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       #Post#: 2457--------------------------------------------------
       Active plate vs modified stretching plate?
       By: Brosem1987 Date: July 28, 2017, 7:19 pm
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       Is the modified stretching plate t he same as the active plate
       but with just a few more screw if you need them?
       Or is the functionality different?
       I'm under the impression it's the same with more function, but
       maybe if you don't need need the extra screws you can just use
       the middle standard screw and use it just like the active plate?
       I figure it's better to pay a little more money and have more
       function if you need it as opposed to need more and having to
       buy another device.
       Does this sound right?  I might not use the "extra" screws, but
       if I need them I might.
       Thanks
       #Post#: 2460--------------------------------------------------
       Re: Active plate vs modified stretching plate?
       By: dadfa Date: July 28, 2017, 10:24 pm
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       I have been looking for the same answers for a long time.  I
       have asked various dentists online, and have emailed bracesshop
       and have not received any replies.
       From the looks of it appears you have to adjust all screws
       simultaneously.
       This plate looks even better, because it appears it might cause
       forward growth.
       I would to hear if anyone has more details of this plate or
       experience.
       #Post#: 2461--------------------------------------------------
       Re: Active plate vs modified stretching plate?
       By: TheGreatWork Date: July 28, 2017, 10:28 pm
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       Pay closer attention to how the screws interact, they are not
       the same device.  The force vectors are applied in different
       directions depending on the order in which the screws are
       turned.
       And it depends on the palate. Some may need even expansion
       across the whole palate, while others may only require force at
       the front or back of the palate.
       So, for example, if the front of the palate/teeth are properly
       round and the palate caves inwards towards the rear teeth, then
       the modified expansion device would be unsuitable: It can not be
       used to expand at the rear without also expanding the front. The
       acrylic behind the canine teeth moves out just as far as the
       acrylic behind the molars.
       Where as with, say, the Y plate one can expand the rear without
       moving the front, or also expand anterior forward while leaving
       the posterior as it is.
       Use your tongue and how it fits in your mouth to see exactly
       where you need to put force.
       #Post#: 2481--------------------------------------------------
       Re: Active plate vs modified stretching plate?
       By: Progress Date: July 31, 2017, 5:40 am
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       [quote author=anarqwin link=topic=311.msg2479#msg2479
       date=1501485323]
       I'm also wondering if it's worth buying the one with 5 screws
       even though I would probably not use all of them. I just need a
       bit more of expansion in one side where there is some crowding,
       but maybe the middle expansion would fix it after all. Also, now
       the website is back selling it for 229,99 and it was 169,99
       euros (60 euros more!). I wish there was competition or someone
       selling something similar to the expanders we hear it's better
       like the homeoblock, biobloc and so on... But I'm actually not
       sure if they are really better because sometimes I think that
       taking tongue space actually would allow for an even greater
       force from the tongue in the palate (if you are intentionally
       pressing) to expand upward than it would be able to do if the
       tongue was in a larger space and fully stretched. Someone please
       explain if I'm wrong but I think this is logical: if your tongue
       muscle is compressed in a small space, you can apply more force
       than if it's fully stretched, right? Just be sure to keep
       pressing the palate also when you take off the device and I
       guess it's all fine.
       [/quote]
       It's probably true to certain extent, but in the end the amount
       of force tongue can apply in any position is not a lot compared
       to the static pressure from a palate expander.
       As for the additional screws, I have my own doubts about their
       usefulness for expansion. There's only one suture the palate can
       grow from, which is the mid-palatal suture. Anything that pushes
       and keeps the two halves of the palate apart from each other
       should do the trick. Additional screws won't provide additional
       benefit for expansion, but they may be helpful in guiding
       crowded teeth to a more optimal alignment during the expansion
       process.
       #Post#: 2485--------------------------------------------------
       Re: Active plate vs modified stretching plate?
       By: Progress Date: July 31, 2017, 9:08 am
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       I doubt it's possible to expand selectively like that. The
       suture is either wide enough to trigger new bone growth or it's
       not. The surrounding structure doesn't allow the palatal bones
       to tilt in a way that would enable one area of the suture to
       expand while leaving the rest intact. In this way the suture
       works like two pieces of wood glued and clamped together. You
       can break them apart by cracking the glue, but you can only do
       it fully, not partially because wood doesn't bend like that.
       [quote]if the suture separating two bony elements is less than
       250μm in width approximately, bone will be resorbed until
       the sutural width is restored. Similarly, if the sutural width
       is greater than about 250μm, bone will be deposited until
       the sutural width is maintained. The actual sutural width varies
       and is about 100-400μm 29, 30 at any one time. Note also
       that separation of cranial sutures by an expanding brain volume
       is associated with bone deposition. Thus, the notion of stretch
       or tension is implied in osteogenesis. It is interesting to note
       that the periodontal space on a periapical radiograph of a
       healthy tooth is usually around 0.25mm in width. As well,
       historically-speaking, in palatal expansion appliances the
       midline screw is turned by about 0.25mm[/quote]
  HTML https://daks2k3a4ib2z.cloudfront.net/59419022ff1d4150cb0158a6/5947f6517d99a57e46b28e61_24.pdf
       #Post#: 2486--------------------------------------------------
       Re: Active plate vs modified stretching plate?
       By: Cat Date: July 31, 2017, 9:28 am
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       The prices are too much high, there must be something going on.
       We should stop buying the appliances to force them to cut on the
       prices.
       #Post#: 2497--------------------------------------------------
       Re: Active plate vs modified stretching plate?
       By: Progress Date: August 1, 2017, 4:03 am
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       Yes, I get it. I doubt it's possible. But that's just my guess.
       If you ask me, there is no reason not to aim for your genetic
       potential in terms of overall palatal width. Aesthetics should
       not have priority over health and function.
       #Post#: 2526--------------------------------------------------
       Re: Active plate vs modified stretching plate?
       By: dadfa Date: August 6, 2017, 9:51 pm
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       Which type of expander would you guys recommend for someone who
       had wisdom teeth extractions with a recessed face, and a lack of
       lip support when smiling?  Would the modified expander give
       forward growth?
       I would like forward growth and a wider smile.
       I went to a dentist asking him if HE would use expanders on me,
       he refused, but was happy to take the $50 consultation fee.  So
       much for getting professional help.
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