Author Topic: Short face + Steep occlusal plane?  (Read 731 times)

ChinaBoy420

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Short face + Steep occlusal plane?
« on: August 21, 2022, 11:33:18 AM »
But what is the face is relatively short already? Won't a big CCWr in this case make the face appear even shorter and more blocky?

I understand that a steep occlusal plane can be fixed with CCWr. but imo a short face with a parallel OP and mandibular plane looks horrible.

How can one fix this situation?

kavan

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Re: Short face + Steep occlusal plane?
« Reply #1 on: August 21, 2022, 11:59:38 AM »

If the height of face is SHORT and the shortness is from the whole maxilla being short, solution can include a uniform down graft (a down-graft that is equal in both anterior and posterior direction). So, given that a UNIFORM BLOCK of down-graft can be added to elongate the entire maxilla, which in turn corrects shortness of the face, we can EXTRAPOLATE on that concept to imagine what could be done in a case where the face was short but the person also had a steep OP. An entire BLOCK of down-graft could be used with somewhat more 'drop down' to the posterior direction of the maxilla than to anterior direction of the maxilla. In that way, both the facial shortness is addressed and there is a NET CCW-r to help address a steep OP. Hence a down-graft to the ENTIRE maxilla that drops down somewhat more posterior than anterior.
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