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Non Surgical Expansion

Posted: Fri Nov 09, 2012 2:11 pm
by IHeartUnionJ
Hi. I recently went to a traditional orthodontist who basically told me that I would need two teeth removed in order to achieve the results I am looking for. I attempted to discuss my desire to treat my type II malocclusion functionally, with some type of appliance, to no avail. He basically tried to make me feel like an idiot for questioning his views. I need to know if anyone here had significant expansion and mandibular advancement non surgically. If so, Was your orthodontist in an urban area? I am from a more suburban area and I have a feeling that no one and nothing would make these people consider any alternate treatments. I am 19 btw if that makes any difference. :D

Re: Non Surgical Expansion

Posted: Sat Nov 10, 2012 6:11 pm
by katsface
Hi, I'm brand spanking new to this forum, but I saw your post and I thought I might chime in with what I "know". Keep in mine, I'm not an expert and I haven't gotten my braces/surgery yet. BUt I have done a lot of research and seen three orthodontists so far. Any of the very knowledgeable ppl on this board, please feel free to correct me where I go wrong. :wink:

OK, first off, if this ortho makes you feel like an idiot now, it's probably not going to get any better over the course of treatment. And if you're unhappy with your final result you won't have the confidence to make him fix what you see wrong. So your instinct to go somewhere else and get another opinion is spot on.

Second, I went to two orthos (one in Los Angeles, one at a dental school in Virginia) that told me my problem is purely dental and needed extractions which I am not OK with. If my problem is purely dental, why do I need extractions?? I finally saw one who told me I had a narrow palate and surgical expansion could fix it completely, no extractions necessary. Again, you seem to be on the right track with trying to avoid extraction, as you can't undo extractions.

I'm 28 and am definitely done growing. My palate can be expanded, but they need to cut open my jaw to make it happen. In your case, since you're so young, there is a small chance that you're not done growing. Actually, more specifically, there's a tiny chance that your bones haven't fused together. If that's the case (I think they can check with X-Rays?) then you might be able to expand your jaw without surgery, and without extractions. But, if your jaw is finished growing and fusing, there's not much I'm aware of that will truly expand your palate, short of surgically assisted expansion (called SARPE).

Unfortunately, you're probably just going to have to visit a few orthos before you find one that you jive with. Some doctors seem to think the only correct answer is theirs. But, it's your face, you know what your comfortable with, and you have access to the internet to do some 'homework" about your condition. I think if you give it enough time, and you visit enough doctors, you'll have no problem finding someone who will work with you.

The ortho I finally found is out in the 'burbs. I don't think location has as much to do with finding the right DR. as just having the perseverance to go out and do a ton of consultations until you find him/her! I hope that helps!

Re: Non Surgical Expansion

Posted: Sat Nov 10, 2012 10:51 pm
by IHeartUnionJ
That was incredibly helpful! Thanks. I figured no one here would agree with me about some of the points I brought up. I hope all goes well for you! :D

Re: Non Surgical Expansion

Posted: Mon Nov 12, 2012 2:34 pm
by yorkslad
Can you get SARPE privately in the UK?

Yorkslad