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       #Post#: 1941--------------------------------------------------
       Re: Sleeping on the Back without Pillows (for Crane)
   DIR By: Progress
       Date: April 20, 2017, 8:22 am
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       --- Quote from: slamo28 link ---
       >
       > If the tongue was enough to cause maxillary protraction then
       why is Mike Mew focusing all his efforts on perfecting
       facepulling headgear?
       >
       >
       --- End Quote ---
       As he has often said, adopting and maintaining proper posterior
       tongue posture is extremely difficult without first having
       adequate space in the mouth. Facepulling gives a good kickstart
       for those whose structure is too recessed to do anything else.
       #Post#: 1954--------------------------------------------------
       Re: Sleeping on the Back without Pillows (for Crane)
   DIR By: slamo28
       Date: April 21, 2017, 10:56 pm
       ---------------------------------------------------------
       --- Quote from: Progress link ---
       >
       > [quote author=slamo28 link=topic=254.msg1933#msg1933
       date=1492564294]
       > If the tongue was enough to cause maxillary protraction then
       why is Mike Mew focusing all his efforts on perfecting
       facepulling headgear?
       >
       >
       --- End Quote ---
       As he has often said, adopting and maintaining proper posterior
       tongue posture is extremely difficult without first having
       adequate space in the mouth. Facepulling gives a good kickstart
       for those whose structure is too recessed to do anything else.
       [/quote]
       That's what the DNA appliance and ALF appliance is for. Forcing
       those walls open so the back tongue can come up. But i'm sure
       there are extreme cases of repressiveness where facepulling is
       needed. Either way i believe that change we are all looking for
       lies in some sort of protraction device. The tongue will widen
       palate and bring lower jaw forward but not the maxilla as a
       whole.
       #Post#: 1957--------------------------------------------------
       Re: Sleeping on the Back without Pillows (for Crane)
   DIR By: Progress
       Date: April 22, 2017, 10:02 am
       ---------------------------------------------------------
       --- Quote from: slamo28 link ---
       >
       > change we are all looking for lies in some sort of protraction
       device. The tongue will widen palate and bring lower jaw forward
       but not the maxilla as a whole.
       >
       --- End Quote ---
       What makes you think that? You have not given any reasons as to
       why facepulling would be more effective than mewing in bringing
       the maxilla forward. From my point of view the difference is
       inisignificant, since the forces that are generated are almost
       identical in both mewing and facepulling. If you think I'm
       wrong, please tell my why.
       I feel like one of us doesn't have a clue what they're talking
       about here. You say that while the tongue can widen the palate
       and bring the mandible forward, it won't bring the maxilla
       forward. This axiom has two problems:
       1. In order to bring the mandible forward, the maxilla has to
       come forward too, because the location of the bite is directly
       determined by the position of the upper jaw / maxilla and the
       teeth attached to it.
       2. The act of palatal expansion itself expands the maxilla
       forward through the suture, which makes your statement about the
       tongue being able to expand the palate but not induce forward
       growth contradictory.
       #Post#: 1959--------------------------------------------------
       Re: Sleeping on the Back without Pillows (for Crane)
   DIR By: slamo28
       Date: April 22, 2017, 2:22 pm
       ---------------------------------------------------------
       --- Quote from: Progress link ---
       >
       >
       >
       > 1. In order to bring the mandible forward, the maxilla has to
       come forward too, because the location of the bite is directly
       determined by the position of the upper jaw / maxilla and the
       teeth attached to it.
       >
       > 2. The act of palatal expansion itself expands the maxilla
       forward through the suture, which makes your statement about the
       tongue being able to expand the palate but not induce forward
       growth contradictory.
       >
       --- End Quote ---
       1. I'm proposing that the palate and the maxilla are two
       separate entities; the palate simply being the roof of the
       mouth, and the maxilla being the mid face bone that is much less
       affected by palatal expansion than we think. So when lower jaw
       has come forward its because the palate has grown, but not the
       maxilla.
       2. I do not think that palatal expansion causes forward growth
       through any suture because I feel the palate is too
       impressionable, too malleable. I think the palate absorbs all
       tongue forces, leaving none for the maxilla as a whole. Which is
       why i feel a protraction device is necessary because it can
       induce that extra long term force that doesn't get absorbed by
       the palate.
       #Post#: 1962--------------------------------------------------
       Re: Sleeping on the Back without Pillows (for Crane)
   DIR By: Progress
       Date: April 22, 2017, 3:38 pm
       ---------------------------------------------------------
       --- Quote from: slamo28 link ---
       >
       >
       > 1. I'm proposing that the palate and the maxilla are two
       separate entities; the palate simply being the roof of the
       mouth, and the maxilla being the mid face bone that is much less
       affected by palatal expansion than we think. So when lower jaw
       has come forward its because the palate has grown, but not the
       maxilla.
       >
       >
       > 2. I do not think that palatal expansion causes forward growth
       through any suture because I feel the palate is too
       impressionable, too malleable. I think the palate absorbs all
       tongue forces, leaving none for the maxilla as a whole. Which is
       why i feel a protraction device is necessary because it can
       induce that extra long term force that doesn't get absorbed by
       the palate.
       >
       --- End Quote ---
       1. On what grounds are you proposing that? On Google in every
       image of the skull where maxilla is highlighted, the highlighted
       area includes the palate. This is what Wikipedia says about the
       maxilla:
       --- Quote ---
       > The maxilla in animals is the upper jawbone formed from the
       fusion of two maxillary bones. The upper jaw includes the
       frontal portion of the palate of the mouth.
       --- End Quote ---
       
       Palate is part of the maxilla bone, so if palate grows, maxilla
       grows, because palate is the only link between the two halves of
       the maxilla:
  HTML https://upload.wikimedia.org/wikipedia/commons/thumb/1/1e/Maxilla_close-up_animation.gif/240px-Maxilla_close-up_animation.gif
       Growth through the suture means the whole bone will widen. And
       because the maxilla is attached to and kept in place by the
       other bones of the skull (mainly by the sphenoid, zygomatic and
       frontal bone), expansion through the suture will inevitably tip
       the maxilla upwards and forwards as the two halves open wider,
       in the same motion a pair of doors does, to make room for the
       new bone mass around the mid-palatal suture
       Of course, "growth" is a very vague term and we may be talking
       about a bit different things (remodelling vs expansion vs
       structural movement). I guess growth could also happen through
       the sutures between maxilla & zygomatic bones (and all the other
       bones the maxilla is attached to).
       2. I see. Yet, assuming that you're right about palate being
       malleable enough to fully absorb the forces from the tongue,
       what makes you believe any kind of protraction device attached
       to the palate would circumverent this problem? Changing the
       medium through which the force against maxilla is delivered does
       not suddenly make the palate any less absorbing of those forces.
       Do I make sense?
       #Post#: 1963--------------------------------------------------
       Re: Sleeping on the Back without Pillows (for Crane)
   DIR By: slamo28
       Date: April 22, 2017, 5:23 pm
       ---------------------------------------------------------
       --- Quote from: Progress link ---
       >
       >
       >
       > 2. I see. Yet, assuming that you're right about palate being
       malleable enough to fully absorb the forces from the tongue,
       what makes you believe any kind of protraction device attached
       to the palate would circumverent this problem? Changing the
       medium through which the force against maxilla is delivered does
       not suddenly make the palate any less absorbing of those forces.
       Do I make sense?
       >
       --- End Quote ---
       YES this is the conundrum which perplexes me as well. Like
       assuming we are anchoring the retainer at the back teeth, won't
       that move teeth and not maxilla? Or maybe the maxilla as a whole
       i don't know!
       Doesn't this look like it would move the maxilla forward, in a
       different way than how the tongue simply growths the roof the of
       the mouth?
  HTML https://s-media-cache-ak0.pinimg.com/736x/1d/17/3a/1d173a3ba4bee2570bf82266607c58a9.jpg
       Also
       This guy at facepulling.com tried to address the issue by making
       this type of oral appliance.
       [img]
  HTML https://i2.wp.com/www.facepulling.com/wp-content/uploads/2016/11/intraoral_appliance.jpg?w=713[/img]
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