One thing that a lot of people mistakenly believe is that they simply need to push their maxilla forward.  For most people this is probably incorrect.  They actually need to rotate their maxilla as it has rotated out of position.  And by blindly pushing forward you could actually be rotating it further in the wrong direction.

So how do you tell that your maxilla is rotated?

Simple… you suck very hard on a straw and look at yourself in the mirror as shown in the picture above.  This will very clearly show you which  side is sunken back and which is forward.  Plus it should show you clearly which side is higher and which is lower.  Note that the maxilla has three planes of movement just like an airplane.

How to unrotate the maxilla?

So i’ll put a full disclosure that this is still very much work in progress for me but I already see some decent progress.  However I believe Marcello has already achieved this and has seen the benefits.  This is what I have been working on:

  1. Loosen the cranial bones at the sutures.  This is probably best done by wearing an ALF for at least 6 months and doing a lot of myofunctional work like sucking your tongue to the roof of the mouth and clicking your tongue.
  2. Ensure that contact between upper and lower teeth allows for rotation.  I, for example, wear a splint where indexed contact is only on the anterior / labial cusp of the first molar.  And I ensure there is no contact on the sides of the tooth so that things can rotate.
  3. Wear ear plugs, go in a dark room and then on the side that needs to rotate forward put your thumb behind the second molar.  For me this is my right side so I use my left hand thumb to push forward behind the right side 2nd molar.  Then I use my right hand thumb to push forward and left on the right side of the forward omega loop of my alf.  As I push with both thumbs I listen for a rubbery sound, which kind of sounds like tissue stretching.  Do that for a bit then stop.
  4. Check your dental contacts on the lower splint and drill off any contacts on the lateral walls of the cusp that is around the first molar.
  5. Rinse and repeat.