Hi all,
Narrow and improperly formed jaws are synonymous with having a narrow pallet and narrow smile. This is my smile currently:
https://imgur.com/GtvFZJPThe pallet isn’t overly narrow, but I would like more lateral tooth show and lessened buccal corridors. (My reasons for wanting DJS is that both jaws are retruded — actual bite is class 1).
As I understand it, there are a few options. The first and simplest is to simply achieve a wider smile as a result of the braces I’ll be having anyway. Of course, this doesn’t actually widen the pallet, but it does have a broadening effect in the way it tips the teeth. Perhaps this would be enough?
Then there’s SARPE of course, which would certainly do the trick, but requires another operation alongside DJS and and a very long time to wait before I can have the DJS op.
There’s also segmental lefort, which is appealing in that it can be done at the same time as DJS, although I have read about issues with relapsing. You’re also limited to only a few millimetres of expansion, but perhaps, along with the effect of the braces, this would suffice?
Finally, there’s the new FME expander that seems to work on people my age:
https://www.reddit.com/r/orthotropics/comments/107qbzt/mse_progress_suture_split_this_one_is_actually_an/ I’m 26, so maybe this is an option — I welcome any insight on this if anyone has any as I’m still researching it.
Obviously this is all something I’ll ultimately have to discuss with whichever surgeon I end up going with for DJS, but I’d hoped some of you may have insight to offer as I continue to research before hand.
Thanks a lot!