Hi All.
I am scheduled to have an appointment with Dr Zarrinbal in a couple of months.
My case is a little bit weird, (I'll explain below)The reason I ask is that he has only responded once via email (I know he is very busy) and I just had a couple of additional questions I would have loved to ask prior to meeting him just so I felt more comfortable.
I'm a classic class 2 overbite case, that was referred for surgery when I was younger but then they decided against it.
The only issue now is that I have mandible implants either side that impinge upon the area where the BSSO cut is likely to be made ( I can explain that in a further post later ) Because of This Dr Z suggested the following in an email.
"I think BSSO is not possible with the jaw implants in place,
maybe alternatively distraction in the anterior part of your lower jaw 33-43,
with opening gaps on both sides to advance the teeth into class I occlusion,
maybe Le Fort I as a second surgery,
the gaps would be closed with the insertion of dental implants.I found this an interesting suggestion since no one had suggested before, but one which sounds right in my case. I think maybe because I don't have much of a long face or sloped jaw and my chin is in a good position despite having a deep bite and overjet?
The only problem is that I'm unsure what a distraction looks like compared to the transitional BSSO cut and how it's done. I replied to Dr Z but I don't think he checked back, which is fair enough.
So I guess my final questions were
1 ) Would I need braces prior or after, or both?
2 ) How would distraction affect the chin? Does the chin bone move with this all in one piece? Is it similar to a subapical osteotomy?
3 ) Is distraction a common procedure I can't find any similar cases as to what's being suggested.
Heres some pics of my scans -
https://imgur.com/a/jFr99UpHappy to DM anyone private images if they are interested. Any help appreciated as I'm really confused.
Thanks