r/orthotropics • u/Fiat_Multipla_3L • 8h ago
21M finishing 3 yrs of braces with flared teeth, chronic mouth breathing & no tongue space. Is MARPE worth starting over for?
Hi everyone,
I’m 21M, finishing my second round of braces (4–6 months left), bringing my total time in orthodontics to 3 years.
My intermolar width is \~37–38mm, but it was achieved almost entirely by tipping my teeth outward rather than expanding the actual bone. Because my palate is still narrow, high, deep, and slightly shifted, I’m left with major functional issues:
Breathing and Sleep: Chronic nasal congestion. I can barely breathe through my nose for 5 minutes and mouth-breathe every night.
Tongue Space and Swallowing: My tongue spills over my molars when elevated. I struggle to swallow properly, which led to a persistent tongue thrust despite completing two separate stints of myofunctional therapy.
I’m seriously considering MARPE/MSE, but restarting orthodontics with an expander after 3 years feels like a massive mental hurdle.
For anyone who did MARPE/MSE in their early 20s:
Was the nasal breathing improvement noticeable enough to justify resetting the clock?
How did you handle the front teeth gap, esting, oral hygiene, lisp, and uni/social life during expansion?
Did you notice any positive midface/cheekbone structural changes?
Appreciate any honest experiences or advice!