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Just look at this gif
In downward growth face back of maxilla is shortened and front is lenghtened what cause long middle third and overall shit apperance.
Pulling downward MSE which is at the back of palate will lenghten back of maxilla and rotate/shortened front. Also occlusal will be straight and ramus should be straight
Pulling MSE upward would only increase horse midface look.
We can't have base on Won Moon study from 2015 cause here MARPE was used as well as n2 microimplant. There upward angle compress maxilla but its not gonna happen with MSE .
In downward growth face back of maxilla is shortened and front is lenghtened what cause long middle third and overall shit apperance.
Pulling downward MSE which is at the back of palate will lenghten back of maxilla and rotate/shortened front. Also occlusal will be straight and ramus should be straight
Pulling MSE upward would only increase horse midface look.
We can't have base on Won Moon study from 2015 cause here MARPE was used as well as n2 microimplant. There upward angle compress maxilla but its not gonna happen with MSE .