Author Topic: Could you please give advice to a Doctor trying to perfect maxillary protraction  (Read 10170 times)

Knoppe

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Dr.Mew, thank you for replying and for perticipating in the discussion. It's of much help for people like me who live abroad and have very limited possibilities to find a pro to work with.

About the treatment time for face pulling. Would you say that the effect your talking about is bone growth or maxillary movemet? I'm thinking that bone growth for sure would resuire more time but that some peoples results, including the NCR results could be from moving bones (instead of growing bones)? I'm thinking adjustment like chiropractic/osteopathic ones.

Thank you all for your comments and opinions this is what I was wanting to hear. I did try the old crane which was anchored to the chest and was too mobile compared to the head, but have a hunch that I could make a better design based on the RAMPA japan- not much written in English on it- but I've personally seen the best facial results in adults from it.
It does seem strange that you can get much from even 30min a day, if so would a heavy and long meal not affect the cranial structure and teeth. From Ilizarov and the old orthopeadic surgeons I would expect a much longer wear to get the effect.
I agree what things in the mouth are going to be limited which is why I want to look at paranasal inflation and cranial osteopathy and anything else that might work.
The premaxilla is an interesting question, we could discuss it for days but in all the adult skulls that I've seen it is fused as it says in the text books. Also I don't like swartz or DNA or homeoblocks because they are taking up too much of the tongue space and at the end of the day the tongue is one of the major factors that hold the maxilla up and forward. So this is worsening the cause while treating the symptoms- which needs to be minimised.
The research on maxillary expansion really boils down to 4 rather poor papers, I read one in detail only to discover that the patients did not actually expand at the rate that he was talking about, he could have noticed this from his own results. In general the younger you are the more skeletal effect you have and the faster you expand the same- although I thing that rapid expansion is too damaging. It seems that above 25 and 45 make a difference- only anecdotal although if you have a stroke at any age the face melts down fast enough.
Has anyone been using harder levels of inflation or wearing their headgear for several hours a day?
Also I've contacted Plato and would be interested if anyone could recomend anywhere else to goto to ask such questions. Sorry for not being able to respond fast I am up to my eyeballs most of the time. Best wishes, Mike