Thoughts on MSE protraction

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Is there a difference in protraction for faces based on race? Could the conservative estimates that we hear of be based more on the studies on asian faces and would caucasians get more or less out of it due to differing bone resistances?

I read some rumors that even though it's bone anchored the effect would mostly dentoaveolar in nature. The question is could the main maxillary body ever catch up to aveolar bone that is more anterior grown?

Then there is the question of translational movement, would the movement be different if there was protraction of the whole maxilla but the teeth were in constant contact with the mandible. Could this reduce aveolar movement while maintaining true maxillary protraction?

What is the effect on maxillary sinuses and protraction? Does this have any effect on the fullness of the bone body?

People that gave gone through protraction speak if the pain they feel, are they talking about the pressure on the bone or other hard to locate sensations. My theory is that internal muscles like the pterygoid group are being stretched (from protraction) when they aren't limber due to a life time of being short and taut.

What other things do you think about?
 
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