hello, I have a recessed mandible and chin and I was wondering what things I could do to get some forward projection without surgery. I have looked into different methods but nothing has seemed clear.

Does the mandible move when the maxila is projected? Do things like chin tucks, thumb pulling, mewing, or neck curls help with this. I would consider my maxila relatively well projected so i’m kind of curious about this. I’m 19 years old so maybe my face isn’t done developing. thanks!

  • In no particular order:

    1. Sleeping on a hard mattress
    2. If you are a back sleeper: Sleeping with a thin/low pillow or, if you can, without one at all
    3. Correcting posture and making sure your head, back and neck are straight
      1. Correct forward-rounded shoulders if you have them
      2. No slouching
      3. Reduce exaggerated kyphosis/lordosis if you have them and bring your spine's S-curve down
      4. Correct forward head posture, if you have it
      5. Correct muscular imbalances between front/back
    4. Myofunctional therapy
    5. Chin tucks
    6. Learning proper swallowing technique
    7. Keeping your tongue in a correct suction hold against the upper palate at all times ("passive mewing")
    8. Active mewing while in perfect upper body posture
    9. Always breathe through your nose
    10. Chew tough foods
    11. Chew tough mastic gum like Falim

    thank you so much, is the posture stuff to help correct bad habits and make the jaw appear better or does posture help maximize the mewing process?

    What is the logic or the biomechanics of why points 1 and 2 help achieve forward projection?

  • I’ve worn a Vivos mRNA appliance for many years now. Forward mandibular advancement devices (like the mRNA, but also like other options on the market) are known to bring the lower jaw forward but also change the bite, so if you go this route, you’ll most certainly need braces to adjust things later on.

    Did Vivos expand your palate ? Did you get a chance to do CBCT scan before and after the treatment ?

    I did a mid treatment scan and there was as definitely bone growth in my mandible (about 4mm on one side), but not much change in the drop of my palate. The provider I had initially didn’t shave my appliance down so there wasn’t space for it to drop. I switched providers and they shaved it down. It feels like it has lowered, but I haven’t had a repeat CBCT for definitive proof. I wasn’t able to suction my tongue to the roof of my mouth before, but I can now.

    My face did change quite a bit for the positive, and even without turning, it’s still changing. I’m happy with the treatment. I think finding the right provider is crucial.