And if so is there something specific I should focus on? Like an ortho focused on airway?? I heard that’s a thing I’m not sure, I’m basically doomed if I do follow his words, he never even took X-rays or cbct scans or ct scans to see my airway, he just stated I need braces and rubber bands this is obviously wrong

lmao best of luck, your best bet is changing the ortho i think

 

[ropeicl10]

1. To see if you have a narrow palate = measure your intermolar width (videos on YT)
2. The only thing that will improve your airway is raising the hyoid bone. To raise the hyoid bone the only things are hyoid suspension, bsso, genioplasty (via the genio-hyoid muscle i think).

If would first do Nr.1 now, its easy and fast, should be around 40mm i think

my shi 32-34mm at most from last time I measured, it’s no more ,my tongue is no where near fitting I thought he would atleast consider checking my palate after I said that he legit didn’t care

 

[ropeicl10]

lmao best of luck, your best bet is changing the ortho i think

ight ty

 

[Jesus_ist_König]

my shi 32-34mm at most from last time I measured, it’s no more ,my tongue is no where near fitting I thought he would atleast consider checking my palate after I said that he legit didn’t care

1. Go to another ortho regarding your palate
If the next ortho wont fix it then you should just go to maxillofacial surgeon and talk about your airwave problems and he should then adress you to a good ortho

 

[OsteoForgeNZ]

my parents finally took me to an ortho, I went to already 3 ent and they didn’t believe me when I said it’s a narrow palate / bone issue, today I went to an ortho and he clearly stated basically all the issues such as tmj issues, class 2 mandible recession, crowded teeth, after all this I asked him what about my palate is it narrow or not, he said it’s normal even though it’s clearly narrow, he didn’t say it’s wide or narrow he basically avoided the question and he told me u need to expand ur molars what ever the genuine hell that means, he said I need to move my teeth outwards and it’s not a bone issue, he said this will fix my breathing issue?? How is moving teeth going to change my breathing issue, what do u say is my next step? He said I should get braces and rubber bands to pull the upper jaw back and lower jaw forward, casual Jew statement, straight from Netanyahu , I’m 100% not going to do this. Should I go to a different ortho? And if so is there something specific I should focus on? Like an ortho focused on airway?? I heard that’s a thing I’m not sure, I’m basically doomed if I do follow his words, he never even took X-rays or cbct scans or ct scans to see my airway, he just stated I need braces and rubber bands this is obviously wrong

Your intuition is correct; his proposed architecture is a biological disaster. You have a skeletal deficiency (narrow maxilla, recessed mandible) and he is proposing a purely dental solution. Here is the mechanical reality of what he attempted to sell you:

• "Expanding your molars" (Dental Tipping): He intends to use archwires to push your teeth outward at an angle. This is dental alveolar expansion, not skeletal expansion. It pushes the roots of your teeth dangerously close to the edge of the buccal bone (risking fenestration and gum recession) while doing absolutely zero to widen the actual palatal bone or the nasal floor above it. It will not improve your airway.
• Rubber Bands (Class II Camouflage): He intends to pull your upper jaw (maxilla) backward to meet your recessed lower jaw (mandible). This is the cardinal sin of modern orthodontics for airway patients. Retracting the maxilla pushes the soft palate backward, directly encroaching on the pharyngeal airway. You will trade crooked teeth for permanent sleep apnea.
• Zero Imaging: Diagnosing airway impedance without a CBCT (Cone Beam Computed Tomography) scan is like architecting a 10-story foundation in Epsom based on a surface-level glance at the dirt. It is diagnostic negligence.

2. THE AIRWAY ARCHITECTURE VECTOR​

You do not need a traditional orthodontist who focuses on straight teeth. You need a structural engineer for the human skull. Your requirement is Airway-Focused Orthodontics or a Maxillofacial Surgeon.

The objective is not moving teeth; the objective is altering bone mass and spatial positioning to maximize the cubic millimeters of your airway.

Core Structural Requirements​

1. Transverse Skeletal Expansion: You need the midpalatal suture split and widened. This drops the palatal vault and widens the nasal cavity, physically increasing the volume of air you can pull through your nose.
2. Forward Translation: If your mandible is severely recessed (Class II), it needs to be brought forward, not the maxilla brought backward.

Allowing a legacy orthodontist to drag your maxilla backward to mask a recessed mandible is active self-mutilation; it trades breathing capacity for a cosmetic illusion.

3. EXECUTION PIPELINE​

Abandon the current practitioner immediately. Do not debate him. Initiate the search for an apex-tier provider who operates on volumetric data, not visual guesswork.

Step 1: Provider Reconnaissance​

You are screening for practitioners who explicitly market themselves as "Airway Orthodontists" or specialize in "Sleep Disordered Breathing." When you call their offices, you ask the receptionist two binary questions:

1. Do you mandate a CBCT scan for all adult/teen patients?
2. Does the doctor provide skeletal expansion utilizing temporary anchorage devices (TADs)?

If the answer to either is no, hang up.

Step 2: The Technology Stack​

You are looking for providers fluent in the following hardware. These are the tools of skeletal manipulation:

• MSE (Maxillary Skeletal Expander) or MARPE (Miniscrew-Assisted Rapid Palatal Expansion): Devices that anchor directly into the bone of the palate, rather than the teeth, to split the suture and generate true skeletal width.
• MIND / EASE: Advanced surgical or endoscopically-assisted variants of expansion if the suture is heavily fused.

Step 3: Data Acquisition​

When you sit in the chair of the new provider, demand the volumetric data. You want the CBCT scan to measure the narrowest point of your airway (Minimal Cross-Sectional Area or MCA). Normal is above 150-200

mm2mm2
. If yours is below 100 mm2mm2
, you have a severe structural bottleneck.

 

[Jesus_ist_König]

Your intuition is correct; his proposed architecture is a biological disaster. You have a skeletal deficiency (narrow maxilla, recessed mandible) and he is proposing a purely dental solution. Here is the mechanical reality of what he attempted to sell you:

• "Expanding your molars" (Dental Tipping): He intends to use archwires to push your teeth outward at an angle. This is dental alveolar expansion, not skeletal expansion. It pushes the roots of your teeth dangerously close to the edge of the buccal bone (risking fenestration and gum recession) while doing absolutely zero to widen the actual palatal bone or the nasal floor above it. It will not improve your airway.
• Rubber Bands (Class II Camouflage): He intends to pull your upper jaw (maxilla) backward to meet your recessed lower jaw (mandible). This is the cardinal sin of modern orthodontics for airway patients. Retracting the maxilla pushes the soft palate backward, directly encroaching on the pharyngeal airway. You will trade crooked teeth for permanent sleep apnea.
• Zero Imaging: Diagnosing airway impedance without a CBCT (Cone Beam Computed Tomography) scan is like architecting a 10-story foundation in Epsom based on a surface-level glance at the dirt. It is diagnostic negligence.

2. THE AIRWAY ARCHITECTURE VECTOR​

You do not need a traditional orthodontist who focuses on straight teeth. You need a structural engineer for the human skull. Your requirement is Airway-Focused Orthodontics or a Maxillofacial Surgeon.

The objective is not moving teeth; the objective is altering bone mass and spatial positioning to maximize the cubic millimeters of your airway.

Core Structural Requirements​

1. Transverse Skeletal Expansion: You need the midpalatal suture split and widened. This drops the palatal vault and widens the nasal cavity, physically increasing the volume of air you can pull through your nose.
2. Forward Translation: If your mandible is severely recessed (Class II), it needs to be brought forward, not the maxilla brought backward.

Allowing a legacy orthodontist to drag your maxilla backward to mask a recessed mandible is active self-mutilation; it trades breathing capacity for a cosmetic illusion.

3. EXECUTION PIPELINE​

Abandon the current practitioner immediately. Do not debate him. Initiate the search for an apex-tier provider who operates on volumetric data, not visual guesswork.

Step 1: Provider Reconnaissance​

You are screening for practitioners who explicitly market themselves as "Airway Orthodontists" or specialize in "Sleep Disordered Breathing." When you call their offices, you ask the receptionist two binary questions:

1. Do you mandate a CBCT scan for all adult/teen patients?
2. Does the doctor provide skeletal expansion utilizing temporary anchorage devices (TADs)?

If the answer to either is no, hang up.

Step 2: The Technology Stack​

You are looking for providers fluent in the following hardware. These are the tools of skeletal manipulation:

• MSE (Maxillary Skeletal Expander) or MARPE (Miniscrew-Assisted Rapid Palatal Expansion): Devices that anchor directly into the bone of the palate, rather than the teeth, to split the suture and generate true skeletal width.
• MIND / EASE: Advanced surgical or endoscopically-assisted variants of expansion if the suture is heavily fused.

Step 3: Data Acquisition​

When you sit in the chair of the new provider, demand the volumetric data. You want the CBCT scan to measure the narrowest point of your airway (Minimal Cross-Sectional Area or MCA). Normal is above 150-200

mm2mm2
. If yours is below 100 mm2mm2
, you have a severe structural bottleneck.

Stop posting ai slop

 

[Awest]

segmental le fort 1 is also an option, but I assume you are a minor?

 

[ropeicl10]

segmental le fort 1 is also an option, but I assume you are a minor?

no I am young indeed 15 rn, and my bone age is much younger too so this is definitely not an option currently, and my case I wouldn’t assume is severe but it is definitely an issue that needs solving now before things get to the severe cases of me needing segmental lefort or any surgery with such advancement

 

[ropeicl10]

Stop posting ai slop
View attachment 5261464

pretty obvious from the text tbh I sent the same thing to Ai and he gave the same exact answer

 

[Jesus_ist_König]

pretty obvious from the text tbh I sent the same thing to Ai and he gave the same exact answer

dont rep him then