Reason why you have any assymetry

lurking truecel

lurking truecel

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I have seen it many times and i have it too, its the most common assymetry pattern out there.(Maybe the only one if not an open bite or sum shit)

My hypothesis is that it is created by a crossbite, it could also be scholiosis or sphenoid bone issue. but the pattern is allways kinda the same and i have seen it on many ct:s including mine and the pattern is the same all the time.

1735302069803
1735302090060

this is best illustrated with a ct scan but i dont have any that i want to show but i have seen it on 5+ diffrent ct scans including my own, and i am confident this is the pattern.

We will use vinnie hacker as example because he has this issue, and its kinda clear even tho his masseters and overall features compensates. but its a good example and we know most people rather watch good looking people which is why this example is good too.

We will call the side with the shorter ramus the weaker side(even tho its not in some way, but it appears this way)

-shorter ramus on the weaker side

shorter ramus and also the ears allways seem to sit lower on this side also, is this beacause of the shorter ramus or because they posture their head this way to compensate, maybe this is one of the causes. sphenoid bone may play apart here

-longer mandible body on the weaker side

yes the mandible body is usually longer on this side but this actually make kinda sense, because the mass on both sides are the SAME. But the mass is distributed differently so that is why one side get more ramus but shorter mandible body and vice versa.

-slight negative canthal tilt on the weaker side

Yes, this is beacause the zygoma and orbital drops on this side, this will make more sense when you see the crossbite pic below.

-lower set zygos overall

same reason as above

-chin becomes assymetrical to mostly because usually bends downwards to the not weaker side

Goes hand in hand with the longer ramus and shorter mandible body and vice versa.


But now you may ask and many probably already know and have their own hypohesis why this problem occur, one of the clear reasons is that you have a crossbite, or a slanted maxilla.

1735303749276


When you bite together with a crossbite the teeth on the right side(this depends on the case in this case right side) will go together first, this will create both bone diffrences and also a stronger masseter on this side. and will also make the left side of the mandible slide more to the right side creating tmj problems (condylar resorbtion) on the weaker side if not careful.

here is another bad pic i tried to make to illustrate it, its just common sense really( i am really bad at paiting)

1735304937566



end of thread, i mean this type of assymetry is extremly common, i could prove this exact assymetry pattern with multiples ct etc. and also some people with this dont get the eye and zygo assymetry and i dont know the reason, could be if the jaw is slanted and not crossbited only the jaw will shift.

1735305519222
this is a extremly slanted maxilla, and i dont think this affect the eyes that much as a crossbite will.

honorble mentions of famous people who have it i think:

1735305151201
1735305269615
 
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I
I have seen it many times and i have it too, its the most common assymetry out there.

My hypothesis is that it is created by a crossbite, it could also be scholiosis or sphenoid bone issue. but the pattern is allways kinda the same and i have seen it on many ct:s including mine and the pattern is the same all the time.

View attachment 3383111View attachment 3383113
this is best illustrated with a ct scan but i dont have any that i want to show but i have seen it on 5+ diffrent ct scans including my own, and i am confident this is the pattern.

We will use vinnie hacker as example because he has this issue, and its kinda clear even tho his masseters and overall features compensates. but its a good example and we know most people rather watch good looking people which is why this example is good too.

We will call the side with the shorter ramus the weaker side(even tho its not in some way, but it appears this way)

-shorter ramus on the weaker side

shorter ramus and also the ears allways seem to sit lower on this side also, is this beacause of the shorter ramus or because they posture their head this way to compensate, maybe this is one of the causes. sphenoid bone may play apart here

-longer mandible body on the weaker side

yes the mandible body is usually longer on this side but this actually make kinda sense, because the mass on both sides are the SAME. But the mass is distributed differently so that is why one side get more ramus but shorter mandible body and vice versa.

-slight negative canthal tilt on the weaker side

Yes, this is beacause the zygoma and orbital drops on this side, this will make more sense when you see the crossbite pic below.

-lower set zygos overall

same reason as above

-chin becomes assymetrical to mostly because usually bends downwards to the not weaker side

Goes hand in hand with the longer ramus and shorter mandible body and vice versa.


But now you may ask and many probably already know and have their own hypohesis why this problem occur, one of the clear reasons is that you have a crossbite, or a slanted maxilla.

View attachment 3383138

When you bite together with a crossbite the teeth on the right side(this depends on the case in this case right side) will go together first, this will create both bone diffrences and also a stronger masseter on this side. and will also make the left side of the mandible slide more to the right side creating tmj problems (condylar resorbtion) on the weaker side if not careful.

here is another bad pic i tried to make to illustrate it, its just common sense really( i am really bad at paiting)

View attachment 3383153


end of thread, i mean this type of assymetry is extremly common, i could prove this exact assymetry pattern with multiples ct etc. and also some people with this dont get the eye and zygo assymetry and i dont know the reason, could be if the jaw is slanted and not crossbited only the jaw will shift.

View attachment 3383159this is a extremly slanted maxilla, and i dont think this affect the eyes that much as a crossbite will.

honorble mentions of famous people who have it i think:

View attachment 3383155View attachment 3383158
love the thread, very informative and relatable! Also guy on the bottom picture with the Potato chips ears is such a Chad
 
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I

love the thread, very informative and relatable! Also guy on the bottom picture with the Potato chips ears is such a Chad
True I mean most people have this to some degree but it's just about how much really
 
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Bump
 
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I think you're spot on with this theory dude. I noticed almost everything you said applies to myself, too. I have a slight crossbite, my ramus and gonial angle is significantly more prominent on my right side, my nose is crooked, my chin and jaw are imbalanced, and I have tmj problems on my left side. Very relatable.
 
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This is cranial torsion it is caused by uneven bite or other body asymmetries
 
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This is cranial torsion it is caused by uneven bite or other body asymmetries
I mean yes it is a bite and sphenoid problem as I wrote
 
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Thank you for diagnosing me doctor
 
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High iQ thread. And I think you're completely right. I too came to some of these conclusions after analyzing my own face. It all makes sense.


I know it's case dependent but generally:
What do you think is the best way of correcting this?
MSE then Djs or Segmental LF1/2 (widening during surgery basically)+BSSO

Additionally, do you think doing something about the joint is necessary? Or will it sort itself out after Djs?

Also, do you think this, on average, a crossbite is an easier to fix than an overbite or an underbite?

Lastly, if it's a sphenoid problem. Do you think the sphenoid bone adapts to the forces after the patient has had their Jaws corrected through Djs?
 
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High iQ thread. And I think you're completely right. I too came to some of these conclusions after analyzing my own face. It all makes sense.


I know it's case dependent but generally:
What do you think is the best way of correcting this?
MSE then Djs or Segmental LF1/2 (widening during surgery basically)+BSSO

Additionally, do you think doing something about the joint is necessary? Or will it sort itself out after Djs?

Also, do you think this, on average, a crossbite is an easier to fix than an overbite or an underbite?

Lastly, if it's a sphenoid problem. Do you think the sphenoid bone adapts to the forces after the patient has had their Jaws corrected through Djs?
I think its depends on the case as you say, what are your plans?
 
I have seen it many times and i have it too, its the most common assymetry pattern out there.(Maybe the only one if not an open bite or sum shit)

My hypothesis is that it is created by a crossbite, it could also be scholiosis or sphenoid bone issue. but the pattern is allways kinda the same and i have seen it on many ct:s including mine and the pattern is the same all the time.

View attachment 3383111View attachment 3383113
this is best illustrated with a ct scan but i dont have any that i want to show but i have seen it on 5+ diffrent ct scans including my own, and i am confident this is the pattern.

We will use vinnie hacker as example because he has this issue, and its kinda clear even tho his masseters and overall features compensates. but its a good example and we know most people rather watch good looking people which is why this example is good too.

We will call the side with the shorter ramus the weaker side(even tho its not in some way, but it appears this way)

-shorter ramus on the weaker side

shorter ramus and also the ears allways seem to sit lower on this side also, is this beacause of the shorter ramus or because they posture their head this way to compensate, maybe this is one of the causes. sphenoid bone may play apart here

-longer mandible body on the weaker side

yes the mandible body is usually longer on this side but this actually make kinda sense, because the mass on both sides are the SAME. But the mass is distributed differently so that is why one side get more ramus but shorter mandible body and vice versa.

-slight negative canthal tilt on the weaker side

Yes, this is beacause the zygoma and orbital drops on this side, this will make more sense when you see the crossbite pic below.

-lower set zygos overall

same reason as above

-chin becomes assymetrical to mostly because usually bends downwards to the not weaker side

Goes hand in hand with the longer ramus and shorter mandible body and vice versa.


But now you may ask and many probably already know and have their own hypohesis why this problem occur, one of the clear reasons is that you have a crossbite, or a slanted maxilla.

View attachment 3383138

When you bite together with a crossbite the teeth on the right side(this depends on the case in this case right side) will go together first, this will create both bone diffrences and also a stronger masseter on this side. and will also make the left side of the mandible slide more to the right side creating tmj problems (condylar resorbtion) on the weaker side if not careful.

here is another bad pic i tried to make to illustrate it, its just common sense really( i am really bad at paiting)

View attachment 3383153


end of thread, i mean this type of assymetry is extremly common, i could prove this exact assymetry pattern with multiples ct etc. and also some people with this dont get the eye and zygo assymetry and i dont know the reason, could be if the jaw is slanted and not crossbited only the jaw will shift.

View attachment 3383159this is a extremly slanted maxilla, and i dont think this affect the eyes that much as a crossbite will.

honorble mentions of famous people who have it i think:

View attachment 3383155View attachment 3383158
So what's the fix? and is it even fixable once past puberty and bone already done growing?

I have this same thing, and I think your theory is correct. In fact, mine is quite severe due to some trauma as a kid where my shoulders were slanted and developed scoliosis from heavy backpack, my face went from symmetrical to as severely asymmetric as something like hemifacial microsomia afterwards, maybe even it is. My eyes and cheekbone and other features became asymmetric as well.
 
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