SFOT Part 2! - Invisalign Progress Update, Ambitious Expansion Plans & Unexpected Benefits from SFOT

Summary

Dans cette mise à jour vidéo, l'individu partage son expérience positive trois semaines après une procédure SFOT avec le Dr Abowitz, notant une guérison complète et une absence de douleur. Il détaille sa progression rapide avec les gouttières Invisalign post-SFOT, passant de la sixième à la douzième en seulement 18 jours, et discute de l'objectif d'harmoniser l'expansion de la mâchoire supérieure droite avec celle de gauche, précédemment élargie par MSE. Il souligne l'efficacité de SFOT pour un traitement Invisalign plus rapide et moins douloureux, malgré le coût élevé, et envisage de futures améliorations esthétiques et fonctionnelles.

Takeaways

• 😊 Le patient a subi une procédure SFOT il y a 3 semaines pour élargir son maxillaire supérieur droit
• 🤕 Il n'a plus de gonflement ni de douleur après 2 semaines
• 🦷 Il porte un appareil Invisalign pour continuer à élargir son maxillaire
• 🔬 Le SFOT a permis un traitement Invisalign plus rapide et moins douloureux
• 😁 Le patient est content des résultats esthétiques après 3 semaines
• ⌛ Le patient pense que le SFOT accélère le traitement Invisalign de 80%
• 💲 Le coût du SFOT et de la greffe gingivale était de 66 000 $
• 😌 Le patient ressent moins de tension dans son cou et son épaule droite après le SFOT
• 📏 Le patient a eu une asymétrie squelettique avec son MSE qui a été difficile à corriger
• 👍 Le patient est très satisfait de la rapidité du docteur Lipkin pour lui fournir de nouveaux moules Invisalign

Q & A

Qu'est-ce que la SFOT et pourquoi l'individu a-t-il décidé de la faire ?

La SFOT, ou chirurgie orthodontique d'accélération du remodelage des tissus mous, est une procédure destinée à accélérer le mouvement des dents et améliorer la guérison. L'individu a choisi cette méthode pour corriger une asymétrie entre les côtés gauche et droit de sa mâchoire supérieure, le côté droit étant moins développé.

Quelle a été l'expérience de guérison après la SFOT pour l'individu ?

L'individu rapporte une guérison rapide et sans douleur, avec une réduction significative de l'enflure et une cicatrisation complète des plaies en moins de deux semaines. Il attribue cette guérison accélérée à des mesures telles que le jeûne, une alimentation saine et l'exercice physique.

Comment l'Invisalign a-t-il été utilisé en conjonction avec la SFOT ?

Après la SFOT, l'individu a utilisé des aligneurs Invisalign pour continuer à ajuster l'alignement de ses dents. Il a changé de gouttières tous les trois jours, ce qui est plus rapide que le calendrier habituel, grâce à la souplesse accrue des dents post-SFOT.

Quel était le coût de la SFOT pour l'individu ?

Le coût total de la SFOT et de la greffe de gencive était de 66 000 $, mais la SFOT seule pour un quadrant était d'environ 2500 $. Pour les quatre quadrants, le coût aurait été d'environ 10 000 $.

Quels ont été les avantages perçus de la SFOT ?

L'individu a noté plusieurs avantages, notamment une guérison rapide, une expérience Invisalign plus confortable et moins douloureuse, et une progression rapide à travers les gouttières Invisalign. Il a également observé des avantages inattendus tels que la réduction des tensions dans le cou et l'amélioration de la posture.

Quels étaient les objectifs de l'individu avec la SFOT et l'Invisalign ?

L'objectif était de corriger une asymétrie faciale causée par une expansion inégale des côtés gauche et droit de la mâchoire supérieure, d'améliorer l'occlusion et l'esthétique du sourire, et de réduire les corridors buccaux.

Combien de gouttières Invisalign l'individu a-t-il utilisées après la SFOT ?

L'individu a utilisé un total de 61 gouttières Invisalign réparties sur plusieurs séries après la SFOT pour atteindre l'expansion souhaitée et corriger l'asymétrie.

Quel impact la SFOT a-t-elle eu sur la tension du cou et les maux de tête de l'individu ?

L'individu a rapporté une réduction significative de la tension dans le cou et des maux de tête, qu'il n'avait pas anticipée. Il attribue cette amélioration à l'expansion réussie de sa mâchoire et à l'augmentation de l'espace pour sa langue.

Comment l'individu compare-t-il l'expansion réalisée par la SFOT à celle obtenue par d'autres méthodes ?

L'individu note que, bien que la SFOT ait permis une certaine expansion dentaire, elle ne remplace pas l'expansion squelettique obtenue par des méthodes telles que le MSE (Maxillary Skeletal Expander). L'expansion par la SFOT est considérée comme inférieure en termes de qualité comparée à l'expansion squelettique.

Quels sont les plans futurs de l'individu concernant son traitement orthodontique ?

L'individu envisage de continuer avec une autre série de gouttières Invisalign pour peaufiner l'alignement et l'occlusion de ses dents, en espérant corriger davantage l'asymétrie faciale et améliorer l'esthétique de son sourire.

Outlines

00:00

😁 Mise à jour post-SFOT et progrès avec Invisalign

Trois semaines après sa procédure SFOT réalisée par le Dr. Abowitz, le narrateur partage une mise à jour positive sur son processus de guérison, mentionnant l'absence de douleur et de gonflement, et une cicatrisation complète. Il attribue une grande partie de sa récupération rapide à des mesures personnelles telles que le jeûne et une alimentation saine, sans recourir à des antibiotiques ou des bains de bouche antiseptiques. Il a également repris son exercice une semaine après l'opération. Actuellement, il utilise le tray 12 sur 21 d'Invisalign, ayant progressé rapidement à travers six trays en 18 jours post-opération grâce à l'effet de l'SFOT, qui a facilité le mouvement des dents avec peu de douleur. Le narrateur vise à corriger l'expansion asymétrique subie dans le quadrant supérieur droit en comparaison avec l'expansion robuste obtenue avec MSSE (Miniscrew-Supported Skeletal Expander) dans le quadrant supérieur gauche en 2019, et commente sur l'amélioration de son alignement dentaire et la réduction des corridors buccaux grâce à l'SFOT et Invisalign.

05:03

🔄 Transition vers le dernier tray Invisalign après SFOT

Après avoir traversé 21 trays d'Invisalign suite à sa procédure SFOT, le narrateur atteint le point où le dernier tray s'ajuste parfaitement, marquant une expansion réussie. Il prévoit une visite de suivi avec le Dr. Ilia Lipkin pour évaluer les progrès et envisager la possibilité d'une autre série de trays Invisalign pour peaufiner son sourire. Il réfléchit sur son parcours orthodontique de plus de sept ans et anticipe la fin proche de son traitement, bien qu'une chirurgie orthognathique soit encore à l'horizon. Trois mois et demi après l'SFOT, il discute de l'objectif initial de l'opération pour corriger l'asymétrie causée par une expansion inégale des quadrants supérieurs gauche et droit suite à l'utilisation d'un MSE, et partage ses observations sur l'efficacité de l'SFOT combinée à l'Invisalign pour atteindre une expansion dentaire ciblée malgré les limites par rapport à l'expansion squelettique.

10:04

🧐 Évaluation de l'amélioration esthétique et fonctionnelle post-SFOT

Le narrateur examine l'amélioration de son sourire et de sa fonction occlusale après l'SFOT et plusieurs séries de trays Invisalign, soulignant une amélioration significative par rapport à son état initial. Cependant, il reconnaît les limites inhérentes à la correction d'une asymétrie créée par un MSE (Miniscrew-Supported Skeletal Expander) par des moyens purement dentaires avec l'SFOT et Invisalign. Il prévoit une visite de suivi avec le Dr. Lipkin, anticipant possiblement une autre série de trays pour finaliser l'alignement et corriger un léger déséquilibre restant. Il partage également une observation inattendue : une réduction de la tension dans son cou et son épaule droite, attribuée à l'expansion réussie de son quadrant supérieur droit, soulignant l'impact profond que la structure dentofaciale peut avoir sur le bien-être physique global.

15:06

📈 Progression et réflexions sur l'impact de l'SFOT

Le narrateur fait le point sur son traitement orthodontique après l'SFOT, exprimant sa satisfaction quant à l'amélioration de la tension dans son cou et son épaule, un bénéfice inattendu de l'expansion dentaire. Il relate le processus de réception de sa troisième série de trays Invisalign de la part du Dr. Lipkin, notant l'efficacité et la rapidité du service. Il discute des objectifs de cette nouvelle série de trays, y compris l'expansion continue du quadrant supérieur droit et l'ajustement de l'occlusion pour équilibrer davantage son sourire. Malgré les améliorations, il reste réaliste quant aux limitations de son traitement dues à l'asymétrie initiale créée par le MSE et envisage la possibilité d'autres ajustements orthodontiques à l'avenir.

20:10

🛠 Ajustements finaux et anticipation de la conclusion du traitement

Dans cette dernière mise à jour, le narrateur détaille la réception de sa dernière série de trays Invisalign, envoyée par le Dr. Lipkin avec des instructions pour changer de tray tous les cinq jours, suggérant une stratégie d'expansion plus conservatrice. Il examine les objectifs spécifiques de cette série de trays, qui incluent une expansion supplémentaire du quadrant supérieur droit et des ajustements pour améliorer l'alignement et l'esthétique de son sourire. Le narrateur partage son anticipation de la fin de son long parcours orthodontique et exprime sa gratitude envers le Dr. Lipkin pour son expertise et son efficacité tout au long du processus. Il conclut en réfléchissant sur l'impact global de l'SFOT et de l'orthodontie sur son bien-être physique et esthétique, soulignant la complexité de traiter les asymétries dentofaciales et l'importance d'une approche personnalisée.

Keywords

💡Expansion maxillaire

Technique utilisée pour élargir la mâchoire supérieure à l'aide d'un appareil orthodontique.

💡Asymétrie

Différence de taille entre les deux côtés de la mâchoire supérieure après l'expansion.

💡SFOT

Procédure chirurgicale permettant d'accélérer le mouvement des dents lors du traitement orthodontique.

Highlights

Provides 3 week update after sfot procedure with Dr. Abowitz

Swelling is at zero, wounds completely healed, no pain or discomfort after 2 weeks

Changed 6 trays in 18 days after procedure by changing every 3 days

Doesn't feel trays when changing them after sfot, makes tooth movement easy

Expansion getting noticeable, still 10 more trays to match sides

Gum graft integrating nicely using slices from behind molars

Final tray 21 fits, smile edgewise on right side after initial 21 trays

Got scanned for 14 more trays after initial 21, changed every 3 days

Imperfections remain due to asymmetric MSE expansion years ago

SFOT helped neck tension, headache relief unexpected benefit

26 more trays arrived 9 days after scan, changing every 5 days

Still expanding upper right, dropping molars to match sides

First and last trays show couple mm of expansion achieved

Hoping this is last refinement set, could see more after

Starting tray 1 of 26, will update progress

Transcripts

we're trying to match that MSE expansion

with tooth born expansion on the upper

right quadrant using

sfot hey guys so it's been exactly 3

weeks since I did my sfot procedure with

Dr abowitz and I wanted to give you an

update I'm totally in the clear with

regards to Healing I believe swelling is

at zero my wounds are completely healed

I feel no pain no discomfort and

truthfully it's been this way for at

least a week maybe not 9 or 10 days even

I really think that 95 to 99% of sfot

healing occurs within the first 2 weeks

or at least it did with me with all the

measures that I took to accelerate

healing such as two days of fasting

eating clean and just taking up most

care of my body no antibiotics no

antiseptic oral rinse just a two-day

fast living my best healthiest life

getting back on my exercise regimen

within a week and letting my body do its

thing I'm also on try 12 out of 21 now

before sfot I was on tray six and in the

past 3 weeks I've gone through six trays

in 18 days after the procedure I did

take a couple days off that's why it's

not seven trays as you know I'm changing

trays every 3 days let's take a look at

my face and the surgical site and we'll

go from there so remember the procedure

was on this side let's check the

swelling I don't know if you can see

whether or not the expansion is starting

to become noticeable I do have another

10 trays to go remember we're trying to

take this side eliminate the Buckle

corridors and get it to match that left

side well the left side of course was

expanded quite robustly with msse back

in 2019 the right side did not expand

nearly as much and now I'm trying to fix

that with sfot I do have my upper tray

in I'm not even wearing lower trays

throughout this process I find that

wearing two invisaline trays at the same

time causes me to clench really bad

which I hate and the whole point of

everything that I'm doing is to be

healthier feel better get better sleep

clench less so you know this is a

multi-month process and I don't want to

wear two invisaline trays at the same

time at least not for an extended period

when essentially the lower tray is

serving as a glorified retainer since

we're not doing a lot of movement on the

lower teeth let me see if I can peel my

lips back so we can get a better look at

the surgical sites

so you probably can't even tell I had

surgery let's take a look at my gum

graft I think the gum graft is

integrating very nicely as

well see if we can get the

maxillary he sliced on the maxillary

side too and scored the bone in there in

order to loosen things up so the teeth

could move and remember for the gum

graft he took slices from my terago

maxillary area which is the big chunk of

area behind my upper last back teeth and

I totally forgot he even did that even

though he took slices that were you know

the size of the ginger that you put on

sushi and and it even looked like that

similar color similar shape and sort of

texture anyway 3 weeks out from sfot

feeling like a million bucks waiting to

see what my mouth is going to look like

after I'm through my 21 trays so far

it's good another observation I

definitely want to put out there you

don't feel the trays when you change

them even though you're changing them

every 3 days the sfot loosens the area

up and makes it so easy for the trays to

move your teeth that you hardly feel a

thing I mean normally I struggle

tremendously with Invisalign trays after

I change my trays according to normal

Invisalign schedule without sfot every

let's say 10 days it's like for 3 days

I'm suffering from the agony of the

tooth movement from the new tray with

the sfot I feel almost nothing it's

really remarkable even for people who

don't need huge amounts of expansion I

still think sfot can be a good treatment

modality for getting faster Invisalign

treatment more painfree Invisalign

treatment obviously you're front loading

a bunch of pain and sort of misery into

that first week or two of the sfot

procedure obviously there's a cost

associated with it for me it was $66,000

for the sfot and the gum graft but the

sfot by itself for one quadrant was

about 2500 I think so for four quadrants

probably 10 grand obviously that's a lot

of money but depending on your budget

and your priorities it cuts your

treatment time down to a 20% of what it

normally would be cuts the pain of the

tray changing down to 20% or less of

what it normally would be so depending

on on your budget your priorities maybe

it is something for you to consider I've

enjoyed the benefits of sfot

tremendously just in terms of comfort of

my Invisalign treatment and hopefully we

can get the nice expansion results too

we'll know more about that in about a

month when I'm finished all 21 of my

trays check in with yall soon maybe in a

week from now I'll do a 4-week update

peace all right what up what up it's

been a month and a half since my sfot

procedure today is December 6th my

procedure was on October 19th and guess

what it's time for tray 21 of 21 my last

expansive Invisalign tray with sfot if

you remember from my first sfot video

this tray didn't fit at all I showed you

how I was going to be expanded gradually

over the course of you know 21 trays

till finally this one fit well let's see

if it fits here it is right here tray 21

of 21 and let's uh pop it in and see if

we can get it to slide

in and there it is it fits so let's take

a look at the results of my F this is my

last expansive tray and let's see how we

did we're going to see Dr Ilia Lipkin on

Friday the 8th to check me up to see how

my progress went and we'll see what's

going to come next maybe another round

of invisaline Trades to just round

things up and hopefully I'll be nearing

the end of my orthodontic Journey

shortly thereafter it's been over 7

years I think maybe one more round of

visal line tray to put some finishing

touches on everything maybe tuck in the

lower right segment a little bit to get

it into a nice good bite there otherwise

I'm feeling like I'm real close to the

end here except for my future MMA

surgery of course all right it's

February 1st 2024 I'm exactly 3 and 1/2

months out from my sfot procedure on my

upper right quadrant the reason I did

that procedure was because when I did my

MSE I got disproportionate amounts of

expansion on the upper left side as

opposed to the upper right quadrant the

upper right quadrant remained lacking

the upper left quadrant was maybe five

or 6 millimet more expanded than the

upper right quadrant following the MSE

okay it was an asymmetry the expander

pushed my upper left side much more than

my upper right so there I was even 3

years later from my msse I still had an

asymmetry favoring the upper left side

being more expanded than the upper right

that's after 3 years of postm msse

Orthodontics okay that's how devastating

an msea symmetry can be they're

extremely difficult to recover from

orthodontically it takes years and then

even after years you're still left in a

position where your only choice to

really get a Next Level smile which

probably is still going to remain

permanently suboptimal but level up from

just basic Orthodontics after an MSE

asymmetry you can inject in some sfot

and that sfot lets you take that under

expanded quadrant and expand the piss

out of it one last time tooth born with

Invisalign it's not at all like MSE

expansion okay it's Dental movement not

maxillary skeletal movement so even

though the sfot lets you cheat and get a

little bit of dental expansion your

nasal cavity on that right side is

unaffected by the sfot and the

orthodontics so it's a lesser quality

product as compared to a marpie or an

msse or an ease right but it's better

than nothing when it comes to

cosmetically optimizing the smile which

is why I did it so I'm on my way to see

Dr Lipkin right now for my second

followup since doing sfot I've done 28

trays of Invisalign since doing sfot

exactly 3 and 1 half months ago the

first 14 were part of one round of

Invisalign trays that Dr Lipkin gave me

that I had actually begun before I even

did my sfot I was a 21 tray package I

was on tray 8 when I did my sfot so I

zipped through 14 more trays in that

first round up to tray 21 changing my

trays every 3 days I finished that I

went in for a followup with Dr Lipkin in

early December 2023 Dr Lipkin said all

right the smile is now edgo Edge on that

right side we had bumped it out with 21

invisaline trays to the point where it

was edgo Edge on that right side if I

had to guess maybe one mm of real

expansion of that right quadrant he said

we're almost there I want to do a little

bit more and my December visit he

scanned me up and he ordered me 14 more

Invisalign trays I received them 2 weeks

later it was an an incredible turnaround

by Dr lipkin's office to plan that

second round of Invisalign in the

Invisalign software Dr Lipkin did that

himself of course then to have the order

placed with invisaline to have it

delivered to Dr lipkin's office and then

from his office USPS Priority mailed to

me all of that in 2 weeks thank you Dr

Lipkin you are topnotch and you have

always been expedient and precise in my

treatment up to this point and also

respectful of the fact that I'm

commuting 4 hours he shipped the package

to me quickly so that I didn't have to

go from Boston to New York just to pick

up 14 Invisalign trays time is money

especially for me these days burning at

both ends so I received that package in

late December and I zipped through those

14 trays in 3 days a piece I'm going to

see Dr lipin for my second followup to

see what he thinks now looking at the

bite it doesn't look perfect to me

there's a few things first of all I

think that the quality of the final

orthodontic aesthetic result that I can

achieve is going to be limited by the

msse asymmetry that I experienced in the

skeletal nature of that asymmetry which

can only be cloaked over so much with

dental expansion invisaline and sfot I

think it's just too much of an uphill

battle to get a perfect aesthetic

product after an msea symmetry but it's

a hell of a lot better than it was first

of all when I started treatment with Dr

Lipkin and then additionally since the

sfot the sfot has helped it's really

bumped out that upper right quadrant so

let shut the up for a second and

just show you what the smile looks like

now and my editor will will maybe cut in

some footage from right before I did

sfot so that you can see the magnitude

of the expansion that the sfot enabled

okay so this was the underexpanded side

this is the side we did sfot on and if

I'm not mistaken the Buckle Corridor on

this side which is to say the black

triangle that's optically created as a

result of the narrowness of the smile I

believe the Buckle Corridor is

significantly better on that right side

and now more closely resembles the ultra

expanded left side that had gotten the

marpi expansion back in 2019 so let me

just show you again still a buckle

Corridor and buckle corridors are

definitely tremendously affected by the

lighting of the shot so depending on

which way the sun is coming and which

way the shadow is created although it's

overcast as right now so there's

really no Shadows being cast this is

perfect video lighting now here's what

the sfot has not corrected and by the

way Lipkin is not done and I have a

feeling that today he is going to order

another 14 or 15 invisaline trays and on

this final round of Invisalign I suspect

that what Dr Lipkin is going to do is

he's going to try to drop the right side

a little bit the premolar on the right

side is high compared to the premolar on

the left side and maybe the canine or

maybe the first Moler as well could be

extruded and dropped slightly on that

right side and I think that'll help

address the remaining imperfection in my

smile which is the can't okay I think I

still have a maxillary can in which the

left side is slightly dropped with

respect to the right side and I think if

we drop the preer at least maybe a half

millimeter I think it's going to help

aesthetically with the can also that

tooth just doesn't have contact right

now so I believe Dr lipkins strategy

with the post sfot Orthodontics has been

to just expand as much as we want and

then clean it up and so the first two

rounds 21 trays then the 14 trays that I

just finished I believe they were

expansion purely where he was just

trying to see how far he could get the

upper right teeth to go with respect to

the lower teeth and get them into a good

bite where they can actually maybe even

be tipped in a little bit so that

they're not just over and under with the

bottom right teeth so I think expansion

is done now I think where we're at is

clean up now even after the cleanup of

this next round I don't expect my smile

to be perfect I believe that the

skeletal can that was created by the

marpie pushing that left quadrant cuz it

didn't just push it more in an expansive

way it also pulled it down a little bit

and I think that that was skeletal and

you can only do so much dentally to

mitigate the can't that's created when

half of your maxilla gets dropped I mean

let me ask you can you see my maxillary

can't see I think you can see on this

side it's a little bit more rolled down

and that side was so expanded that the

upper teeth on that side are actually

tipped in pretty aggressively to get

them back into a bite I mean that's a

big part of what my Orthodontics has

been the last 4 years was cranking in

those left teeth that got hyperexpanded

by the marpie where the whole bone was

pushed out and dropped down now it's way

better than it was it's an incredible

accomplishment that we've done over the

last four years getting that quadrant

back into a bite but what's it look like

to you I think still a little roll down

and then these teeth have been expanded

to match but you can tell it's Dental I

mean the upper left gums are

hyperexpanded which indicates that the

basil bone the alviola ridge the whole

thing moved with the marpie whereas on

my right side yes the teeth are expanded

but the gums are definitely not as

expanded as the left

side so here the teeth are tipped out

here the teeth are tipped in so it's

almost like my maxillary teeth are like

a parallelogram as a result of the

skeletal expansion on one side and the

dental expansion on the other side but

maybe I'm seeing things and maybe even

that's going to be corrected with my

next and probably final round of trays

from Dr Lipkin but we'll see I just left

Dr lipkin's office where I had followup

at after my second round of invisaline

trays following sfot and what did he do

what did he say he said things are

looking better that upper right quadrant

is almost where he wants it to be

there's one small area that still needs

to be expanded a bit and we are going to

drop that one too to try to even out the

can this

tooth all right so just as expected

probably another 15 Invisalign trays

coming I'll have them in probably 3

weeks and then I'll do them at a rate of

3 days per tray and then I'll see Dr

Lipkin 45 days after that I think maybe

one more after this I mean this could be

it this could be my last round of

Invisalign trays but I have a feeling

one more and then at that point we'll

really take a close look at my smile I'm

going to get some before and afters

organized I'm going to ask Dr Lipkin for

all the photos and images they took of

me throughout my whole treatment and I'm

going to do a nice before and after

presentation to see the true efficacy of

sfot I've been very pleasantly surprised

by the Improvement to my neck tension

upper right side of my neck back here

and in my right shoulder blade and in my

right trap the tension there has been

relieved very nicely by the sfot and the

expansion of that upper right quadrant

via Dr lipkins Invisalign trays now I

was not expecting that at all in fact I

was pretty content with how much

improved my neck tension had already

been with all of the intervention I've

had over the last 10 years including two

migrain nerve decompression surgeries at

the back of my neck and msse in 2019

which improved my Airway way and

therefore improved my nerd neck posture

it allowed me to elongate my neck

posture instead of being like this cuz

of course nerd neck posture is a cope

for a small Airway so I had no idea that

the sfot would have any effect on the

small amount of tension that remained at

the upper right side of my neck in the

area of the right lesser occipital nerve

sort of below and behind the right ear

but I think what's happened is that by

dentally expanding that upper right

quadrant and giving my tongue more space

on that upper right side that somehow

has flowed Downstream to the musculature

of my neck and shoulder on that side and

I guess it was The Missing Link when I

was having headaches and tension

severely like every other day for

several years between say 2012 and 2018

or so it was one big headache for all of

those years more or less and 80% of

those headaches were on the right side

and I think that a big part of that had

to do with the fact that my upper right

maxilla was super narrow and it remained

narrow after my msse because the msse

disproportionately expanded my upper

left side it wasn't until we did sfot in

Invisalign with an emphasis on bumping

out that upper right quadrant that I've

since had some relief in the tension in

that area was not expecting that was not

looking for that it's just been a total

icing on the cake I mean I did sfot for

you could say aesthetic and accusal

purposes to have a more even smile to

have a smaller Buckle Corridor on that

right side because there is no Buckle

Corridor on the left side cuz the msse

expanded the pist out of it and to

eliminate the crossbite that remained on

the upper right side my upper right

teeth were biting inside of the lower

right teeth the cusps of the upper right

teeth were inside of the outside cusps

of the lower right teeth so I did sfot

to correct those things Aesthetics and

occlusion I did not do it to improve my

neck pain but Improvement of neck pain

is in fact what I've experienced and I'm

very happy and it just goes to show man

that having small jaws you just never

know how it's impacting you you in a

negative way it's like for me so many of

the weird issues that at one point in my

life I had written up to me just being a

anatomically abnormal handicap

essentially my neck pain my headaches

all of that seems to have been

intricately connected with my

underdeveloped jaws and as I continue to

expand my jaws well that expansion is

pretty much done now with the sfot

unless I have a double jaw surgery at

some point in the future but the

expansion I've done up to this point has

solved those problems small jaws are

truly an ins ious epidemic as they wreak

havoc on your health and all of these

mysterious ways and then when you go to

get treated for them by a neurologist or

by whoever physical therapist an ENT who

else in my case a plastic surgeon who

did a migraine nerve decompression

surgery for me what you're getting from

these people is treating the symptoms

but the root cause is often a tension

that is rooted in your mouth and then in

your neck second in line from there so

very happy with my neck pain relief that

I've had with sfot and expansion of the

upper right quadrant with invisaline

Trace following sfot hope you enjoyed

that all right so I met with Dr Lipkin 8

days ago on February 1st for my second

followup after sfot where he took a new

Invisalign scan for me N9 days later my

Invisalign trades have arrived from Dr

lipkin's office I don't know how he

managed to turn that around so quickly

design the Clin check have the Clint Che

sent to his office and then from his

office USPS Priority mailed to me up in

Boston all of that in 9 days that's A+

customer service Lord knows I've waited

absurdly long times for invisaline trays

to come in from prior orthodontists Etc

so very grateful for that expedient

turnaround cuz remember we're trying to

take advantage of the sfot and the sfot

has a time limit where that site is

going to be activated in a way that I

can kind of push it with expansion so

we're on the clock Dr Lipkin has been

extremely punctual and expedient in his

delivery of my Invisalign trays after

ordering them so let's open this up and

see what's inside okay here we go oh wow

the trays are just in this USPS Priority

Mail Box so we have 26 trays I have one

of 26 and up here 26 of 26 and I wonder

if I'm still changing my trays every 3

days ah a note from Dr lipkin's office

Hey Ron please change every five days be

well and we'll see you soon thanks from

Dr Ila Lipkin Orthodontics Okay so what

this tells me is Dr Lipkin must feel

like the sfot sight is not tender enough

anymore to be able to push it with

changing trays every 3 days it's looking

like maybe there's some deceleration

there and we got to change trays every 5

days now so 26 * 5 that's 130 days so

about 4 months in change so it looks

like I'll be seeing Dr Lipkin again at

the end of June very good very good I'll

take my time with these now I do have

access to my Clin check video for these

and I'm going to edit that into the

video right now and what you'll see is

that Dr Lipkin plans continued expansion

of that upper right quadrant and it

looks like he's also going to drop that

upper right quadrant to try to continue

to even out my can't cuz right now my

left side is lower he's going to bring

the right side down with the invisaline

trades try to even it out and bump it

out some more which I think is bold

because it looks like he's trying to

evenly match the left and right sides

which is a big ask because remember the

left side got absolutely expanded out to

the next galaxy with msse whereas the

right side got nothing we're trying to

match that MSE expansion with tooth born

expansion on the upper right quadrant

using sfot and now my third set of

Invisalign trays in total we have 35

trays from two prior sets plus 26 trays

here 61 total trays into my sfot and

will this be the last set I don't know I

could definitely see another refinement

set after this but if you look at the

clinch check you'll see it looks like Dr

Lipkin is planning for this to be the

last one one thing I like to do with

these expanding sets of Invisalign trays

is take the first tray and last tray and

just physically compare them to see the

amount of expansion that's planned into

them so here I have Tray 1 of 26 here I

have tray 26 of 26 and I'm just curious

to see how much more expanded on that

upper right side right 26 of 26 is

because on the Clin check video it looks

pretty dramatic so let's just compare it

all right here's the difference between

Tray 1 and 26 so now tray 26 is up front

in tray one in the back and you can see

that's the expansion that I'm going to

get looks like on that back tooth the

second Moler there there's quite a bit

of expansion I mean that's a couple

millimeters so there you have it if this

set of Invisalign trays goes to plan and

my teeth track according to the clinck

my maxilla should get that much wider

especially on the upper right side over

the next 4 months all right check y'all

soon I'm going to start with my first

tray right after breakfast tray one of

26 of my third set peace out