What is the largest (and average) protraction you've achieved using Bollards on adults ?

[spark]

@Sergio-OMS
and can it be used for class II patients as well (given mandibular surgery would then follow afterwards)?

 

[Deleted member 4790]

I have no idea, I just place and remove them when orthodontists ask me to do it.

but in a grown up I don’t think you can get more than 2-3 mm and that would be in the case that we also placed a MSE.

to me it doesn’t really work, it’s rather homeopathic. In some young adults/late teens) maybe 5 mm? Again, if MSE or similar is to be used and can really be expanded

 

[spark]

I have no idea, I just place and remove them when orthodontists ask me to do it.

but in a grown up I don’t think you can get more than 2-3 mm and that would be in the case that we also placed a MSE.

to me it doesn’t really work, it’s rather homeopathic. In some young adults/late teens) maybe 5 mm? Again, if MSE or similar is to be used and can really be expanded

What are we limited by? The amount of lateral MSE expansion? So the more we expand with the MSE the more we could potentially get with the bollards? Also does it matter that a patient is not class 3 but a class 2 as in my case (of course I am planning on a mandibular surgery too)?

 

[Deleted member 4790]

What are we limited by? The amount of lateral MSE expansion? So the more we expand with the MSE the more we could potentially get with the bollards? Also does it matter that a patient is not class 3 but a class 2 as in my case (of course I am planning on a mandibular surgery too)?

you should then go for upper jaw surgery too, simultaneous to the mandibular one

 

[scalpel]

I have no idea, I just place and remove them when orthodontists ask me to do it.

but in a grown up I don’t think you can get more than 2-3 mm and that would be in the case that we also placed a MSE.

to me it doesn’t really work, it’s rather homeopathic. In some young adults/late teens) maybe 5 mm? Again, if MSE or similar is to be used and can really be expanded

Works, but not very consistently and definitely not of much use in adult patients.

 

[optimisticzoomer]

I have no idea, I just place and remove them when orthodontists ask me to do it.

but in a grown up I don’t think you can get more than 2-3 mm and that would be in the case that we also placed a MSE.

to me it doesn’t really work, it’s rather homeopathic. In some young adults/late teens) maybe 5 mm? Again, if MSE or similar is to be used and can really be expanded

Arent bollard plates in the alveolar bone or just above? Surely that's only good for fixing underbite and better upper lip, rather than other aesthetics?

 

[spark]

Arent bollard plates in the alveolar bone or just above? Surely that's only good for fixing underbite and better upper lip, rather than other aesthetics?

No they are quite a bit above:

 

[optimisticzoomer]

No they are quite a bit above:
View attachment 921768

Right, most images are like this:

 

[spark]

Right, most images are like this:
View attachment 921773

there is a cut there and the plates go way up

 

[optimisticzoomer]

there is a cut there and the plates go way up

Ah ok, how expensive is it? Maybe combined with alt ramec mse it might work

 

[spark]

Ah ok, how expensive is it? Maybe combined with alt ramec mse it might work

no idea about how expensive