I have good growth in the alveolar part of the maxilla but need growth in the skeletal part/the midface by 4mm or so, what methods specifically target the midface? Could myofunctional therapy achieve the necessary growth in the midface? Accompanied with any sort of appliance if needed? Or are the options just limited to surgery? I think the condition of having the recessed skeletal portion of the maxilla is called maxillary hypoplasia.
Also, is the skeletal part of the maxilla(ie the midface portion) recessed because of a lack of growth, or is it a placement issue, like is it compressed and needs to be moved forwards? Because if it is a movement issue(not a growth issue), then maybe manual facepulling exercises could be effective in achieving forward movement of the skeletal portion, at least on a small scale?
How do you know that you have a good growth in the alveolar part of the maxilla but not in the skeletal part?
My nasolabial angle looks good, about 90-100 degrees, but then my cheek line is flat, and it seems I need about 4-5 mm forward growth of the midface to bring it forward(this is also corroborated by my Mew indicator line which is at 44mm).
My nasolabial angle looks good, about 90-100 degrees, but then my cheek line is flat, and it seems I need about 4-5 mm forward growth of the midface to bring it forward(this is also corroborated by my Mew indicator line which is at 44mm).
What is cheek line?
A lot of the measurements I found are covered here on Abdulrahman’s blog: http://www.aljabri.com/blog/case-analysis-recessed-versus-forward-faces/
So, if I understand correctly, the cheek line indicates whether the maxilla is skeletally well developed, while the nasolabial angle indicates the alveolar development.
That means, theoretically, people with a cheek line forward and an high nasolabial angle with incompetent upper lip, they would need to develop only the alveolar part of the maxilla, not the skeletal one. @Abdulrahman What do you think? Is that right?
@scerif That is correct, according to what I gathered from Abdulrahman. He goes into detail here: http://www.aljabri.com/blog/case-analysis-recessed-versus-forward-faces/
I think you are over analyzing the importance of the nasolabial angle thing. if the mew indicator is bad your maxilla needs to come forward at your age with persistent work it will be easier than many people here but its by no means easy. in terms of forward growth 4mm is a heck of a lot so it will take a long time. there's less than 10mm between the 2 extremes in the post you linked so bare that in mind and set your hopes accordingly.
So, if I understand correctly, the cheek line indicates whether the maxilla is skeletally well developed, while the nasolabial angle indicates the alveolar development.
That means, theoretically, people with a cheek line forward and an high nasolabial angle with incompetent upper lip, they would need to develop only the alveolar part of the maxilla, not the skeletal one. @Abdulrahman What do you think? Is that right?
Correct and correct.
my story: http://www.aljabri.com/blog/my-story/
@scerif That is correct, according to what I gathered from Abdulrahman. He goes into detail here: http://www.aljabri.com/blog/case-analysis-recessed-versus-forward-faces/
I've read on the forum about Won Moon's MSE + face mask treatment, and how that can achieve forward growth of the entire maxilla, although more in the alveolar part than in the rest of the maxilla.
I'm also looking into orthotropics, as they achieve great results in uprighting the maxilla and changing facial form entirely, although the results would be much less dramatic given my age of 16/17. Unfortunately, I live in the Bay Area and the 2 local orthotropists won't consider treating me due to my age.
forward growth from mse+fm is not alveolar at all
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