General Category > Aesthetics
Clockwise Rotation / Anterior Downgraft
Tati:
Hi everyone,
I'll make this brief, I'm seeking revision and was suggested an anterior downgraft by a local surgeon to improve teeth show (my upper teeth show about a mm when I smile big).
I sent him scans and am waiting for a proper proposal before sharing any photos or asking for personal advice.
In the meantime, I wanted to know if someone could mention what sort of changes can be expected from said movement, and also ask if anyone out there has photos of cases or are willing to share their own.
kavan:
Clockwise rotation of the mandible given the mandible rotates in same direction as maxilla.
XXRyanXXL:
You could have an alternate operation of a upper lip lift, less invasive and costly. Another alternative is advancement of both jaws, as every 3mm advancement gives you 1mm more tooth show, due to the elastic nature of the upper lip.
GJ:
--- Quote from: Tati on November 13, 2017, 03:38:21 PM ---Hi everyone,
I'll make this brief, I'm seeking revision and was suggested an anterior downgraft by a local surgeon to improve teeth show (my upper teeth show about a mm when I smile big).
I sent him scans and am waiting for a proper proposal before sharing any photos or asking for personal advice.
In the meantime, I wanted to know if someone could mention what sort of changes can be expected from said movement, and also ask if anyone out there has photos of cases or are willing to share their own.
--- End quote ---
Aesthetically, it's likely the philtrum area will elongate a bit with CW rotation.
Your airway will likely get smaller as the lower jaw moves back.
Tati:
Thanks for the info everyone!
My maxilla was advanced 10mm and my jaw 5mm (was class III) in a previous surgery. Airway space wasn't an issue before, much less now.
I actually want the subsequent setback that comes with CW, given I don't like how advanced my lower third is and the smile is somewhat unnatural.
Maybe my question should have been if these aspects could improve to a certain degree.
Concerns in mind would be a steep jaw angle and more strain on the chin.
Also note, before any procedure, even if I lifted the upper lip all the way up, I couldn't begin to see my gums (in case anyone is wondering how a maxilla could be advanced so much, and result in little to no teeth show).
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