jawsurgeryforums.com
Before/After Photos => Other => Topic started by: backward lowerjaw on April 19, 2014, 01:20:02 AM
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Just being curious i have came across mandibular distraction where the lower law is widened during surgery, this does seem like a good idea especially people with mandibular hypoplasia. There doesn't seem to be any surgeons in Europe who specialize this technique it is mainly in America.
Does anybody know any European surgeons who do mandibula widening or is it a case we are so behind the times here that there isn't any surgeons who perform this.
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I've heard about people having this done on the NHS. So it does happen in the UK. I don't think it happens much anywhere though. It's probably because most people don't need lower jaw widening. Upper jaw widening with SARPE just seems to be much more common.
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The reason I ask is because my bite is knackered. I don't know if you looked at my other post but the reason why I kept having my lower jaw forward when closing is because this is where the left and right side of my teeth match up evenly when biting together, when I saw Dr Thuau and Mr Mew they said my jaws are aligned which is good but when I bite on my left the right side does not meet and vice versa, my lower jaw is narrower than my upper jaw, I had an expander by Amir Kamburov about 3 years ago he over expanded messed up my whole bite and i later found out he did not even have a dental licence and was imprisoned, both jaws need to be widened for the bite to come together, below is an xray of my upper jaw I cannot have the upper jaw brought in line with my lower by narrowing the upper arch as my tongue could not fit in my upper half before the expansion, thus asking about advancing the lower the upper needs widening which i will hopefully get a surgeon to do when i have my upper and lower jaws advanced, but they must take in account the upper and lower teeth must meet correctly, the orthodontist i'm with at the moment is thick as 2 bricks.
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Your best bet is to wait 6 months, then get double jaw surgery with Thuau. That is, if you can afford the treatment.
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I think I will see Dr Birbe soon, to see about expanding the upper jaw and doing a od on the lower jaw then expanding both by about 7mm.
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Overbiter what is the risks if jaw surgery was done about 3-4 months after the original surgery?
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I don't know, but obviously if the bone is not healed properly that limits the surgeon in what they can do. Why can't you wait a little bit, why the rush?
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i'm very impatient, your right about the jaws need healing I will wait minimum of 6 months then start looking then
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I have been in contact with Paul Johnsonn via email he has confirmed maxilomandibular advancement would be ?9700 with out braces, i'm curious what Mr Thuau would cost, this is something i should of asked him in the consultation. Just a few months of healing then i can see where i stand.
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Looks like Amir Kamburov (mentioned above )who messed my teeth and bite up and done me out of £6000 is at it again the f***ing c**t, been working illegally while been struck off. Done some poor woman out of £7000. He will be sentenced next hope week they pull all his bastard teeth out and f**k his jaw joints up!
Link below interesting read
http://www.thisislocallondon.co.uk/news/11558842.My_dentist_was_a_convicted_unlicensed_fraudster_says_shocked_patient/
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What a bastard! Hope they throw the book at him this time.
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We sure know how to pick them. ;D
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Most of the famous swiss surgeons perform this procedure on adults.
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Can Multiple Mandibular Advancement surgery be done completely using distraction osteogenesis? That is, can the mandibular and maxillary be advanced using distraction osteogenesis?
Yes.
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Are you sure that this actually widens jaw and not only lengthens in similar manner as BSSO?
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Are you sure that this actually widens jaw and not only lengthens in similar manner as BSSO?
Yes, widening is possible too.
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It does. Your chin widens therefore the jaw appears wider. But u risk losing your lower incisors. Not sure if true just something I read here.
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I had mandibular distraction - 8mm (with SARPE - also 8 mm). My mouth was the size of a kid's mouth. Very narrow in general.
Seemed like a common procedure to my ortho and surgeon (I'm from Belgium).
It does widen the jaw/chin a little bit. I didn't need that kind of cosmetic change because I already had a fairly strong chin to begin with (I'm a woman) but that don't bother me too much.
Asymmetry is another story...
Sorry if my explanations are unclear but sometimes I struggle with english. I'm gonna do my best to be understood.
My surgeon didn't made the cut right in the middle (he did for Sarpe but apparently, my lower teeth were too tight) but between the 42 and 41 (instead of 41 and 31).
So after all was done and healed, I noticed that the right side of my lower jaw was more defined and the left side.
Long story short, BSSO enhanced that difference big time.
But my main concern today is that my 4 front lower teeth are subject to bone and gum loss. I had perfectly fine gum level before that...
The bright side is that I now have perfect dental arch and enough room for my tongue. My orthondontic treatment before jaw surgery was pretty short, teeth moved fast.
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wow cool!
How wide was your mandibular arch pre-surgery? (intermolar width between 36-46)
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how long does the sarpe, mandibular widening take? That is how long was the apparatus in your lower jaw and upper jaw before it could taken out and braces reapplied? And who was your surgeon?
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Terry I don't know about the measurements at all :-\ I can try to post pictures of my molds pre op and now this weekend.
Lazlo, i my surgeon was Dr. Darche. No big name, "just" a surgeon in my town recommanded by my ortho.
For the time thing, my devices were actived twice a day. 1/4 mm each time so 16 days to reach 8 mm.
After that, 5 months (of hell) with the devices to allow the bones to heal and then devices out, braces in (5 minutes of freedow in-between - yay).
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But my main concern today is that my 4 front lower teeth are subject to bone and gum loss. I had perfectly fine gum level before that...
To what extent?
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To the extend that I certainly need gum graft (4 mm I would say - and some serious thickening procedure) - need to wait for my consult with the periodontist to be sure.
My bone there is also really thin - It's almost like I could feel the difference between my "old bone" and the new one created after Sarpe and Sarme.
My upper teeth are kinda fine, maybe 1 or 2 mm gum loss on the incisors.
On another note, I started using a product called Gengigel - a gum gel containing Hyaluronic Acid. I though that couldn't hurt, at worse I would have spent 13 € for nothing... Well, I was skeptical but I do see a little difference.
My gum won't grow back of course but it seems fuller and healtier. Maybe the effect will cease if I stop using the stuff but so far I'm pleasantly surprised.
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The thing is that I don't know if I have something to show you guys cause I'm a Ninja master when it comes to avoid pictures.
But I'm gonna look this weekend if I find something in my hard disk.
I'm very surprised that Sarme seems to be such an uncommon procedure though.