Author Topic: Advice needed!!! Double Jaw surgery  (Read 206 times)

Miss01Herself

  • Newbie
  • *
  • Posts: 5
  • Karma: 0
Advice needed!!! Double Jaw surgery
« on: January 07, 2018, 02:38:11 PM »
Heya everyone,

I really want to have a double jaw surgery and I already had a consultation with dr. D in Belgium. He wants to first widen my upperjaw for 2 incisives implants (extracted when I was young), widen my lower jaw to align with uppers teeth and BSSO...So I dunno, what do you guys think? Based on my pictures. PS I also going to have a consultation with dr Z in Germany. Will keep you guys updated.

Many many thanks :-*

https://ibb.co/dCooSG
https://ibb.co/eDkDuw
https://ibb.co/nmSREw
https://ibb.co/h3MKZw

kavan

  • Global Moderator
  • Hero Member
  • *****
  • Posts: 728
  • Karma: 72
Re: Advice needed!!! Double Jaw surgery
« Reply #1 on: January 07, 2018, 03:57:25 PM »
Heya everyone,

I really want to have a double jaw surgery and I already had a consultation with dr. D in Belgium. He wants to first widen my upperjaw for 2 incisives implants (extracted when I was young), widen my lower jaw to align with uppers teeth and BSSO...So I dunno, what do you guys think? Based on my pictures. PS I also going to have a consultation with dr Z in Germany. Will keep you guys updated.

Many many thanks :-*

https://ibb.co/dCooSG
https://ibb.co/eDkDuw
https://ibb.co/nmSREw
https://ibb.co/h3MKZw

In the profile ceph scan, do you hold your head like how they have positioned you?  It looks like your head is positioned down and you might hold it up more in 'real life'. It looks like you could have bi-max. They would first need to push the front teeth forward (braces) to prepare for it and that the lower jaw most definitely could benefit by advancement.
Please. No PMs for private advice. Board issues only.

kavan

  • Global Moderator
  • Hero Member
  • *****
  • Posts: 728
  • Karma: 72
Re: Advice needed!!! Double Jaw surgery
« Reply #2 on: January 07, 2018, 05:02:05 PM »
The lateral ceph is kind of weird as to head position.

The combination of the SNA AND SNB values (ANB) look right: Class 2 bone structure.

But the sna angle value is really low suggesting a lot of upper jaw retrusion
The snb angle value is really low too suggesting a lot of lower jaw retrusion.

But on one of your photos that's almost a profile, you don't look THAT retruded even though you can see the lower jaw could use some forward advancement relative to the upper jaw.

The head position in this photo suggests a BOAT LOAD of bimax advancement which is why I think there is something wierd about how your head is positioned in this ceph.

What was this particular head position pose for?
Please. No PMs for private advice. Board issues only.

ODog

  • Newbie
  • *
  • Posts: 27
  • Karma: 0
Re: Advice needed!!! Double Jaw surgery
« Reply #3 on: January 08, 2018, 11:20:55 AM »
Heya everyone,

I really want to have a double jaw surgery and I already had a consultation with dr. D in Belgium. He wants to first widen my upperjaw for 2 incisives implants (extracted when I was young), widen my lower jaw to align with uppers teeth and BSSO...So I dunno, what do you guys think? Based on my pictures. PS I also going to have a consultation with dr Z in Germany. Will keep you guys updated.

Many many thanks :-*

https://ibb.co/dCooSG
https://ibb.co/eDkDuw
https://ibb.co/nmSREw
https://ibb.co/h3MKZw

How is he going to widen your lower jaw?

kavan

  • Global Moderator
  • Hero Member
  • *****
  • Posts: 728
  • Karma: 72
Re: Advice needed!!! Double Jaw surgery
« Reply #4 on: January 08, 2018, 11:45:16 AM »
How is he going to widen your lower jaw?

That's a good question.  From the description given where she states space needs to be made to place tooth implants (also to the lower jaw), she could be referring to making space in the anterior-posterior direction (profile direction) where the term; 'width' or 'too widen' the lower jaw is incorrect use . To 'widen' the lower jaw refers to increasing jaw to jaw distance seen frontally.
Please. No PMs for private advice. Board issues only.

Miss01Herself

  • Newbie
  • *
  • Posts: 5
  • Karma: 0
Re: Advice needed!!! Double Jaw surgery
« Reply #5 on: January 08, 2018, 01:00:47 PM »
The lateral ceph is kind of weird as to head position.

The combination of the SNA AND SNB values (ANB) look right: Class 2 bone structure.

But the sna angle value is really low suggesting a lot of upper jaw retrusion
The snb angle value is really low too suggesting a lot of lower jaw retrusion.

But on one of your photos that's almost a profile, you don't look THAT retruded even though you can see the lower jaw could use some forward advancement relative to the upper jaw.

The head position in this photo suggests a BOAT LOAD of bimax advancement which is why I think there is something wierd about how your head is positioned in this ceph.

What was this particular head position pose for?

 I honestly don't know, the nurse positioned me that way and it felt a bit unnatural but I have to say that I have a strong chin. Could that potentially mask away the retrusion of my lower jaw?

Miss01Herself

  • Newbie
  • *
  • Posts: 5
  • Karma: 0
Re: Advice needed!!! Double Jaw surgery
« Reply #6 on: January 08, 2018, 01:31:57 PM »
How is he going to widen your lower jaw?

With a lower-jaw expander or maybe only repositioning the teeth with braces (not truly widen the lower jaw). Still, it's his advice based on one consultation only, he hasn't made a plan for me just yet. I have to visit the orthodontist first.

kavan

  • Global Moderator
  • Hero Member
  • *****
  • Posts: 728
  • Karma: 72
Re: Advice needed!!! Double Jaw surgery
« Reply #7 on: January 08, 2018, 02:06:24 PM »
I honestly don't know, the nurse positioned me that way and it felt a bit unnatural but I have to say that I have a strong chin. Could that potentially mask away the retrusion of my lower jaw?

Who's nurse, Dr. 'D's or the ortho's nurse?
Please. No PMs for private advice. Board issues only.

Miss01Herself

  • Newbie
  • *
  • Posts: 5
  • Karma: 0
Re: Advice needed!!! Double Jaw surgery
« Reply #8 on: January 08, 2018, 04:21:34 PM »
Who's nurse, Dr. 'D's or the ortho's nurse?

Dr. D's nurse

kavan

  • Global Moderator
  • Hero Member
  • *****
  • Posts: 728
  • Karma: 72
Re: Advice needed!!! Double Jaw surgery
« Reply #9 on: January 08, 2018, 04:38:57 PM »
Dr. D's nurse

The angle measures are significant from that head posture. They most likely want to advance you out a LOT. You would need to ask for a ceph displacement diagram based on that ceph where they show what they propose to do via using the contour of that ceph with a new proposed contour which will have a bunch of numbers and angles on it.
Please. No PMs for private advice. Board issues only.

girl

  • Full Member
  • ***
  • Posts: 156
  • Karma: 22
Re: Advice needed!!! Double Jaw surgery
« Reply #10 on: January 08, 2018, 04:49:15 PM »
https://ibb.co/eDkDuw - there's absolutely no way are you as retruded as that x-ray suggests. Did you rest your chin on something or bite down on a piece of plastic? That's what they usually make you do beforehand.

I have a significantly steep occlusal plane and look like I'm watching the floor on mine a bit, but it's natural and more or less reflected in candid photos as well.

Your chin/jaw actually look to be well projected in your own photos.

In all, I think you're really attractive as is, maybe with a bit of a gummy smile - you don't have a long face look.

girl

  • Full Member
  • ***
  • Posts: 156
  • Karma: 22
Re: Advice needed!!! Double Jaw surgery
« Reply #11 on: January 08, 2018, 04:59:05 PM »
Just checked my cephs against yours. The forehead rest (top right) looks to be touching the middle of your forehead rather than just below the glabella where it meets the top of the nose. That could explain the unusual downward facing position.