4:21 - 1. dental crowding/crooked teeth 2. malocclusion 3. problems with breathing or nasal congestion as your nasal width is also lower 5:45 - 1. Narrow Buccal Corridor 2. Mouth breather/Rest tongue posture is downward 6:13 - 1. High Arched Palate - Causes deviated septum
@yahyaelmi8435
Жыл бұрын
I want to ask you 1st shall I correct the crooked teeth and nasal congestion first before the expanders ??
@evanlavizadeh4032
Жыл бұрын
@@yahyaelmi8435 no. After
@yahyaelmi8435
Жыл бұрын
@@evanlavizadeh4032 I want to do turbinate reduction and MSE expander , I want to ask you is spiriting of the sutures a must ?
@evanlavizadeh4032
Жыл бұрын
@@yahyaelmi8435 yes, it's a must.
@yahyaelmi8435
Жыл бұрын
@@evanlavizadeh4032 did the MSE expander help with insomnia and sleep disturbances
@sophiaaandahl8415
3 жыл бұрын
I have every single one of those signs. High arched palate, scalloping, narrow intermolar distance, sleep apnea and teeth dont fill my smile. Glad I got my MSE yesterday!
@evanlavizadeh4032
3 жыл бұрын
Ahh congrats! How exciting!
@nweissman
2 жыл бұрын
How has your experience been with the MSE so far?
@yahyaelmi8435
11 ай бұрын
How are you feeling now ?
@singha__
6 ай бұрын
please give me update because i am suffering very much, and i also want to do that,, was it successfull or not??
@miniweeddeerz1820
5 ай бұрын
update?
@vadimgladovskiy6987
3 жыл бұрын
Evan, thank you for the educational videos about your experience with MSE. I have to install the extender in a couple of weeks. Your videos help me stay confident that this is the right thing and not get nervous.
@decekfrokfr3mdx
3 жыл бұрын
Please update us how things are going, and good luck :)
@evanlavizadeh4032
3 жыл бұрын
No way! That's so exciting. Have you gotten it installed yet?
@vadimgladovskiy6987
3 жыл бұрын
@@evanlavizadeh4032 I finally installed it! And it was not as scary and painful as it seemed. I did it yesterday and feel great today. The only problem that is uncomfortable is that the tongue hurts. Guys, if you need to install MSE, don’t hesitate, go for it. Evan, thanks for your videos! Stay Safe! Take care of yourself!
@evanlavizadeh4032
3 жыл бұрын
@@vadimgladovskiy6987 no way! I'm so happy for you. Keep me updated!
@Itstimetogogo
3 жыл бұрын
@@vadimgladovskiy6987 Did your orthodontist puncture the sutre in the maxilla to aid expansion?
@nurdwin9111
2 жыл бұрын
thank you so much! my adult daugher is getting some wisdom teeth removed next week and then we'll look at palatel expansion. She has a high arched palate and will need braces as well as an expander in the future. I was anxious, as she is very, about the need for jaw surgery, but i believe that an expander should be of great help. Your words have comforted and reassured me.
@evanlavizadeh4032
2 жыл бұрын
Glad this has helped. just so you know, if you get expansion, it's possible to keep the wisdom teeth instead of remove it since there will be more space now for the teeth. Still, it can be a good idea to remove it, but it's an option.
@nurdwin9111
2 жыл бұрын
@@evanlavizadeh4032 we've been sitting on extractions for a while, and it's already paid up. She not only has high arched palate and an open bite, but teeth are a bit crowded as well, so this will indeed help for future shifting ease...hopefully! braces will come later as well. oooh boy! thanks again.
@Rachidasister
3 жыл бұрын
Wow! Thank you. I have all the signs and know I need expansion.
@evanlavizadeh4032
3 жыл бұрын
I'm happy it was helpful!
@briannab4770
Жыл бұрын
I have been growing fascinated with this for years. I have pretty much ALL the signs that you listed in this video. Very crowded teeth, receded chin, flat cheekbones, very long, narrow face, gaunt undereyes, high palate, deviated septum, chronic mouth breathing, lots of shadow on either side of my very narrow smile, and I simply cannot maintain breathing through my nose. I love the information you provided, thank you. Unfortunately it's quite depressing as I've been sitting on this information for years, but not sure how to go about it. I'm in England, and when I Google anything about maxillary expansion here, the results are so scant.
@evanlavizadeh4032
Жыл бұрын
It consistently surprises me how sparsely available these treatments are in England. Hope this helps docs.google.com/spreadsheets/d/1Dkf8f3a6P_87KGneFEiFoLrreGb3K6gb6XXpulL4Ju4/edit?usp=drivesdk
@briannab4770
Жыл бұрын
@@evanlavizadeh4032 - Thank you, Evan. You're so helpful. I will check these orthodontists out.
@Odderek
Жыл бұрын
Hi Brianna, I'm looking into MSE as well, and I have lots of the same issues (starting from childhood). Just wanted to say that it's still highly possible to become a nasal breather and improve posture of the jaw, neck and chin. It won't expand your skull, but even just practicing nose breathing and lightly taping your mouth shut at night makes a huge difference! I never thought I'd be able to nose breathe before, and it wasn't easy or pretty at first but I don't mouth breathe at all now, and I don't tape my mouth anymore. Really is a life-changer. If you're interested in this I found out about it from James Nestor and Patrick McKeown (who has great simple advice and practices). I also want the MSE of course cuz you simply can't replicate what it does! Anyway, just wanted to share a lil of my story since it seems similar to yours. All the best.
@MedievalFantasyTV
Жыл бұрын
Wow, you are in England and never heard of Drs. Mew? Just goes to show they really want to "erase" those guys...
@MshSh-sl2rt
9 ай бұрын
hey, what does shadow on a smile mean?
@blueberry_salsa8758
3 жыл бұрын
pterry totally can be a middle name imo
@msgesus4518
2 жыл бұрын
I have been really struggling with sleep last 4 years late 20's onwards to 30's. I ticked all these boxes. I had deviated septum and turbinate reduction over the last 2 years, didn't fix my sleeping. Had a sleep study and was diagnosed with moderate sleep apnea and put on cpap. I have had braces when I was young, teeth pulled, wisdoms out. Teeth are now crooked again. My upper palette is very narrow and my tounge hurts every day. I am very worn out and it's because of sleep, I couldn't care less with my appearance. It's all tying together with needing this done.
@kartikchahal4433
2 жыл бұрын
i also got my 4 premolars retracted and also have dns can you share me your contact details so that we can share some info?
@sirus312
Жыл бұрын
Did you see an ortho about it ?
@klf1016
3 жыл бұрын
Thank you so much for these videos! So helpful! I’m wondering if anyone here has a team of airway-focused providers on the east coast? Thank you, ya’ll!
@gabriellameattray9778
3 жыл бұрын
I'm wondering the same!
@dariusjohnson5648
Жыл бұрын
I had my wisdom teeth pulled out because they were irritating and would be uncomfortable, I have a high palate, sleep apnea, ugly crooked teeth, a strange long ugly face, narrow nasty palate and I feel once I got my wisdom teeth out my mouth is more narrow even tho I feel good without them in there but I would’ve kept it in there if I knew this ahead of time. I hope this will still work for me.
@carlyreigel510
3 жыл бұрын
Getting mine done and can't wait! I wish I would have known sooner. I'm in the Seattle area, so if anyone is interested I can give you my contacts who I'm going to be working with. She's amazing! :)
@evanlavizadeh4032
3 жыл бұрын
How exciting! Good luck! Better late than never.
@hilol2484
3 жыл бұрын
Im in the seattle area too, lmk if you find anyone
@thebone2244
3 жыл бұрын
I also am being treated by Dr. Bockow atm, couldn’t agree more
@MSoc1op
3 жыл бұрын
Hi I'm also near the Seattle area and am starting this journey! I'm interested in who your contacts are if you can share 🙂
@lavendertuesday
2 жыл бұрын
Hi @carly, I’m also in the Seattle area, and just getting started on the journey. I would love to connect if you’re open to it. :)
@iDTecKt
10 ай бұрын
Ive been trying to get help with this for years but nobody listens to me, my deep, upper narrow palate is about an inch deep and at the front i cant even fit 1 finger between it because its so narrow, i have breathing issues and severe sleep apnea, CPAP does nothing to help me. When i went to see a maxillofacial surgeon he told me my palate was normal lol, this is what we get on the NHS in England!
@evanlavizadeh4032
10 ай бұрын
That sucks, sorry to hear that :(
@D._.3NO
Жыл бұрын
Thanks Brother, very valuable info right here.💪🏾
@thegreatesttruthnevertoldc5639
3 жыл бұрын
Great video, yes high bolted palate is highly correlated with a deviated septum. Check out the book breathe by James Nestor great book, except where he calls homeoblock a fix for a transverse deficient maxilla. Good luck with MMA!!
@evanlavizadeh4032
3 жыл бұрын
I read that book, interesting read. Thank you for the support :)
@bigdino475
3 жыл бұрын
@@evanlavizadeh4032will your insurance cover double jaw surgery?
@evanlavizadeh4032
3 жыл бұрын
@@bigdino475 yes
@bigdino475
3 жыл бұрын
@@evanlavizadeh4032 how do you get them to cover it?
@evanlavizadeh4032
3 жыл бұрын
@@bigdino475 sleep study plus failed CPAP.
@lunariaselene6062
2 жыл бұрын
My problems: 1. Wisdom tooth removal 2. Overcrowding 3. Wide buccal corrdors 4. Recently developed difficulty in breathing nasally (enlarged turbinates) 5. Overbite 6. High arched palate 7. narrow lower+upper palate I really think I am a best candidate for this
@evanlavizadeh4032
2 жыл бұрын
Haha wow I believe it
@inceptionsd
2 жыл бұрын
I have a very narrow and high palate, and to make the matter even worse, i have one extra front tooth, and on top of that, my teeth are bigger than average. So basically my orthodontist told me the only way I can fix my crooked teeth is to have that extra tooth extracted along with two additional teeth on either side. When i brought up this expander she said it is too late for non-invasive palatal expansion and the only way i could maybe achieve this is to have my palate surgically cut in half and then expanded (also my lower jaw is the size it should be, so much bigger than my upper jaw, and because of that my ortho told me there is risk involved that i will have underbite after braces treatment)
@texaspete153
2 жыл бұрын
side not bur ur facial features r really attractive
@LeisaBekkers
4 ай бұрын
Well explained. Thankyou.xx
@paniSaruszka
3 жыл бұрын
Hi Evan, thanks so much for another great video. I have a question: why did you opt for MSE and not for SARPE. What are the benefits of MSE vs SARPE in your opinion? And how did you talk to the surgeon who most likely tried to convince you to have SARPE? (this is awaiting me very soon so I would hugely appreciate your answer). Thank so much for sharing your story - it is extremely helpful and appreciated :) PS. Yay Max ;D
@evanlavizadeh4032
3 жыл бұрын
Oops so sorry for the delay! MSE is less invasive and has better breathing benefits (although the degree is debated). I'm going to make a video soon talking about this but I thought it was worth $3k to try MSE. My surgeon is referral only, but luckily I selected an orthodontist who is my surgeon's colleague so that's how I got the consultation.
@paniSaruszka
3 жыл бұрын
@@evanlavizadeh4032 thank you so much for replying! :) that is very helpful and hugely appreciated!
@nmjabour
2 жыл бұрын
@@evanlavizadeh4032 I've had 2 consults in Atlanta, GA, and a consult with Dr. Ting in California. All 3 said that I would need surgery assisted MSE so it's not as simple as opting for MSE and not expecting to have surgery.
@evanlavizadeh4032
2 жыл бұрын
@@nmjabour yep of course.
@Itstimetogogo
3 жыл бұрын
Very helpful video, thanks!
@evanlavizadeh4032
3 жыл бұрын
You're welcome :)
@Iceify_
2 ай бұрын
I don’t have many of these signs except the last one. My nose got injured due to a basketball and which probably caused the last one.
@Khlyn
Жыл бұрын
Great explanation, ty
@rigeld4000
2 жыл бұрын
i do think that i need an expander since i had my teeth removed because there wasnt enough space and my palate is too narrow but my dentist would not allow me to have expander because it will break my mouth. I have an ugly smile and i think im gonna wear mask forever💀💀💀. This video is helpful thank u
@katherinep708
2 жыл бұрын
so upset that my orthodontist extracted 4 of my premolars. could've gotten a maxilla expansion and not lose my healthy teeth.
@evanlavizadeh4032
2 жыл бұрын
Yep :/
@cf8595
3 жыл бұрын
I think my biggest question is whether or not my tongue is enlarged or my maxilla too narrow. I had orthodontia for cross bite, over bite, and palate expansion (was a thumb sucker). I think they didn't correct enough as my tongue still doesn't fit, but I also wonder if I just have an enlarged tongue, my jaw and smile already being quite wide. I don't have sleep apnea diagnosis, but find that a cpap helps me sleep better, so I'm digging deep into UARS.
@evanlavizadeh4032
3 жыл бұрын
The only common way a tongue can become enlarged is excessive weight gain. The tongue stores a surprising amount of fat. How's your weight? Could be a contributor. Regardless, if you needed all that treatment, it's also possible you just couldn't correct your deficiencies sufficiently.
@nikeshyadav6063
10 ай бұрын
Thank you very much for this video.
@CroElectroStile
3 жыл бұрын
will the high arched pallat go down with MARPE? very informitive video, i need to do this stuff, have troubles with breathing and sleep all of my life.
@evanlavizadeh4032
3 жыл бұрын
No it won't. It will be wider but not lower. Good luck :)
@beyonce_for_life
3 жыл бұрын
Hey Evan, thanks for these videos, all these vids are very informative and encouraging. I am hoping to get an mse put in by Dr Yoon as well and was hoping to ask you a few questions about the process with her. Would you mind if I emailed you?
@evanlavizadeh4032
3 жыл бұрын
Sorry for the late reply, feel free to email me
@dailycatdose8491
3 жыл бұрын
Hey Evan ! Did you notice some changes of your nose from outside in regards to how it looks ? Is it aesthetically wider ? And how is the teeth straightening and gap closing going ?
@evanlavizadeh4032
3 жыл бұрын
I haven't noticed anything with my nose. Funny you ask about the teeth. They were closing on their own before I got Invisalign but it turns out my ortho forgot to give me this temporary retainer to prevent my gap from closing because then the Invisalign was a really tight fit. So now the Invisalign kinda separated my teeth back again by a bit and it's gonna continue closing again. lol
@evanlavizadeh4032
3 жыл бұрын
@@aaronkirsten8079 dr.Audrey Yoon is super super busy. I am really happy with her as my provider but yeah mistakes have been made.
@mariadattilio6417
3 жыл бұрын
Thank you very helpful.
@LewisWin
Жыл бұрын
I’m 16, I have all of these problems even after braces and I have to wear retainers every night. I asked my orthodontist about MSE expansion and she said that it’s “too much hastle to alter bone structure and too much pain.” I would do mse even if it’s at the cost of a few weeks of pain for a permanent wide smile for life. What should I do?
@LewisWin
Жыл бұрын
Would this mean paying a fortune to get mse done and braces on again. Since I live in the UK (Northern Ireland) would I have to pay for all of this?
@evanlavizadeh4032
Жыл бұрын
@@LewisWin I can't tell you whether or not MSE would be a good idea in your case without more information but MSE is not painful generally. But yes you would have to do MSE and then braces all over again. You may be able to save some money if you are diagnosed with obstructive sleep apnea because then insurance should cover it.
@LittleHarryBrother1
3 жыл бұрын
Amazing video! So happy I just found your channel, such great content! So if I understand you correctly, MSE/MARPE can fix a deviated septum? Or does one still need to straighten the septum after expanding the maxilla? Also, how has your breathing improved since you expanded yourself? I assume it is better, since you are not wearing any nasal strips in this video, no?
@onekingaj1004
3 жыл бұрын
Yeah the septum might take time after to straighten
@LittleHarryBrother1
3 жыл бұрын
@@onekingaj1004 Sorry, do you mean it may straighten out or not?
@evanlavizadeh4032
3 жыл бұрын
I don't know if MSE/MARPE can fix a deviated septum, sorry. Great question though. And i feel better, more details in a vid releasing tonight.
@LittleHarryBrother1
3 жыл бұрын
@@evanlavizadeh4032 So you are going to straighten yours after finishing the expansion? Also, do you know if this is preferable, as opposed to straighten the septum before expanding with MSE/MARPE? Otherwise, nice to hear you are feeling better! Looking forward to the next video! :)
@evanlavizadeh4032
3 жыл бұрын
@@LittleHarryBrother1 thanks for the kind words! And I've already had septoplasty. I'd imagine it's better to do septoplasty after expansion.
@kartikchahal4433
2 жыл бұрын
bro but there is no proof that upper maxillary growth can lead t deviated nasal septum
@evanlavizadeh4032
2 жыл бұрын
I think you're right, it's just a hypothesis. There might be some correlational studies? Not sure though.
@kartikchahal4433
2 жыл бұрын
@@evanlavizadeh4032 how are you feeling now how is the sleep?
@evanlavizadeh4032
2 жыл бұрын
@@kartikchahal4433 good but I'm having insomnia now haha. It will pass, I'm just going through a transitional period in my life.
@kartikchahal4433
2 жыл бұрын
@@evanlavizadeh4032 bro has you average heart rate dropped after mma?
@evanlavizadeh4032
2 жыл бұрын
@@kartikchahal4433 no idea
@yammotiger4821
2 жыл бұрын
entertaining and informative!!
@diabloakland
2 жыл бұрын
I can’t breathe! The video hasn’t even started yet but o can’t breathe. I had lefort 1 osteotomy five years ago but palate relapsed since i had already developed bones fully and did medical palate expansion
@MTomkinson96
3 жыл бұрын
Nice vid man! So after expansion you need braces/Invisalign to close the gap. Do you NEED extra surgery after this or is it just you? and would the bottom part of your jaw need to be tampered with also? Thanks!
@evanlavizadeh4032
3 жыл бұрын
Yes, I'm getting double jaw surgery in December. The MARPE won't be enough. That's my prediction, but I will get a Drug induced sleep endoscopy exam after I get my MARPE removed to verify.
@PsychTherapy
Жыл бұрын
Hi Evan, Thank you for the informations. Very helpful. Just out of curiosity, how many mm did you widen your maxilla? Who did you get the MSE from and how much did it cost you?
@evanlavizadeh4032
Жыл бұрын
I don't remember but I have a video on it. Has "let's check the scans" in the title. Dr.Audrey Yoon. $3k
@fabricmakeup9555
Жыл бұрын
Great video
@mikec1393
3 жыл бұрын
Can the mse appliance recreate the space from having 1st premolars extracted for braces? I feel like I'm a candidate for mse but haven't heard anything about it being useful for those who wish to correct extractions.
@evanlavizadeh4032
3 жыл бұрын
Yeah it can bring back lost space in your upper arch. You want implants where those teeth were? It can do that.
@mikec1393
3 жыл бұрын
@@evanlavizadeh4032 I've called practically every orthodontist in my city mse isn't popular enough, are there any offices in Chicago or Detroit areas that you know of?
Thanks Evan for another great video! Have you been able to decrease your CPAP setting due to the expansion?
@evanlavizadeh4032
3 жыл бұрын
Not decrease the settings but My nasal congestion is a bit better, so I don't wake up super annoyed with CPAP and nasal congestion which is so uncomfortable. I'd often wake up at 5:00 a.m. and not be able to go back to sleep due to nasal congestion which doesn't happen anymore.
@letts3299
2 жыл бұрын
Has anyone heard of face pulling? What is it? Efficacy?
@Skiroy
3 ай бұрын
If I open my mouth and relax my tongue, then bite I would bite 4mm of the top of my tongue off. Doesn’t mean that side MSE expansion alone won’t get my tongue out of my airways? Doesn’t this mean I have to have forward expansion?
@Extrnal
3 жыл бұрын
Is a 10 tooth smile broad? (Talking about top row only)
@evanlavizadeh4032
3 жыл бұрын
Sorry I'm not sure. How are your buckle corridors? Have you had tooth extractions? Do you have malocclusion? What's your IMW?
@suvodas7440
3 жыл бұрын
Thanks buddy
@evanlavizadeh4032
3 жыл бұрын
You're welcome Suvo!
@chickenoodle3397
2 ай бұрын
I've noticed this, when you go under surgery to get your sutures opened, and expander. After, many people have a lisp? what causes this. I'm highly interested in this Maxillary Expansion due to my incisor overlapping another. since my childhood and I believe I have a high arching palate. I haven't seen any orthodontic/dental professional in 6 years and I'm currently 18. I talked to my mom about seeing an Orthodontist and we're gonna see the dentist first she said in 2 weeks. I also really want to avoid having to take out my wisdom teeth because I also understand teeth can help structure the face a little bit. Do you have any advice for when I meet the Dentist because I want to also see an Orthodontist.
@evanlavizadeh4032
2 ай бұрын
@@chickenoodle3397 the lisp is just because the expander is in the mouth. The lisp goes away when the expander is removed.
@chickenoodle3397
2 ай бұрын
@@evanlavizadeh4032 Ohhh that makes sense
@SecretMountainTroll
3 жыл бұрын
Nice vid again, good luck with the jaw surgery. Do you plan on Lefort 1, 2, or 3?
@evanlavizadeh4032
3 жыл бұрын
LeFort 1. I don't think they do LeFort 2 or 3 during MMA. And thanks! :)
@vassilistzaferis4277
3 жыл бұрын
LFII is almost never performed and IIIis for Crouzon syndrome
@SecretMountainTroll
3 жыл бұрын
@@vassilistzaferis4277 oh didn't know that
@junior17medval
3 жыл бұрын
Evan Lavizadeh you should do another video explaining these types of surgeries. Like explaining their names, what the surgeon does, what it fixes, etc.. you seem to be very knowledgeable and I can understand what you’re saying.
@SecretMountainTroll
3 жыл бұрын
@@junior17medval i only listed those cus they are what I'm somewhat familiat with. I know there are different types of Lefort 1, and i guess L2 and 3 are for very extreme cases
@salmank6979
Күн бұрын
I believe i need it as my smile dont fill my mouth, i have problems breathing through nose, used to have very crooked teeth before braces. However my face will look uneven if i expand my upper palate. Do you recommend getting both upper and lower palate done?
@EmiYaSL
4 ай бұрын
Does this make me look good
@vladimirromanovich152
3 жыл бұрын
Why are you willing to go through double jaw surgery when it seems that your teeth have a correct occlusion?
@evanlavizadeh4032
3 жыл бұрын
Because I have sleep apnea due to jaw recession.
@stray4445
3 жыл бұрын
Hey man, has your ortho told you how long the wait between finishing MSE expansion to MMA surgery will be?
@evanlavizadeh4032
3 жыл бұрын
9 months or so for me. Depends on how long braces take
@stray4445
3 жыл бұрын
@@evanlavizadeh4032 Thanks for the response man, I hope you keep this channel going I think you'll end up being the first person to vlog about having both MSE and jaw surgery. Good luck and all the best.
@evanlavizadeh4032
3 жыл бұрын
@@stray4445 huh....that might be true!! Thanks for the encouragement
@polombo1
3 жыл бұрын
how high should a palate be? where does it get measured from? I havent found any information regarding how high a vaulted one is, only that more than 2 cm or so but it wasnt accurate
@evanlavizadeh4032
3 жыл бұрын
Sorry, I don't know :(
@grzegorz16100
2 жыл бұрын
Important question. Did you get your maxillary expansion BEFORE you started your orthodontic treatment?
@evanlavizadeh4032
2 жыл бұрын
Yes.
@grzegorz16100
2 жыл бұрын
@@evanlavizadeh4032 Was the orthodontist involved in the process? Did they have to overlook the process?
@evanlavizadeh4032
2 жыл бұрын
@@grzegorz16100 my orthodontist was the only person involved in my expansion
@grzegorz16100
2 жыл бұрын
@@evanlavizadeh4032 I get it now. I need a proper surgery SARPE and have to get a surgeon to do it. Found one Orthodontist in Germany who can do mse but quite expensive and covid restrictions are quite bad in this country...
@chiwoojo
3 жыл бұрын
always go to a doctor and explore all options
@evanlavizadeh4032
3 жыл бұрын
Yes :)
@Natalia-lk7hw
2 жыл бұрын
Hi Evan. How often should someone over 30 adjust their expander per week? I know the older you are the slower the process.
@evanlavizadeh4032
2 жыл бұрын
There's no evidence suggesting one way or the other. This is not a well studied topic but my orthodontist feels it doesn't really make much of a difference. Just listen to your Ortho. If you're experiencing pain and excessive pressure, your Ortho may instruct you to pause for a day or two and resume at a slower pace.
@davidbohorquez2053
3 жыл бұрын
Hello Evan. I wanted to ask you: Did you notice your nasal bone getting bigger because of the MSE expansion? Thx
@evanlavizadeh4032
3 жыл бұрын
No I didn't notice anything like that :)
@GNZXX534
2 ай бұрын
I tried using mse but my palatine bone is very thin and it was not recommended as it could fail to open, can sarpe improve nasal breathing?
@nathan4350
3 жыл бұрын
Thanks alot for this video! So, I'm having a hard time finding any providers who do this kind of work. I've visited a bunch of ENTs for nasal problems and other docs (and even have had nasal surgeries), but no one ever mentions treatments like this, max expansion, etc. And it seems like everyone else finds doctors who do these kinds of things mentioned here, but I can't find anyone who seems to know anything like this, its so discouraging. 😔 Should I look for orthodontists, maxillofacial surgeons, sleep doctors, specific types? I'm having no luck, struggling for a long time. Im in Dallas, Texas. Thanks in advance!
@evanlavizadeh4032
3 жыл бұрын
I understand the feeling. Here is a list of MSE providers. There are a bunch in TX. Ask your providers who they can recommend in the area for consultations about your treatment as a whole. Not all of these providers will be necessarily sleep focused so you may have to manage your case on your own. docs.google.com/spreadsheets/d/1Dkf8f3a6P_87KGneFEiFoLrreGb3K6gb6XXpulL4Ju4/edit?ouid=105116528173900516629&usp=sheets_home&ths=true
@nathan4350
3 жыл бұрын
@@evanlavizadeh4032 hey man, I really appreciate your response/help. Keep up the great content. Thanks!
@evanlavizadeh4032
3 жыл бұрын
@@nathan4350 no prob! Thanks for the kind words 🥰
@Cenuzi
2 жыл бұрын
Hello Evan and everyone here Here is my case and i want anyone to help me with this thing The main reason of getting an Mse for me is to get my maxilla more forward for my jaw (mandible) to come forward Basically aesthetic purposes and mainly to get my face more forward My maxilla is a lil bit below (Optimal) width and forwardness My palate is wide in the beginning (back of the tongue place) but a tad bit tight in the end (behind uppear teeth I dont have dental crowding/crooking Just normal teeth (not straight though) So this is my palate/face/teeth case My question is. Is MSE worth it? And how much expansion is needed? And also for how long? Thanks
@norubi
Жыл бұрын
Hi! why did not you use EASE but MSE?
@letts3299
2 жыл бұрын
Evan, hello:) Did you look at MRNA and DNA appliances? Has anyone here? Are they better than ALF? Functional in amyone's experience to avoid double jaw surgery?
@evanlavizadeh4032
2 жыл бұрын
I have looked into those and they are dangerous and ineffective. No they won't prevent jaw surgery.
@OnePiece-os3pe
3 жыл бұрын
What do you think of distraction osteogenesis for adults ?I mean lower jaw surgery does damage to the nerves and i have been hearing that distraction osteogenesis is a gradual process in which they make a small fracture of the mandible and each day you have to turn a the distractor thereby lengthening your jaw ever so slightly .
@evanlavizadeh4032
3 жыл бұрын
I'm not quite sure what you're referring to. Are you referring to the MSDO procedure?
@rondoparry5588
2 жыл бұрын
@@evanlavizadeh4032 yes .
@luke14946
3 жыл бұрын
Check out the guy from angola with "the world's biggest mouth" he has a really wide palate and has all his wisdom teeth, That's pretty much how everyone should be,
@evanlavizadeh4032
3 жыл бұрын
GOALS!!!
@thinkgrowhealthy2137
3 жыл бұрын
Where is that guy? I wanna see his jaw.
@luke14946
3 жыл бұрын
@@thinkgrowhealthy2137 look up "world's widest mouth", (Guinness world records), He can fit a coke can sideways between his cheeks, that's mainly why he won the record, Anyways like i said earlier, he's got a wide palate, wide dental-arches, All teeth including wisdom teeth, (he's got a pretty wide nose too!, not being racist), He's a black guy from angola, (a country in west africa)
@luke14946
3 жыл бұрын
@@thinkgrowhealthy2137 his name is *domingo joaquim chiquinho* had to look up his name, not the easiest to remember!
@thvx1566
3 жыл бұрын
How does MSE help with tooth extractions?
@evanlavizadeh4032
3 жыл бұрын
Patients typically need tooth extractions because they're jaws are not wide enough to support all their incoming teeth. so if you expand the jaw, you make more room for the teeth, and are thus able to possibly avoid extractions
@justagirl-919
3 жыл бұрын
Hey what happened to you? Sry to ask this, just wanna know,Are u okay? Just concerned, is everything okay?
@evanlavizadeh4032
3 жыл бұрын
Hello, I'm good! Thank you for asking, my friend. That's very thoughtful of you. I haven't been making as many videos because this darn expander is making me feel so sleepy.
@stray4445
3 жыл бұрын
Hey another question if you don't mind mate, at what point is the invisalign put on during/after MSE? Is it just the first ortho appointment you have once the expansion is finished or is there a small wait while things settle into place?
@evanlavizadeh4032
3 жыл бұрын
There's no need to wait once the expansion is finished. You can get invisalign right after you finish expanding :) However, its two appointments for invisalign. The first is to scan the teeth and give a temporary retainer (because the two front teeth will shift quickly). and second is once the Invisalign gets delivered, pick it up and apply the invisalign "buttons"
@todamoon8832
Жыл бұрын
@@evanlavizadeh4032 hey man, I have narrow palate at 25 yes old. Need to go in for a 3rd round of braces never had a palate expander done prior. Should I ask my orthodontist for mse? I also have somewhat tmj and grinding at night. And my new ortho also didn’t put on a palate expander. He just put braces on top and 6 weeks later will put on bottom. Let me know! Thanks.
@evanlavizadeh4032
Жыл бұрын
@@todamoon8832 sounds like you should ask about it, yea
@todamoon8832
Жыл бұрын
@@evanlavizadeh4032 thanks appreciate it!
@momo92051
2 жыл бұрын
I really needed this treatment but don't have money😔😔
@evanlavizadeh4032
2 жыл бұрын
I half of it covered by insurance. But not the braces unfortunately.
@momo92051
2 жыл бұрын
I am from india and sadly, our health insurance didn't cover this kind of things😔
@evanlavizadeh4032
2 жыл бұрын
@@momo92051 I'm very sorry to hear that :( that is very unfortunate
@momo92051
2 жыл бұрын
Yea, it is, but i hope someday i will be able to do it when I've earn enough money🙂
@toxicwaste920
3 жыл бұрын
I have TMJ issues and my dentist want me to put on expander like WTF??? asking $6100 for it! I do not have sleep apnea. I had braces 9yrs ago and took 4 healthy teeth, but I do not think my palate is narrow.
@evanlavizadeh4032
3 жыл бұрын
Wow that's alot of money. What kind of expander do they want to use?
@toxicwaste920
3 жыл бұрын
@@evanlavizadeh4032 they want removable for the upper and they want fixed on the lower. I do not have narrow palate, my smile as as wide as Julia Roberts with no spacing lol. They did not show me what it looks like. But I am declining it. I am sure you having a narrow palate wont cause you to have TMJ issues. It's unrelated. He just wants money.
@abdulrazzakshebli3174
2 жыл бұрын
Thank you for your videos, just one question, have you got any breathing benefits after expanding was done?
@evanlavizadeh4032
2 жыл бұрын
Yes, absolutely. Big difference.
@abdulrazzakshebli3174
2 жыл бұрын
@@evanlavizadeh4032 I already installed MARPE device, but due to a lot of infections (swelling around the device), I had to remove it without getting any expansion noticed. I don't know if it was the doctor's mistake or my age (26 years) I'm so confused, should I try with MARPE again or maybe it is better to do SARPE.
@abdulrazzakshebli3174
2 жыл бұрын
@@evanlavizadeh4032 I have watched so many videos for many KZitemrs about this matter, I only enjoyed yours because it was very helpful and insightful.
@evanlavizadeh4032
2 жыл бұрын
@@abdulrazzakshebli3174 thank you for the kind words. I'm not sure whose fault it is that you got an infection. Make sure to clean the area very well next time. You can also use chlorohexidine mouthwash to fight infections. But it will stay in your teeth so make sure you get teeth cleaning after. I think it's okay to try again with MARPE if you like. SARPE is not gonna be better in terms of infection. Hopefully, your provider can replace the expander for free.
@timefast3233
2 жыл бұрын
Thank you so much Sir does palate expander widen nose to breathe more oxygen
@evanlavizadeh4032
2 жыл бұрын
Yes it does. See my other video on how palatal expansion improves OSA. But not if it is a tooth-borne expander.
@timefast3233
2 жыл бұрын
@@evanlavizadeh4032 👍👍
@kronk1288
2 жыл бұрын
Did you break your nose or is your crooked septum due to improper maxillofacial growth as is my case?
@evanlavizadeh4032
2 жыл бұрын
Improper growth.
@manurmad1539
11 ай бұрын
I've had multiple teeth extractions, I have a narrow buccal corridor and a very high arched palate. I don't have any breathing problems or sleep apnea, though sleep apnea runs in my family. I'm 19 years old. Do you think MSE is worth it?
@evanlavizadeh4032
11 ай бұрын
Have you had a sleep study? Either way, if you're going to get braces anyway then maybe it's worth exploring. If you are negative for sleep apnea and have no plans to get braces anytime soon, maybe wait?
@emanuelao.1014
Жыл бұрын
Hello, first of all Is need to consult an ortodontist or a maxillo surgeon?
@evanlavizadeh4032
Жыл бұрын
Either as long as they're sufficiently qualified. But if you're not sure, I'd choose surgeon first.
@BigG627
2 жыл бұрын
Do you know if there are any cons of getting a MSE? Im 16 and I have overcrowding on the top and a cross bite, affecting my face. I have a good jaw line but my lips are uneven. One slants down and the other is good. I also have a high canine. I only have 2 months to really decide whether to do it or not since turn 17 in September. Im just wondering what will my health draw backs? But from what you're saying if we are supposed to have a wider maxilla, than that makes sense. As the orthodontist has said my arch is narrow, and I also have an uneven center line. I might have to do an MSE, as I don't want to do an tooth extraction. i don't have any sleep problems or anything but just I don't have a good bite, not good teeth, have a high canine, my lower canines actually turn in too so they're kinda not that used too. My center line is off my lips are completely off and one side of my jaw is larger than the other. I want to fix these problems but like teeth extractions I thought MSE would have negative effects later in life but really it seems as your mouth/jaw is actually supposed to be wider.
@angelsky6869
2 жыл бұрын
Why are you getting double jaw surgery if you’re on a MARPE?
@evanlavizadeh4032
2 жыл бұрын
Those two things address totally different issues.
@maddylam9455
3 жыл бұрын
awesome! your Invisalign looks great. Does your ortho do the clin check herself? and show you ect. and is experienced on how to expand with Invisalign,in this case expanding your mandible as much as is safe ect? I know it can be hard to find an ortho whois truly experienced with aligners and implementing tads. I am looking for an ortho who is experienced with tads and Invisalign for treatment, any tips on finding one? anything helps! thank you so much for these videos. I am also in Southern California.
@evanlavizadeh4032
3 жыл бұрын
Yes my ortho is experienced in all of this stuff. She's amazing. I don't really know how to say whether one provider is better than another. I do believe my provider is one of the best but I don't really know how to judge other providers. My provider publishes research in this field, which is important to me. So if that's important to you, you could look through the literature and find who's pushing this field?
@maddylam9455
3 жыл бұрын
@@evanlavizadeh4032 you had multiple consultations right? what made you choose your orthodontist ultimately? thanks! so you were looking for an ortho knowledgeable in sleep apnea, that was top on your list. how is Invisalign treatment going post expansion. will you make a video about that? thank you!
@maddylam9455
3 жыл бұрын
Also! I have a question. Does your ortho make you have cavity clearance checks? and dental visits ect. I am aware any decay or big things need to get taken care of of course. But I am talking about very small areas where dentist is recommending fillings. Things that don't really show up on X-rays. I know some offices treat you differently, while others let you take care of those tiny things throughout treatment. I am trying to know ahead of time before I go places
@evanlavizadeh4032
3 жыл бұрын
@@maddylam9455 yes! Also, my Ortho works with my surgeon who is under my insurance. And my Ortho is close. And she publishes research in the field which I like. Invisalign is going well :) pretty standard. I will mention it in a video all though there's really not much to mention.
@evanlavizadeh4032
3 жыл бұрын
@@maddylam9455 hmm I never thought to ask. That's a great question. I should probably have a check up.
@douchebagpatrol7237
Жыл бұрын
I have a narrow buccal corridor and a crooked wisdom tooth that sits on the ramus. Do i have a narrow palate or is my poor forward jaw growth the problem?
@evanlavizadeh4032
Жыл бұрын
Narrow palate it seems but perhaps both. I would have to see a scan or photos.
@hattielott7420
3 жыл бұрын
Did they tell you how long it would take for your gap to close? I thought it was quick?
@evanlavizadeh4032
3 жыл бұрын
It's highly dependent on the patient. some patients find that the gap never even appears because the teeth just start to move on their own. But for me.... I think 5-6 months total? I forgot haha
@hattielott7420
3 жыл бұрын
@@evanlavizadeh4032 Great to know. Thanks, Evan.
@CroElectroStile
3 жыл бұрын
can you expand on why will you undergoo double jaw surgery?
@evanlavizadeh4032
3 жыл бұрын
See my video titled how exactly I'm fixing sleep apnea.
@genquiptyler7128
3 жыл бұрын
hi what do you do for a living or what is your job today that you can afford enough to have those appliance?
@evanlavizadeh4032
3 жыл бұрын
I'm an engineer. Which I'm very thankful pays enough for these treatments. But I was able to get insurance to pay a portion too, but it took a long time. I also got tax deductibles from it, which I made a video on.
@SalmanKhan-op1pw
3 жыл бұрын
How to measure width of maxilla??detail please???
@evanlavizadeh4032
3 жыл бұрын
Sorry I don't know. What I do know is that there are multiple ways. Probably need to ask a doctor.
@ezcanor8262
3 жыл бұрын
I live in nyc and currently saving up for MSE treatment with invasalign. I have multiple reasons of the things you said that are signs of you may need MSE treatment. I had extractions(premolars) for braces now their is crowding on my bottom teeth and well one wisdom tooth may need to extracted and also I have congestion. Only problem now is how can find providers in my area for MSE treatment? And possible jaw surgery? As I do have asymmetric teeth and jaw.
@evanlavizadeh4032
3 жыл бұрын
docs.google.com/spreadsheets/d/1Dkf8f3a6P_87KGneFEiFoLrreGb3K6gb6XXpulL4Ju4/edit#gid=0 There's a section on NY :)
@Bas_Rc
2 жыл бұрын
hi, i'm wondering something; Have you had a sharpening in your cheekbones after maxillary enlargement?
@evanlavizadeh4032
2 жыл бұрын
Nope!
@clement_jacob
2 жыл бұрын
@@evanlavizadeh4032 what visual change has occured? Better looking midface?
@nadiah8652
2 жыл бұрын
Can you get maxillary expansion for the bottom row??
@evanlavizadeh4032
2 жыл бұрын
That would be called mandibular expansion, and yes. MSDO is one option.
@danielamadalina6266
3 жыл бұрын
So its better to get this then extract teeth if u have crowded teeth? I heard a lot of negative opinions about teeth extractions (im 16 btw)
@evanlavizadeh4032
3 жыл бұрын
Yes, that is 100% correct.
@danielamadalina6266
3 жыл бұрын
@@evanlavizadeh4032 but what about my lower jaw then ? My upper is not smaller than bottom so after MSE the upper isnt gonna be to big?
@evanlavizadeh4032
3 жыл бұрын
@@danielamadalina6266 Yes that is possible, but extractions will not change the size of your jaw. So that will be an issue whether your do MSE before or after extractions. I have the same issue. My upper jaw is now much larger. My ortho is correcting this with braces but it isn't a perfect solution. It may have adverse consequences years down the line, but nobody knows yet.
@danielamadalina6266
3 жыл бұрын
@@evanlavizadeh4032 oh sorry i meant to say that orthos most of the time recommend extractions for crowded teeth . And bcs a lot of ppl are saying that extractions ruined their faces i looked into other solutions ( like MSE). I dont wanna get the extractions but it seems like MSE wouldnt be the best for me. Because then my lower jaw would be to small and this would cause more problems i think . Sorry for my language, english isnt my first language
@evanlavizadeh4032
3 жыл бұрын
@@danielamadalina6266 ohh I see your concern! Hmm that's a tricky one. I would get multiple opinions. And I would specifically see an airway focused orthodontist as well. They particularly know about the damaging effects of extractions. Fortunately, I think you're old enough that extractions wouldn't cause the most damage. But still, it's good to get multiple opinions.
@omarshaahz9362
2 жыл бұрын
I need your help. I want to expanded my upper plate naturally plzzz help me😓😓 plzz tell me the quickly answering a method. I need ur help. I do not like to live in this world
@evanlavizadeh4032
2 жыл бұрын
If by naturally, you mean without expanders like MARPE or MSE, it's not possible. That's just my opinion. There are doctors who disagree and think it's possible. But there are plenty of proven ways to do it with medical intervention. I did it.
@user-ff5od3hh5t
3 жыл бұрын
Can MSE be done as alternative to jaw surgery?
@evanlavizadeh4032
3 жыл бұрын
No. They aim to accomplish totally different things.
@christopherj8622
3 жыл бұрын
One question please, if i dont have crossbite and i expand my maxilla, would that make my bite off because you cant expand the mandible (except ur under 12)?
@evanlavizadeh4032
3 жыл бұрын
Yes that will limit your expansion. My case is the same. I compensated by expanding orthodontically. You can expand the mandible with MSDO (but it can be risky) and you can expand orthodontically even further with SFOT.
@w.townsend3477
3 жыл бұрын
Orthodontist told me that I was not a candidate for MSE. I have a deviated septum and enlarged turbinates which contributes to OSA. Also I experience TMJ issues and a large tongue. Should I get a second opinion?
@evanlavizadeh4032
3 жыл бұрын
Well why did your ortho say you aren't a candidate for MSE? What was the reasoning?
@w.townsend3477
3 жыл бұрын
@@evanlavizadeh4032 she said it wouldn't make much difference. I don't believe her though. I'm already getting a second opinion.
@evanlavizadeh4032
3 жыл бұрын
@@w.townsend3477 always good to get a second opinion
@w.townsend3477
3 жыл бұрын
@@evanlavizadeh4032 UPDATE: I saw a different ortho yesterday, and he assures me that I would greatly benefit from MSE.
@sniperlol5048
3 жыл бұрын
Why do you need double jaw surgery after marpe? I
@evanlavizadeh4032
3 жыл бұрын
my jaws are recessed. So I needed marpe to expand my maxilla (make it wider) and i need DJS to move both jaws forward. My airways are small in multiple dimensions.
@benh4222
3 жыл бұрын
ah dam my nose is completely blocked most of the time. but occasionally completely clear. not sure to get mse or sarpe.
@evanlavizadeh4032
3 жыл бұрын
Age and sex?
@benh4222
3 жыл бұрын
@@evanlavizadeh4032 male 38yo
@evanlavizadeh4032
3 жыл бұрын
@@benh4222 SARPE
@benh4222
3 жыл бұрын
@@evanlavizadeh4032 my upper jaw is also recessed a lot, i wonder if it effects nasal breathing too
@thinkgrowhealthy2137
3 жыл бұрын
Bro, help me find an MSE dentist please! Is there a list that is reliable.
@@evanlavizadeh4032 Is this list updated? Also, have you met any patient who did MSE in Romania or around that area?
@evanlavizadeh4032
3 жыл бұрын
@@thinkgrowhealthy2137 I don't manage the list so idk. And sorry I don't know of anyone in Romania :/
@MA-dm4xy
3 жыл бұрын
Do you have any plans for any kind of expansion for the mandible?
@santinobattaglia6158
3 жыл бұрын
I don't think the mandible neccesarily expands sideways, but instead it repositions itself more forward. Check out this vid for more info: kzitem.info/news/bejne/kX9nsKttkJ9qqIY&ab_channel=JawHacks
@evanlavizadeh4032
3 жыл бұрын
Nope. I would but there's no safe way of doing that.
@mariep612
3 жыл бұрын
@@evanlavizadeh4032 Ronald Ead on Jawhacks talks about expanding the mandible using a bone graft so that there is room to expand the teeth. Have you considered doing that? I can’t recall the name of the procedure.
@danielschroder4525
3 жыл бұрын
@@mariep612 It's SFOT.
@mariep612
3 жыл бұрын
@@danielschroder4525 right, is that something you'd consider? If so, I'd love to see that process documented as I'm considering it.
@hauptmanngilbertoduber9953
3 жыл бұрын
my palate is like a wide V and high arched, at its widest its 56mm but narrow in the front. Im dealing with one nostril getting blocked a lot while sleeping. do you think MSE or sarpe would be something for me?
@evanlavizadeh4032
3 жыл бұрын
Hmm that's a tough one. I can't answer that one. It might be worth getting a consultation
@RB621337
3 жыл бұрын
Very similar to my palate Aegis. It depends on how old you are also. With Sarpe a lot of providors modify it now so its not like traditional sarpe and even better. What country are you from?
@hauptmanngilbertoduber9953
3 жыл бұрын
@@RB621337 Im swedish, i have decided to go with surgically assisted MARPE+MSDO for lower instead since its newer and bone anchored will yield superior results.
@RB621337
3 жыл бұрын
@@hauptmanngilbertoduber9953 Nice, I'm going with surgically assisted Sarpe with TPD and PMD 9mm expansion, should be some sweet nasal breathing benefits!
@hauptmanngilbertoduber9953
3 жыл бұрын
@@RB621337 Whats TPD and PMD?
@cooldudeworld4621
2 жыл бұрын
My mouth is small and i had remove two teen and got braces. My smile is very small and it looks sooooo ugly. Is it ok to get expander??
@evanlavizadeh4032
2 жыл бұрын
It's worth looking into
@Sara6.0
6 ай бұрын
Hello what did you do because I'm in the same boat
@joshrussell3341
3 жыл бұрын
👍🏻
@SG-pd9mf
3 жыл бұрын
Does anyone know if there’s a doctor in ny who does adult expansion?
I think I suffer from that .. can I communicate with u by any social platform like Instagram ?
@evanlavizadeh4032
2 жыл бұрын
Facebook is best bc I don't have Instagram notifications but yeah you can search me on either
@abdelghafar111
2 жыл бұрын
@@evanlavizadeh4032 ok I sent u on Facebook
@yazed410
3 жыл бұрын
why dont you try a facemask ? and maybe SFOT to get you some forward movment ? you still can do MMA after . MMA seems too invasive .
@evanlavizadeh4032
3 жыл бұрын
Facemask has little to no evidence that it's effective for my age and sex. SFOT only assists dental movement and has no way of opening the airways to resolve sleep apnea. My jaws are very recessed and the only solution to widen my airways with any evidence is MMA. Also, MMA is certainly more invasive than Facemask but that doesn't mean Facemask is safer. I think facemask is just gonna damage my teeth and also limit my MMA potential due to excessive tooth tipping.
@vassilistzaferis4277
3 жыл бұрын
@@evanlavizadeh4032 Face Mask applies orthopedic forces to the bone when used with MSE. Won Moon talked about this in his MSE presentation in december 2020. That obviously doesn't mean MMA is not needed.
@SecretMountainTroll
3 жыл бұрын
I've heard facemask had little to no effect after a certain age. But Dr. Ting says he has used it with mse to get a very slight effect. We don't seem to have a device yet to move the maxilla in that direction
@vassilistzaferis4277
3 жыл бұрын
@@SecretMountainTroll Ting also said to one of his patients that i talked to that adult patientsthat ask for Face mask typically don't comply and only wear it for a limited amount of hours, whereas ideally you want orthopedic force applied 24/7. Also the ting protocol is effective to produce a mid-palatal split but bad at disrupting the pterygo maxillary process, so it is logical that it isn't that effective.
@vassilistzaferis4277
3 жыл бұрын
@@SecretMountainTroll there was the case of an adult male patient on TGW that was treated with FM at almost 40 years of age that obtained 5 mms of A point movement with the ALT-RAMEC protocol
@autistic-man-
3 жыл бұрын
Is there any MSE provider in the UK?
@evanlavizadeh4032
3 жыл бұрын
not many but yes docs.google.com/spreadsheets/d/1Dkf8f3a6P_87KGneFEiFoLrreGb3K6gb6XXpulL4Ju4/edit#gid=0
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