r/MARPE

I have a deviated jaw because of narrow maxila my lower jaw is good and fine , the narrow maxilla is causing the asymmetry in the chin on the right side...what are your views

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Hi everyone

I'm looking for informed opinions and experiences regarding my orthodontic and orthognathic treatment options.

My cephalometric measurements include:

- SNA: 79.6°

- SNB: 70.9°

- ANB: 8.6°

- SN-GoGn: 39.8°

- Occlusal plane to SN: 23.6°

- U1-NA: 3.6 mm / 26.5°

- L1-NB: 14.2 mm / 50.2°

- Interincisal angle: 94.7°

My diagnosis includes a skeletal Class II pattern, mandibular retrusion, a hyperdivergent facial pattern, a convex profile, dental protrusion and an anterior open bite.

My main concerns are facial balance, maxillary and mandibular projection, vertical facial proportions, possible transverse deficiency and airway function.

I would like your opinion please

thank you.

Started in late March having MARPE installed. I have just stopped turning as of a week ago. I am currently waiting on my invisilign refinements but this is the result 24 trays in.

Good evening, everyone. Writing from Baku, Azerbaijan.

Almost 23 / 184 cm tall / 90 kg / 15.5% BF.

I have congenital skeletal asymmetry (hemifacial microsomia). The entire right side of my face is less developed than the left: the orbit is lower, the ramus is shorter, the jaw/chin deviates to the right, and the maxilla is canted.

Full plan:

2026: MARPE + Damon braces ✅

2027: OBO + rhinoplasty + infraorbital implants

2028: Trimax

Today I want to share the results of the first phase:

Initial upper jaw width: 35.5 mm > current width: 41.7 mm.

Final result: +6.2 mm of skeletal maxillary expansion.

Protocol:

1. Miniscrews were placed in early June.

2. The distractor was placed at the end of June.

3. Corticotomy was performed on July 6.

4. I started turning the appliance one week later.

5. I stopped turning it on September 28.

6. Orthodontist: Dr. Huseyn Aghazade / Surgeon (corticotomy): Dr. Elvin Melikov.

Progress pictures:

1. Palate before the corticotomy (July 6)

2. Palate after the active expansion phase ended (October 2)

3. Frontal view before starting expansion (June 30)

4. Frontal view after completing expansion (October 2)

5. Profile before all procedures (late April)

6. Profile after expansion (September 28)

Got braces yesterday and started decompensation.