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Lower Jaw Expansion, Maxilla Advancement, Biobloc Stage 3 : : Claiming. Power. Yes expanding the lower jaw or mandible in Adults is not easy, but certainly some expansion is possible as below pictures show. This is results of 3 years of treatment to reverse the damage of extraction orthodontics, where I spend good half of that time in acrylic palate expanders.
Few things in our society spark as much debate (or receive as many looks) as breastfeeding. It’s a hot subject that no mother can avoid. If you thought getting. How to Deliver a Baby. Whether you're an expectant parent or an unsuspecting cabbie, the time may come when you are called upon to help deliver a baby with no.
Below picture shows the expansion of my lower palate arch both laterally & anteriorly. Expanded sideways and also forwards to regain the space for bicuspids.
I got 4 bicuspid implants now, below shows how my palate has changed over the 3 years. Each bicuspid implant require 7 mm space, so we are talking pretty significant changes to regain all 4 spaces in the arch.
The front teeth may appear to tip forwards, but they were tipped too far back before. The smile and lip support is so much better when the teeth is slightly tipped forwards, in the molds it may look too far out by visually they look fine actually and some of that may also balance out with proper lip seal over time. Lower Arch. Lower arch is challenging to expand because there is no suture down there like there is with the upper jaw, so it is mostly depositional bone growth, moving the teeth out little bit at a time and waiting for the bone to remodel underneath. We eventually got to the point where we simply couldn’t move the teeth any further out. Like right at the edge of the gums almost.
Its been a long while since I finished expanding the lower arch and still bone has not grown further out again, so in my opinion there may be limit to how much you can really expand the lower arch in adults. Perhaps something that applies that littlest of the forces, and it may take 5- 1. Other option is to surgically cut the front part of the jaw and create a suture. Well I expanded as much as I could and as much as needed to get the bicuspids back, so I moved on to the next phase. I’m not trying to wait 1.
Interestingly, I expanded the upper palate much further than the lower palate. You would think both palate need to be expanded equally or it would mess up the bite, right? That’s what I first thought as well, but Dr. Gibbs knew better. As we expand the upper palate further out, the lower jaw was able to slide forwards, which means it doesn’t have to expand as much as the upper because as it slides forwards, the posterior wider portion comes forwards to meet the top teeth.
So there were phases where the lower teeth and upper teeth didn’t really match at all, like the lower teeth would be partially biting into the acrylic appliance above, but overtime the bite naturally came together, as the jaw slid forwards and we continued to expand the lower more and the upper teeth that were slightly tipped outwards, began to upright properly. If you look at my ct scan above you will see just how solid of a bone the mandible is, and the bone remodeling by the teeth may not directly translate to expanding of the thick mandibular bone underneath, however I do believe that the muscle tone of the masseter muscle plays a large role in shaping that bone, and probably expanding the teeth will also help distribute biting forces differently on the bone which may contribute to widening of the jaw bone.
Compared to my before pictures from 4 years back, my lower jaw looks wider, but part of that is caused by the fact that my lower jaw came forwards more. Also when I began chewing more gum I feel like I did notice bit of widening take place as well. Upper Arch. Once we expanded as much as possible, I got into self- ligating bracket braces with coil springs to further create anterior expansion until we achieved 7 mm space for the bicuspids. Upper Palate Expansion Measurements.
From around 3. 3 mm to 4. I had a narrow front arch so we used a hinge type of expansion device for about 8 months to get significant changes in the front palate. So really the front of the mouth changed the most, after we got the front arch wide, I had Dr. Gibbs modify the appliance where we got rid of the hinge, added on acrylic and put the screw in the middle to get even more expansion on the entire palate. Also notice the flanges on the front of the appliance and the wires, those were adjusted by the doctor every month to provide forward expansion. There were few appointments where Dr thought we had enough expansion but I urged him to continue on, I was very aggressive in pushing for as much expansion as I could possibly get.
My mouth posture at the time? I didn’t know much about Mewing back then. But Expansion was still very important step.
The biggest positive benefit are as follows.
How to breastfeed in public. Does the thought of breastfeeding in public make you nervous, intimidated, or self- conscious? Dating Real Under The Hood. If so, you are not alone. Many women deal with fears and anxieties related to the opinions of others (and assumed perceptions of the opinion of others) in relation to breastfeeding in public. It not only prevents them from feeding their sweet babes on- the- go, it robs them of their confidence to do what they desire. But the reality is adults eat out… So is there any reason our babies shouldn’t be “allowed” to as well? If you’ve been hesitant about public breastfeeding (and you desire to), I hope these simple tips will help you find some confidence.
Be informed. In countries like the US and Australia, it is illegal to be discriminated against for breastfeeding in public. Know your rights – a knowledgable woman is a more confident woman. Practice at home. Some new mom- and- baby pairs struggle with latch more than others. There’s nothing wrong with that.
Any experienced mom knows that breastfeeding, as natural as it is, is a learned skill for both of you. The art of arranging yourself “just right” in public the first few times can be tricky. The good news is that with some practice it can soon become second nature! When first starting out, practice a couple of times at home in “public mode” just as you would if people were watching. Wear something easy to breastfeed in. I like to wear nursing tank- tops (with built- in bras) under my clothes. This turns almost any top into a breastfeeding- friendly top.
Just lift your outer shirt up and unhook the fastener of the nursing tank- top/bra. The undershirt can stay tucked in so that you don’t have to expose your boob or your belly, while just enough of your breast is free for bubs to latch onto. Use a nursing cover or a blanket. Especially when you’re first beginning, try using a nursing cover. This gives you more freedom to fumble without flashing the world if you and bubs are still getting the hang of things.
Once your baby is older he may not like to be covered, but while he’s tiny it won’t make a difference to him at all. Although I rarely use one any more, my nursing cover helped me build lots of confidence my first few weeks and months. Start in a non- threatening place.
Don’t make your first attempt at breastfeeding in public in a crowded mall food court or in the grandstands of a baseball game. Start with a place that is quieter and less chaotic – a park bench or a mellow café or even a “mothers room” in the mall. Once you get the hang of it, you can breastfeed in line at Disneyland. I’ve breastfed often while standing in line, going for walks, and even grocery shopping.) Until then, cut yourself some slack and start off someplace that’s low- stress. Stay OUT of the toilet stall.
You wouldn’t eat your lunch while sitting on a toilet, so why should your darling, vulnerable little bub? Keep it clean, mama. If you feel you need more privacy than you can find, then try the backseat of your car. Just make sure your car is parked someplace safe and well- lit.)7. Take a deep breath and relax. Although there are still a few people “out there” that may not understand why you think it’s appropriate to breastfeed in public, know that they are the minority. Please note I’m writing this from an American/Australian perspective.
I understand that this is also a cultural issue.)8. If people stare at you, smile back at them. Don’t assume they are starting in disapproval. Instead, assume they are staring in admiration or curiosity.
Smile and go about your business. You have nothing to be ashamed of and your confidence will deflect most—if not all—gawkers. Magazine Young Adults.
And if by chance they really do disapprove, remember that it’s their problem, not yours, and that your (genuine) smile just might help them change their mind. If you still get nervous, look at your baby. Nothing brings more peace than looking at your newborn baby while he nurses and seeing how happy and contented he is as you’re both doing what you were designed to do.
Zero in on his bliss and enjoy it while you can, because at four or five months he’ll have the attention span of a nat while nursing… Dealing with this is a whole separate post!)1. Try using a sling. I loved when my babe was a newborn and could easily fit into my sling. Even if roaming the isles of Target with a friend or on an evening walk with my hubs, I could breastfeed on- the- go in my sling and no one would be the wiser.
I think hammock- style slings work best for this, but other moms also nurse in wraps and front carriers. Once you get the hang of it, it’s much easier than you’d think. Dear friends, was is difficult for you to breastfeed in public? If so, and you overcame your nerves, what helped you the most?
Can you think of anything I’ve not considered? Moms- to- be, do you have more questions about breastfeeding? Leave them in the comments and I’ll do my best to answer or point you to a resource that can.