Author Topic: Double Jaw surgery, primarily aesthetic concerns (images attached)  (Read 1366 times)

Ember22

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It was primarily for aesthetic reasons (crowding in anterior portion of maxilla) that I consulted with an orthodontist this past year.  I was expecting that braces would provide a simple solution to my problem.  However, this is not the case. I have a Class III malocclusion- 
anterior open bite 1.5 mm in CR, insufficient overjet/underbite tendency, steep occlusal plane, exaggerated curve of spee, bilateral posterior crossbite, evidence of sclerosis and flattening of condyles.  Also, excessive lower anterior facial length and a long pogonion.  I have mild wear on my molars and premolars that will get worse over time, and mild crepitus in my right TMJ...

I've been told either SARPE with lefort 1 or bimax.  http://jawsurgeryforums.com/index.php?topic=7471.0   
I'm leaning toward bimax at this point. 
Am I ill advised to go into this surgery with aesthetics being my primary concern?  I really am not experiencing many occlusal related issues at this point in my life (I'm 25). I don't have headaches or terrible pain or anything like that.  My aesthetic appearance isn't even that bad, compared to many cases, although I have been self-conscious about my teeth and smile as far back as I can remember.  My thoughts are that this surgery will fix my teeth from an aesthetic standpoint (my initial primary concern) and will also be a preventive measure against periodontal disease, TMJD, and any other occlusal related problems that may occur in the future. 
I'm just looking for some feedback.
Is it worth it?
« Last Edit: March 10, 2019, 07:11:03 AM by kavan »

Ember22

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Re: Double Jaw surgery, primarily aesthetic concerns (images attached)
« Reply #1 on: November 25, 2018, 06:18:28 AM »
Here's another
« Last Edit: March 10, 2019, 07:10:38 AM by kavan »

Lefortitude

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Re: Double Jaw surgery, primarily aesthetic concerns (images attached)
« Reply #2 on: November 25, 2018, 07:32:26 AM »
Cosmetic issues often indicate an underlying functional problem. The old addage “form follows function” applies. You may not have issues now, but youre at risk for them in the future. Its easier to address the cause of problems before they manifest than it is to fix problems once they arise. Djs would be well warrented for your case imo. Consult with a good surgeon.

ditterbo

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Re: Double Jaw surgery, primarily aesthetic concerns (images attached)
« Reply #3 on: November 25, 2018, 09:31:42 AM »
I was/am all cosmetics, but haven't gone through with the procedure yet (need fancy CCW). Now at 29 I am feeling mild pain in my left TMJ if I open my mouth wide or chew. I'm a very different case but I sure was hoping I'd be proven wrong about 'preventative bimax'. I'll probably get the joint checked out before insurance coverage restarts next year..

Ember22

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Re: Double Jaw surgery, primarily aesthetic concerns (images attached)
« Reply #4 on: November 25, 2018, 10:55:34 AM »
I was/am all cosmetics, but haven't gone through with the procedure yet (need fancy CCW). Now at 29 I am feeling mild pain in my left TMJ if I open my mouth wide or chew. I'm a very different case but I sure was hoping I'd be proven wrong about 'preventative bimax'. I'll probably get the joint checked out before insurance coverage restarts next year..

I consulted with Dr. Gunson. He recommends CCW for me (long face, steep occlusal plane). Don't really want to go through with it but the potential for future health issues related to the maloclussion seem imminent
« Last Edit: November 25, 2018, 11:04:19 AM by Ember22 »

ghiggson90

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Re: Double Jaw surgery, primarily aesthetic concerns (images attached)
« Reply #5 on: November 25, 2018, 11:57:45 AM »
I would only recommend if you with a top surgeon like Gunson, who is concerned about facial balance.