The Problem with Distraction Osteogenesis

D

Deleted member 18361

‎
Joined
Mar 16, 2022
Posts
3,452
Reputation
4,346
The problem with distraction osteogenesis is it’s unpredictable. MSE is a known distraction and it’s been spoken about how asymmetric the result can turn. One side of the maxilla can be more density than the other side which obviously will lead to asymmetry. Same with IMDO. It’s better to use block movements like BSSO or 3-piece segment LeFort 1 and digital planning with custom guides to be 100% accurate and eliminate any biological aspects that may cause asymmetry.

So I better not see any more talks of Distractions on this forum otherwise you’ll get yourself & others botched.
 
  • +1
  • Woah
  • Ugh..
Reactions: Deleted member 23530, Deleted member 8771, Patient A and 22 others
no distractors for your face
 
  • JFL
  • +1
  • WTF
Reactions: optimisticzoomer, Patient A, Deleted member 8758 and 9 others
This is understandable. However there are ways to prevent the asymetry issues. And the upside is that you do less damage to your face, recovery time is far better, the results tend to be more natural looking etc and your not stuck with metal things in your face, confounding other methods to CF change
 
  • +1
Reactions: OldRooster, thecel and Deleted member 1901
mvp2v1 said:
This is understandable. However there are ways to prevent the asymetry issues. And the upside is that you do less damage to your face, recovery time is far better, the results tend to be more natural looking etc and your not stuck with metal things in your face, confounding other methods to CF change
Click to expand...
Actually, if it goes wrong you do end up doing more damage to yourself than a 1-dimensional advancement like BSSO. For me, IMDO widened a part of my jaw which should not have been widened and that resulted in a bone bulge poking out my jaw. That would not have happened with a predictable BSSO. Widening the jaw can be more predictable with angle implants. As much as metal parts really don’t matter, you will likely have to have them for a genioplasty since 90% of deficient jaws have small chins and sometimes LeFort plates.

But the truth is the result lies within the practitioner and the practitioner has to be 100% compliant and caring enough to analyze every turn of the device to make sure everything’s going to plan as well as understanding the patient’s biology fully. This would only work with someone who’s local, very smart and doesn’t have traits of xenophobia.
 
  • +1
  • Ugh..
  • Woah
Reactions: Deleted member 23530, Patient A, thecel and 9 others
tesseract said:
The problem with distraction osteogenesis is it’s unpredictable. MSE is a known distraction and it’s been spoken about how asymmetric the result can turn. One side of the maxilla can be more density than the other side which obviously will lead to asymmetry. Same with IMDO. It’s better to use block movements like BSSO or 3-piece segment LeFort 1 and digital planning with custom guides to be 100% accurate and eliminate any biological aspects that may cause asymmetry.

So I better not see any more talks of Distractions on this forum otherwise you’ll get yourself & others botched.
Click to expand...
Listen to him.
 
  • +1
Reactions: callisto and thecel
every minimal-invasive, safer technique this forum loved fell apart.
 
  • +1
  • Woah
Reactions: Patient A, thecel, Oberyn and 1 other person
Why did this shitty ass thread get pinned so quickly yet so many other high quality threads in this forum don't?
 
  • +1
Reactions: valhalar, bara, OldRooster and 1 other person
deadlock said:
Why did this shitty ass thread get pinned so quickly yet so many other high quality threads in this forum don't?
Click to expand...
It’s a factual post that may prevent others from getting botched.

Or would you rather have thread of techniques to bark at your certified orthodontist about how your face is so shit?
 
  • JFL
  • +1
Reactions: Deleted member 8771, Patient A, incel194012940 and 1 other person
It's all a LARP. None of you people are getting distraction osteogenesis, unless you are massively deformed, and then you wouldn't be consulting PSL guys for jaw surgery advice.
 
  • +1
Reactions: callisto and Oberyn
Chinlet Ascension said:
It's all a LARP. None of you people are getting distraction osteogenesis, unless you are massively deformed, and then you wouldn't be consulting PSL guys for jaw surgery advice.
Click to expand...
I’ve had MSE and IMDO. I needed none of them, but this community pushed it was a good move.
 
  • +1
  • So Sad
Reactions: Patient A, incel194012940, metagross and 1 other person
tesseract said:
I’ve had MSE and IMDO. I needed none of them, but this community pushed it was a good move.
Click to expand...
So just get invisalign if you want a wider smile?
 
krisal said:
So just get invisalign if you want a wider smile?
Click to expand...
Yes, there’s ways in remodeling the alveoli and teeth that can create an appearance of a more teeth show smile. Just choose an American orthodontist with a lot of Invisalign cases and consult with multiple to ensure the best treatment plan possible.
 
  • +1
Reactions: ChristianChad and Deleted member 22126
tesseract said:
The problem with distraction osteogenesis is it’s unpredictable. MSE is a known distraction and it’s been spoken about how asymmetric the result can turn. One side of the maxilla can be more density than the other side which obviously will lead to asymmetry. Same with IMDO. It’s better to use block movements like BSSO or 3-piece segment LeFort 1 and digital planning with custom guides to be 100% accurate and eliminate any biological aspects that may cause asymmetry.

So I better not see any more talks of Distractions on this forum otherwise you’ll get yourself & others botched.
Click to expand...
True but this is less likely the younger you are AND orthos are working on more potent expanders for older people, especially for those who cant even open their sutures

Also OP didnt you get MSE?

IMDO is the best pure bone building DO mainstream i guess but it's more like a base surgery, unlikely you would have a chad jaw unless you had good gonions/chin before expansion
 
  • +1
Reactions: Patient A
tesseract said:
But the truth is the result lies within the practitioner and the practitioner has to be 100% compliant and caring enough to analyze every turn of the device to make sure everything’s going to plan as well as understanding the patient’s biology fully. This would only work with someone who’s local, very smart and doesn’t have traits of xenophobia.
Click to expand...
Well said sir (y)
It sucks you can't predict something like this
 
Last edited:
Yea. Agreed. Ccwr trimax will ascend me tho.
 
tesseract said:
I’ve had MSE and IMDO. I needed none of them, but this community pushed it was a good move.
Click to expand...
Those are completely different procedures.
 
Chinlet Ascension said:
Those are completely different procedures.
Click to expand...
???

The point is they’re both distraction osteogenesis procedures.

Same concept with slowly expanding the bone and allowing bone to heal.

It’s extremely unpredictable to see the result because there’s a lot of biological aspects that contribute.
 
tesseract said:
???

The point is they’re both distraction osteogenesis procedures.

Same concept with slowly expanding the bone and allowing bone to heal.

It’s extremely unpredictable to see the result because there’s a lot of biological aspects that contribute.
Click to expand...
I see what you mean. I should correct myself. When people talk about distraction osteogenesis here, they're usually talking about it as an alternative to lower jaw surgery or sometimes double jaw surgery. In those cases, bimax is the more common (and probably more effective) option.
 
  • +1
Reactions: ChristianChad
Lefort 1 DO causes changes to the infraorbital rim and upper maxilla.
 
  • WTF
Reactions: ChristianChad
tesseract said:
The problem with distraction osteogenesis is it’s unpredictable. MSE is a known distraction and it’s been spoken about how asymmetric the result can turn. One side of the maxilla can be more density than the other side which obviously will lead to asymmetry. Same with IMDO. It’s better to use block movements like BSSO or 3-piece segment LeFort 1 and digital planning with custom guides to be 100% accurate and eliminate any biological aspects that may cause asymmetry.

So I better not see any more talks of Distractions on this forum otherwise you’ll get yourself & others botched.
Click to expand...

Can you not just get implants after wards to straighten out any assemtries ? Reason I ask is because there is a limit of expansion possible with an normal osteotomy at 15mm I believe and if your sub chad you need like a 1.5 cm+ just to even get anything close.
 
  • +1
Reactions: OldRooster and randomvanish
SHIT THREAD.

1665641636150


As you can see, distractor rods are mounted on both sides of the jaw and are independently adjustable. The expanding forces on both sides can be tuned. It’s not like a surgeon slaps on an unstoppable and unadjustable device and leaves you to wait for it to finish doing its thing with no supervision.
 
tesseract said:
I’ve had MSE and IMDO. I needed none of them, but this community pushed it was a good move.
Click to expand...
do you regret MSE+IMDO combo? if you could do it all again what would you do?
 
Why is it impossible to predict? Can't they just fixate it to only advance up to x millimeters in a straight line? Every DO result I've seen has been shit because they end up with overbites or other weird bites.
 
tesseract said:
I’ve had MSE and IMDO. I needed none of them, but this community pushed it was a good move.
Click to expand...
Any undesired results from MSE? Any zygo improvements?
 
LooksOverAll said:
Why is it impossible to predict? Can't they just fixate it to only advance up to x millimeters in a straight line?
Click to expand...
Are you retarded? It's because of of biological aspects.
 
LooksOverAll said:
Look up the study.

How?
Click to expand...
you can't just advance in 3d motions like you print a jaw in 3d printing. If there is a asymmetry happening, they should stop and remodel the plan again, which is not applicable.
 
LooksOverAll said:
Any undesired results from MSE? Any zygo improvements?
Click to expand...
It mogs implants in terms of natural, but osteotomies like Tripod and ZSO still mog and should be used over MSE if you want cheekbones.

MSE can lead to asymmetry
 
  • +1
Reactions: Patient A
tesseract said:
It mogs implants in terms of natural, but osteotomies like Tripod and ZSO still mog and should be used over MSE if you want cheekbones.

MSE can lead to asymmetry
Click to expand...
Does anyone even do tripod for cosmetics?

ZSO is only for horizontal. Have you heard of ZSSO for both lateral and forward movement?
 
LooksOverAll said:
Does anyone even do tripod for cosmetics?

ZSO is only for horizontal. Have you heard of ZSSO for both lateral and forward movement?
Click to expand...
Lateral is horizontal and yes ZSO has been done for forward however it’s not ideal to have that look.

Asian countries do countless Tripod ostetomies due to their default cheekbone structure
 
  • +1
Reactions: Patient A
tesseract said:
Lateral is horizontal and yes ZSO has been done for forward however it’s not ideal to have that look.

Asian countries do countless Tripod ostetomies due to their default cheekbone structure
Click to expand...
Why is it not ideal? Having forward projected zygos is way more important than lateral. Forward zygos give you better undereye support, PCT, more chiseled contour from the front, etc.

I thought they do reduction as opposed to forward movement in Asia?
 
  • +1
Reactions: Buci
LooksOverAll said:
Why is it not ideal? Having forward projected zygos is way more important than lateral. Forward zygos give you better undereye support, PCT, more chiseled contour, etc.
Click to expand...
Because you want forward everything not just forward zygos
 
  • +1
Reactions: Buci and Patient A
tesseract said:
Because you want forward everything not just forward zygos
Click to expand...
Well you can only move the zygomaxillary complex and lower maxilla forward so you're limited to those options. Can't alter your frontal bone or medial maxillary buttress unless you get obscure surgeries.
 
LooksOverAll said:
Well you can only move the zygomaxillary complex and lower maxilla forward so you're limited to those options. Can't alter your frontal bone or medial maxillary buttress unless you get obscure surgeries.
Click to expand...
Its better to have recessed everything than forward grown one thing unironically, because it’ll make the rest appear more recessed
 
  • +1
Reactions: Patient A
tesseract said:
Its better to have recessed everything than forward grown one thing unironically, because it’ll make the rest appear more recessed
Click to expand...
Well then get bimax and ZSSO. Nasal bone and frontal bone projection aren't that important compared to a chiseled maxilla and hollow cheeks.
 
thecel said:
SHIT THREAD.

View attachment 1907013

As you can see, distractor rods are mounted on both sides of the jaw and are independently adjustable. The expanding forces on both sides can be tuned. It’s not like a surgeon slaps on an unstoppable and unadjustable device and leaves you to wait for it to finish doing its thing with no supervision.
Click to expand...
reciprocal forces

distractors force vectors are whats called a vector collision and what happens in that is the forces go against each other
560FBF14 2A28 4901 968A 6E53CDEFE586


it costs a rubber band like motion and puts pressure behind the distractors like the 2nd molars (which mine is so pushed out the alveoli that i need extracted) and also widens that jaw area as well.

so yeah it’s unpredictable
 
  • Woah
Reactions: thecel
tesseract said:
reciprocal forces

distractors force vectors are whats called a vector collision and what happens in that is the forces go against each other
View attachment 1929778

it costs a rubber band like motion and puts pressure behind the distractors like the 2nd molars (which mine is so pushed out the alveoli that i need extracted) and also widens that jaw area as well.

so yeah it’s unpredictable
Click to expand...
You’re going to get an implant for the teeth you’re getting extracted right?
 
tesseract said:
The problem with distraction osteogenesis is it’s unpredictable. MSE is a known distraction and it’s been spoken about how asymmetric the result can turn. One side of the maxilla can be more density than the other side which obviously will lead to asymmetry. Same with IMDO. It’s better to use block movements like BSSO or 3-piece segment LeFort 1 and digital planning with custom guides to be 100% accurate and eliminate any biological aspects that may cause asymmetry.

So I better not see any more talks of Distractions on this forum otherwise you’ll get yourself & others botched.
Click to expand...
What about SARPE
 
I’m about to get IMDO next month. Can you PM me please I have some questions for you
 
Hey @tesseract, can you pm me, i’m scheduled to get Mane and Dame for upper and lower jaws, wanted to get your opinion.
 
You must log in or register to reply here.

Similar threads

lifted
The dark and sad truth about the Covid vaccine, its spiritual effects and consequences for the soul and physical body
Replies
8
Views
428
craven
craven
20/04/2008
Rage Exposing the biggest org fraud that is @piec (balding cell gftih)
Replies
39
Views
2K
20/04/2008
20/04/2008
Xangsane
JFL MTB and her Chad boyfriend run Chadfish experiment on Hinge in NYC and creepshot 366 couples
Replies
45
Views
2K
Mr.Proper
Mr.Proper
Spidermanne2returns
Guide Everything I learned on this site (Part 1 Updated)
Replies
20
Views
4K
Sphenoid
Sphenoid
Xangsane
  • Poll
JFL [STORY] Foid goes Chad hunting, but is very deliberate and calculating in her approach. Does she succeed?
2
Replies
74
Views
1K
Xangsane
Xangsane

Users who are viewing this thread

Total: 2 (Looksmaxers: 0, Bluepillers: 2)
Back
Top