Double Jaw Surgery Relapse

[GJ]

When he said you'd lose your front teeth, was this due to them wearing down via the edge to edge bite, or trauma to the roots?

[Modigliani]

Must feel good to have a plan of action finally nailed down, all that waiting around knowing things aren't right is just the worst, so mentally draining.

Onwards and upwards!

[elysium87]

When he said you'd lose your front teeth, was this due to them wearing down via the edge to edge bite, or trauma to the roots?

Both pretty much. Ortho told me that trauma to the roots is one thing but it is also apparent that my teeth have worn already where the limited contact is made.

[elysium87]

I had my SARPE surgery with Prof Haers a couple of days back. All going well.

[MaxilloMandibular]

I consulted with him and he gave me by far the best treatment plan of all the five maxillofacial surgeons I've seen.

Traumatised in what way?

[MaxilloMandibular]

Serious professionals don't usually mince words. He analyzed and criticised my face in minute detail as well. That's a good sign because it means that he sees what the problem is. My impression is that he's sincerely passionate about the work he does.

[elysium87]

Serious professionals don't usually mince words. He analyzed and criticised my face in minute detail as well. That's a good sign because it means that he sees what the problem is. My impression is that he's sincerely passionate about the work he does.

I have found him direct but very pleasant. He just doesn't do all the "British Niceties". He is very direct. I have found him very good, a damn site better than the NHS treatment I received.

[elysium87]

Expansion going very well had about 4mm of expansion now. I have another 3 or 4mm to go.

[kaylie14]

Are you male or female? How old were you when you had the surgery?

Class 3 patients (especially females) should wait til their mid 20s (23-24) to have surgery

Can I ask why is it best to wait until 23-24 for surgery?

[PloskoPlus]

Can I ask why is it best to wait until 23-24 for surgery?

Supposedly the mandible can grow until 25 in males.

[elysium87]

Supposedly the mandible can grow until 25 in males.

Hmm maybe but I think that would be extreme. My surgery did not relapse due to this, it was lack of lateral expansion of the top jaw.

[elysium87]

OK so I have now had my second stage surgery with Prof Haers which involved a mild impaction and small advancement of the maxilla since I ended up almost not needing surgery due to excellent results from SARPE widening meaning that this almost resolved my bite alone.

I also had a sliding genioplasty to reduce excessive chin height.

[strongjawman]

How is everything going?

[JawKid7]

if you don't mind me asking who performed your first surgery under the nhs?

[elysium87]

Everything has gone quite well so far. No hint of relapse thus far, bite remains stable.

Not sure if having surgey was a bit extreme though as I could have got away with braces after the SARPE, it was very close though and the surgeon felt that surgery was more stable.

I had 3mm impaction and 3mm advancement.