General Category > Functional Surgery Questions

Class two surgery or genio+ryno?

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kavan:

--- Quote from: Frastolo on October 31, 2017, 11:24:59 AM ---The extractions that you are speaking about are on the upper jaw? Every dentist told me to extract them but i think that it's only a way to provide an ulterior camufflage...

--- End quote ---

Extractions for bi max for class2 USUALLY refer to the mandibular teeth because they need to be PUSHED BACKWARDS for the decompensation needed to move the mandible forward in the BSSO as there might not be ENOUGH ROOM to push them backwards which is why they remove a pre molar to make SPACE to do that. It USUALLY does not refer to pushing the maxilla teeth FORWARDS during decompensation.

When a 'dentist' tells a class 2 patient to remove the maxilla pre-molars, it USUALLY to make room to push them BACKWARDS but ONLY to get the 'bite right'. That is called 'compensation' or 'camouflage' for ortho ONLY. It is NOT in preparation for a bi-max surgery to correct class 2 skeletal.

Premolar plucking is when the teeth need to be pushed BACKWARDS. But in YOUR situation, the need of the MAX FAX to push you mandible FORWARD (via the mandible pre molar plucking) should be prioritized over any 'need' for an ortho to pluck the upper pre-molars just to 'get the bite right' where the ortho's goal is to AVOID your getting bi-max.

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