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Three Dimensional Expansion utilizing Epigenetic Orthopedics with the DNA / mRNA family of appliances would be my first choice of treatment. It is a gradual process and has little discomfort. It does have to be worn 14-16 hours/day.Before the DNA Appliance I would have suggested a SARPE procedure or Rapid Palatal Expansion with a Surgical Assist. That is still an excellent procedure but it does not correct the overbite or the high arch.The same is true with MSE which uses TAD implants.
Symmetry is improved with both the DNA and RNA Appliances but that does not mean perfection. There were no pictures and a work-up gives better answers. Many patients utilize braces or Invisalign after correction of pathologically underdeveloped maxilla. Do you also have TMJ issues,...
You have a narrow palate with a high vault. You are an excellent candidate for a DNA / RNA Appliance.
Your recessed chin is more of a problem than just aesthetic. The recessed chin is also causing your TMJ problems and could also be causing sleep breathing problems. The DNA appliance alone would probably not correct your recessed chin (retruded lower jaw). The mRNA would be more predictable....