Interesting Article regarding Rapid Palatal Expansion-non-Surgical

[Guest guest]

This report shows that there may be no need for surgery in cases of

crossbite and deficient maxillary arch.

http://www.cda-adc.ca/jcda/vol-69/issue-6/374.html

Any Doctors or those familiar with this option who can enlighten me

with experience with the HAAS appliance, please do.

Thanks

Arde

[Guest guest]

Hi,

I'm not familiar with the HAAS appliance, although from reading a bit

about it, it sounds like other devices that are used without surgical

assistance (SARPE).

My ortho used a removeable lightwire appliance called an ALF to

expand my upper palate, it doesn't crack the palate and is also

nonsurgical. His approach is to treat non-surgically where possible,

but it's not always possible: in my case, as he said, the condition

was severe, and surgery was necessary.

I am not sure how much movement can be accomplished using ALFs, nor

exactly how much width was attained in my case, certainly it is a

much slower process than the crank-key devices that are common.

> This report shows that there may be no need for surgery in cases of

> crossbite and deficient maxillary arch.

>

> http://www.cda-adc.ca/jcda/vol-69/issue-6/374.html

>

> Any Doctors or those familiar with this option who can enlighten me

> with experience with the HAAS appliance, please do.

>

> Thanks

>

> Arde

[Guest guest]

,

Thanks for the reply. You mention that your case was too severe for

the NS option to work. Can you give some details as to your case, if

thats alright, ie. your age, which jaw, and how much expansion was

required. I am 26 m and it is my maxilla that required 4-6mm of

space.

Thanks,

Arde

> > This report shows that there may be no need for surgery in cases

of

> > crossbite and deficient maxillary arch.

> >

> > http://www.cda-adc.ca/jcda/vol-69/issue-6/374.html

> >

> > Any Doctors or those familiar with this option who can enlighten

me

> > with experience with the HAAS appliance, please do.

> >

> > Thanks

> >

> > Arde

[Guest guest]

> > > This report shows that there may be no need for surgery in

cases

> of

> > > crossbite and deficient maxillary arch.

> > >

> > > http://www.cda-adc.ca/jcda/vol-69/issue-6/374.html

> > >

> > > Any Doctors or those familiar with this option who can

enlighten

> me

> > > with experience with the HAAS appliance, please do.

> > >

> > > Thanks

> > >

> > > Arde

[Guest guest]

I agree. I had an expander in my teenage years. It just moved the

teeth out laterally. No bone was moved. When the pressure was no

logeer there, the teeth relapsed back to their normal position.

I had to have SARPE now (32yrs) to correct my severe cross-bite once

again. Hopefully this will not relapse. From my many sources, the

likely-hood is minimal because the bones are now moved to a new

position......

> > > > This report shows that there may be no need for surgery in

> cases

> > of

> > > > crossbite and deficient maxillary arch.

> > > >

> > > > http://www.cda-adc.ca/jcda/vol-69/issue-6/374.html

> > > >

> > > > Any Doctors or those familiar with this option who can

> enlighten

> > me

> > > > with experience with the HAAS appliance, please do.

> > > >

> > > > Thanks

> > > >

> > > > Arde

[Guest guest]

Hi Arde,

I'm now almost 49, almost two years ago, my upper jaw was surgically

impacted and slightly rotated, my lower jaw was advanced, my chin was

reduced and advanced. I had ALF treatment for approximately one year,

then fixed braces. My ortho does not always use fixed braces, but

they were necessary for surgery and for finetuning post-op.

If I understand my ortho correctly, it's possible for him to effect

skeletal change in the cranial structure using the ALFs and a

combination of cranial-facial massage therapy - this is because the

bones in the skull do not actually fuse in adults, and can be

manipulated. My cranial therapist likened the bones in the skull to a

swiss clock, things fit very tightly together, but by applying the

right force to one bone, you can move another. I'm probably not

explaining this well, I'm only the patient! Anyway, it worked in my

case, but the solution had to involve surgery in the end.

I can't tell you how much expansion was required, I never asked that

question, that's why I'm unsure whether or not the method is suitable

for large movements. It's also not a common method - my ortho knows

of a colleague in town, for example, that would never attend any of

his seminars on the ALF treatment, but who sends him his toughest TMJ

cases all the same because he gets results with his treatment.

As for tipping of teeth, as I read in another reply, this did not

occur with the ALF treatment.

> ,

>

> Thanks for the reply. You mention that your case was too severe

for

> the NS option to work. Can you give some details as to your case,

if

> thats alright, ie. your age, which jaw, and how much expansion was

> required. I am 26 m and it is my maxilla that required 4-6mm of

> space.

>

> Thanks,

>

> Arde