jawsurgeryforums.com
Before/After Photos => Overbites => Topic started by: DC77 on April 13, 2016, 03:33:05 PM
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Hi all I am a 39 year old male, with very crooked teeth top and bottom and an overbite of 12mm and overjet of 5mm. I have been told the only way to treat my teeth issues and over bite is with surgery. I recently had a consultation with a surgeon who said he would recommend double jaw surgery, which I was surprised at as I thought it would be just lower. I am concerned about numbness especially because of my age and i have read that with double jaw my nose might be affected?
Sometimes I am bothered about my side profile and then other times it doesnt bother me as much. I have always had issues about the crookedness of my teeth so would really like to put this issue to bed once and for all. But dont want to potentially damage myself unneccessarily.
here are some photos of jaws at rest or with back teeth together, my front teeth show a complete overbite
Your thoughts are appreciated
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Some more photos, sorry if too many
Also to mention that it would be 3 years of treatment with braces
No cost would be on the NHS (UK)
The thought of numbness and the idea of breaking jaws if not totally necessary seems a strange thing to volunteer for right now. But as I said this has been on my mind for many many years and affected my confidence for a while. Although I have a partner and no complaints!
I have been told that although my teeth are being worn down the gums are not receding too much on the top, (which would be due to the bottom teeth hitting the gums), there is a good chance it may not be a problem.
The surgeon felt that due to the angle (?) the chance of relapse of the jaws after surgery would be low?
He feels that upper jaw would allow me to show more of my teeth when I smile, and he says that upper jaw numbness isnt really something that bothers his patients from his experience.
However there is a lower wisdom tooth right on a nerve in my lower jaw and I think he believes I might have numbness issues in that region after surgery.
I am nearly 40 so the teeth are not loose at the moment anyway. I admit this feels like it is abit vain but I havent met anyone with teeth like mine in my generation!
thanks again
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I would recommend doing surgery. But I would be very careful with which ortohodontist I went with. Your teeth can be corrected without extractions. Find an ortho who does damon braces. You do have a slight overjet but at the same time you don't have much lip support. Listen, think of it this way, assuming you're going to live till 80 at least, do you want the next 40 plus years with a better bight straighter teeth, or are you good the way you are now. It's not gonna make a huge change, but it'll improve things a bit.
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Do it.
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Hi again long time no post...
Ive just started with fixed metal braces but need to make a decision on whether to camouflage the overbite (including some possible extractions), or to go for the surgery.
if youre still out there kjohnt why do you think go for it, considering the risks i described? Thanks for replies I know I havent been on here in a while
Lazlo what do you mean me not having much lip support? The orthodontist and surgeon are both in the same department at my hospital, im happy so far, though I am only 2 weeks into having braces
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I also found my letter again after my consultation with the surgeon, initially i thought it would be lower jaw only, but he has suggested double jaw as I stated in an earlier post. He says he would move the upper jaw down to improve the lip to incisor relationship, and lower jaw moved down to correct the increased overjet.
Pre surgical orthodontics to procline the upper incisors and retrocline the lower incisors. He says there is an increased of permanent numbness due to an impacted lower left wisdom tooth which would need to be removed prior to surgery. Ive seen the x ray myself the wissie is right on the nerve there....
Thanks again for your input
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You should go for bimax or do nothing at all. Camouflage treatment would make it worse.
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don't f**king do a thing though if its not bothering you.
i mean seriously. you will have at least partial numbness of one lip --it sucks. And potentially other complications.
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You should go for bimax or do nothing at all. Camouflage treatment would make it worse.
Ive got a fixed brace on my uppers at the moment but nothing else done yet? How could camouflage make it worse? I thought it just wouldn't fix the bite as well as surgery, and would do nothing regarding the short proportions of my lower face? Thanks
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Do it.
Im concerned about complications though!
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Hey man. Don't listen to anyone on the forum in terms of "do it" or "don't do it". People will give those answers depending on their experiences, which very likely won't be the same as your experience. Even in this thread Lazlo says in his first response to do it; then later Lazlo says don't do it.
If you have legit functional problems that can't be fixed properly by moving teeth, then you're a good candidate and you have to weigh all the risk + your trust in the surgeon/ortho. Nobody can get in your mind to understand all that, so we can't make a decision for you, and it seems like that's what you're asking. FWIW I'd say definitely no to extractions and also no surgery. Get the teeth as good as possible with ortho and go live life. Reason being if anything goes wrong it's with you for life, and you'll spend the majority of your prime years trying to fix compounding problems.
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Hey man. Don't listen to anyone on the forum in terms of "do it" or "don't do it". People will give those answers depending on their experiences, which very likely won't be the same as your experience. Even in this thread Lazlo says in his first response to do it; then later Lazlo says don't do it.
If you have legit functional problems that can't be fixed properly by moving teeth, then you're a good candidate and you have to weigh all the risk + your trust in the surgeon/ortho. Nobody can get in your mind to understand all that, so we can't make a decision for you, and it seems like that's what you're asking. FWIW I'd say definitely no to extractions and also no surgery. Get the teeth as good as possible with ortho and go live life. Reason being if anything goes wrong it's with you for life, and you'll spend the majority of your prime years trying to fix compounding problems.
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Really good advice here, thanks for taking the time to respond. You're right i am finding it
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difficult to decide!
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Speaking as someone who had camouflaged orthodontic work done (though I didn't know that's what they were doing at the time) who later got surgery... I'd say avoid surgery. You're probably already seeing an ortho, but it really really can't hurt to see a few and get their differing opinions before you make such a huge decision. Each orthodontist can have a completely different approach. My teeth actually looked awesome before surgery, and I'll never get back the smile I had then. As long as you'll be able to have a stable, comfortable bite I don't see any reason to to do surgery. Your face looks nice to me, and I think your profile is also nice. I'd never look at you and think there was anything "wrong" with your face.
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Got some photos of my x rays btw..
(https://s23.postimg.org/b8utd3vuv/IMG_0186.jpg) (https://postimg.org/image/b8utd3vuv/)
(https://s28.postimg.org/cizzqbcah/IMG_0187.jpg) (https://postimg.org/image/cizzqbcah/)
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Got some photos of my x rays btw..
(https://s23.postimg.org/b8utd3vuv/IMG_0186.jpg) (https://postimg.org/image/b8utd3vuv/)
(https://s28.postimg.org/cizzqbcah/IMG_0187.jpg) (https://postimg.org/image/cizzqbcah/)
Your profile is not that bad because your chin is quite projected. If you have jaw surgery it may have to be reduced. Your occlusal plane is flat (your probably don't show much of your upper teeth when smiling). So you may need to have the works - upper jaw, lower jaw, chin. At your age almost everybody ends up with at least some numbness of the lower lip/chin, so I don't know what they are fretting about. If anything surgeons tend to really low-ball the risks and frankly outright lie about the post-op numbness ("10% chance of permanent numbness" - yeah, right) just to get you into surgery. Unless they are worried about the lingual nerve. Now wrecking that nerve would be a disaster.
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Your profile is not that bad because your chin is quite projected. If you have jaw surgery it may have to be reduced. Your occlusal plane is flat (your probably don't show much of your upper teeth when smiling). So you may need to have the works - upper jaw, lower jaw, chin. At your age almost everybody ends up with at least some numbness of the lower lip/chin, so I don't know what they are fretting about. If anything surgeons tend to really low-ball the risks and frankly outright lie about the post-op numbness ("10% chance of permanent numbness" - yeah, right) just to get you into surgery. Unless they are worried about the lingual nerve. Now wrecking that nerve would be a disaster.
Yes you're right I hardly show my top teeth. I wondered from the X-ray does it show if my airway is narrow? Would there be any benefit for me on that from surgery. If someone does have a widened airway after surgery could it help with sport exercise etc? I'm into my running cycling, but struggle with breathing for swimming?
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Got some photos of my x rays btw..
(https://s23.postimg.org/b8utd3vuv/IMG_0186.jpg) (https://postimg.org/image/b8utd3vuv/)
(https://s28.postimg.org/cizzqbcah/IMG_0187.jpg) (https://postimg.org/image/cizzqbcah/)
Can you get opinions from several good surgeons who are specialized in jaw surgery?
You might get phone consultations by sharing your xrays, as a first step, too.
If various surgeons give you similar recommendations, that is a good hint.
If they all tell you totally different things this is a caveat.
One question that will come up: how much are you bothered about your teeth and your jaws? How much pain and discomfort are you willing to take to solve the situation?
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Can you get opinions from several good surgeons who are specialized in jaw surgery?
You might get phone consultations by sharing your xrays, as a first step, too.
If various surgeons give you similar recommendations, that is a good hint.
If they all tell you totally different things this is a caveat.
One question that will come up: how much are you bothered about your teeth and your jaws? How much pain and discomfort are you willing to take to solve the situation?
Im definitely bothered by my teeth, it has affected my confidence for most of my life. My profile less so, but I can see that the lower part of my face is shorted than it should be, and I have a general "sad" expression when my face is relaxed. Apart from my teeth these other issues are not regularly on my mind as my teeth are. I think I would be bothered by the prospect of permanent numbness in my lower lip / chin.
Ive seen that some people have got photos of their face "morphed?" to see what it might possibly look like after surgery. Is there anyone on here who could do this? I know that it might not be a completely realistic prediction of post surgery outcome.
Ive got a consult with the surgeon, ortho, and psychologist (!) on Thursday to see if I want to do the surgery. It is in the UK and covered by our NHS so I would not pay if I went ahead
Thanks again for everyones comments
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So I had a consultation today with the surgeon, orthodontist and a psychologist!
I raised my main concerns which was the deep labiomental fold and short lower section of my face (front view bothers me, profile less so). But the surgeon said that I would probably have permanent numbness on at least my lower lip due to my age and position of wisdom teeth. He then said that for my concerns a genioplasty alone might be a possibility. I had never considered this or really looked into the pros and cons. He said it was a less invasive op and that because it would be leaving the nerve alone in my lower jaw that it not have the risk of numbness
So Ive got to have another consult with the psychologist to see if I would get funding if I wanted to go ahead. I haven't heard of someone with my bite just having a genio before? To be honest I dont really have bite problems in terms of pain or jaw ache so unless that changes I dont really need to get if fixed other than for looks reasons.
Can anyone give me their views on going for a genio op alone?
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Any thoughts on the above post guys?
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Don't get extractions. Your chin is fine I'm a bit perplexed about why they would reccommend genioplasty. Your profile/face looks decent to me.
Your teeth for sure aren't straight so you could look into damon braces or some kind of orthodontic work for sure. Some might say your teeth as they are have 'character' and add to your individuality in a good way but if you want to go for more of a hollywood suave look then totes go for orthodontist but without extractions if possible...
Definitely no to the genioplasty. Thats madness. also your nose and lips are well supported by your teeth/jaws so already even with crooked teeth you arguably have a more attractive face than most/many people who had extractions and orthodontics in the growth phases of their youth.
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Yeah my opinion would be not to have surgery unless this is something you one hundred percent feel you want and have to do. I'm not a professional or anything obviously but thats just my answer. (Definitely don't go for a genioplasty!)
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Yeah my opinion would be not to have surgery unless this is something you one hundred percent feel you want and have to do. I'm not a professional or anything obviously but thats just my answer. (Definitely don't go for a genioplasty!)
Thanks very much for your replies. Just wondering why no the genioplasty? The genio was suggested as a possible way if lengthening the lower part of my face. Something that
has always bothered me. I asked the surgeon about my chin, that is already pronounced, so he said he would be rotating the chin aswell as lengthening the lower part of the face. My side profile isn't that bad I think it is more from the front where I have suggested. There would be no fee for this surgery as it would be carried out on the UK's healthcare system.
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I said no genioplasty because I thought your chin looked like a decent length already.
If it's free and you don't mind going through the pain/risk/recovery, then I guess you could go for it. Ask the surgeon if you didn't like the result would it be easy to reverse.
if he says yes then if you weren't happy you could get it reversed for free also and hopefully have peace of mind (and hopefully without any long term numbness etc).
If I saw you in the street I wouldn't think to myself, 'That guy needs jaw surgery' or 'that guy needs genioplasty' or 'that guys facial development is not ideal'. And believe me I do sometimes think those things privately.