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Hello Friend, any luck of finding surgeons in Europe? It seams SARPE is still the goto procedure around here.

same

@@lostintechnology1851 There is a clinic in Germany which offers EASE for 5,500 thousand Euro (but sadly not with a transpalatal distractor AFAIK but with an armless MSE device), and also a surgeon in Italy.

@Aidan Hauser eh… it’s a matter of how invasive do you want to get. Ronald (jaw hacks) has had quite the journey. Sometimes it’s better to pull the bandaid off sooner than later and get the surgery. MSE can take years of tweaking. This field is changing rapidly so it’s interesting to watch unfold. If these results are true about EASE it certainly seems promising. Makes sense. Can’t change the base of the nose(roof of mouth) without changing skeletal structure as well

@@matthewhackett3429 "Sometimes it’s better to pull the bandaid off sooner than later and get the surgery." What surgery are you referring to?

I just had the EASE done a month ago. Here are the reasons I chose EASE instead of MSE: 1. I have thin upper maxillary bone (the bone area where the TADs of the MSE are drilled into). Experienced MSE providers suggested that with an MSE, there would be a high risk that instead of the screws pushing the two halves of the maxilla apart, they would just drag across the bone because of how thin it is (even with cortipuncture). There wouldn't be enough anchorage because of how thin my bone was. I also didn't want to worry about the TADs bending upon turning the MSE. With EASE, the anchorage points are on the side walls of the maxilla instead of the top (for me, this was better). 2. As part of the EASE procedure, Dr. Li does some conservative bone scoring on areas that are known to have great resistance to lateral expansion from the midline suture. I'm not entirely sure of ALL the areas that he scores but I think the pterygomaxillary junction and the midline suture are two of them. This facilitates easier expansion with the device. 3. Finally, it appears that the device used as part of the EASE (a KLS Martin rapid palatal expander) is stronger and the placement of the distractor is such that the two ends are anchored onto the side walls of each half of the upper arch, instead of the roof as with MSE. This allows the vectors of force from the device to translate directly to the bone in the same direction as the lateral expansion (telescoping) of the device. You can read more about the device here: sforce.co/3IM3NvJ

@@GrowYourFace how has your sleep improved since?

@@karimjassim7510 It's improved a little but not dramatically. It'll be a long process and I'm still early in the expansion.

The dental expansion of EASE is usually quite little, and it's expanding transversely as well. Even if it's possible for tooth position to affect the tongue during sleep it probably would be minor, and flaring out the teeth definitely is not the way to treat OSA.

@@shuikai272 Lmao I love how I can just tell by your profile picture that you're the absolute legend on r/jawsurgery

yes. ALF

@@ibrahim_alkurd ALF is snake oil. Even MSE won't work for most adult men.

He told me the bar stays in 6 months total. 3 months expansion, 3 months consolidation (so the bone can set)

The expander is usually adjusted for about 90 days but then stays in for another 90 days to allow everything to set.

@@markhoner2052 is it only the nasal expansion or even the maxillary expansion? Like the max soo narrow does it expand ?

@@Thiruharini I'm referring to the maxillary expansion (e.g. upper palette widening).

@@markhoner2052 o ok ! Then what does he do to balance the occlusion isdues ? Matching max expansion to mandible ? Does ease achieve this 12 mm expansion? In cases if adults require this much mm of expansion??While with MSE it’s restricted to 8 to 10 mm expansion with the appliance! Thanks !

Uhlan USS, while not officially accepted, was widely used as was CSS.

@@Automaticstudioss Fun Fact: The US Navy issued the 'Donald Duck' hats (they weren't called that, until much later than the Civil War, obviously) that had the names of their ship inscribed on the band at the bottom. Later on, they changed it to simply read, "US Navy". This was for security reasons.