bonding/veneers after orthognathic treatment?

[Dogmatix]

When having braces, and maybe especially when doing surgery with segmented lefort etc there can be spaces or black triangles created.

Is it normal to have some kind of treatment for this after the orthodontic part is done. Bonding/veneers, or bone/gum grafting if there is a problem with receding gums etc?

I'm having some of these thoughts since I have some of these problems on my lower incisors and would like to have it fixed in some way. Am I correct that this should be done before the retainer is being put on in that case? Is this a normal duty for an orthodontist, or do you need to find another specialist for this?

[Lefortitude]

I had never heard a single thing about this until recently. Someone on this forum said he had to have a restorative dentist do bonding (i didnt even know what that was) before jaw surgery. Im not sure why.

I also heard someone talk about needing like 90k worth of prosthodontics post bimax. Not even sure what thats about, but she seemed rather unhappy.

[Dogmatix]

I had never heard a single thing about this until recently. Someone on this forum said he had to have a restorative dentist do bonding (i didnt even know what that was) before jaw surgery. Im not sure why.

I also heard someone talk about needing like 90k worth of prosthodontics post bimax. Not even sure what thats about, but she seemed rather unhappy.

Hmm. It doesn't really seem right to have restorative bonding done before surgery, it rather seems like something that is done to finish up after jaw surgery and orthodontic is done, if needed.

I can however understand if there is a need for dental implants, if a tooth is lost etc, which prosthodontics seems to be about. But that shouldn't be a surprise that there's a lost tooth. Was it someone on the forum who had this problem? Seems crazy with 90k for such treatment.

[Lazlo]

I had never heard a single thing about this until recently. Someone on this forum said he had to have a restorative dentist do bonding (i didnt even know what that was) before jaw surgery. Im not sure why.

I also heard someone talk about needing like 90k worth of prosthodontics post bimax. Not even sure what thats about, but she seemed rather unhappy.

I've heard from Dr. Arnett and Gunson that people often and one is at high risk of losing teeth post-bimax. That is the tooth roots die and one then needs root canals on several of your teeth (that sounds awful by the way) and I have further heard that doctors often warn patients that they may completely loose teeth after surgery. My surgeon, Dr. Sinn said this wouldn't happen and it didn't but some doctors do warn patients about this. I wonder if it's because they do larger movements like Arnett/Gunson or if there is some other reason, like where the cuts are being made but this really, really scares me, especially as someone interested in revision surgery.

[PloskoPlus]

I've heard from Dr. Arnett and Gunson that people often and one is at high risk of losing teeth post-bimax. That is the tooth roots die and one then needs root canals on several of your teeth (that sounds awful by the way) and I have further heard that doctors often warn patients that they may completely loose teeth after surgery. My surgeon, Dr. Sinn said this wouldn't happen and it didn't but some doctors do warn patients about this. I wonder if it's because they do larger movements like Arnett/Gunson or if there is some other reason, like where the cuts are being made but this really, really scares me, especially as someone interested in revision surgery.

Multi piece lf1 has a higher chance of cutting roots accidentally. There's also potential root resorption from orthodontics, especially if the teeth are moved too fast.

[GJ]

Multi piece lf1 has a higher chance of cutting roots accidentally.

Yep, but even a standard lefort has this risk. A saw cutting near roots. If you have long roots you're more at risk.

[PloskoPlus]

Yep, but even a standard lefort has this risk. A saw cutting near roots. If you have long roots you're more at risk.

I have long roots. And the cut was well above. Probably explains my infraorbital damage.