The Complete Guide to Self-Installing MSE

[Soalian]

How do I choose expansion screws size (8mm/10mm/12mm) ? Thanks.

 

[letsdoit]

This is crazy, i’m having trouble understanding how to get a successful expansion without going ogre in the nose and this guy is so high IQ that he self installed an MSE on himself, takes orthos 6 months or longer to learn lol

 

[Deleted member 13710]

This shit is cancer. MSE, Lefort 2, orbital box osteotomy, this is all shit for basement dwellers.

 

[brock]

This is legitimately insane. You’re gonna die of infection or fuck something up. Do you think the average user here has the IQ to pull it off?

Go to a doctor jfc

 

[letsdoit]

This shit is cancer. MSE, Lefort 2, orbital box osteotomy, this is all shit for basement dwellers.

What do you advise someone to do with a 30 IMW Narrow palate with breathing and sleep issues?

 

[Deleted member 13710]

What do you advise someone to do with a 30 IMW Narrow palate with breathing and sleep issues?

Lefort 1 (usually with BSSO) is the jaw surgery type that treats sleep apnea in most cases. Exotic surgeries like Lefort 2/3 and OBO are only performed on extremely deformed people, usually under 10 years old--and 1 user on this site for $80,000, if you choose to believe his story. If your teeth line up but your palate is narrow, there is not much you can do without trying very experimental treatment methods that will likely make your face look lopsided and ugly.

 

[letsdoit]

Lefort 1 (usually with BSSO) is the jaw surgery type that treats sleep apnea in most cases. Exotic surgeries like Lefort 2/3 and OBO are only performed on extremely deformed people, usually under 10 years old--and 1 user on this site for $80,000, if you choose to believe his story. If your teeth line up but your palate is narrow, there is not much you can do without trying very experimental treatment methods that will likely make your face look lopsided and ugly.

My situation is weird.. I started hard mewing and chewing so I am not recessed at all and probably would get denied for a Lefort 1 now with everything I’ve done, literally all I need is a bigger palate and better nasal cavity, I just need some type of expansion 10mm at most.
My occlusion is normal.

Are you referring to the MSE as experimental treatments that can make my face lopsided and ugly?

 

[Deleted member 13710]

Are you referring to the MSE as experimental treatments that can make my face lopsided and ugly?

Yes.

 

[letsdoit]

Yes.

Calling it experimental is kind of absurd, the two providers near me do 300 cases a year now. But I am indeed afraid of ruining my aesthetics from it..
Just want the breathing and sleep gains

 

[Deleted member 13710]

Calling it experimental is kind of absurd, the two providers near me do 300 cases a year now. But I am indeed afraid of ruining my aesthetics from it..
Just want the breathing and sleep gains

First of all, there is a big difference between palate expansion on children (pretty standard) and adults (experimental).

Adult palate expansion will be experimental until it is done many times on many people and multiple decades have passed to see the long-term effects.

When I researched MSE, I could find about 5 adults who had tried it and had posted [mostly bad-quality] pictures. That is a very experiment method as far as I'm concerned.

 

[letsdoit]

First of all, there is a big difference between palate expansion on children (pretty standard) and adults (experimental).

Adult palate expansion will be experimental until it is done many times on many people and multiple decades have passed to see the long-term effects.

When I researched MSE, I could find about 5 adults who had tried it and had posted [mostly bad-quality] pictures. That is a very experiment method as far as I'm concerned.

So obviously I can't wait multiple decades LOL, and no actually kids get an RPE instead of an MSE, so these oaths doing 300-400 a year.. are all adults...
I do believe you have to go to someone who is extremely experience with MSE tho. Look up MSE reddit and MSE Youtube.
When I look up RPE in kids I only find 8-10 cases but there are hundreds of thousands a year..
Weren't you talking to @MSEinvestigator about this as well in another thread?

 

[letsdoit]

First of all, there is a big difference between palate expansion on children (pretty standard) and adults (experimental).

Adult palate expansion will be experimental until it is done many times on many people and multiple decades have passed to see the long-term effects.

When I researched MSE, I could find about 5 adults who had tried it and had posted [mostly bad-quality] pictures. That is a very experiment method as far as I'm concerned.

Why do you hate MSE so much? Some people who are narrow but not recessed need it..

 

[heightmaxxer1133]

@Use1ess

 

[Rigged]

This guide is not recommending you to self install, it is simply to help other determined users who will install MSE regardless of what anyone says succeed. If you have not seriously contemplated getting MSE, are not sufficiently knowledgeable about it, not above 110 IQ, or have not been denied by an Orthodontist for getting MSE -

DO NOT FUCKEN TRY THIS, I AM NOT RESPONSIBLE IF YOU DO SOMETHING RETARDED


What you will need:

MSE Starter kit

8MM - https://www.greatlakesdentaltech.com/mse-type-2-acr-screw-1,8mm-x-11mm_281-025.html

10MM - https://www.greatlakesdentaltech.com/mse-type-2-refill-kit-8mm_281-011.html

12 MM - https://www.greatlakesdentaltech.com/mse-type-2-starter-kit-12mm_281-003.html

Lidocaine (25G) - https://lidocaineforless.com/products/lidocaine-hcl-powder

Cotton Applicators - Amazon product ASIN B074MJHSGG
Scale - Amazon product ASIN B06Y61YW7S
Saline Solution - Amazon product ASIN B076ZV3VBN
Thermometer - Amazon product ASIN B01LKRHW3E
Needles - Amazon product ASIN B07DW1WS7D
Glass Vials - https://www.amazon.com/gp/product/B01D2OHBHU/ref=ppx_od_dt_b_asin_title_s00?ie=UTF8&psc=1

Molar Bands - https://www.ebay.com/i/282943817994?chn=ps&mkevt=1&mkcid=28&var=585079411042

MicroSpoons - https://www.amazon.com/Micro-Spoon-Mini-Scoop-0-15/dp/B073ZNRBGM

Tongs -https://www.amazon.com/Beaker-Rubber-Coated-Nickel-Plated/dp/B00IUZ9G5W/ref=sr_1_1_sspa?dchild=1&keywords=beaker+tongs&qid=1599167529&sr=8-1-spons&psc=1&spLa=ZW5jcnlwdGVkUXVhbGlmaWVyPUExVEc2Vlg1UzQzSFNVJmVuY3J5cHRlZElkPUEwNDUxMTA3MTA0NDE4N0RXVkQ4OSZlbmNyeXB

SuperGlue - https://www.amazon.com/Professional...599168591&s=industrial&sr=1-8&ts_id=256243011

Mold materials -
https://www.amazon.com/gp/product/B...KBN42&linkId=94e7c60dbfce507d60804f444f13e361

https://www.amazon.com/gp/product/B...LENXA&linkId=96b20ccecd51a51a053b022310174779

https://www.amazon.com/gp/product/B...LBTGZ&linkId=3b7ddf4e492d07982d408f5e5e550b47



Total cost will be around 850$



Step 1: Making the Lidocaine

Making the lidocaine is what the majority of the products are for since it is since you must have a licence to get it premade

1. Place your vial on the scale and zero it, then add lidocaine until the scale reads .2 grams

2. Once you have .2g of lidocaine in a vial, take you syringe and remove the needle. Use the needle (now syringe) to add 100 ml of saline solution into your vial of lidocaine, each syringe measures up to 10ml, so simply add 10 syringes worth of saline to the lidocaine volume and remeasure, it should come out to around 10.2 g.

3. Next get a pan and fill the water up to fill a little under the height of the glass vial, put the vial of lidocaine/saline into the pan, place the pan on the stove and heat, insert the thermometer in the lidocaine vial and wait for it to read 180 degrees F, at this point lower the stove temperature to maintain the temperature in the vial, and use the thermometer to stir the solution in the vial, this will melt the lidocaine and it will equally distribute in the vial.

4. Once stirred (use the thermometer), use the tongs to remove the vial, wait for it to cool , secure the lid and shake thoroughly.

Here is it done in a video -

Step 2: Locating the Greater Palatine Foramen

This is the place where you will inject the lidocaine

The location of the foramen is at the junction between the vertical and horizontal axis's in the general area of your first molar. It is much "squishier" compared to it's surroundings, and is a depression compared to the its surroundings.

1. Get a towel and dry your entire hard palate.

2. With the cotton applicator, firmly press it down in the junction of the planes, and move the applicator posteriorly until it falls into the depression, this is the GPF

It is not the border between the hard and soft palate, there are also squishy tissues here, however this is not it, it will be around the first molar location

Here is a good video demonstrating an injection here, and how to hold the needle for injection. The end of the video also addresses how you will empty solution into you via the needle.

You must aspirate too, this is when you pull back on the needle, if there is blood, stop and move the needle to a different location, if there is no blood, your aspiration is negative and you can proceed. (no you wont die from injecting it into the bloodstream though)

Inject 5.5 ML, this will thumb you for around 35 minutes.


Step 3: Preparing the MSE

Firstly you will need a mold of your palate, @nelson has already made a good video guide on how this is done, it is addressed in the first part of this video

1. Once you make the your molar, take a pencil and locate the midpalatal suture, draw a line with a pencil from top to bottom of your mold, this is where the gap of your MSE needs to fit over.

2. Place your MSE in the center of it, the implants should be on their respective sides of the maxilla. The back of the MSE should be aligned slightly anterior the the 6th tooth.

3. Fit the molar bands (around whatever your tooth is your 6th one), and bend the MSE wire to connect to it, you can cut the excess off the wire

4. Once you have properly fitted the bands + the wire, use the super glue to bond them together precisely.

Now you will be able to position your MSE in your mouth properly without needing to hold it or adjust it freehand.

- a video demonstrating however it solders it instead of gluing.

Step 4: Preparing for Installation/Installation

Cortipunctures (Age-Dependent)

1.Inject the lidocaine solution into the greater palatine foramen (Explained in step two)

2. If you are over age 20, you will need to use your MSE screws and driver to make holes along the midpalatal suture, I reccomend you do 8 holes, switching the implants out after every two, to prevent the implants from dulling.

3. Fit the molar bands over your molars, make sure the MSE is properly fitted.

4. Use the driver with the blue top. Place your thumb with one hand at the bottom, use your other hand to turn *make sure you are turning the proper way, before hand drill a tiny hole into your wall and remember which way you need to turn (wash it off with water).

5. Screw in the implants anteriorly first. with the blue driver, once you are unable to drill it anymore, switch to the ratchet driver. Make sure it is on the right mode, it can both put in and take out the implants depending on the settings, there is a little pull down right under the tip, if it is at the back it will screw in, if its near the side the of the implant, it will unscrew it. Make sure the implant is both being screwed in at no angle/inclination for both axis's (it should be straight not tilted in any direction) You will need to push somewhat firmly. With the ratchet driver use your other hand you aren't turning with the stabilize the back of the driver.

6. Repeat for the three other implants



For facepulling, i had this autistic idea but it is much much better than tooth anchored pulling, attach rubber bands to the anterior implants of the MSE, the head of the implant will prevent it from coming off, then run the elastics through your diastema and attach it to your headgear, this will be bone anchored pulling while the hooks attached to the molar bands are not. Expect 4-6mm in two months with this protocal and 1KG force, I highly recommend you supplement with thumb pulling, once an hour, pulling forward for 10 seconds then resting for 10 seconds for 5 minutes.

Incisor chew if you want to decrease midface length/even more forward growth

First molar chew if you want more compact orbitals

you can combine both of those methods btw




boom, if you did this properly you just got MSE 1500$ cheaper. if u are high inhibcel/uscel i might consider installing it for a few hundred $

Good post retard

 

[idkwhattoputhere]

This guide is not recommending you to self install, it is simply to help other determined users who will install MSE regardless of what anyone says succeed. If you have not seriously contemplated getting MSE, are not sufficiently knowledgeable about it, not above 110 IQ, or have not been denied by an Orthodontist for getting MSE -

DO NOT FUCKEN TRY THIS, I AM NOT RESPONSIBLE IF YOU DO SOMETHING RETARDED


What you will need:

MSE Starter kit

8MM - https://www.greatlakesdentaltech.com/mse-type-2-acr-screw-1,8mm-x-11mm_281-025.html

10MM - https://www.greatlakesdentaltech.com/mse-type-2-refill-kit-8mm_281-011.html

12 MM - https://www.greatlakesdentaltech.com/mse-type-2-starter-kit-12mm_281-003.html

Lidocaine (25G) - https://lidocaineforless.com/products/lidocaine-hcl-powder

Cotton Applicators - Amazon product ASIN B074MJHSGG
Scale - Amazon product ASIN B06Y61YW7S
Saline Solution - Amazon product ASIN B076ZV3VBN
Thermometer - Amazon product ASIN B01LKRHW3E
Needles - Amazon product ASIN B07DW1WS7D
Glass Vials - https://www.amazon.com/gp/product/B01D2OHBHU/ref=ppx_od_dt_b_asin_title_s00?ie=UTF8&psc=1

Molar Bands - https://www.ebay.com/i/282943817994?chn=ps&mkevt=1&mkcid=28&var=585079411042

MicroSpoons - https://www.amazon.com/Micro-Spoon-Mini-Scoop-0-15/dp/B073ZNRBGM

Tongs -https://www.amazon.com/Beaker-Rubber-Coated-Nickel-Plated/dp/B00IUZ9G5W/ref=sr_1_1_sspa?dchild=1&keywords=beaker+tongs&qid=1599167529&sr=8-1-spons&psc=1&spLa=ZW5jcnlwdGVkUXVhbGlmaWVyPUExVEc2Vlg1UzQzSFNVJmVuY3J5cHRlZElkPUEwNDUxMTA3MTA0NDE4N0RXVkQ4OSZlbmNyeXB

SuperGlue - https://www.amazon.com/Professional...599168591&s=industrial&sr=1-8&ts_id=256243011

Mold materials -
https://www.amazon.com/gp/product/B...KBN42&linkId=94e7c60dbfce507d60804f444f13e361

https://www.amazon.com/gp/product/B...LENXA&linkId=96b20ccecd51a51a053b022310174779

https://www.amazon.com/gp/product/B...LBTGZ&linkId=3b7ddf4e492d07982d408f5e5e550b47



Total cost will be around 850$



Step 1: Making the Lidocaine

Making the lidocaine is what the majority of the products are for since it is since you must have a licence to get it premade

1. Place your vial on the scale and zero it, then add lidocaine until the scale reads .2 grams

2. Once you have .2g of lidocaine in a vial, take you syringe and remove the needle. Use the needle (now syringe) to add 100 ml of saline solution into your vial of lidocaine, each syringe measures up to 10ml, so simply add 10 syringes worth of saline to the lidocaine volume and remeasure, it should come out to around 10.2 g.

3. Next get a pan and fill the water up to fill a little under the height of the glass vial, put the vial of lidocaine/saline into the pan, place the pan on the stove and heat, insert the thermometer in the lidocaine vial and wait for it to read 180 degrees F, at this point lower the stove temperature to maintain the temperature in the vial, and use the thermometer to stir the solution in the vial, this will melt the lidocaine and it will equally distribute in the vial.

4. Once stirred (use the thermometer), use the tongs to remove the vial, wait for it to cool , secure the lid and shake thoroughly.

Here is it done in a video -

Step 2: Locating the Greater Palatine Foramen

This is the place where you will inject the lidocaine

The location of the foramen is at the junction between the vertical and horizontal axis's in the general area of your first molar. It is much "squishier" compared to it's surroundings, and is a depression compared to the its surroundings.

1. Get a towel and dry your entire hard palate.

2. With the cotton applicator, firmly press it down in the junction of the planes, and move the applicator posteriorly until it falls into the depression, this is the GPF

It is not the border between the hard and soft palate, there are also squishy tissues here, however this is not it, it will be around the first molar location

Here is a good video demonstrating an injection here, and how to hold the needle for injection. The end of the video also addresses how you will empty solution into you via the needle.

You must aspirate too, this is when you pull back on the needle, if there is blood, stop and move the needle to a different location, if there is no blood, your aspiration is negative and you can proceed. (no you wont die from injecting it into the bloodstream though)

Inject 5.5 ML, this will thumb you for around 35 minutes.


Step 3: Preparing the MSE

Firstly you will need a mold of your palate, @nelson has already made a good video guide on how this is done, it is addressed in the first part of this video

1. Once you make the your molar, take a pencil and locate the midpalatal suture, draw a line with a pencil from top to bottom of your mold, this is where the gap of your MSE needs to fit over.

2. Place your MSE in the center of it, the implants should be on their respective sides of the maxilla. The back of the MSE should be aligned slightly anterior the the 6th tooth.

3. Fit the molar bands (around whatever your tooth is your 6th one), and bend the MSE wire to connect to it, you can cut the excess off the wire

4. Once you have properly fitted the bands + the wire, use the super glue to bond them together precisely.

Now you will be able to position your MSE in your mouth properly without needing to hold it or adjust it freehand.

- a video demonstrating however it solders it instead of gluing.

Step 4: Preparing for Installation/Installation

Cortipunctures (Age-Dependent)

1.Inject the lidocaine solution into the greater palatine foramen (Explained in step two)

2. If you are over age 20, you will need to use your MSE screws and driver to make holes along the midpalatal suture, I reccomend you do 8 holes, switching the implants out after every two, to prevent the implants from dulling.

3. Fit the molar bands over your molars, make sure the MSE is properly fitted.

4. Use the driver with the blue top. Place your thumb with one hand at the bottom, use your other hand to turn *make sure you are turning the proper way, before hand drill a tiny hole into your wall and remember which way you need to turn (wash it off with water).

5. Screw in the implants anteriorly first. with the blue driver, once you are unable to drill it anymore, switch to the ratchet driver. Make sure it is on the right mode, it can both put in and take out the implants depending on the settings, there is a little pull down right under the tip, if it is at the back it will screw in, if its near the side the of the implant, it will unscrew it. Make sure the implant is both being screwed in at no angle/inclination for both axis's (it should be straight not tilted in any direction) You will need to push somewhat firmly. With the ratchet driver use your other hand you aren't turning with the stabilize the back of the driver.

6. Repeat for the three other implants



For facepulling, i had this autistic idea but it is much much better than tooth anchored pulling, attach rubber bands to the anterior implants of the MSE, the head of the implant will prevent it from coming off, then run the elastics through your diastema and attach it to your headgear, this will be bone anchored pulling while the hooks attached to the molar bands are not. Expect 4-6mm in two months with this protocal and 1KG force, I highly recommend you supplement with thumb pulling, once an hour, pulling forward for 10 seconds then resting for 10 seconds for 5 minutes.

Incisor chew if you want to decrease midface length/even more forward growth

First molar chew if you want more compact orbitals

you can combine both of those methods btw




boom, if you did this properly you just got MSE 1500$ cheaper. if u are high inhibcel/uscel i might consider installing it for a few hundred $

i’m gonna do this because “muh canada good healthcare” COSTS $15k FOR MSE AND IS ALMOST NEVER UNDER INSURANCE.

 

[penaldinho]

"DIY how to cook meth" ahh post

 

[jflkiefmaxxing]

This guide is not recommending you to self install, it is simply to help other determined users who will install MSE regardless of what anyone says succeed. If you have not seriously contemplated getting MSE, are not sufficiently knowledgeable about it, not above 110 IQ, or have not been denied by an Orthodontist for getting MSE -

DO NOT FUCKEN TRY THIS, I AM NOT RESPONSIBLE IF YOU DO SOMETHING RETARDED


What you will need:

MSE Starter kit

8MM - https://www.greatlakesdentaltech.com/mse-type-2-acr-screw-1,8mm-x-11mm_281-025.html

10MM - https://www.greatlakesdentaltech.com/mse-type-2-refill-kit-8mm_281-011.html

12 MM - https://www.greatlakesdentaltech.com/mse-type-2-starter-kit-12mm_281-003.html

Lidocaine (25G) - https://lidocaineforless.com/products/lidocaine-hcl-powder

Cotton Applicators - Amazon product ASIN B074MJHSGG
Scale - Amazon product ASIN B06Y61YW7S
Saline Solution - Amazon product ASIN B076ZV3VBN
Thermometer - Amazon product ASIN B01LKRHW3E
Needles - Amazon product ASIN B07DW1WS7D
Glass Vials - https://www.amazon.com/gp/product/B01D2OHBHU/ref=ppx_od_dt_b_asin_title_s00?ie=UTF8&psc=1

Molar Bands - https://www.ebay.com/i/282943817994?chn=ps&mkevt=1&mkcid=28&var=585079411042

MicroSpoons - https://www.amazon.com/Micro-Spoon-Mini-Scoop-0-15/dp/B073ZNRBGM

Tongs -https://www.amazon.com/Beaker-Rubber-Coated-Nickel-Plated/dp/B00IUZ9G5W/ref=sr_1_1_sspa?dchild=1&keywords=beaker+tongs&qid=1599167529&sr=8-1-spons&psc=1&spLa=ZW5jcnlwdGVkUXVhbGlmaWVyPUExVEc2Vlg1UzQzSFNVJmVuY3J5cHRlZElkPUEwNDUxMTA3MTA0NDE4N0RXVkQ4OSZlbmNyeXB

SuperGlue - https://www.amazon.com/Professional...599168591&s=industrial&sr=1-8&ts_id=256243011

Mold materials -
https://www.amazon.com/gp/product/B...KBN42&linkId=94e7c60dbfce507d60804f444f13e361

https://www.amazon.com/gp/product/B...LENXA&linkId=96b20ccecd51a51a053b022310174779

https://www.amazon.com/gp/product/B...LBTGZ&linkId=3b7ddf4e492d07982d408f5e5e550b47



Total cost will be around 850$



Step 1: Making the Lidocaine

Making the lidocaine is what the majority of the products are for since it is since you must have a licence to get it premade

1. Place your vial on the scale and zero it, then add lidocaine until the scale reads .2 grams

2. Once you have .2g of lidocaine in a vial, take you syringe and remove the needle. Use the needle (now syringe) to add 100 ml of saline solution into your vial of lidocaine, each syringe measures up to 10ml, so simply add 10 syringes worth of saline to the lidocaine volume and remeasure, it should come out to around 10.2 g.

3. Next get a pan and fill the water up to fill a little under the height of the glass vial, put the vial of lidocaine/saline into the pan, place the pan on the stove and heat, insert the thermometer in the lidocaine vial and wait for it to read 180 degrees F, at this point lower the stove temperature to maintain the temperature in the vial, and use the thermometer to stir the solution in the vial, this will melt the lidocaine and it will equally distribute in the vial.

4. Once stirred (use the thermometer), use the tongs to remove the vial, wait for it to cool , secure the lid and shake thoroughly.

Here is it done in a video -

Step 2: Locating the Greater Palatine Foramen

This is the place where you will inject the lidocaine

The location of the foramen is at the junction between the vertical and horizontal axis's in the general area of your first molar. It is much "squishier" compared to it's surroundings, and is a depression compared to the its surroundings.

1. Get a towel and dry your entire hard palate.

2. With the cotton applicator, firmly press it down in the junction of the planes, and move the applicator posteriorly until it falls into the depression, this is the GPF

It is not the border between the hard and soft palate, there are also squishy tissues here, however this is not it, it will be around the first molar location

Here is a good video demonstrating an injection here, and how to hold the needle for injection. The end of the video also addresses how you will empty solution into you via the needle.

You must aspirate too, this is when you pull back on the needle, if there is blood, stop and move the needle to a different location, if there is no blood, your aspiration is negative and you can proceed. (no you wont die from injecting it into the bloodstream though)

Inject 5.5 ML, this will thumb you for around 35 minutes.


Step 3: Preparing the MSE

Firstly you will need a mold of your palate, @nelson has already made a good video guide on how this is done, it is addressed in the first part of this video

1. Once you make the your molar, take a pencil and locate the midpalatal suture, draw a line with a pencil from top to bottom of your mold, this is where the gap of your MSE needs to fit over.

2. Place your MSE in the center of it, the implants should be on their respective sides of the maxilla. The back of the MSE should be aligned slightly anterior the the 6th tooth.

3. Fit the molar bands (around whatever your tooth is your 6th one), and bend the MSE wire to connect to it, you can cut the excess off the wire

4. Once you have properly fitted the bands + the wire, use the super glue to bond them together precisely.

Now you will be able to position your MSE in your mouth properly without needing to hold it or adjust it freehand.

- a video demonstrating however it solders it instead of gluing.

Step 4: Preparing for Installation/Installation

Cortipunctures (Age-Dependent)

1.Inject the lidocaine solution into the greater palatine foramen (Explained in step two)

2. If you are over age 20, you will need to use your MSE screws and driver to make holes along the midpalatal suture, I reccomend you do 8 holes, switching the implants out after every two, to prevent the implants from dulling.

3. Fit the molar bands over your molars, make sure the MSE is properly fitted.

4. Use the driver with the blue top. Place your thumb with one hand at the bottom, use your other hand to turn *make sure you are turning the proper way, before hand drill a tiny hole into your wall and remember which way you need to turn (wash it off with water).

5. Screw in the implants anteriorly first. with the blue driver, once you are unable to drill it anymore, switch to the ratchet driver. Make sure it is on the right mode, it can both put in and take out the implants depending on the settings, there is a little pull down right under the tip, if it is at the back it will screw in, if its near the side the of the implant, it will unscrew it. Make sure the implant is both being screwed in at no angle/inclination for both axis's (it should be straight not tilted in any direction) You will need to push somewhat firmly. With the ratchet driver use your other hand you aren't turning with the stabilize the back of the driver.

6. Repeat for the three other implants



For facepulling, i had this autistic idea but it is much much better than tooth anchored pulling, attach rubber bands to the anterior implants of the MSE, the head of the implant will prevent it from coming off, then run the elastics through your diastema and attach it to your headgear, this will be bone anchored pulling while the hooks attached to the molar bands are not. Expect 4-6mm in two months with this protocal and 1KG force, I highly recommend you supplement with thumb pulling, once an hour, pulling forward for 10 seconds then resting for 10 seconds for 5 minutes.

Incisor chew if you want to decrease midface length/even more forward growth

First molar chew if you want more compact orbitals

you can combine both of those methods btw




boom, if you did this properly you just got MSE 1500$ cheaper. if u are high inhibcel/uscel i might consider installing it for a few hundred $

nvm