jawsurgeryforums.com
General Category => Functional Surgery Questions => Topic started by: Lytric on October 14, 2015, 10:49:03 AM
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Hi Everyone!!!
I am new and I've never posted to any similar forum before explaining my problem, but since I see here a lot of people with a lot of knowledge, I'd feel an idiot if I don't ask around here before going ahead with any sugery. Ok here we go. My situation is the following:
-I am a professional singer and I feel that my underdeveloped jaws are a handicap for my singing. I feel I don't have space for my tongue and my soft palate is too low. I sang for more than 15 years and I am 100% conscious of my oral movements: tongue, palate, jaws, eppiglottis and larynx.
-I have sinusitis, jaw tension, a moderate sleep apnea,snoring.
- I had braces and 4 premolars (2+2) removed 12 years ago. I am now 29.
-Due to the sinusitis and a deviated septum (broken nose). I had a nose job that corrected more or less as well my profile. Helped me to breath through the nose, but I still feel It's not very easy.
As you can see in my x ray, i believe I have underdeveloped and recessed jaws. My bite is good i think although too backwards.
Would an Bimax advancement + genio help me to improve this issues+ improve aesthethics? I am worried to end up with a huge upper lip. Now is very thick and i don't want it to protude more. I don't really know how a CCW could actually help my mouth to not protude and make my upper lip in a more vertical position. In addition I have small teeth and I think that doesn't help at all.
Thanks a lot for your help!!!
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Anyone??
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i'm not expert either but your occlusion angle seems good. for you I'd say a forward advancement is enough. Not sure if how your bite is but if you feel like you have a narrow smale or arch youd need some kind of expansion, if youre looking into surgical expansion you'd need SARPE a couple months before regular jaw surgery.
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I have recently read a study which showed that a two piece lefort 1 is as stable as a SARPE to widen the maxilla. Seems that having the widening done as part of the advancement would be a better thing to do. One less surgery.
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i'm not expert either but your occlusion angle seems good. for you I'd say a forward advancement is enough. Not sure if how your bite is but if you feel like you have a narrow smale or arch youd need some kind of expansion, if youre looking into surgical expansion you'd need SARPE a couple months before regular jaw surgery.
Don't you need sarpe like at least a year before surgery?
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Not 100% sure. I think it's like 6-12 months before b
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Hi!! Thanks for the reply, My bite is good i think, I don't think I have a very narrow palate, and I'm a bit afraid to lose cheekbones if i expand the palate and I get my jaws moved forward. I am concerned that If I get my jaws moved forward (both) my mouth would end up very protruding and my upper lip will look (i know its just an illusion) longer. I am not sure but it looks like my upper jaw its actually protuding a bit only in the lower part (where the teeth roots are). Omg there are too many things to consider!!
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In addition, moving the jaw forward helps to improve the breathing-sinusitis problem, right?I guess that any forward movement will improve this as the tongue and palate will be further away from the larynx, but I am not sure if I'd benefit more if the jaws are also moved CCW...