so the alveolar ridge determines the shape of the philtrum and big part of the nasolabial angle?

[paulie_walnuts]

definition:

The alveolar ridge (/ˌælviˈoʊlər, ælˈviːələr, ˈælviələr/;[1] also known as the alveolar margin) is one of the two jaw ridges, extensions of the mandible or maxilla, either on the roof of the mouth between the upper teeth and the hard palate or on the bottom of the mouth behind the lower teeth.

A sagittal or side view image of a human head. The upper alveolar ridge is located between numbers 4 and 5.

nasolabial angle:

now look at this. notice how is nasolabial angle decreased because the philtrum got moved forward? he didnt get jaw surgery but used a device AGGA which apparently only moves (remodel ) the alveolar ridge forward

You have few things off in this post, but in general I agree with what you are saying.

The thing most people have to understand is that fagga develops the alveolar bone forward and then CA braces +FRLA develop it sideways.

For people such as yourself, where the alveolar ridge is fully developed this treatment isn't going to achieve much except change the angulation of the teeth and at worst move them out of bone.

In this case you need skeletal expansion which MSE and surgery can provide.

Good luck with your next endeavor and take your time researching and learning everything. If you need any help let me know.

What is the alveolar ridge? How do you know if it is fully developed in a person? Is it fully developed in all adults? Why don't dentists recognize this before treating patients with AGGA? Are you a dentist? Where have you gotten these ideas from?

Welcome, and no I am not a dentist but I have collaborated with over 10 orthodontists and dentists including a couple of professors and a couple of fagga practitioners.

The information I provide is based on allot of critical questioning and research. Most of my research can be found on my blog and as I continue to add new posts you will see fagga covered more extensively.

I will cover all the questions you asked in an upcoming post and briefly analyze your case, but still will answer your questions briefly.

The alveolar ridge is the bone that houses the teeth. You can think of it as the teeth sockets. When you open your mouth its above your upper teeth and below your lower teeth covered in gum.

It extends up to the end of the roots and is considered part of the maxilla but comprises no more than one third of it's length.

Unlike the skeletal upper two thirds of the maxilla the alveolar bone is malleable and can respond well to stimulation. Put a small light wire over the teeth and it will respond by expanding.

It does that by remolding, not growth. Meaning the existing bone is resorbed from the inside and placed on the outside to expand the arch and allow the tooth to move outward. The opposite can happen when retracting teeth.

The fagga appliance applies stimulation to this bone to achieve forward expansion. It's so good at that that some consider its effect growth. Its a adding new bone to the alveolar ridge. That certainly seems the case with some of the massive expansion cases we have seen where 12mm of forward of expansion and more is achieved. Though nothing is confirmed.

There are however, natural limits to how much you can expand the alveloar bone. You just can't keep expanding it as much as you like. There are limits set by the skeletal structure.

Galala and his friends at LVI counter by claiming that fagga can achieve full remolding and growth in the entire maxilla. That's such a bold claim to make. Orthodontists have been trying for decades to influence the skeletal structure with no avail. For them to claim they are changing it with fagga and provide no evidence is such a silly thing to claim. I am surprised the American Board of Orthodontics hasn't busted them over this.

And this brings us to another important point, expanding the alveolar ridge is nothing new. Every orthodontist knows it can be done. That why they always ask when I show them fagga "how are they going to retain the expansion, and expand the lower jaw?".

See most of them do not dispute the fact that fagga can move the alveolar ridge forward. It' just that they ask whats the point if its going to relapse afterwards?

You see the entire field of traditional orthodontics operates on one pretty consistent fact: when you expand the alveolar ridge it eventually relapses back. Galela argues that he is teaching his patients correct oral function and posture and this will stabilize the results. It would nice for this to happen.

But either way this does not help people who already have forward developed alveolar ridge as in your case. In your case the tongue has already pushed the alveolar ridge and teeth forward as much as possible for lack of skeletal development.

You can tell this by looking at your nasolabial angle. Its the angle between the bottom of your nose and upper lip. See this link to know what it is.

Case Analysis: Recessed Versus Forward Faces - My Posture and Orthodontics Blog

Looking at this picture it’s not really hard to tell the extent of growth on both faces. Most people would correctly identify the left face as recessed and the right one as forward, but how exactly is such difference determined? For many, the lower jawline is the giveaway. While this is...

www.aljabri.com

You started treatment at 90° and above. With your particular phenotype that is a sign that your alveolar ridge is fully developed to its maximum potential. This of course can be confirmed with the angulation of your teeth relative to the palatal plane in your maxilla.

I hope this clarifies few things and when I get a chance to finish writing my post I will share it with you.

AGGA is NOT the Holy Grail of Adult Orthodontics — RONALD EAD

In this article I will explain why I no longer believe that AGGA is the “Holy Grail” of adult orthodontics. In prior articles I have praised AGGA heavily. The present article provides my current, more nuanced view of AGGA. AGGA only accomplishes forward maxillary expansion. AGGA definitely

ronaldead.com

that is an interesting find imho

because if people get a lefort 1 their nasolabial angle often increases because the nasal tip gets more upturned - notice how ended up looking worse because of this

studies assessing three-dimensional photogrammetric images pre and post-operatively (7, 14, 15) show maxillary advancement leads to significant increases in alar base, interalar and nostril widths, nasolabial angle (15), soft triangle, nasal tip, columella and upper lip projection

In predicting the change in the nasolabial angle it is helpful to consider it as being composed of two components; hence, the overall alteration will depend on the changes in the columella angle (i.e. upturning of the nasal tip) and the change in the inclination of the upper lip, Figure 6 (16). For instance, in maxillary advancement procedures the upper lip would be advanced leading to a reduction in the lower component but if there is considerable upturning of the nasal tip there would be an increase in the upper component and the overall resultant effect is most commonly an increase in the nasolabial angle (7, 15). There tends to be a decrease in the nasolabial angle following maxillary impaction, which can also be coupled with deepening and accentuation of the nasolabial groove. On the other hand, inferior and/ or posterior repositioning of the maxilla causes an increase in the nasolabial angle

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5750828/

 

[reptiles]

Thank's for this i'm trying to find out all the harmony