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       #Post#: 2465--------------------------------------------------
       Can Maxillary Protraction Cause Class II Malocclusion?
       By: reenochrobinson Date: July 29, 2017, 8:54 pm
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       I understand the theory that once you advance the maxilla up and
       forward, the mandible swings up to meet it, and it has been
       suggested that once you expand the upper arch, the lower arch is
       able to expand automatically. What I'm wondering is if this is
       actually true in practice or if protracting and expanding the
       maxilla can cause a malocclusion. I was watching "The President
       Show" on Comedy Central and Carole Radziwill was a guest (photo:
  HTML http://www.allaboutthetea.com/wp-content/uploads/2014/05/The-Real-Housewives-of-New-York-City-Photos-Recap-Ramona-a-Banquet-and-Some-Issues.clipular-2.jpg).<br
       />I admired her prominent zygomas, cheek hollows, wide upper arc
       h,
       and facial convexity. However, her upper arch clearly protrudes
       beyond her lower arch. Is there a chance efforts to expand and
       protract the maxilla could achieve the kind of results we see in
       her midface, but also cause this kind of malocclusion? It seems
       logical that a protraction headgear could cause an overjet if
       conventional orthodontics use a retraction headgear to correct
       an overjet.
       #Post#: 2469--------------------------------------------------
       Re: Can Maxillary Protraction Cause Class II Malocclusion?
       By: Progress Date: July 30, 2017, 4:21 am
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       You're looking at a face that has undergone plastic surgery. Her
       face does not have a great structure in my opinion. Look at how
       far down the teeth are in comparison to the eyes. In an ideal
       face, drawing a triangle with two corners at the outer edges of
       the eyes and one corner at the tip of the incisors would result
       close to an equilateral triangle. Her face is longer than that.
       In the rare pics where she actually smiles wide, her smile is
       gummy. Not a sign of a well developed face.
  HTML http://latestplasticsurgery.com/wp-content/uploads/2016/07/Carole-Radziwill-plastic-surgery-before-and-after-photos.jpg
  HTML http://i.dailymail.co.uk/i/pix/2014/01/20/article-2542898-1AD5DE1400000578-639_306x423.jpg
       #Post#: 2473--------------------------------------------------
       Re: Can Maxillary Protraction Cause Class II Malocclusion?
       By: reenochrobinson Date: July 30, 2017, 2:48 pm
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       Thanks Progress! I wasn't trying to suggest that her facial
       structure is ideal. What I'm curious about is how you get a mix
       of some features which seem to be exemplary like her wide upper
       arch, prominent cheekbones, and cheek hollows, but these are
       mismatched with other undesirable characteristics. Especially in
       this interview, I was noticing the protrusion of her upper arch
       significantly beyond her lower arch. I agree with your
       assessment that she has a long face and a slightly gummy smile.
       Maybe you are right that some of this incongruity results from
       cosmetic surgery, although it looks like many of the same
       features are present in that "before" picture you posted. It
       just seems like if you were practicing the proper postural
       habits to achieve the good features, it would also have improved
       the bad features. Maybe it's something like good oral posture
       during your developmental years but then starting to mouth
       breath and slouch as an adult causes that "melting" quality away
       from an initially well-developed structure?
       #Post#: 2476--------------------------------------------------
       Re: Can Maxillary Protraction Cause Class II Malocclusion?
       By: Progress Date: July 30, 2017, 5:03 pm
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       That is a good question and one that I've spent time thinking
       about too. Your last sentence is probably close to the reality
       of the situation. Given the numerous sutures of the skull, there
       should be many unique ways improper and proper growth could
       manifest and be combined in any sub-optimally developed face.
       One could have a wide palate but a downswung mid-face, whereas
       someone else may have a properly positioned maxilla but narrow
       palate etc. Then there's the age factor. Recession that begins
       in childhood is probably going to turn out differently than
       recession that begins after most of the growth is done.
       As for your question about whether expanding the palate could
       cause overjet, I doubt it. Overjet seems to be a problem that
       stems from some kind of structural recession. Expansion or
       forward movement of the maxilla should lessen it in most cases.
       Conventional orthodontists use retractive treatments to correct
       overjet because they focus on the teeth, disregarding the
       structural root of the problem. It's essentially a band-aid
       solution
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