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Is it possible to do MSE+FM twice to augment results.

MSEFMIMDOHope
(@msefmimdohope)

Is it possible to do 2 rounds of MSE+FM (assume the first was successful). My goal would be to get that bit more of cheekbone expansion as well as more forward growth. My maxilla is currently quite undersized, but perhaps not to a severe degree. 

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Topic starter Posted : 11/05/2022 11:46 pm
Apollo
(@apollo)
500+ Forum Posts

Potential maxilla expansion is limited by aligning the bite with the mandibular arch. One 12mm MSE is usually enough to meet or exceed that limit, but there are techniques to pull the upper teeth back in or expand the lower arch to permit more skeletal expansion of the maxilla. 2 rounds of expansion is possible. Generally the second set of TADS would be placed a little forward or back from where the previous set came out to ensure stability.

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Posted : 17/05/2022 8:34 am
MSEFMIMDOHope
(@msefmimdohope)

@apollo I was going to do MSE+FM and then go for IMDO. If I then went for another MSE+FM is doing another IMDO possible?

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Topic starter Posted : 18/05/2022 7:00 am
Apollo
(@apollo)
500+ Forum Posts

@msefmimdohope I’m not knowledgeable about these surgical approaches, but any distraction osteogenesis on the mandible (IMDO, MSDO, etc.) will require invasive and expensive osteotomies. So I imagine two rounds of mandibular expansion would want to be avoided.

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Posted : 21/05/2022 6:10 am

THE GREAT WORK