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Consultation coming up for MSE. Need help.

Caleb91899
(@caleb91899)
New Member

So I’m going to an orthodontist this Tuesday for a consultation to see if they will accept me for an MSE. I’ve done a lot of research to know exactly what I want/need so there is no way an orthodontist is going to change what treatment I’m trying to have done. My palate is fairly narrow with an IMW of 35mm. Here is what my mouth looks like when it’s completely closed & I cramp my tongue in & try to maintain proper tongue posture.

6A83D876 1186 4BA4 9422 BE3E4746C20E

The only good thing about my mouth is that my teeth are naturally pretty straight & I’ve never had any orthopedic treatments done, & I have all 32 teeth.

As much as I try to practice proper tongue posture, since my palate is so small, naturally my lower jaw drops down slightly, then my tongue spreads out & sticks out between my teeth like so.

62D44C8F 58F4 48A5 86DE F632A6F5C0F7

 The main reasons for wanting to get MSE installed is because:

  1. I cannot fit my tongue in my mouth. This naturally causes me to drop my lower jaw & then my tongue widens & flattens out but instead of being on the palate completely it is sticking out in between my upper & lower teeth & rests there. My lower jaw often shifts forward as well when resting. So basically my natural resting oral posture is with my tongue between my teeth spread out & my lower drop dropped down & shifted forward slightly giving me technically an underbite. I’m also constantly biting my tongue when chewing which is very unpleasant.
  2. My nasal passage is very narrow as well from having a narrow palate. My nasal breathing definitely is bad, which causes me to drop my jaw as well & breathe through my mouth occasionally. All my life I’ve always had a faint whistling sounds when I breathe from not having enough airway. I’ve also always been extremely prone to nasal blockages & extreme nasal congestion. I have seasonal allergies as well & there’s times where I literally cannot inhale through my nose. This has cause so much damage to me & has made me a mouth breather. The same entire thing happens with sleeping as well.

My other (aesthetic based) reasons for wanting MSE is because:

  1. I want to use a FM since my maxilla is extremely recessed. This gives me such a terrible facial structure, side profile & especially absolutely awful under eye support. My entire life I’ve always had slightly puffy looking dark under eyes.
  2. I want to have cheekbones. This kinda goes alone with 1, I have hardly any visible cheekbones & getting the MSE to gain plenty of expansion will also give me more wider & prominent cheekbones.

There’s definitely other miscellaneous reasons but those are just the most obvious & basic reasons for why I want this done. I know that I want it & I definitely believe I need it. My only problem is that I’m not sure how lenient this orthodontist will be with that when I go to get examined or if he is going to be close minded & try to trap me into something that I don’t need that he thinks will work, which just is a money pit. Is there any things I should say to him about it or should I jus let it be known early into the consultation that I know what I want done & there’s no other treatment I want him to give me, that I would like to have him be all for it & work with me through this treatment & if not then I’ll go elsewhere? I just don’t want to go through weeks & months of consultations to find an orthodontist that will work with me. I personally feel that I need this & I think that I shouldn’t have a problem getting it. I just want to know if you guys think making it clear what I want from the begging is better or if there is certain things I should bring up with him & talk to him about? Any help is appreciated & I’m looking forward to all your help!

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Topic starter Posted : 28/06/2020 1:16 am
Swaelee17
(@swaelee17)
New Member

I feel you bro I just went to two different orthodontists asking for a palate expander and none of them had any clue about anything besides the teeth and them being straight, same thing here, perfectly straight teeth with no ortho ever, so they were heavily against messing up my teeth so good luck bro!

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Posted : 28/06/2020 11:08 pm
_a.deleted.profile
(@_a-deleted-profile)
50+ Forum Posts

Can someone explain to me how someones maxilla can be (extremely) recessed when they have all 32 teeth? Wouldn't having all 32 teeth mean that the jaws have grown approximately to their correct length?

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Posted : 28/06/2020 11:41 pm
Sergio-OMS
(@sergio-oms)
100+ Forum Posts
Posted by: @chiefkeefsosa

Can someone explain to me how someones maxilla can be (extremely) recessed when they have all 32 teeth? Wouldn't having all 32 teeth mean that the jaws have grown approximately to their correct length?

Good question!

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Posted : 29/06/2020 12:03 am
Caleb91899
(@caleb91899)
New Member
Posted by: @chiefkeefsosa

Can someone explain to me how someones maxilla can be (extremely) recessed when they have all 32 teeth? Wouldn't having all 32 teeth mean that the jaws have grown approximately to their correct length?

I know exactly what you’re thinking. I believe it definitely has to be because Ive mouth breathed for so much & cuz my teeth never were together since my tongue was always laying in between them from having such a narrow palate. I highly believe that’s what caused such a recessed maxilla since there never was really any support from the lower jaw being dropped down & not supporting the upper. You get what im trying to say?

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Topic starter Posted : 29/06/2020 1:58 am
Robbie343
(@robbie343)
100+ Forum Posts

They’ll likely take CBCT scans to determine if you need MSE in the first place. So start there. 

I wouldn’t tell them your looking for better cheekbones, that’s not what MSE is made for and it might turn the Dr. off. 

They might want you to go have a sleep study done before even giving you a treatment plan since you’re looking for better breathing. 

If you want to do face mask then you’ll need a plan for the lower jaw. Your bite looks perfect so FM could possibly screw that up who knows. 

And I guess if the doctor recommends a different treatment that they think will help just say no and find another doctor who will fit you with MSE. 

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Posted : 29/06/2020 9:13 am
buergermeister
(@buergermeister)
New Member

hi high-t chad(tyler here)

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Posted : 29/06/2020 9:41 pm
mewisit
(@mewisit)
10+ Forum Posts

guys how do you find orthodontist that do mse in your area

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Posted : 03/07/2020 10:09 am
nek23
(@nek23)
10+ Forum Posts

could someone please tell me whats difference of palatal expanders and maxilla skeletel expanders? 

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Posted : 04/07/2020 5:17 pm

THE GREAT WORK