General Category > Aesthetics

Cosmetic/Functional advice, Surgery?

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Frastolo:
Hi, all i'm a male in his mid-twenties. I hate my profile (very receding chin and double chin despite the fact that i'm BMI:20 and bodyfat 12-14% -> a slim guy) since i was 16-17 (the problem started at 14) years old, i have done orthodontics from 11 to 14-15 and then i was followed up until 19-20 when i have extracted all my wisdom teeth.
I would like to fix the cosmetic issue but there also some functional problems: sistematic TMJ click during eating (60% of time), soreness if i eat certain types of food (i have to take a break to rest my jaw), sleep apnea(can come also from turbinate hypertrophy and slightly deviated septum), postural problems:forward head posture.
So after speaking with a general dentist he pointed me the fact the i have a too large overjet despite the fact that i have done orthodontics during the growing years and in his opinion the results obtained are not good all.
Then i came back to my old orthodontist who pointed out that my byte is acceptable and all my functional problems came from a swallowing issue and there are no skeletal issue from growing at all and said that probably i need to seek a mental specialist regard my cosmetic issue. I'm a bit skeptical about my old ortho opinion (i'm thinking that probably i'm a class 2 div 1 not masked very well...).
I'm going to consult other 2-3 ortho and a maxillofacial surgeon.

Profile: https://drive.google.com/open?id=0Bxtmgtm6S0dxWDlSTWRaMVFadE0
Overjet: https://drive.google.com/open?id=0Bxtmgtm6S0dxWjJHcnIzTkdsQk0
Smile: https://drive.google.com/open?id=0Bxtmgtm6S0dxMVEtVXdXeGxlTXc

What do you think?
Thank you.

thinkingme:
i have same issues with u. im very slim and but i have chubby cheeks too. forward head posture similar too. i think u need double jaw advancement because ur maxilla seem recessed too. Consult with maxfac surgeon first because ur bite not bad. And some orthos dont want surgery with good bites u can be get refused

Frastolo:

--- Quote from: thinkingme on May 26, 2016, 08:51:43 AM ---i have same issues with u. im very slim and but i have chubby cheeks too. forward head posture similar too. i think u need double jaw advancement because ur maxilla seem recessed too. Consult with maxfac surgeon first because ur bite not bad. And some orthos dont want surgery with good bites u can be get refused

--- End quote ---
The general dentist told me to contact a maxfac surgeon in order to discuss about the cosmetic part.
In my country the social sanitary system pay for the surgery if you are elegible (functional issue) but there is a long waiting list (from 1 to 2 years) and you need a card that demand the first visit or i have to go in a private way.
My teeth are straight thanks to previus orthodontics (the start situation was drammatic XD) and fixed retainers on both jaw, the problem is the overbite.

thinkingme:

--- Quote from: Frastolo on May 26, 2016, 02:40:10 PM ---The general dentist told me to contact a maxfac surgeon in order to discuss about the cosmetic part.
In my country the social sanitary system pay for the surgery if you are elegible (functional issue) but there is a long waiting list (from 1 to 2 years) and you need a card that demand the first visit or i have to go in a private way.
My teeth are straight thanks to previus orthodontics (the start situation was drammatic XD) and fixed retainers on both jaw, the problem is the overbite.

--- End quote ---

my country same. If u have functional problem u can get everything but i have no. and i cant wait years for braces and surgerys. my previous orthodontics by general dentist and f**k them. my teeths straight but protruding.

kjohnt:
Yeah you need bimax for sure - prob CCW rotation, or else large genioplasty, prob both.

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