Hey people,
it's been a tough day going down even further this terribly confusing hole of jaw surgery. The surgeon I consulted here gave me a fairly bleak view of what could actually be accomplished through this surgery and he told me how having thicker skin and soft tissue and a smaller or more delicate bone structure is kind of like the worst case scenario for noticeably trying to manipulate the aesthetic outcome of the surgery.
I know many of you have been speculating about what causes all of this and when it's best to intervene in the process for young children to optimize their jaw/bite outcomes and I think I've come to some fairly stable conclusions about all of this.
First, many of us have speculated why we may have jaw issues. The answer is simple --our jaw bones didn't grow in the optimal positions. Either they grew too much or one side grew more or less or whatever. That's why our teeth are crowded or spaced. Whatever the reason, most often its just genetics. I know a lot of you think it's something that happened to you as a kid, and in some cases it might be, but more often it's just genetics --inherited --but regardless it doesn't really matter. What matters is when and how to actually fix the problem.
Second, I think I can say with some certainty now that traditional orthodontics is an entirely BANKRUPT and corrupt enterprise and moreover is scientifically unsound. Orthodontics doesn't address the problem at the root, it just tries to make do with what you have and this results in a cascading effect of producing all sorts of other problems, most often at the expanse of you facial aesthetics. Extractions, retracting teeth, etc. etc. are all just very poor techniques and do not address the root of the problem which is the jaw bones themselves. You must induce them to grow properly and most often then the teeth will take care of themselves.
Third, you might not be genetically programmed for whatever reason to have strong symmetric jaw bones, but there is a way to induce them to actually grow. You might still need some minimal orthodontics to straighten things, but not nearly the amount of harmful and long duration manipulation currently used. If you read the following series of explanations on this site you can see that this doctor, who I've posted about before, takes a fairly radical counterposition against orthodontics to solve the problem. He basically argues that if you get the jaws to grow then you don't need the manipulation of the orthodontics.
Just read each of the subheadings and it all makes perfect sense. Grow the jaw bones, then straighten the teeth as needed, not the other way around.
I'm beginning to realize that the jaw surgery first/then braces as practiced in Europe in some places and in Korea is also a better alternative than the traditional braces then surgery approach as well. But ideally having distraction at a formative age would be the gold standard.
For most of us here this knowledge has come too late, but maybe there are people with kids out there reading this stuff and you can benefit. Seeing in fact how problematic the asymmetry I have and how unpredictable the outcome will actually be from my jaw surgery was a difficult thing to realize today.
I don't really know why distraction is not recommended as ideal for adult patients, but it doesn't seem to be offered except in extreme cases.
http://profilo.com.au/jaw-distraction-surgery/.aspx