Greetings
I have been a victim of some irresponsible camouflage orthodontics and would like some feedback on whether or not surgery is always necessary to fix a class II skeletal pattern, asymmetry and dental overbite. My current overbite is sitting at 4mm with severely tipped in teeth that have been retracted backwards in my jaw, my new orthodontist believes it will expand to up to 7mm once the teeth have been restored to the proper angle and placement. My nasolabial angle is abnormally large due to the lack of tooth support, and my lower jaw is 'trapped'. I also have peg lateral incisors which have thrown my whole bite off drastically to the point of damage to all of my teeth due to a shearing effect while chewing, none of my teeth meet correctly. My smile is also narrow and unattractive and I am not sure if orthodontics alone will be able to fix the abnormal way my mouth sits on my face when compared to a normal person.
I have been told that I am a borderline surgical case (i.e. by a few degrees) and my orthodontist seems to want to avoid surgery if she can. She is a face-focused ortho so I do trust her judgement but I am concerned that this is potentially camouflage treatment all over again as I am technically class II but I do not present like any other class II person I have ever seen. In any case, I will be informed whether I need surgery in 4-6 months and I currently have braces on again. I took these pictures before the braces were installed and though I appear to have a short facial growth pattern it is apparently within normal limits which I find strange as I certainly did not look like this as a child.
In order, top is a normal spontaneous smile, middle is profile (taken close up I know, but you can see the lack of lip support), and my smile next to a normal attractive friend. My chin is in a normal position and my profile is apparently straight, yet my jaws are recessed and the surgeon I consulted seemed concerned that I would end up with a witch chin with bimax advancement, but he did say there was no telling until the teeth had been moved into the correct positions. As part of my treatment plan they will be bringing the tipped in teeth (top and bottom) forward in the jaws and making space in my upper jaw to widen and bond the peg laterals, this should broaden my smile but will it be less narrow altogether? It seems like my teeth are both too far backwards in my face and also too far up giving the illusion of a short maxilla; if you look at my smile next to my friend's my entire mouth and jaw seems to be positioned too shallowly in comparison.
Some feedback would be greatly appreciated, as you all know a confident and pretty smile is relatively priceless and I have now suffered a total of 4 years of braces for nothing, I don't want to be making the same mistakes again.