How MSE Works

[@JawHacks]

Heads-up people!! This video is just for information and isn’t medical or dental advice-I’m not a doctor, dentist or licensed healthcare provider of any kind. Always check with a qualified professional for your health questions. Use this info at your own risk-it’s not meant to diagnose, treat, or recommend specific providers, products or procedures.

[@pariahsgrit]

Soooo glad I found this channel!! I had 5 years of braces that jacked my face up when I was 7-11...headgear and all the works. Now I'm a horrid mouth breather with dey mouth and chronic sinus infections. I thought being 31 it was too late for me but your results are super inspiring. Keep the information coming.

[@Byemiek]

espero que encuentres solucion tio, al igual que yo

[@carlyreigel510]

Omg ditto

[@PROofHAPPYWHEELS]

Good luck, all the best.

[@kartikchahal4433]

Give me your contact number

[@RickyDanDiggity]

Have you started treatment?

[@Skiroy]

I dont know if ur aware but you are a global leader in this subject.

[@biomaterialskorea6827]

Hello. We are BMK which is a supplier of MSE. If you`d like to treat MSE in your country, I will send to you information by email. [e-mail] thanks

[@nickliovich]

Soft Tissue nose surgery cannot compare to moving the bone to make more room in your nose. This was a helpful quote for me as I'm trying to decide between an expander (again, had one around age 12) or septoplasty.

[@BestFaceForward]

Good work Ronald I think you have a great channel 👍

[@spiscold50]

What's up man I'm a big fan. A combination of your videos and Ronalds videos gave me a good plan to assess my current facial situation.

[@merjenorazmammedova6516]

@@spiscold50 saaame, thanx to both of them!

[@ShahabSheikhzadeh]

Extremely excellent video on this subject. You went so far as to describe DOME as well. I would only recommend if you were to update this video or modify anything, is to include screenshots of each of these treatment modalities that you mention. I like the fact you used the appropriate model as well. Just note that you mentioned splitting the skull* when you're just splitting the jaw* toward the end. Just a minor taxonomy correction. This gave me a better understanding of these processes so when I do a follow-up with my own doctors, I know what questions to ask. I may reach out in the future about a project I'm working on related to all of this :)

[@imazai4884]

Update on this?

[@BestFaceForward]

Something else I would say Ronald, is that you talk a lot about nasal volume being restricted by the size of the cavity. Another cause of airway restriction is a weak tongue which is low in the mouth - encroaching the airway. You can improve your airway through myofunctional therapy and shifting the mandible forward. As well. Great channel!

[@prince_sach50]

He mews regardless

[@Retrofire-47]

Awesome +1 Ultimately, MSE is a rather unknown, irreversible procedure. Much of the benefit of MSE can be obtained naturally through self-discipline and time -- _without_ all the risk. i am personally looking into MSE because i want to reopen my recently extracted wisdom tooth sockets and place implants there to stave off the bone-loss, and secondary to that i have UARS, so i believe the procedure is an unusual compliment for me... for most ppl i would rather think it beneficial to take your advice

[@54321Adela]

This demo is so helpful, I keep coming back to it.

[@danielna7904]

I had MSE done as part of my brace procedure for my open bite. It didn't seem to expand my maxilla that much considering there was no teeth gap happening and no change in my facial appearance. I'm happy with the results though as I have no open bite anymore

[@anthuanjm]

Are you able to breathe better or No?

[@NoRockinMansLand]

How much did it cost?

[@tahiatasminananna6641]

I have both problems of cross bite and open bite together.... For Cross bite correction, i have to expand upper jaw..... Today my dentist wear me expander to my upper jaw...... Pray for me... How long your treatment time?? your open bite gap was _?__nm...?

[@vladislavno]

Probably a tooth born expander

[@danielleholland2143]

My usual cashback site isn't offering rewards for Amazon during the pandemic, so I've been using your affiliate link here when I make occasional purchases since I can't think of a charity with an affiliate link. Love supporting independent creators :)

[@HHindsight]

My question with this would be what happens with the septum? Does it stay perfectly in the middle? What if it swings to one side of the split? - that would be a huge issue

[@vladislavno]

No it wouldn't

[@HHindsight]

@@vladislavno why not?

[@abril6392]

How does the expansion of the maxilla affect the external aesthetics of the nose? As a woman I don't really want my nose to look wider or taller.

[@tallisinwonderland4724]

Hi have you carried on with mewing? Just wondered if you were happy with results. There seems to very few women to ask

[@zacharyschafer9493]

wide noses (to an extent) are more attractive

[@Andreabay90]

you will breathe better and it will most likely look better not worse

[@stephaniew4168]

@@zacharyschafer9493 no they aren't lol! People get surgery to make them smaller.

[@vladislavno]

​@@stephaniew4168 because of their warped mentality not the reality of what is attractive.

[@tanyanelson666]

I need to widen my jaw without jaw surgery this is something I would love to try

[@vladislavno]

What's wrong with surgery

[@dotydraws]

​@@vladislavno not everyone wants to spend thousands of dollars on smth like this

[@vladislavno]

@@dotydraws make more money

[@jlc5271]

This model isnt right tho because it acts as if the cheekbones are only connected to the maxilla, when in reality they are connected to the other long bone that goes horizontally along each side of your skull. And those bones then connect to other bones. So how would the cheekbones move without every single bone in your skull moving?

[@acciodalek]

what about facial aesthetics? Wouldn't this also widen the nose and decrease upper lip tissue volume, both side effects that more often than not negatively effect most peoples appearance?

[@user89076]

I'm also curious about this. I'm all for broadening my arch, maxilla, cheekbones etc. But wouldn't want any adverse effects with the rest of my face.

[@mallorygieringer991]

I agree, I’ve had rhinoplasty … I real let wouldn’t want my nose wider or for their to be adverse affects on my nose doing this

[@vladislavno]

​​@@user89076your health is more important than your vanity

[@Cook4You1B]

great video thank you sir

[@newchangeunlisted_viewer5594]

Considering doing this Im 20 and think most of my stuff has fused I want to continue the growth i missed out on as a teen

[@gendoyle0]

Doesn’t this affect eyes? Seeing as it moves the eye sockets outwards?

[@ionadi7322]

I wonder if this makes nose look bigger

[@mosjosb]

jonadi it does make the nose wider

[@AndrewMorten11]

I'm so going to get this done... drastic, but some days I just feel miserable not being able to breathe

[@DebendraBikramKunwar]

Cost and age??

[@RyanWilliams222]

Did you get it done? If so, what variety and how did it go?

[@Postdisclosureworld]

This was an exceptional presentation. Thank you.

[@ginderellablue]

Great job!!! Love the visuals. Keep up the great work👍🏻

[@Jason-ip6wq]

So you are breaking your skull

[@JawHacks]

Precisely.

[@Bhiladpy-up9uy]

Better than agga, lol, it actually expands the maxilla and not just move the teeth. I wonder what’s available to expand the mandible.

[@Hhjhfu247]

@@Bhiladpy-up9uy probably only and still BSSO because mandible is a single bone

[@Bhiladpy-up9uy]

How much is mse

[@angelface8210]

Aye jason!!! Still waiting for that apology for killing my friends.

[@pimpinspartan]

Does the DNA appliance & Homeoblock work similarly?

[@pimpinspartan]

@Michael Bisping good luck you space cowboy

[@MASKerAYD]

would love to know what AGGA does at this level of depth and clarity

[@JawHacks]

Unfortunately no one knows exactly what the AGGA mechanism is. It's some combination of tooth pushing, tooth tipping, alveolar bone pushing, and remodeling. Mostly the first 3. One thing is for sure: don't believe a word you hear from the AGGA providers.

[@kittendivine1]

Where to do this in The Netherlands?

[@nancyceuleers5606]

Or in Belgium ?

[@JawHacks]

Not sure.

[@JawHacks]

Lots of people struggling to find providers right now.

[@Bhiladpy-up9uy]

Say we have our lower wisdom gone, how do we expand the mandible foward with jaw surgery.

[@kittendivine1]

I just found out that they do MARPE in Nijmegen. Might not be exactly the same, but MSE is a type of MARPE. www.google.com/url?sa=t&source=web&rct=j&url=www.orthodontics.nl/userdata/document/Pati%25C3%25ABntinfo%2520MARPE.pdf&ved=2ahUKEwiWstK9mcnnAhXDjqQKHe1uAnwQFjAAegQIAhAB&usg=AOvVaw1FFr4EFUi2ZWln59KyBSkX

[@criii4950]

I’m 27, I’m getting a palatal expander on and I hope it’s the type 2 like you say so I can get nasal relief too

[@andymanland]

What is type 2 expander ?

[@drkstrnd]

I hope you can answer this as I have seen it being talked about many times in your comment section, can you do anything about the Interpupillary Distance? Does MSE do that at a young enough age? Do you have to assist this with puncturing nasal sutures?

[@JawHacks]

Different people have analyzed my photos and seem to believe that Yes, my interpupillary distance has increased. I cannot confirm.

[@drkstrnd]

@@JawHacks thanks a lot, I am really interested in a 1 on 1 consultation, but what methods for payment do you offer?

[@BradBird007]

Can you explain how the bottom teeth/jaw lines up properly after expanding the upper portion? Thnx

[@matthiaspollak1785]

Great explanation!

[@LilMsLorelei]

Great explanations! Thank you.

[@AL-ru3nk]

Ok so what is the difference between MSE, SARPE and SARME? Also if the nasal cavity is expanded does it make the nose wider? What happens with the gap? Doe is regrow somehow?

[@robertjanji915]

Hey man ! I am really considering getting MSE as I have teeth marks on my tongue due to my pallet being too narrow. I just started using CPAP for my sleep apnea (I'm pretty fit, was very surprised that I had it) My question is, I have a severly deviated septum and was wondering if I should get the MSE or Septoplasty first? Thank you so much

[@tjam4229]

In the “dome” procedure you claim it’s done to guarantee that the mid palate suture separates. But a draw back is that it doesn’t allow for mid face expansion. What is the reason for cutting the zygoma, if you’re really just after “assuring the palatal suture gets split? Seems like a better, and less invasive, procedure would be to just do 1/3 of the “dome procedure”... just surgically split the palatal suture and leave the zygoma bones alone.

[@evanlavizadeh4032]

Super late reply, but let me clear this up. The main benefit of DOME isn't to overcome the resistance of the mid-palated suture, It's to overcome the structural resistances of the skull itself. And you don't cut this zygoma, you cut the maxilla with a cut called LeFort 1.

[@darielamartinez4755]

so will my nose look wider/ bigger afterwards?

[@Jabbaz03]

So... what about that gap inbetween the front teeth??

[@zacharyschafer9493]

braces

[@Jay-yy7uk]

Please do one on DNA appliance & Homeoblock

[@Delos5]

When you made the cheek bones fan out it, also made the eye sockets move. How does that change the look of your face?

[@cyberblock7619]

Split your head in half ouch

[@vin4679]

I think it increases the tilt of your eyes,not sure

[@Bhiladpy-up9uy]

Does it really move the cheekbones out with MSE? I would like some out too.

[@Bhiladpy-up9uy]

Just imagine is MSE could expand over the max of 15 mm. I would go for 25 mm. I also wouldn’t mind it being that wide because it would give me wider cheekbones

[@Bhiladpy-up9uy]

Would cheek implants make the face appear wider?

[@Testoflove-z7n]

I started Myofunctional therapy and told them I’m considering mse. And they said my intermolar width is 44mm so I don’t need it. But it really doesn’t feel that wide.

[@jasonn_lifts]

Hi, I’m going to Dr Ting, but he only wants to do a 6mm expansion, so at the end my imw will be 45mm. Should I ask him if I can expand 8mm or 10mm

[@noobstarop7500]

45 mm is enough

[@daugustus]

Great information. Now wouldn't that separate the two incisors?

[@Solarani---1994]

Cost?

[@ayahazzam5697]

Hey there! i have had braces, premolar extractions and wisdom teeth removed, do you think the best option is MSE? Im a 2 hr drive to Dr. Bockow so considering seeing them

[@norubi]

Hello I got 2 premolars extractions on the Upper and 2 premolars extractions on the bottom teeth due to orthodontics. If I expand my maxillary with that device can I replace my extracted premolars?

[@alvekcdeshton4085]

I have a very extreme downswung face. I posted a video about myself. What would be the best treatment other than mewing?

[@tadficuscactus]

Double jaw surgery probably.

[@jesper9622]

@@tadficuscactus No, noob. He should use MSE + facemask, thats much more gentle on bones.

[@alvekcdeshton4085]

@Black Pill is there a way I can send you a pic?

[@AF-uc2bd]

@@alvekcdeshton4085 i replied u once. I had the same. Expansion of jaws will help a lot, first bones then try jawresize trains side muscles. I have removable expander from braces shop paid for upper and lower 400€, fake myobrace from ali (1,2,3 stage all for 10€) and jawzrsize (30€). My face has shorten and became round.

[@AF-uc2bd]

If u want i leave u mail maybe i can help u

[@Itstimetogogo]

Thanks man, great info!

[@austinzizzi1142]

But how does the arch of the mandible compensate with a wider upper arch?

[@ralicadimitrova6884]

Is the MSE annoying? Does it hurt the tongue? Does it affect of daily life?

[@rahulnagwanshi2348]

Why nobody is talking about the malocclusion between lower and upper teeth this will lead to as a consequence.

[@cyrils.1194]

So it expands but doesnt make it grow forward..

[@vishakhz6744]

It doesn't and he acknowledges this in many videos. But combine MSE with mewing. Once you've already gotten the MSE treatment done, mew with a focus on forward force rather than upward force with the tongue (it's much easier anyways)

[@cursedsoils6611]

So, you expanded the maxilla by 1 cm. What about the centimeter cavity that appeared after that? Do you now just have a large cavity / crack in the middle of the upper jaw ( like on 1:10 )? Does it feel? Does it interfere? Or is it overgrown with cartilage / a new bone has formed in this place?

[@JawHacks]

In 6-12 months the split will fill with boney material. The MSE has to stay in until this happens. That's why my MSE is still in. This is similar double jaw surgery where a large section of the maxilla is pretty much cut off of the face and repositioned in place with metal plates, and then heals into a solid, contiguous piece of bone in 6-12 months.

[@salty8544]

This mewing?

[@ryant6134]

Does the bone grow in after expansion? Or, does this weaken the jaws and face permanently? Have you read about dentists/orthodontists removing adult teeth to make room? I had braces in my early teenage years. They removed 4 adult teeth which screwed my jaws up, made me a horrible mouth breather, with chronic sinus issues. Now I am trying to determine whether I want to do MSE or EASE. And possibly add back the 4 adult teeth with implants. So maddening how dentists, orthodontists, and even the modern soft food diet (see the book Breath) has messed our jaws up.

[@StickyBooger13]

Does anyone know how much pain this causes, and what kind? How and what can you eat?

[@lesleymidei7057]

OK So when the Maxilla splits does the skin on the roof of the mouth tear as well? Very informative thankyou

[@andymanland]

I think it doesn't. Skin is much more flexible and just stretches and prob some tissue might grow to compensate the stretch.

[@linakhedim18]

I didn’t get it , ist normal to put it or it’s dangerous???

[@freedom_is_notfree]

Very good. I'm also interested in mse expansion.

[@makintoshki]

Would your make your nose look wider?

[@cooljazzr]

What do you think about Homeoblock?

[@llukan5154]

Ok I am sold where can I get one ?

[@Luke-ih1oc]

You said that it's been life-changing - how so? Also, once the separation occurs, I assume the device can be removed after a certain period of time? Or does some kind of retainer always need to be worn on some kind of basis?

[@abril6392]

From what I've heard you need to keep the screws in for about 6 months for new bone to form, so that the space created remains.

[@adamcatchesfish6148]

Hey Ronald! What would you say the possibility is for an adult male (32 yo) to get a split if corticopuncture is done? I am getting an MSE installed in 4 weeks and will have corticopuncture done during installation. Does this ensure a split for the most part? Hoping to not have a failed device. Thanks! Also, I might like to do an interview with you when I'm done expanding for the education of KZbinrs with my experience.

[@williamkarl-gustafmoller8492]

I see it has been over 8 months since you commented. Hows it going? Is the suture expanding your midface? How many months have you been expanding?

[@miniweeddeerz1820]

Update?

[@Baronvanhausen88]

Are you still alive?

[@Retrofire-47]

he's dead. there's blood... everywhere

[@Baronvanhausen88]

@@Retrofire-47 😖

[@faramund9865]

Crazy stuff, splitting open sutures... I don’t know if I’m willing to risk damage like that despite me suffering from mouth breathing during the hay fever season. I think I’ll give much chewing a try.

[@faramund9865]

@Abdullah Yusuf Nope. Just lots of issues with allergies.

[@lroca6950]

Where did you get your skull I want one ?

[@stephaniew4168]

Do you ever hear of complications? Because I see comments under videos on other channels about how painful MSE can be - and even some that it caused permanent chronic pain, permanent neck instability issues etc. Also - does expansion not create a huge wide nose? And how does it open up the actual nasal tubes deep down which is where things get difficult?

[@esteemaco]

Will my nose get wider and less aesthetically pleasing or is the widening not noticeable

[@zacharyschafer9493]

The nose “holes” get wider and the mouth also gets wider with it. The width of a resting mouth is usually based on how wide a palate is. Personally, I find reasonably wide mouths and noses more aesthetically pleasing than narrow airways.

[@tropicaldimitri7374]

@@zacharyschafer9493 Does midface improve?

[@PK-qv5kv]

So after agga youve got a imw of 37mm?

[@PROofHAPPYWHEELS]

What about the DNA appliance?

[@kissarmin7130]

Could splitting the maxillary suture have any negative side effects? Would it pose any kind of danger if one tried to split it using the force of their thumbs(similarly to MSE) without pushing on the teeth?

[@jesper9622]

Kiss Ármin Some people have done that lol, I think it may risk failing to expand upper part of maxilla + assymetric expansion. One MSE expansion failed because one screw was not drilled far into the bone and failed to expand upper part of maxilla, the titan screw turned out to be very bent. Dr Won Moon showed it in his presentation.

[@AF-uc2bd]

If u expand slowly there should not be any problems. Check online shop from germany-braces shop. They make removable expander and same results as here described. And u will save so much money. I am so happy with my results. I paid for both mandible and maxilla and shipping 400€

[@clement_jacob]

@@AF-uc2bd has this worked for you, doesnt expander just push your teeth forward? Tipping outwards!

[@cpcampbell3]

@@AF-uc2bdwhat age are you? And did you have any issues putting the appliances in yourself?

[@Liam-yr4uf]

even if you somehow managed to split the suture through face pulling (LOL) you will never expand because you can't hold it in place until new bone grows.

[@IYAK105]

Thank you for explaining, new subscriber

[@Carpediem617]

Can someone please tell me what is the difference between mse with dome and fex sarpe procedure? Is it the same? I am confused.

[@zenray9299]

Does anyone know if the most posterior part of the zygomatic arch (just infront of the ear) widens at all with mse? Any rough estimations of how much they widen with a typical mse procedure? (Standard/average amount of expansion say 8mm when settled)

[@Bas_Rc]

Hello, I hope you can answer my question. I am 21 years old, can I enlarge my maxilla with the appliance?

[@zzz-1560]

Where can I get this done in Italy or Sweden?

[@biomaterialskorea6827]

Hello. We are BMK which is a supplier of MSE. If you`d like to treat MSE in your country, I will send to you information by email. [e-mail] thanks

[@ayoubtachrafte4581]

BioMaterialsKorea im interested sir

[@MegaLalala91]

I mew but only one side grew, can I use MSE to correct this?

[@keplar7243]

Where can I get MSE + facial mask treatment in London?

[@SokolNushi]

Does it affect the skull?

[@HeliosBeats]

So once it's done youre permanently left with a spilt open gap at the bone-level ?? Generally speaking doesnt that mean less structural integrity if you were to consider the skull or at least the lower half as a single piece?

[@JawHacks]

Boney material fills in the split in 6 months to a year.

[@HeliosBeats]

@@JawHacks interesting

[@pennykpop6654]

Is It ok for adult? Where to buy it?

[@Jesus-qv5sw]

Can an hyrax expander work well like an MSE or it will work slowier than MSE?.

[@starstar2362]

I wore a pallate expander when I was 21 for a couple of years and it messed up my palalle. I had a even pallate before I wore it. It caused my pallate to be uneven with the left side wider than the right and the arm of the expander cut into the roof of my mouth and left a permanent knot on the right side where its more narrow. I have been unhappy about this so long. I don`t know what to do or where to go so I can this fixed. Every oral surgeon I go to want to charge me for a consult and never help me and I get nowhere with orthodontic consultations either because they tell me they don`t put expanders on adults or they wont expand it so it will be even on both sides. The issue is the uneveness is really bothering me and I want something done to make my pallate symmetrical again. The places I go to dont listen and want to do anything for me and I hate that I am stuck like this because it was not like this before. I feel like I get the run around everywhere I go and ripped off and charged for nothing. Do you have any suggestions?

[@valenciareza7552]

Does it mean u will get a wider nose if it spilt?? That won't look good though if ur nose is going wide...

[@zacharyschafer9493]

WIDE NOSES ARE BETTER IN EVERY WAY BELIEVE ME I HAVE A CRAPPY NARROW NOSE

[@norubi]

Hi someone knows if MSE could be do before bimaxillary surgery?

[@johanjonasson4188]

I wonder if the suture will grow new bone to close when the expansion stops?

[@tarunxkumawat]

what is the full form of msc

[@zacharyschafer9493]

Maxillary Skeletal Expansion

[@CroElectroStile]

PLease talk more about MARPE and SARPE because it seems they are more prevalent around in Europe

[@AprilBloodlines]

and if I have wide cheekbones mse wouldn't affect me?

[@ponysandwich]

What about rapid maxillary expander? Is it the same or different? Really want Ronnie before my appointment

[@Cineraria99]

did the mse make your nose aesthetically wider ?

[@morriseperez1901]

I live here in NYC, where would you recommend getting a consultation and possibly getting the appliance installed?

[@annette2009]

You should totally do it! I see Dr. Newaz and just got my MSE installed and my suture split and it’s life changing!!! I’m telling everyone about it!!

[@angelo6147]

Despite having a small palate I was able to make mewing a habit. However my tongue touches my molars.. Should i keep doing this and eventually does my palate expand? I'm also considering going for a MSE treatment here in japan in the future.

[@Ufhhh12]

mewing is nothing to mse, especially at adults,

[@mrdarkfantasy5857]

Did u go

[@KylaBreen]

what happens to the aesthetic of the nose??

[@marvingunia827]

What happens to the two forth teeth then? Will my upper teeth stay apart like you show on the skull?

[@marvingunia827]

And will the suture regenerate and close the gap?

[@ytuseracct]

@@marvingunia827 people get braces after MSE

[@PatrickCarmelo]

any providers in Ontario (Toronto) ?

[@biomaterialskorea6827]

Hello. We are BMK which is a supplier of MSE. If you`d like to treat MSE in your country, I will send to you information by email. [e-mail] thanks

[@forgetaboutme703]

have you found a provider in ontario?

[@PatrickCarmelo]

@@forgetaboutme703 yes I have

[@thejoyfulartist4317]

@@PatrickCarmelo who is the provider?

[@kijhhj]

Thank you, that was very helpful

[@BeautifulAwakening]

Does it make a gap in the front teeth ?

[@in-motion6419]

What about the mandible?

[@ZekeTooFly]

does MSE create space for a tooth implant as I have extracted a tooth and now my upper teeth is misaligned

[@prince_sach50]

Same

[@Retrofire-47]

Ostensibly, yes.. it can. According to my respiratory orthodontist and implant specialist duo anywho but do seek your own counsel. i'm going for wisdom tooth implants.

[@ZekeTooFly]

@@Retrofire-47 wisdom teeth implants? if your wisdom teeth is impacted you should definitly extract them. wisdom teeth implants seem pointless I would only get molar implants.

[@Jamesk11178]

How do you eat with this? With the skull split, wouldn’t eating hard foods destroy your face?

[@pariahsgrit]

Lol

[@prince_sach50]

lol right

[@ezcalilat]

What is MSE to start with?

[@cpcampbell3]

Does the mandible move with the maxilla ones it’s been widened?