In trouble after camouflage orthodontics...

[Peter6789]

Hi,

my jaws have a Class 2 relationship (maxilla more forward than mandible), around 9mm.

My teeth have a Class 1 occlusion, as a result of camouflage orthodontics in my youth.

Basically, the lower incissors are flared to the front to correct a good bite.


However, I suffer from the typical Class 2 skelettal problems: recessed chin, mentalis strain, lip incompetence, small airways and retainer in lower arch. Overall profile is still the typical Class 2 profile, giving a bad visual impression in daily life.


Talked to a surgeon and the told me he can't move my mandible forward because of the Class 1 occlusion - I would basically need an overjet again.


Is there any solution for this?


This is really silly, as the orthodontist in my youth basically blocked the route to the correct treatment of mandible advancement.


And there must be many millions of people all over the world suffering from the same problems and getting told by dentists "your teeth are fine"...

[thinkingme]

Same bro. My lower incissors flared so much to connect upper teeth. But molars have class 1 relationship. This is why i get denied by 2 ortho. My ceph is like http://imgim.com/sefoelet.jpg. i think ur ceph similar to mine. If u can share some photos or ceph, We can comment easier.

[Tezcatli]

You need to get braces to remove the camouflage

[ditterbo]

I've been more keen on looking for retrognathism or microgenia since last Summer and I can probably count the number of people I've seen with either on one hand, at best.  I'm in the same boat as you, needing bimax if I don't want the camaflouge orthodontic treatment and an ugly profile.  Tezcatli just made me think, I wonder if insurance would pay for bimax (in the US) if you try and get a predetermination AFTER you've had your arches decompensated?  I think one max facs said that is how they get insurance to pay for bimax... by essentially reverting you back to your natural alignment. 

EDIT: Thinkingme, I don't recall if I or someone else already said this but your airway looks really small.  Get a sleep study, get diagnosed with OSA and you may have insurance end up covering bimax for you.

[Peter6789]

You need to get braces to remove the camouflage

Can braces move my molars back to I get a Class 2 occlusion?

Mandible can only be moved more forward relative to the maxilla when there is an overjet (otherwise my lower incissors will move in front of my upper incissors, giving me a Class 3 occlusion).

CCW is not an option because my occlusal plane is already very flat.



The critical thing about the camouflage treatment of Class 2 patients: they all think their teeth are fine because the doctors tell them their occlusion is Class 1, case closed.

But the flared teeth are probably unhealty and on the way to trouble later on in life, at the same time there is often an airway problem.

They have to diagnose themselves about the retrognathia unless they get serious sleep apnea, and even then they get sold a ton of other "procedures" first without looking at the core of the problem (small airways).



I don't have a good ceph I can post here.

[thinkingme]

I've been more keen on looking for retrognathism or microgenia since last Summer and I can probably count the number of people I've seen with either on one hand, at best.  I'm in the same boat as you, needing bimax if I don't want the camaflouge orthodontic treatment and an ugly profile.  Tezcatli just made me think, I wonder if insurance would pay for bimax (in the US) if you try and get a predetermination AFTER you've had your arches decompensated?  I think one max facs said that is how they get insurance to pay for bimax... by essentially reverting you back to your natural alignment. 

EDIT: Thinkingme, I don't recall if I or someone else already said this but your airway looks really small.  Get a sleep study, get diagnosed with OSA and you may have insurance end up covering bimax for you.

In my country goverment help for cost but cost already not so much high. at private hospitals Max cost 10k dolar. But im student and no money . I must beg my family. but i cant use my airway card because they have problem with airway. My dad has sleep apnea too and he dont care.

[Peter6789]

In my country goverment help for cost but cost already not so much high. at private hospitals Max cost 10k dolar. But im student and no money . I must beg my family. but i cant use my airway card because they have problem with airway. My dad has sleep apnea too and he dont care.

In my country double jaw surgery costs around USD 20K if you pay on your own.

Health insurance only pays if you have a Class 2 occlusion and a significant overjet.

After the camouflage treatment, health insurance does not pay the surgery anymore. So I am in trouble.



So working hard and saving for the sugery is the route to go.

[Tezcatli]

Can braces move my molars back to I get a Class 2 occlusion?

Mandible can only be moved more forward relative to the maxilla when there is an overjet (otherwise my lower incissors will move in front of my upper incissors, giving me a Class 3 occlusion).

CCW is not an option because my occlusal plane is already very flat.



The critical thing about the camouflage treatment of Class 2 patients: they all think their teeth are fine because the doctors tell them their occlusion is Class 1, case closed.

But the flared teeth are probably unhealty and on the way to trouble later on in life, at the same time there is often an airway problem.

They have to diagnose themselves about the retrognathia unless they get serious sleep apnea, and even then they get sold a ton of other "procedures" first without looking at the core of the problem (small airways).



I don't have a good ceph I can post here.

If you have space you can. I have the opposite, I had a class I bite with skeletal class III, my upper teeth were naturally proclined and now I'm wearing braces that are giving me an underbite.