Before/After Photos > Overbites
Jaw surgery for osa?
GJ:
--- Quote from: meo66 on January 18, 2021, 07:48:26 AM ---he also said he could take the wisdom teeth out on day of surgery. Is it better to get wisdoms out months before surgery.?
--- End quote ---
That's just another surgery on top of an already major surgery, so I wouldn't do them together. You could, like he said, but it's more trauma all at once...
Wisdom tooth removal isn't a walk in the park.
Rodin:
https://pubmed.ncbi.nlm.nih.gov/29055570/
Study on implications of wisdom tooth removal before or at same time as bsso
kavan:
--- Quote from: Rodin on January 18, 2021, 11:58:39 AM ---https://pubmed.ncbi.nlm.nih.gov/29055570/
Study on implications of wisdom tooth removal before or at same time as bsso
--- End quote ---
It just gives an ABSTRACT of the study. If you read the entire study what does it say about the increase of risk of BAD BREAK when the wisdom tooth needed to be removed is also an impacted/ misoriented one or one not coming through the gum straight up?
Rodin:
My apologies. This study should be accessible in its entirety.
https://www.researchgate.net/publication/263746252_Impacted_third_molars_in_sagittal_split_osteotomies_in_mandibular_prognathism_and_micrognathia
Combining M3 removal and BSSO minimizes all other costs and morbidity (as the first study states in it's abstract) but the incidence of an improper split is likely dependent on specific orientation, positioning, and root morphology. The above study would support that a mesioangulated molar relatively close to the surface, such as in the OP's scans, would not negatively impact the split as much as say one more vertically oriented and positioned lower in the mandibular body. The danger of a bad split is still there of course. Have to weigh whether the morbidity and cost of two separate procedures outweigh the increased risk of a bad split for the specific case.
kavan:
thanz
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