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       #Post#: 2403--------------------------------------------------
       Any experiences with the ALF appliance?
   DIR By: TheGreatWork
       Date: July 12, 2017, 4:02 pm
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       It seems to fit perfectly into the collective philosophy we all
       have about getting expansion and forward growth - it just
       mimicks proper tongue posture 24/7 and tries to do it in such a
       way that the patient can heal themselves by releasing the
       cranial bones allowing growth at the sutures (according to their
       official website and multiple dentists online). Combined with
       NCR this seems like the magic bullet to have the face grow how
       it was supposed to. I'm trying not to get over exited but I'm
       pretty exited
       I've got an appointment tomorrow to ask about it, I'm still very
       weary about trusting dentists but since I have had extractions
       it seems that this may be helpful: My tongue doesn't maintain
       pressure at night because of palate size, so my results are
       super slow. Having the appliance up there 24/7 pushing out and
       forward gently should help.
       I'll let you guys know what happens. But does anyone have
       experience with the appliance, or opinions? I've searched the
       forum and seen positive reviews.
       #Post#: 2409--------------------------------------------------
       Re: Any experiences with the ALF appliance?
   DIR By: Brosem1987
       Date: July 13, 2017, 9:46 am
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       The ALF sounds great, but it's ridiculously expensive.
       I guess it depends who your dentist or Ortho is, but I was
       quoted 8k total for both upper and lower.
       Plus 200+ for every adjustment 2 weeks.
       Plus all of the starting requirements such as 3D xray scans +
       recommend ling + lab frenects.
       Plus the advised osteopatic adjustment 200+ every month.
       I was advised to that ALF can take a while several years plus.
       My estimate 15-30 grand.
       Unless you can diy ALF and do everything yourself like people
       seem to be doing with the bracesshop, or you have an amaz
       #Post#: 2411--------------------------------------------------
       Re: Any experiences with the ALF appliance?
   DIR By: TheGreatWork
       Date: July 13, 2017, 6:43 pm
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       I just got done the consultation. He says the ALF isn't enough
       force for me right now, he can finish with it but he needs to
       start with an acrylic expander.
       And it'll take ~2 years. I think I'm just going to buy an
       expander
       Of course, the day I find this out is the day that BracesShop
       stops taking orders until July 27. Can you believe that luck? I
       suppose I'll just wait, unless anyone knows an alternative to
       that website
       #Post#: 2414--------------------------------------------------
       Re: Any experiences with the ALF appliance?
   DIR By: reenochrobinson
       Date: July 13, 2017, 11:20 pm
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       --- Quote from: TheGreatWork link ---
       >
       > I just got done the consultation. He says the ALF isn't enough
       force for me right now, he can finish with it but he needs to
       start with an acrylic expander.
       >
       > And it'll take ~2 years. I think I'm just going to buy an
       expander
       >
       > Of course, the day I find this out is the day that BracesShop
       stops taking orders until July 27. Can you believe that luck? I
       suppose I'll just wait, unless anyone knows an alternative to
       that website
       >
       --- End Quote ---
       If you found an ortho who's willing to oversee your treatment,
       why not get the acrylic expander from him?
       #Post#: 2419--------------------------------------------------
       Re: Any experiences with the ALF appliance?
   DIR By: TheGreatWork
       Date: July 14, 2017, 1:27 pm
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       $8500 vs $250. It's $1000 alone to do all the imaging and tests
       before he'll order an expander.
       Or is it possible to just ask the ortho to make you a device and
       let you do it yourself?
       #Post#: 2420--------------------------------------------------
       Re: Any experiences with the ALF appliance?
   DIR By: reenochrobinson
       Date: July 14, 2017, 4:04 pm
       ---------------------------------------------------------
       --- Quote from: TheGreatWork link ---
       >
       > $8500 vs $250. It's $1000 alone to do all the imaging and
       tests before he'll order an expander.
       >
       > Or is it possible to just ask the ortho to make you a device
       and let you do it yourself?
       >
       --- End Quote ---
       No, I'm sure they wouldn't order the device for you without the
       initial workup and the expectation that they would be monitoring
       your treatment. The cost is definitely a factor, but I think I
       would feel better having someone who ostensibly knows what they
       are doing, if they are philosophically on board with your goals,
       to help if something goes wrong or to reassure you that you're
       doing it right. Even if everything goes smoothly, you might
       require some minor corrections to get all of the teeth aligned
       after you are done with the expander. If I could find the right
       orthodontist and could afford the treatment, I think that's what
       I would do.
       #Post#: 2421--------------------------------------------------
       Re: Any experiences with the ALF appliance?
   DIR By: TheGreatWork
       Date: July 14, 2017, 6:44 pm
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       I'm on board with what you're saying, the dentist has the same
       philosophy 99% of what I'm looking for.
       However, Mike Mew says he tries to expand ~1mm per week in
       adults, saying that this rate of change (or near it) is not only
       fully possible but best for transferring the force through the
       entire skull so all bones (like cheekbones and upper maxilla)
       will grow and shift during the expansion.
       The dentists I have consulted who subscribe to adult palate
       expansion (anywhere) don't do this rate,  they do it very slowly
       to so that you only come in once a month and they can monitor a
       bunch of cases slowly over time. This causes (according to
       theories) the aloveor process to be re-shaped by the local force
       but isn't enough force/time (ie impulse in physics) to travel to
       a wider area and cause growth at multiple skull sutures.
       That is to say, they push hard and slow enough to cause the
       mouth to respond, but not enough to cause the entire skull to
       respond along with it
       #Post#: 2422--------------------------------------------------
       Re: Any experiences with the ALF appliance?
   DIR By: reenochrobinson
       Date: July 14, 2017, 7:09 pm
       ---------------------------------------------------------
       --- Quote from: TheGreatWork link ---
       >
       > I'm on board with what you're saying, the dentist has the same
       philosophy 99% of what I'm looking for.
       >
       > However, Mike Mew says he tries to expand ~1mm per week in
       adults, saying that this rate of change (or near it) is not only
       fully possible but best for transferring the force through the
       entire skull so all bones (like cheekbones and upper maxilla)
       will grow and shift during the expansion.
       >
       > The dentists I have consulted who subscribe to adult palate
       expansion (anywhere) don't do this rate,  they do it very slowly
       to so that you only come in once a month and they can monitor a
       bunch of cases slowly over time. This causes (according to
       theories) the aloveor process to be re-shaped by the local force
       but isn't enough force/time (ie impulse in physics) to travel to
       a wider area and cause growth at multiple skull sutures.
       >
       > That is to say, they push hard and slow enough to cause the
       mouth to respond, but not enough to cause the entire skull to
       respond along with it
       >
       --- End Quote ---
       It sounds like you've really thought this through. I think
       orthodontists sometimes make adjustments to the wires on the
       expander to try and align the teeth as the arch expands and
       sometimes grind down some of the acrylic as the palate becomes
       less vaulted. Asdfasdf123's old thread seems to have been
       removed where he reported that the "amateur" expander maxes out
       around 8mm. I wonder if the appliances you would get from an
       orthodontist would offer more expansion. I suppose if you needed
       more you could always order a second expander with new
       impressions, but the lag time between finishing the first round
       of expansion and starting a second might be an issue. Did the
       orthodontist you consulted with say anything about expanding the
       bottom arch? My bottom teeth seem to be tilted inward a bit in
       the back and have some crowding in the front. I feel like a
       bottom expander might be helpful for me, but others have
       suggested that the bottom will adjust on its own after the top
       is expanded. Anyway, good luck if you decide to proceed with
       self-treatment, and please let us know how it goes!
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