Underbiter Leforte one insufficient advancement

[backward lowerjaw]

If the front of your tongue feels slightly further forward then this is a sign you are a class 3, try explaining this to a surgeon,orthdontist they havn't got a clue! With your lower jaw realxed how do your back molars line up are they in line with each other? Send the lat ceph to Dr Birbe on that email see what he says, very likely you are class 3, whats going on with your surgery? Are they redoing it?

[Ben]

Yeah I will do send it to him.
I'm very angry about my surgery, I new right away that it was no good. The surgeon says it is all in my head but my jaw is very uncomfortable and I cannot bite together without a lot of pressure on my jaw joint which I'm finding difficult to live with at times. I saw another surgeon and ortho and had a report done they said I was still class 3.
Thanks

[PloskoPlus]

Yeah I will do send it to him.
I'm very angry about my surgery, I new right away that it was no good. The surgeon says it is all in my head but my jaw is very uncomfortable and I cannot bite together without a lot of pressure on my jaw joint which I'm finding difficult to live with at times. I saw another surgeon and ortho and had a report done they said I was still class 3.
Thanks

I'm no expert, but you look like class 3 in your photos (they are the afters, right?).  If the point of the surgery was to make you class I, it boggles the mind how the surgeon can say the surgery was a success.  It's like saying 2+2=5. 

[Ben]

Yes they are afters. I think my chin is pointy and bigger due to my bicuspid extractions and re-tractive braces making it look that way (but that's just an idea) anyway I'm thinking my maxilla needs to come a long way forward just by how my nose and upper lip looks. Plus just to make my bite functional.
I thought my surgery was to correct my jaw abnormality. Maybe I should have been more specific with my surgeon but I didn't know I had to be. Yes surgeon also says I've had 5mm of expansion, yet I've had none as evidenced by my post surgical models.
Thanks

[backward lowerjaw]

i thought you could only expand the maxilla with sarpe? or am i wrong?

[Ben]

The expansion I had is incorporated in the advancement surgery. The operation is called a le-fort 1 3 piece segmented osteotomy. From what I have read and experienced about it, it is an unreliable means of expansion and one might only get 4mm of expansion if hes lucky. I wouldn't recommend it because the segments at least in my case didn't heal well and if I use the molars I can still feel the bone crunching at over 1 year post.

[backward lowerjaw]

Just to let you know Ben i saw a tmj specialist yesterday she checked my lower jaw the movements i told her about the clicking on my joints and that i have to move my lower jaw back to meet my teeth. She confirmed and was the first person to do so after three months that my surgeon did not advance me further enough. I knew it was not in my head my lower jaw was in fact trapped back and they got the measurments wrong.she will now get a carefully constructed orthotic to get my lower jaw in the correct position and will put my torqued teeth back into the correct position i will be more careful who  i will choose for my next surgery when this is in place. Am i angry yes even more so I'mhaving to payfor this all i can do is keep going. I really hope she isn't a quack everything seems legit so far I'll be asking further questionsweek

[Ben]

I'm glad someone has confirmed your thoughts on the issue. It sucks when you have only your own opinion. For a long time none of my family believed me that my result was so bad. Now they definitely do and seem to understand, I've been on about it for so long now I may have brain washed them.
The popping clicking may go away. Mine has slowly improved, I have good days and bad with it. Today is a good day, yet when I woke up at 5.30 this morning I was immediately aware of the discomfort in my jaw and got anxious angry and never went back to sleep, happens often over 1 year out. I've been training myself to keep my mouth shut and teeth in contact (the best I can) day in day out. I do this in the hope that eventually my jaw joint will somehow adapt to the new position and it won't be so dam uncomfortable. I guess my teeth are torqueing as well as they collide and ever so much giving me a little extra room.
I'm taking all involved to court soon. The max I can go for is only $15000 each for the Orthodontist and the surgeon. I've hassled them a lot over the last year, I think they are starting to realise that I'm not going away.

Is there any chance for you to have your fees reimbursed?

[Ben]

My surgeon says that I got the amount of expansion that he planned for at the time of my surgery. He stated this to me as 2.5mm at the time of the surgery, which is so little it's stupid. He think he hopes he can get away with say that I had relapse. Which is a total crock, and still doesn't explain all the other stuff ups he made.

[Ben30]

My surgeon says that I got the amount of expansion that he planned for at the time of my surgery. He stated this to me as 2.5mm at the time of the surgery, which is so little it's stupid. He think he hopes he can get away with say that I had relapse. Which is a total crock, and still doesn't explain all the other stuff ups he made.

This is me, user Ben now logged in as Ben30. I just wanted to edit the above comment. It should have read 2.5mm advancement of maxilla.

Also I just wanted to up date this thread since it has been so long. I've learnt so much this year, and I'm off to court on the 17th of December to seek a refund of my surgical fees on the grounds that my procedure was not carried out with reasonable care and skill.

[sean89]

This is me, user Ben now logged in as Ben30. I just wanted to edit the above comment. It should have read 2.5mm advancement of maxilla.

Also I just wanted to up date this thread since it has been so long. I've learnt so much this year, and I'm off to court on the 17th of December to seek a refund of my surgical fees on the grounds that my procedure was not carried out with reasonable care and skill.

Good luck Ben.

[Gregor Samsa]

Do you have anyone backing your claims in court?

[backward lowerjaw]

Fingers crossed for you mate, hope the b*****d gets what's coming to him!

[Ben30]

Thanks guys
I have supporting documents

[PloskoPlus]

Thanks guys
I have supporting documents

Any news?