Author Topic: my cephalometric  (Read 13608 times)

PloskoPlus

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Re: my cephalometric
« Reply #30 on: September 27, 2015, 06:20:29 AM »
One big question.. Is it better to straighten the teeth since I have no both 6tooth in my lower jaw, or to make room and put implants? If I plan to do the surgery in 5years, isnt better to straighten the teeth..
I am in doubt:1. To wear braces and correct overbite and to go to Pelo in 2 years
2.to go to pelo first and seek for opinion

Will my face tighten after gwtting braces, i mean will i look so saggy as i look now..i dont have money for op now, so i would rather wear braces and fix my bite..

Surgical orthodontics are completely different from normal orthodontics.

novakmali

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Re: my cephalometric
« Reply #31 on: September 27, 2015, 06:24:17 AM »
Give me details, please

novakmali

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Re: my cephalometric
« Reply #32 on: September 27, 2015, 08:17:42 AM »
i dont have both 6tooth in lower and 5tooth in upper jaw...do i have to have all the teeth to go for jaw surgery

novakmali

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Re: my cephalometric
« Reply #33 on: September 27, 2015, 08:22:39 AM »
i know guys, i apologise..you have been helpfull, tnx

Bobbit

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Re: my cephalometric
« Reply #34 on: September 27, 2015, 05:54:53 PM »

The very first thing you have to do is select a surgeon.  You have to have a consult to determine if this is the surgeon that you would like to work with.  You will find that different surgeons will have different plans to correct your issues.  You go with the one that you trust and believe in and feel you can have a good relationship with.  After you select your surgeon, the surgeon will direct the orthodontist on what position he wants the teeth put into to make them ready for surgery.  So the answer is go to the surgeon first and seek his opinion.  Just be honest if you cannot afford the surgery now.  Ask for the surgeons opinion on how you should proceed and if you need your wisdom teeth removed and/or need an implant.  A good surgeon should be able to loosely predict the soft tissue changes you might expect.

Keep in mind when you consult with a surgeon, it's not just you deciding if you want this surgeon.  The surgeon can decide he does not want you as a patient.  You need to be respectful and listen to them. If you come into a consult telling them you MUST HAVE YOUR MAXILLA DOWNGRAFTED that can be interpreted as a difficult patient who is not willing to listen or follow instructions so they can reject you as a patient.  This stuff in complex.  It's basic supply and demand.  There are more people who want the surgery than there are skilled surgeons so they can be picky and charge a lot of $$.

This is a long process that requires a lot of patience.  You will need to do some research, reading papers like that link I gave you earlier in the thread.

FYI, the people on this forum are not doctors.  We are regular people just like you who are sharing our knowledge on our own time.  A surgeons opinion trumps our opinion most times.  When people attempt to help you, you need to say "thank you" and be polite to them.  Then when you gain knowledge, you will need to answer any questions for newbies you know the answer to.

FaciNgIt - -  That is some of very best and concise advice posted on the forum.   Well said.   

Would add:  Do not know where the OP is  located,  but keep in mind that the few really good surgeons who do this work  - -  and who are statistically likely not in your home town - -  will normally work with your local orthodontists (if your local orthos are willing) to get your teeth set up properly for surgery.   So do not be afraid to travel to find the right surgeon to do your work.

novakmali

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Re: my cephalometric
« Reply #35 on: September 27, 2015, 11:13:05 PM »
I tried to contact prof clauser, but no one responded on my two mails

novakmali

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Re: my cephalometric
« Reply #36 on: September 28, 2015, 08:17:21 AM »
Prof. pelo is my first option, but padova is much closer to zagreb, so i would also set cons with prof clauser, has anyone contacted him via mail

novakmali

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Re: my cephalometric
« Reply #37 on: October 05, 2015, 11:51:56 AM »
So, what sholud i ask at cons..i would like longer, defined, narrow face

novakmali

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Re: my cephalometric
« Reply #38 on: October 05, 2015, 02:04:05 PM »
So, no need for some cheek impl, just jaw correction, or better downgrafting...is it easier for surgeon to do cw or ccw?

Bobbit

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Re: my cephalometric
« Reply #39 on: October 05, 2015, 04:01:58 PM »
Let the surgeon do the driving.  Surgery is very complicated and the surgeon must make his/her own treatment plan. If you do not like his plan, you get a different surgeon.  Don't blow your chance to get this fixed by trying to tell the surgeon how to do his/her job.

What you say is fundamental - -  and often overlooked.   

That most difficult of human characteristics to evaluate:   

                              Does the person I need to rely upon exercise "consistent good judgment"  ?

The "good judgment"  is not even exactly like the pornography thing - -  very hard to define but you normally know it when you see it. 

Except with good judgment, it may take some effort before it becomes apparent .   In that case,  you really have to rely on extrinsic information, including documented training and experience of the surgeon,  and then a face to face with the surgeon.

 

molestrip

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Re: my cephalometric
« Reply #40 on: October 07, 2015, 09:52:31 AM »
                              Does the person I need to rely upon exercise "consistent good judgment"  ?
Except with good judgment, it may take some effort before it becomes apparent .   In that case,  you really have to rely on extrinsic information, including documented training and experience of the surgeon,  and then a face to face with the surgeon.

Bobbit is spot on here. I made this mistake, not with my surgeon but with my orthodontist and I'm back to square one now, only a few thousand dollars poorer and carrying some red flags for new providers. I mean I should have known, he was bulls**tting and didn't really seem to care.

I would add, it's not just surgeon competence that you need to judge. You're also shopping for surgical philosophy, as you can't backseat drive every decision so find someone who shares your values. I don't believe in extra surgery for perfection and so I look for surgeons who share that philosophy for example. Like many here, I also don't believe in useless teeth. And I need someone who is patient and sensitive. When it comes to expertise, I need someone who understands sleep apnea and with orthopaedic expertise. Figure out what traits you are looking for in a surgeon and state them up front in your consults so you and your providers can decide if you are a good match. Some providers can go either way and you make their jobs easier if you tell them which way you want them to go. If not, then don't be afraid to ask for recommendations about who would be a good match. Though by my experience and for reasons I don't understand, I've never been able to get a surgeon to recommend another one even when they aren't competing for business. Last, I would say that this advice is hard to follow when you're starting the research process because we learn along the way. I suggest practicing on local surgeons first, whose relationships aren't likely to be of much value to you anyway. You want to make most use of your time with big name surgeons and don't want to burn bridges.

It sounds simple but this kind of process takes a long time to execute, a few months of time at least and up to a year. You'll live with risks and benefits for a lifetime, 50+ years, so it's worth the effort IMO. Once you pick up these skills, it's good for future surgeries and for your family too so I think it's worth the investment. Each surgery is different but for many procedures I wouldn't consider going to the guy down the street anymore.

novakmali

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Re: my cephalometric
« Reply #41 on: October 07, 2015, 02:18:03 PM »
Tnx, now I have huge problem..professor Pelo first replied on my mail and said he thinks my case isnt so difficult, but when i asked for cons two weeks ago, didnt get any response..i found his one patient and she gave me number so i can book a cons without approval of professor pelo..do you think i need professors approval?

PloskoPlus

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Re: my cephalometric
« Reply #42 on: October 07, 2015, 03:55:11 PM »
Tnx, now I have huge problem..professor Pelo first replied on my mail and said he thinks my case isnt so difficult, but when i asked for cons two weeks ago, didnt get any response..i found his one patient and she gave me number so i can book a cons without approval of professor pelo..do you think i need professors approval?
Yes, that's why they have secretaries. You're taking this all too personally. They are too busy to remember everything about everyone. Again, that's why they have case files and secretaries.
BTW, I can feel your anxiety through my screen. Don't be like that at the consultation. Don't ask the same question over and over. Doctors don't want "difficult" patients and by difficult, I mean mental, not physical.

molestrip

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Re: my cephalometric
« Reply #43 on: October 07, 2015, 05:22:37 PM »
It's true that surgeons don't want difficult patients but I don't know about hiding the anxiety. That's only likely to blow up in your face in the end, trust me. Better to be honest and find someone who knows how to handle anxious customers. Honesty is a sign of trust and many, not all, surgeons seem to sympathize. It's when you start hogging their time that you become a problem for them so spread your questions around in multiple consults. Just remember to bring copies of your imaging so that you don't get too much radiation in the process.

novakmali

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Re: my cephalometric
« Reply #44 on: October 07, 2015, 10:20:06 PM »
What should I bring at cons? Wont professor do all the diagnosis? I mean ceph, panorex, etc.
So you think I cam arrange a meeting with secretary? Rico told me professor replied him about date of cons