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Is craniofacial distrophy a rarity? Understanding CFD and proper facial growth and applying it when observing people.

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(@johan-liebert)
Posts: 25
Topic starter
 

Since I read about the differences between an improper facial growth and its opposite, I find myself seeing a remarkable similiraty with all beautiful people, I live in an area in which the amount of attractive people is high, and I can´t help but ask myself if I am the only one with CFD in the whole area, hell, I even wonder if I am the only one in the whole country, even when looking back at school and when I used to hang out with friends in my adolescence, I never met anybody with CFD and now I only see them very seldom on tv or in this case I was watching some youtube videos about the game league of legends and I notice how inadequate was the sitting posture of almost all the players yet they have a great facial growth (I surmise this is because they have proper tongue posture), but in this particular minute I got to see the unimaginable, finally, I see again a person with CFD other than when looking at the mirror. You can see in the image how miserable this guy looks, he seems very tired and ankward, like he he had some kind of disease, he even looks dumb and weak. 

How rare is a person with CFD? perhaps that´s the reason why I feel so anxious when walking amongst people, I can reckonize myself as being fundamentally different than other humans.. 

CFD

 
Posted : 14/08/2018 2:31 pm
(@abdulrahman)
Posts: 937
 

CFD is very common where I live and elsewhere. The current project I am working at right now has people from 9 countries that span 2 continents. I found someone with CFD from every single one of those countries and as usual it's more common with the ones from cities versus villages. Note though that CFD comes in degrees and most of them are in the mild to moderate range. The second kid in the picture is closer to sever.


my story: http://www.aljabri.com/blog/my-story/

 
Posted : 14/08/2018 2:41 pm
Apollo and Apollo reacted
(@eddiemoney)
Posts: 1722
 

Cfd is more the rule than the exception. Look how common braces are and breathing problems like sleep apnea. 

Seeing someone with a wide dental arch is rare in and of itself. 


 
Posted : 14/08/2018 3:22 pm
Apollo and Apollo reacted
(@celestine)
Posts: 6
 
Posted by: EddieMoney

Cfd is more the rule than the exception. Look how common braces are and breathing problems like sleep apnea. 

Seeing someone with a wide dental arch is rare in and of itself. 

I agree many people wear braces or have other kinds of ortodontic treatement but I notice very few of them having cfd, usually they look "normal".

I live in a big city and sometimes I see people with cfd for example in the street but relatively rarely. Among my childhood friends/ people from school or university I can only recall two people. 

Actually my friends or even just strangers are noticing some of my face features (especially sunken eyes) and making comments on them, which proves that it must be rare because otherwise it wouldn't be that shocking to them. I get those comments in two European countries (where I live now and where I used to live before).


 
Posted : 14/08/2018 4:40 pm
(@eddiemoney)
Posts: 1722
 
Posted by: Celestine
Posted by: EddieMoney

Cfd is more the rule than the exception. Look how common braces are and breathing problems like sleep apnea. 

Seeing someone with a wide dental arch is rare in and of itself. 

I agree many people wear braces or have other kinds of ortodontic treatement but I notice very few of them having cfd, usually they look "normal".

I live in a big city and sometimes I see people with cfd for example in the street but relatively rarely. Among my childhood friends/ people from school or university I can only recall two people. 

Actually my friends or even just strangers are noticing some of my face features (especially sunken eyes) and making comments on them, which proves that it must be rare because otherwise it wouldn't be that shocking to them. I get those comments in two European countries (where I live now and where I used to live before).

We are our own biggest critics. To be honest most of what you are referring to isn't objective. What is "normal"? You are using too many relative terms to describe what you see.

Cfd also =/= having a weak chin/sunken eyes/hook nose/weak zygos necessarily but a lot of different facial deficiencies that manifest themselves in various forms. It looks very different from person to person. 


 
Posted : 14/08/2018 4:48 pm
(@celestine)
Posts: 6
 
Posted by: EddieMoney
We are our own biggest critics. To be honest most of what you are referring to isn't objective. What is "normal"? You are using too many relative terms to describe what you see.

Cfd also =/= having a weak chin/sunken eyes/hook nose/weak zygos necessarily but a lot of different facial deficiencies that manifest themselves in various forms. It looks very different from person to person. 

Ok, so as people with cfd I was referring to the people having at least two of these features (weak chin, sunken eyes, hooked nose, weak zygos) together (+ I would add a "cut" forehead - I'm not sure what is the exact name for this, Mike Mew was presenting a case of this in one of his videos). If there are some other subtler indicators of that well, I admit I'm not aware of them. But I DON'T see many people like that (i.e. cfd like I understand them). I have all of those features although some are less pronounced than others and people in my environment are noticing them and sometimes asking me about them (ok, not about my nose because noses have many shapes and generally it doesn't bother anyone).

Normal = average-projected chin (please don't ask me t define "average", there are numbers for this), forward facial growing, eyes with no wide skin area under them. All of this can be measured, so normal is someone who falls into average measurements.


 
Posted : 15/08/2018 7:18 am
(@eddiemoney)
Posts: 1722
 
Posted by: Celestine
Posted by: EddieMoney
We are our own biggest critics. To be honest most of what you are referring to isn't objective. What is "normal"? You are using too many relative terms to describe what you see.

Cfd also =/= having a weak chin/sunken eyes/hook nose/weak zygos necessarily but a lot of different facial deficiencies that manifest themselves in various forms. It looks very different from person to person. 

Ok, so as people with cfd I was referring to the people having at least two of these features (weak chin, sunken eyes, hooked nose, weak zygos) together (+ I would add a "cut" forehead - I'm not sure what is the exact name for this, Mike Mew was presenting a case of this in one of his videos). If there are some other subtler indicators of that well, I admit I'm not aware of them. But I DON'T see many people like that (i.e. cfd like I understand them). I have all of those features although some are less pronounced than others and people in my environment are noticing them and sometimes asking me about them (ok, not about my nose because noses have many shapes and generally it doesn't bother anyone).

Normal = average-projected chin (please don't ask me t define "average", there are numbers for this), forward facial growing, eyes with no wide skin area under them. All of this can be measured, so normal is someone who falls into average measurements.

Well, a couple things.

Chin size isn't indicative of cfd in and of itself. It is genetic. One user @Abdulrahman schooled me on this and it really doesn't matter how forward grown your face is if the distance from lower incisors to pogonion is small aka a weak chin. Some people have that genetically and isn't a symptom of anything "wrong". 

And while forward grown faces may be ideal, they are far from normal. If you look at people's Mew indicator lines, you will notice over time that what I call the "CroMagnid ideal" of 38mm (per Mike Mew's example of Palaeolithic skulls) is actually like a unicorn. Seeing a forward grown maxilla is actually very rare. Look at people's occlusal planes and you rarely see any that  are rotated counterclockwise. People usually tend to a lot of space from incisors to nose tip, and averages for adults have had to be adjusted upwards to account for our less ideal development today.   

I can tell you in terms of "ideal" (not average) development most people fall short and this is documented in orthodontic literature. 

I see cfd more and more as  I become aware of it. I too used to think I was one of the few cursed ones. I also work with the public in a health care setting so I get to see this all firsthand.

 


 
Posted : 15/08/2018 9:02 am
(@johan-liebert)
Posts: 25
Topic starter
 

In my understanding I thought they guy in the image attached was the most normal representation of CFD, if I don´t see a person with this level of deformity I wouldn´t think they are ugly or that there must be something wrong with them, from what I´ve gathered in this forum, the majority of you have a moderate to very mild level of CFD, maybe you´re just being too harsh with yourselves? I share a lot of facial similitudes with the guy in the picture though and because of that I seem to have a way tougher and more realistic view of the case when it comes to CFD and its implications when dealing with other people in society. I have always been called "weird looking" or "tired" or simply ugly, and when I look around there is hardly anybody with facial deformities, I live in south america so it might have something to do with our mostly european/african genes.


 
Posted : 15/08/2018 11:02 am
(@eddiemoney)
Posts: 1722
 
Posted by: Johan Liebert

In my understanding I thought they guy in the image attached was the most normal representation of CFD, if I don´t see a person with this level of deformity I wouldn´t think they are ugly or that there must be something wrong with them, from what I´ve gathered in this forum, the majority of you have a moderate to very mild level of CFD, maybe you´re just being too harsh with yourselves? I share a lot of facial similitudes with the guy in the picture though and because of that I seem to have a way tougher and more realistic view of the case when it comes to CFD and its implications when dealing with other people in society. I have always been called "weird looking" or "tired" or simply ugly, and when I look around there is hardly anybody with facial deformities, I live in south america so it might have something to do with our mostly european/african genes.

Not at all. Cfd takes on many looks. 

Class 3 Maloclussion is a type of cfd that looks nothing like the guy you posted. Those people usually have a good sized chin but their midface is very deficient . It is cfd but because it is caused by a different posture the facial effects are different. 

Another form of Cfd is chipmunk cheeks . Everything in the face can be of normal development but the buccinator is hypertrophied to an above average degree. Again, different scenario.

There are countless appearances that manifest in Cfd but they never look equal because behaviors are different.

For people with bimax, their Cfd is caused by thumb sucking or tongue thrust. Not the same as someone who merely mouth breathes


 
Posted : 15/08/2018 1:50 pm
(@apollo)
Posts: 1738
 

Why is it so hard to understand that it is rare to find people with ideal development and also rare to find people with severely dystrophic development? It's much more common to find people with some intermediate combination of suboptimal growth patterns, worsening with age. Like any normal distribution curve, there are more people in the middle than at either extreme. It's just a semantic argument to decide where to put the threshold for qualifying as CFD. It seems to me that anyone whose facial form didn't reach its genetic potential has some degree of CFD. By this definition CFD is only "abnormal" when it is severe. It's still a good idea to practice good oral posture to avoid becoming severe with age, and maybe get some improvement in facial form.


 
Posted : 15/08/2018 4:49 pm

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