Author Topic: Entire jaw surgery plans = DECIMATED. What now? Ortho claims I'm Class I.  (Read 2322 times)

Optimistic

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Let me lay out what he has said:
- I'm structurally a Class I, open bite was pretty much entirely the result of over-erupted third molars which have since been intruded.
- Bite now edge to edge, and dealing with that will be the next biggest problem for him, let alone decompensation
- Further auto-rotation could occur as treatment continues, and that I've already had some (seems true as gonial angles have improved).
- Jaw surgery now IMPOSSIBLE without either extractions and/or upper jaw surgery to allow for further rotation of mandible. Both of which he says are unethical and knows of no surgeon who would perform that.
- My cant is approximately 2mm

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So there you have it. I don't know what to do from here. Is it all over?

I guess if what he says is true I'll simply need to get a Chin Wing and try and deal with the massive indent between the lower lip and chin some other way.

I don't know if a SG or Chin wing can even give me what I want it do though... I'll PM some people pics and get their advice I suppose.

Any advice on this would be great. I really have no clue what to do now.
01/10/14 - Last night I spilt spaghetti sauce on my chin for the very first time in my life and cried.

Gregor Samsa

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Seek the opinion of one or two really good jaw surgeons before you give up. I've lost count of how many times I've been told wrong things by doctors.

Optimistic

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Seek the opinion of one or two really good jaw surgeons before you give up. I've lost count of how many times I've been told wrong things by doctors.

I think this is something I need to consult orthodontists on, to be honest. As it pertains entirely to my teeth, and whether or not orthodontic decompensation is possible.

I was thinking of seeking out other opinions from orthodontists just because I feel my current ortho and his surgeon are very 'conservative' and pretty much think I'm insane. The surgeon said I was 'too good looking' for surgery, that nothing was wrong with my face, and at best a small sliding genio would be in order. The ortho constantly tells me similar things, that there is no need to have surgery, and shouldn't worry about it.

I think they'd have a heart attack if they knew about some of the work euro maxfac surgeons are performing purely for aesthetic reasons.
01/10/14 - Last night I spilt spaghetti sauce on my chin for the very first time in my life and cried.

notrain

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Let me lay out what he has said:
- I'm structurally a Class I, open bite was pretty much entirely the result of over-erupted third molars which have since been intruded.

Is this referring to your skeletal base? if so, then you could still look at jaw angle implants or a chin wing.

Optimistic

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Is this referring to your skeletal base? if so, then you could still look at jaw angle implants or a chin wing.

I believe that is referring to my skeletal base. I'm looking into chin wing. Just unsure how that will affect the fold between the lower lip and chin without a BSSO.
01/10/14 - Last night I spilt spaghetti sauce on my chin for the very first time in my life and cried.

notrain

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if the fold would be unaesthetic (i.e. too deep) they use a bone graft from the hip to fill it.

Optimistic

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if the fold would be unaesthetic (i.e. too deep) they use a bone graft from the hip to fill it.

This may sound stupid, but where would they graft? When I feel behind the fold it goes basically right down to the chin, meaning there's nothing to graft onto as far as I'm aware.
01/10/14 - Last night I spilt spaghetti sauce on my chin for the very first time in my life and cried.


Optimistic

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01/10/14 - Last night I spilt spaghetti sauce on my chin for the very first time in my life and cried.