jawsurgeryforums.com
General Category => General Chat => Topic started by: Wicked Sick on September 07, 2014, 07:28:09 PM
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Hi there!
This is my first post on this forum. I am seeking help for my multitude of health concerns. This dental issue has ruined my life. I've been put on antipsychotic medication, have anxiety, depression, paranoia, eating disorder, deficiencies etc.
I didn't wanted to admit to myself, but the truth is that all of this is a result of the aesthetics of my teeth. I don't feel that I'm an ugly looking person, but when I try to interact socially and someone cracks a joke I rather just stare away smiling without opening my mouth. If I do open my mouth then I see others vanish their smile off their faces and become distant to me. Literally leave me there. I have included a picture of myself so you can tell your opinion regarding this.
I registered here to hopefully receive answers to some questions:
1. Can this be corrected without surgery? As far as I read I have severe anterior open bite and moderate-severe malocclusion. My chin seems to be receeding. Thought I would ask because these days you can do anything and create magic w/o surgery.
2. Would jaw surgery be needed first before surgery for ankyloglossia (tongue-tie)? I still have my tongue tie since birth and feel that if I'd do the surgery for it, then my mouth would not have enough room for my tongue. It is already big (my tongue) and when I try to extend it (wife :) ) it hurts immensely.
3. Could you be so kind and rate the severity of my dental problems 1-10 in comparison to people you've seen here? Thank you!
4. I've read how these surgeries might not give you the results you wished for. Sure, you can have pretty smile, but it can completely alter your look. Like make your nose bigger and such. Does the surgery increase the distance between your lips and nose (philtrum)? I have an extremely long distance (0.8 inches) between my nose and lips (which I'm very self-conscious and aware of) and I hate it. Have read some horror stories here of some good looking people with bad teeth became "average" or below average looking with the classic American smile to compensate for some of the loss.
Thank you very much for any future help!
Finally, the picture:
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Proof of how f**king insane psychologists are. It's an unscientific cult full of marxists. God they piss me off.
The fact you got put on meds instead of being given REAL ADVICE on fixing the cause of your problems is mind boggling. I mean, who would've thought mental anguish isn't solely caused by some lofty sense of self worthlessness. How crazy that it could be the result of physical or mental traits which negatively affect our lives, because after all, we are social creatures who just want to be accepted.
f**k them. I hope they burn in Hell with the havoc the wreak. Fun fact: Practically every mass murderer of late has been on anti-depressants and s**t because some c*nt of a female marxist psychologist put them on it instead of actually sorting them out or admitting them.
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1. Yes, you are quite right that most things can be corrected without surgery. Unfortunately this doesn't mean one ought to do so. There are significant trade-offs when opting for a purely orthodontic resolution. Often you'd be looking at a very long time in braces, extractions, TADs, and other such things to get the occlusion to a halfway acceptable position without any regard for aesthetics.
By opting for a surgical approach you'll be able to get a proper bite along with address the skeletal deficiencies that are likely to have caused your malocclusion.
2. I have no idea what that is and I'm too lazy to google it. Sounds like you mean you have narrow palate and may need SARPE or something prior to bimax.
3. Pretty f**ked up/10
4. Some of your concerns are valid albeit misplaced. The nose can widen with a le fort, however this can be prevented to a large degree with an alar cinch. Generally maxillary advancement makes the nose look smaller as "big noses" are usually no big, rather the maxilla is recessed creating that illusion. If you have a long philtrum this could be genetic, or it could be because your maxilla is recessed and so it's flat. So surgery will almost certainly improve that aspect.
Honestly, I haven't ever seen results where someone looked worse afterwards. I've seen ones with bad bites, but when one has a skeletal deficiency that is being addressed it's pretty much impossible to look worse.
In my experience most complaints are from people who can't adapt to their new look, even if it is better. Rather than them looking objectively worse. Not saying it has never happened, but it is very much the exception and not the rule.
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Your upper jaw looks very narrow. You should definitely see a good surgeon if you can and I wouldn't be surprised if they recommend the SARPE procedure. Where do you live? I'm sure someone here can recommend a good surgeon near where you live.
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The chances of you fixing this without surgery are slim to none. I'm afraid you're gonna have to bite the bullet on this one.
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As an absolute minimum, you are going to need SARPE and braces.
If you want to fix it, you will need to see both a maxfac surgeon and an ortho.
If you are from the UK, I suspect you will be able to get NHS treatment for your teeth and so you should go and see your local dentist first and ask if you can be referred to an orthodontist, even though you look older than 18 (cut off point I think).
If you are private, you really need to see an ortho straight away to get it fixed as soon as possible.
You are right in the sense that, facially, you are not bad-looking, but your teeth do need fixing and the quickest way to do that is to speak to an ortho as soon as you possibly can.
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Yup....looks like you need surgery...probably SARPE and bimax. Maybe you can get a multisegment lefort but I think most surgeons do SARPE these days instead
Some orthos like to think that they can fix anything without surgery. They can't.
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Wow! I'm so thankful for all of your replies!!! ;D
Yes, I live between Central-Europe and the US (my wife is american). I'm 26 years old by the way.
At the moment I cannot afford any kind of surgery. Here is another picture included.
I really appreciate all the comments! :)
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If you have health insurance in the US then maybe you can check if it covers jaw surgery? This kind of surgery is usually paid for by the state in most European countries if it's deemed necessary for you so if you're a citizen in an European country then you should try to get it done through the national healthcare system. If you're flexible enough to be able to get it done in either Europe or the US then you get to pick from all the best jaw surgeons in the world so you're "lucky" in that regard.
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That's the main problem. Who could I find with insurance? I mean is it a person who does these correcitve surgeries on a regular basis not really caring about the outcome, or should I go for somene who asks a price in 5 digit number and does the job well? To be honest: I really want to have a once in a lifetime experience with jaw surgery. I know lots of people have to take numerous surgery because it doesn't come out perfect, but if I have the chance then I would go for the very best! Besides after all this suffering I was playing with the idea of the outcome. I could look like life intented me to look like (minus the dental problems) or I could opt for a jawline of a male model. :P
I would not try to modify my aesthetics if surgery would be inevitable, but since I would have to go through years of wearing braces, risking not being able to speak normally ever again (tongue tie surgery) and all the depression I've dealt so far I think my wish is fair.
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People usually try to find a surgeon close to where they live. Maybe ask an orthodontist and see if they can recommend someone. Your insurance company probably won't allow you to go out of network anyway so you might be limited to a local surgeon unless you want to pay for everything yourself. Many of the "top" surgeons in the US don't even accept insurance though. The situation is a bit easier if you live in say Germany since all the hospital costs are regulated there.
Finding a good surgeon is not always easy and sometimes they do make mistakes. Normally we advice people to seek as many consultations as possible before they decide on a surgeon but it might not be possible in your case if you can't afford all the consultation fees. If you do manage to see a surgeon and get a surgery plan then you can return to this forum and let some of the more knowledgeable members here see if it makes sense (I'm not one of them).
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Awesome information! I thank you very much and will return here sooner or later! I understand that this condition will affect my breathing so I will be proactive about this.
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Hey Wicked Sick,
Twice now, you've mentioned tongue tie surgery. Sorry, for my ignorance, but what's that? Who suggested that you need it, and why was it recommend?
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Sorry about that! I wanted to explain, but forgot about it. Here: http://en.wikipedia.org/wiki/Ankyloglossia
Be sure to watch the video as well as how relieving it is for an adult (they usually do these surgeries for babies because it's an inborn error): https://www.youtube.com/watch?v=Un21c9t5toE
Sadly I can't do this yet, because my tongue is too big even being tied. :(
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Oh, yikes. That sounds super problematic!
How have you been managing so far? (It seems like it's often corrected a lot earlier in life.) What symptoms/issues do you have because of it? Also, you can't do anything about it, right now, because your tongue is too big? What?
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Thank you for all the comments and suggestions! So I've been reading more and more about surgery and I'm tending towards doing this as soon as possible. I will seek a professional to have a general idea of the procedures need to be done, but so far some of you mentioned SARPE and Bimax.
So which one comes first? How risky are these surgeries? Looked up SARPE and some people even do it without being put to sleep. How many years would all these procedures and follow ups would consume up from my life?
I feel horrible. My wife is so beautiful and we look so odd on pictures. She has the perfect American smile and I never want to ruin the pictures so I just keep my mouth shut. :'( When it comes to being handsome teeth are EVERYTHING.
I also think that I have long face syndrome.
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If necessary SAPRE first of course. Total treatment time 18-24 months. But time FLIES.
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Not going to happen anytime soon. My wife and I run a business and I'm her right hand. She cannot afford to pamper me during recovery and I can't afford to go months without working. Maybe a few years later when it becomes well-established.
Since I joined this forum I got lots of helpful answers, but I developed severe anxiety of my appearance. I also have thin enamel so can't even get them whitened which could take off my anxiety as my teeth are really yellow. I also have drug induced bruxism. I focused too much on my teeth the past few weeks and now I became paranoid. Is there a way to accept my teeth while waiting for that particular day of getting them fixed? I literally can't sleep without nerve pills now and even get panicky when I think about how pretty and white other people's teeth are.
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Time off work after bimax is 2-3 weeks.
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I highly appreciate your comment! Will visit my dentist and get his opinion on the subject as well. Wish I would have wrote all my message a year from now where I'll most likely be able to afford 10k and time away from work. Now I'm just paranoid and can't stop thinking how could a woman kiss me?!!?? I feel worthless. It's my Dad's side where teeth issues are coming from. He had brown rotten teeth, but at least his were straight and he looked like Pierce Brosnan.
Me? Let's not even talk about it. Wouldn't make it as a store salesman at a supplement store, despite I teach people about nutrition and genetics. If I ever get this fixed and have a child I will watch him/her each day if there are any mouth breathing or thumb sucking going on at later age not to get messed up like I am. 8)
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Hi Wicked Sick,
This is probably far from ideal, but it sounds like you're caught in a pretty vicious cycle. You've got some stuff going on that I don't know anything about, but if your primary concern is strictly the appearance of your teeth...
What about forgetting about surgery and just fixing what you dislike about your smile? Sure, I agree with everyone that ideally you need surgery, and you look to be a good candidate for both SARPE and Bi-Max. And without surgery, you'll still be left with an open bite (amongst probably some other stuff, too). If you could find an orthodontist that could work with you, and they thought you could achieve a satisfactory outcome WITHOUT extractions, it may be worth a thought.
If you still had an open bite, but your teeth were straight and a brighter shade of white (assuming you could whiten them with enamel issues?) would that be good enough?
Good luck, Wicked Sick!
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Your dental problems are pretty severe, but your facial structure isn't that bad. Just my 2 cents.
Though, jaw surgery in conjunction with orthodontics may very well be the best way to address your dental problems.
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1. In your case this is not one that cannot be corrected properly without surgery, the way your jaws are positioned, the narrowed palate and the size and amount of teeth you have would not work out. If you want an improved smile exclusively get braces, but things will still be off with your bite, profile, breathing, tongue etc.
2.I dont know much about the tongue issue, might be in part to the narrow palate and maybe some linguistics coach or speech therapy would help, sorry dont know much here :/
3.Pretty high up there and I've read/observed a lot of cases.
4.Those concerns throw them out the window. This surgery will be a win-win-win for you if you have a good ortho/surgeon team. Some people have minor dental/skeletal problems and for them the surgery has to be more weighted out and risky imo. For people who stand to gain far more, this is the way to go, and you are one of those people, dont sweat the details, do your research and do what you feel is best for you.
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Dear Wicked Sick,
I cannot give you good advise except that I think you had best go to a very good ortho and/or surgeon, who can give you the best advise what needs to be done to give you the smile you deserve. I am very sorry that you are so depressed about your teeth.... I hope there will be a good solution.
And honestly, I am shocked by some of the comments on this forum here saying that your teeth and profile are horrible etc.... That surely doesn't make you feel better..... I can imagine this even increases your anxiety. I feel sorry for this as well. I don't want to criticize anybody's message here, but I think we, people on this forum, should be aware how much our comments can help others, but also how deep critique on outward appearance can hurt somebody's feelings.
My opinion, you are beautiful no matter what, because you are so much more than just your teeth/bite. Your teeth don't define you as a person and it is not worth to suffer so much anxiety because of them, and even having to take nerve pills because of this. Maybe you can just try to focus on the beautiful person you are on the inside and outside . Your bite may not be perfect, I am sure one day this will be fixed, but there is so much more about you (you may have a great heart and beautiful eyes etc.). I am sure people love you no matter your teeth. We are often our own worst critics. Your bite may look terrible to you, but I am sure many people in your everyday life don't even notice! And if they notice, they love you no matter what! Fortunately people in your everyday life don't look at you like the 'experts' here on jaw surgery forums do.
I hope this helps a bit. I honestly hope that you can get your teeth fixed soon, but in the meantime try to enjoy your life and don't let anybody let you believe that you are are looking horrible, because there is so much beauty in everyone, perfect bite or not!
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And honestly, I am shocked by some of the comments on this forum here saying that your teeth and profile are horrible etc.... That surely doesn't make you feel better..... I can imagine this even increases your anxiety. I feel sorry for this as well. I don't want to criticize anybody's message here, but I think we, people on this forum, should be aware how much our comments can help others, but also how deep critique on outward appearance can hurt somebody's feelings.
People get enough sugarcoating from their family and friends. I'd rather have people tell me the truth and I'm thankful if I can get it from the members on this forum. Saying that his profile is horrible is not very constructive feedback though.
In some ways he is "lucky" because the upper parts of his face look good and balanced and that seems to be one of the hardest things to fix if it's not right. He's also lucky in the sense that his bite problem is serious enough that he should get the surgery covered by his health insurance.
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People get enough sugarcoating from their family and friends. I'd rather have people tell me the truth and I'm thankful if I can get it from the members on this forum. Saying that his profile is horrible is not very constructive feedback though.
In some ways he is "lucky" because the upper parts of his face look good and balanced and that seems to be one of the hardest things to fix if it's not right. He's also lucky in the sense that his bite problem is serious enough that he should get the surgery covered by his health insurance.
Agreed, and that's what I meant by his facial structure looks fine. His profile isn't horrible, MY profile is horrible but bite/teeth are fine, just joining this forum has shown me how deformed my profile really is. I have seen a lot of posts recently with people concerned about their profile and mine is 10x worse. Honestly seeing people complain about their profile issues when they look completely normal to me and I could only hope to be lucky enough to achieve their starting point with major orthognathic surgery depresses me to no end. :'(
If he had ortho as a kid he might have had straight teeth but a much WORSE profile if they went the non surgical route, and that in my opinion is harder to fix.
He has a wife, so it seems he's already found acceptance for who he is.
I'm not discounting what Anna said, though. She's right that there is so much more to you than what your teeth, jaw, profile, etc. look like.
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That's okay. I asked people to be honest about my dental issues, aesthetics. I had to deal with this my whole life. Yes, I do have a wife and she's understanding, but she's been complaining a lot about me not being social. Well this is the main reason I'm not social. I try not to open my mouth and smile at her when she or anyone else is close to me. Hoping to get this fixed in the upcoming year or two. I really appreciate all the suggestions and support!
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No need to sugar coat it. An anterior open bite is terrible. How do you even bite into stuff?
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I don't. I may only use my two front teeth to bite into an apple. I had to get my top left molar extracted 4 months ago because parts of it broke off and dentist said it's completely destroyed, nothing to be done. 2 weeks ago I woke up spitting particles of my upper right molar up, so I have to say goodbye to that tooth as well. :-\
I can't use my front teeth since they don't touch.
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Haven't a dentist ever told you to see a specialist because of your poor bite? If you need to pay for the surgery yourself then Germany is probably your best option since the medical costs are regulated over there. Do you have health insurance in the US (you didn't make it clear whether or not you live in Europe or the US)?
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I'm based in Europe, but Germany is not my home country. I'm working on getting my green card for the US. There may be good surgeons in Europe, but after I had the chance to compare health care in Central-Europe vs USA I decided I'll not put my life in the hands of a european surgeon. It's like 3rd world country treatment here compared to what I experienced in the states and they are more humane. That's just my experience and no; no dentist has ever told me to get my teeth fixed or offer help here.
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Dude,
Relax. Your problems are confined to your bite. Easily fixable by a good surgeon.
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Why are your teeth breaking?
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Your dental problems are pretty severe, but your facial structure isn't that bad. Just my 2 cents.
Though, jaw surgery in conjunction with orthodontics may very well be the best way to address your dental problems.
I agree with Alue. If your profile is bad, then mine is horrible.
Sorry if it's my oversite, but why is everyone recommending surgery? If you don't have any functional problems then I would just get your teeth straightened. If you have nasal congestion, sleep apnea, or issues with speaking, swallowing, or chewing then surgery would be a no brainer. Again, sorry if I missed something.
When you get an X-ray, I would be curious to see it. Cheers.
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I don't think you can fix a severe open bite like that without surgery.
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I agree with Alue. If your profile is bad, then mine is horrible.
Sorry if it's my oversite, but why is everyone recommending surgery? If you don't have any functional problems then I would just get your teeth straightened. If you have nasal congestion, sleep apnea, or issues with speaking, swallowing, or chewing then surgery would be a no brainer. Again, sorry if I missed something.
When you get an X-ray, I would be curious to see it. Cheers.
Inability to socialize is a big functional problem and his main concern. If surgery can fix his teeth plus put an aesthetic exclamation point on his face i say go for it.
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Hey everyone!
Long time no post. I have a good and bad news... let me just start with the bad:
- 3 months ago I was diagnosed with diabetes. My appearance bothered me for a while, and sadly I became very self-centered as a result. I believe that (although not everyone deserves to be happy, such as child molesters) everyone deserves to have a beauitful smile. The more I read on this subject, the more pessimist I became. My wife didn't take this pessimism kindly, and I used all the excuses in the book, but not the honest truth. Whenever I tried to talk about the subject she just told me that I have body dysmorphic disorder and there's nothing wrong with me, but in front of the family told everyone that "yeah, he has fu**ed up teeth". She is now divorcing me, and I had to do this diabetic battle by my own, with only support from my mother. I'm just now trying to come out of my shell, literally, I've spent the past 3 months trying to accept the diagnosis and the divorce without leaving the house. As a result the muscles in my leg have atrophied. But now I am willing to get the most frustrating thing over with or die trying, that is getting any necessary surgery done.
The good news: I've spent months on researching this topic and realized that most people who regress after jaw surgery are the ones who do not practice proper tongue posture, and likely are tongue-tied as well. I've been tongue thrusting all my life, and the proper muscles in my cheek weren't used at all - thus the damn, feminime chubby cheeks on the pic I posted despite I was underweight there. I'm willing to get this over with once and for all.
I will need:
- high arched palate fixed (what surgery? or just expanders?)
- tongue tie surgery
- maxillary rotation
- crooked teeth fixed somewhere along the way
- (optional) orbital rim protrusion fixed w implants/surgery (for the dark circles under my eyes that are not caused by sleep deprivation nor allergic rhinitis)
I just wanted to ask you guys what experience do you have with 'insurance covered' surgeons? What's the difference between getting the surgery done under the hands of the previously mentioned vs a surgeon you pay 50k out of pocket?
Although insurance would cover my serious dental/jaw issues, can I still make ask the regular surgeon to "I'd like to have it look like this and that, please" ? or is he just going to put things together 'as is' and no complaints will be accepted? Sadly the prettier teeth, uglier face phenomen is real and I would like to avoid that at all costs. Hell, if I could get my jaw become stronger and wider, and my chin moved forward, then I could live with my ugly, crooked front teeth for the rest of my life, would get whitening and stay original.
Hope all of you are doing fine!
Steve
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Wicked Sick ? Central Europe ? that means mostly Poland, Czech Republic, Slovenia, Hungary - which one :) ?
yes for sure you have to correct you teeth
when it comes to surgery please make a wise decision. Since you are prone to have anxiety you have to know that you risk a permanent nerve damage in some procedures. The teeth can be always corrected, but once a nerve is too much damaged it never can be repaired fully..NEVER
So keep that in mind and do something with your teeth. for me the severity of the problem is 6/10 I've seen much worse cases
Try to avoid surgery and just correct them by proper device. Long-term treatment. But i'm not a doctor. Your face seems to be OK.
about your anxiety:
drop neuroleptic (if you still take it). Tardive diskinessia may develop and it does nothing for you anxiety and your libido is gonna be 0
some light drugs like SSRIs (in 50% people it increases anxiety) or hydroxyzine or long acting benzodiazepine you can take - but the last one occasioannly
try to do sports, eat properly , take magnesium (chelate for example)
You might need therapist (cognitive-behavioral the best) You have not only problem with your teeth. It may be main problem, but not only the one.
How it could not be repaired much earlier ? I can't understand this.
A doctor who works in public system shouldn't give you conviction he is worse than one who works in private clinic.
However it depends on country where you live. Many times the truth is in the middle.
Some things better do in public clinic, some in private one
You have to choose it yourself by making some appoitments with surgeons. Get some opinions
Noone is gonna choose it for you. It's your business
But since you are too obsessed and too anxious it will be difficult to you to do that quite fast.
You probably are too scared
I may be wrong, but if so, then correct me :)
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Hi Everyone,
New poster (jaw surgery is in 14 days). I worked for a medical insurer that operates world wide for 7 years so I can maybe give you some advice about what might be covered. This varies plan to plan, insurer to insurer likewise in public systems there's a lot of variation too so this is just a guide.
In regard to private insurance, orthodontics (the actual braces) usually come from the routine dental benefit on the policy. This means if you have dental coverage the braces could be covered. In regard to surgery, this includes xrays, consultations with the surgeon & the procedure, they usually base coverage on the following: the condition causes pain, interferes with normal function or causes damage. This means that if your bite doesn't close properly & so you can't chew this would interfere with function. Chewing is the first step of your digestive system so it's a bit more of an issue than you might think. Also if your jaw isn't doing it's job it can hurt.
Doctors are normally pretty savvy about what is covered under insurance so they can usually provide any information the insurer needs to confirm that your bite is causing pain or an inability to chew or bite.
They usually will not consider surgery for cosmetic reasons such as appearance affecting your mental health. They also sometimes have exclusions such as TMJ (bruxism). This is not to be confused with the problems you have due to your jaw just growing incorrectly so don't mention it if you do contact your insurance. If you do have insurance locate a copy of your policy terms, you can ask for one you're entitled BEFORE calling them to ask. As boring as small print is to read it is all in there somewhere.
If you do have insurance call to get approval to see a dentist or oral surgeon to discuss jaw pain & problems chewing after you've had a look at the policy to see if there's anything they expressly mention not being covered. You might have to see a dentist out of pocket to get the recommendation for braces / surgery out of your own pocket to start the whole process off.
Once you've been assessed & have a course of treatment your insurer will then be able to tell you what they will cover so you'll know before you start what you might have to pay for treatment. If you're not insured currently & don't plan to have this looked at for a year or two due to not wanting to be off work you might consider getting a plan now, this means in 2 years when you do start to have treatment they won't necessarily spot it as something which was pre existing to your policy. If you've never seen a doctor for this there's no record to show that its been a problem for so long, you can just say its been a problem for a year at which point you've been insured for 2 so it won't necessarily be picked up. In a way its like a saving scheme for your surgery.
In regard to public systems, the country in which you're normally resident ie pay tax will be the country where you might possibly be eligible under the public system for treatment.
Here in the UK, braces are free on the NHS if you're above a certain grade (gap size). If you're in europe the public system tends to be a bit more favourable in terms of cover but can have a wait. If you are eligible to any free care you might need to be insistent to get the referral to see an orthodontist. This means being very clear with your dentist that your bite & jaw problems are causing severe problems in your daily life from the chewing on to mental health issues, they have a duty of care to refer you if you need treatment. Sometimes as resources are stretched they don't offer it if you seem ok with the way you are.
My braces are on the public system but I was referred by a private surgeon after having my wisdom teeth out. I don't think my NHS dentist would have referred me without a bit of prodding. Usually oral surgeons work in both public & private systems, they need to be a qualified dentist AND surgeon so they train for a very very long time more than other specialities so don't worry, there aren't a lot of bad ones as they literally train to be a doctor AND a dentist.
I've recently been laid off so I had the same concerns about time out of work. My surgeon says it's 3-4 weeks not working, 1-2 weeks of that you will need some help at home. You need to weigh up any time you might have off for surgery with time you might need off because of your mental health. Also braces take 1-2 years so getting started now still means you'll have a long time before you're not working.
If it's bothering you I would suggest getting assessed & making a plan from there. There's a lot of stuff on the internet so it can be confusing a visit to a public & private dentist will give you all the information you need in terms of what treatment you need to have, what you're eligible for under the public system, the costs & potential waiting times. It'll put your mind to rest, it's a slow process but getting on the way might well lift a lot of stress.
I'm not sure if you're based in Germany from your previous posts but expat blogs are great for info on public health options. If you are paying tax there you definitely have entitlements.
http://www.expatica.com/de/healthcare/Your-guide-to-the-German-healthcare-system_103359.html
Sorry for the long post, I talk a lot, I type a lot
SR
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Thanks for the replies! I'm from Hungary. Probably the only country that doesn't have any qualified practitioner(s) specializing in this new-age orthotropics.
I can't decide whether I need to have my tongue tie surgically cut first, or get the jaw surgery over with first, then do tongue tie cut. OR do braces first, then tongue tie, then jaw surgery.... you get what I'm trying to say here. :D Lots of combinations.
My plan is to seek Dr. Mike Mew in the UK for pre- and post orthotropic treatment. Although I could get the jaw surgery covered in Hungary (which I really, really don't want to as in my understanding I would need at least Germany or UK surgeons for quality results), but the UK practitioner and flight to the UK would cost me quite much. I'm lucky that my cousin lives in London and he could take me in for a few months.
I would have never thought that my days would consists of looking in the mirror and saying "that negative canthal tilt is mostly caused by your maxilla being under developed thanks to the tongue tie that actually restricted your tongue resting on your palate, which made you become a mouth breather and your face ended up elongated and ugly as a result. And those dark circles are not sleep related, and not allergy related, but underveloped maxilla and weak jaw muscles related. Those big chubby cheeks that stayed with me even when I was underweight, and that 5 layers of wrinkles under eye when I smile are because of s**tty maxilla, and bad tongue posture resulting in weak jaw muscles - hence the baby fat face. You are an ugly freak and surgery will be an answer to all your suffering."
BELIEVE ME, I'M DETERMINED! 8)
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Hi WickedSick, sounds like you have a plan. Have you seen any surgeons yet for their recommendations? They may be able to help you decide what order to do things in.
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3. Pretty f**ked up/10
My exact impression lol! SARPE and then 3-piece! He's like straight out of a textbook. Get a sleep study, I bet you have OSA already but probably they'll advance you the max anyway just to get things to fit. How are your joints? Mid-30s mine are actually ok it seems but patients like us are high risk, the only thing you have going for you is your sex. Even the lower arch looks crowded, he might need extractions even. As to aesthetics, don't worry about it you're going to look great. Your philtrum looks like mine and I skimmed every paper known to man and did the calculations and determined that after advancement mine should be grossly normal. I'm actually concerned that any corrections like VY-closure might mess it up. Your biggest concern at this point should be your midface, which will likely look recessed after advancement. Not worth fixing at this point IMO but opinions vary here.
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My exact impression lol! SARPE and then 3-piece! He's like straight out of a textbook. Get a sleep study, I bet you have OSA already but probably they'll advance you the max anyway just to get things to fit. How are your joints? Mid-30s mine are actually ok it seems but patients like us are high risk, the only thing you have going for you is your sex. Even the lower arch looks crowded, he might need extractions even. As to aesthetics, don't worry about it you're going to look great. Your philtrum looks like mine and I skimmed every paper known to man and did the calculations and determined that after advancement mine should be grossly normal. I'm actually concerned that any corrections like VY-closure might mess it up. Your biggest concern at this point should be your midface, which will likely look recessed after advancement. Not worth fixing at this point IMO but opinions vary here.
My joints? :D Popping, cracking all the time. I wanted to start clean with a healthy lifestyle, and just today I was eating a piece of carrot until my molar broke into half. Emergency dental appointment tomorrow, likely pulling. It happens every few months. Welcome to my life.
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Hey molestrip! Thanks and I've already sent you a reply. I think I mistaken the 3 piece LeFort I with LeFort III? So based on symptomatology alone, you feel that SARPE + 3 piece would do the trick. I'm hoping it's just "that" simple. Pictures don't do justice. I have a very, very high arched palate. I'll try to upload another picture.
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+1 of side, and one picture showing how I smile at people when I have to.
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