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General Category => Functional Surgery Questions => Topic started by: Sinsajo on December 29, 2015, 06:17:15 PM

Title: CCW surgeon jaw
Post by: Sinsajo on December 29, 2015, 06:17:15 PM
Hey!!! I want to know some surgeon who performs any CCW in the jaw? (removing Arnett / Gunson and Salier)
Title: Re: CCW surgeon jaw
Post by: Bobbit on December 31, 2015, 02:54:09 PM
Hey!!! I want to know some surgeon who performs any CCW in the jaw? (removing Arnett / Gunson and Salier)

Why are you eliminating  Arnett, Gunson, and Sallier  from consideration as possible surgeons for your CCW rotation of your jaw ?
Title: Re: CCW surgeon jaw
Post by: kjohnt on December 31, 2015, 03:12:25 PM
Why are you eliminating  Arnett, Gunson, and Sallier  from consideration as possible surgeons for your CCW rotation of your jaw ?
Cost, I assume.
Title: Re: CCW surgeon jaw
Post by: Sinsajo on December 31, 2015, 03:17:15 PM
Because I do not want to have to prostitute to pay for surgery.
Title: Re: CCW surgeon jaw
Post by: Bobbit on December 31, 2015, 03:36:29 PM
Because I do not want to have to prostitute to pay for surgery.

How much do you expect it should cost to have your jaw surgery ?
Title: Re: CCW surgeon jaw
Post by: JimmyTheGent on December 31, 2015, 06:56:11 PM
Lol can someone just answer the question?? I actually want to know the same thing the reason being I am in NYC. Isn't that standard in jaw surgery these days?
Title: Re: CCW surgeon jaw
Post by: Sinsajo on December 31, 2015, 07:42:16 PM
20k-25k

~ 55k no such Arnett, Gunson, or 100k as Salier.

I think that Dr. Sinn Does and is united states.
Title: Re: CCW surgeon jaw
Post by: PloskoPlus on January 01, 2016, 02:02:22 AM
Lol can someone just answer the question?? I actually want to know the same thing the reason being I am in NYC. Isn't that standard in jaw surgery these days?
Few do CCW.
Title: Re: CCW surgeon jaw
Post by: kjohnt on January 01, 2016, 02:34:14 AM
Dr. Wolford does CCW.  He's in Dallas, TX.  I don't know anything about his prices.

Dr. Mommaerts in Brussels apparently does as well but I've read multiple bad reviews about him on this forum.

I've read that Dr. Bloomquist in Seattle doesn't by one member and does by another, so I'm not sure.  I'm going to consult with him soon so we'll see what he says.
Title: Re: CCW surgeon jaw
Post by: PloskoPlus on January 01, 2016, 02:47:51 AM
Dr. Wolford does CCW.  He's in Dallas, TX.  I don't know anything about his prices.

Dr. Mommaerts in Brussels apparently does as well but I've read multiple bad reviews about him on this forum.

I've read that Dr. Bloomquist in Seattle doesn't by one member and does by another, so I'm not sure.  I'm going to consult with him soon so we'll see what he says.
Lol, wolford invented CCW.   His before and afters are unbelievably good.  But his hospital prices are quite something.    The surgeon's fee is not that bad considering his stature in the field.
Title: Re: CCW surgeon jaw
Post by: ForeverDet on January 01, 2016, 04:39:16 PM
I've read that Dr. Bloomquist in Seattle doesn't by one member and does by another, so I'm not sure.  I'm going to consult with him soon so we'll see what he says.


Yeah he doesn't do CCW and he also won't treat patients with TMJ issues. His total costs though are quite affordable and he could be a good choice for "simple" cases. His double jaw surgery fee, hospital and anesthesia he quoted me 13k total I believe. Hell of a deal.

Lol, wolford invented CCW.   His before and afters are unbelievably good.  But his hospital prices are quite something.    The surgeon's fee is not that bad considering his stature in the field.

Not to mention he will push for total joint replacement even if you only have occasional clicking in your joints. He's one of the best for sure though and wouldn't hurt seein him I guess if you lived near him and had absolutely no joint crap as well as the money.
Title: Re: CCW surgeon jaw
Post by: PloskoPlus on January 01, 2016, 04:43:38 PM

Yeah he doesn't do CCW and he also won't treat patients with TMJ issues. His total costs though are quite affordable and he could be a good choice for "simple" cases. His double jaw surgery fee, hospital and anesthesia he quoted me 13k total I believe. Hell of a deal.
But where CCW is required, the alternatives almost always look s**t.
Title: Re: CCW surgeon jaw
Post by: Picollo30 on January 01, 2016, 04:53:13 PM
Sinsajo i'm from Portugal and i'm going to have BSSO with CCW rotation and impaction plus sliding genio.

My surgery is going to be in Oporto (Hospital São João). Dr. is Rui Balhau Mendes. How come maxfacs dont perform this when he said to me this is what he was going to do? Are you sure of this? Dr. said this is way to go because i have severe sleep apnea.

This is in my treatment plan. Dammit i dont want to be a guinea pig for someone or look worse than i do now.

Can you pm please?
Title: Re: CCW surgeon jaw
Post by: kjohnt on January 01, 2016, 05:13:32 PM
Sinsajo i'm from Portugal and i'm going to have BSSO with CCW rotation and impaction plus sliding genio.

My surgery is going to be in Oporto (Hospital São João). Dr. is Rui Balhau Mendes. How come maxfacs dont perform this when he said to me this is what he was going to do? Are you sure of this? Dr. said this is way to go because i have severe sleep apnea.

This is in my treatment plan. Dammit i dont want to be a guinea pig for someone or look worse than i do now.

Can you pm please?

I don't know anything about your surgeon, but the fact that he says you need CCW rotation and that he will do this for you is a good thing.  Ask him how many he's performed and if he has before/after photos of previous patients.
Title: Re: CCW surgeon jaw
Post by: ForeverDet on January 01, 2016, 05:23:19 PM
But where CCW is required, the alternatives almost always look s**t.

Duh that's why I said simple cases for Dr. B, implying those that don't require CCW. Not like mine or many others. He wanted to do straight advancement after examining me for 4-5 minutes using a ruler so I mentally crossed his name off the list during the consult. It was a red flag for sure that anyone who doesn't need just moderate advancement should bypass him. IIRC I mentioned CCW and the Arnett facial trait norm values without mentioning his name and he said it had "fallacies" or some s**t, using that approach. Okay buddy, having objective guide (it's not god's word) and utilizing essential rotational techniques has fallacies.

Title: Re: CCW surgeon jaw
Post by: kjohnt on January 01, 2016, 05:27:57 PM
Duh that's why I said simple cases for Dr. B, implying those that don't require CCW. Not like mine or many others. He wanted to do straight advancement after examining me for 4-5 minutes using a ruler so I mentally crossed his name off the list during the consult. It was a red flag for sure that anyone who doesn't need just moderate advancement should bypass him. IIRC I mentioned CCW and the Arnett facial trait norm values without mentioning his name and he said it had "fallacies" or some s**t, using that approach. Okay buddy, having objective guide (it's not god's word) and utilizing essential rotational techniques has fallacies.

He didn't do any ceph xrays or anything?
Title: Re: CCW surgeon jaw
Post by: ForeverDet on January 01, 2016, 05:38:36 PM
He didn't do any ceph xrays or anything?

Actually he did but he never looked at it and brought it up. I think it was a 3rd scan or something. When I asked the technician if I should keep my lips relaxed and not force them close, she almost laughed at me and said no. She had no understanding about relax soft tissue posture being essential for treatment planning and during x-rays. Especially annoying since my main concern was my huge lip incompetence.
Title: Re: CCW surgeon jaw
Post by: Sinsajo on January 01, 2016, 07:37:40 PM
Is this the CCW ?? you put the plates on the ear should not renew?

http://www.drlarrywolford.com/tmj-temporomandibular-joint-disorders/total-temporomandibular-joint-tmj-replacement-2/
Title: Re: CCW surgeon jaw
Post by: kjohnt on January 01, 2016, 07:58:13 PM
Is this the CCW ?? you put the plates on the ear should not renew?

http://www.drlarrywolford.com/tmj-temporomandibular-joint-disorders/total-temporomandibular-joint-tmj-replacement-2/

CCW is a different subject than TMJ replacement.  CCW is rotation of the jaws to make the occlusal plane less steep in respect to its relationship with the Frankfurt plane, and is achieved as part of bimax advancement by tipping the maxilla up in front and bringing it down on back, like a teeter-totter if you will (or simply more up in front or down in back).  TMJ replacement has to do with the joints.

Actually he did but he never looked at it and brought it up. I think it was a 3rd scan or something. When I asked the technician if I should keep my lips relaxed and not force them close, she almost laughed at me and said no. She had no understanding about relax soft tissue posture being essential for treatment planning and during x-rays. Especially annoying since my main concern was my huge lip incompetence.

Damn. 

First I realize I have a functional and aesthetic problem so I feel low.  Then I find out they were caused in part by my teenage orthodontics so I feel worse.  Then I figure out there are surgeries available to help correct my issues, so I feel much better.  Then I find out how much they cost along with that my insurance won't cover them so I feel worse again.  Then I find a surgeon in my area with reasonable prices (which I still can't afford but can make it happen) and I feel hopeful.  Then I read he doesn't do what I'm almost certain needs to be done on me and there are few surgeons who do, none of whom are within my financial reach.

I feel so sorry for folks who undergo these operations and end up with unsatisfactory results.  I couldn't imagine.

Anyway this s**t is f**king depressing.  I'm out for the night.
 
Title: Re: CCW surgeon jaw
Post by: molestrip on January 03, 2016, 12:31:44 AM
I consulted two surgeons locally, one does CCW and the other doesn't. I spoke to an army surgeon online and he does them. He told me most surgeons do it now but some who trained over 10 years ago still think it's unstable. Doesn't mean they all know how to do it or know how to do it well though. I would think you'd find it at any dental school at this point. This, btw, is one reason you can't trust your orthodontist's recommendation. CCW rotations have no dental impact so orthodontists just don't care about it. They judge only how the teeth look at the end.
Title: Re: CCW surgeon jaw
Post by: sert on February 25, 2016, 12:51:28 PM
Lol can someone just answer the question?? I actually want to know the same thing the reason being I am in NYC. Isn't that standard in jaw surgery these days?

I'm having bi-max with CCW rotation w/ Dr Stephan Sachs in NYC. Might be worth looking into him
Title: Re: CCW surgeon jaw
Post by: JimmyTheGent on February 25, 2016, 01:07:31 PM
I'm having bi-max with CCW rotation w/ Dr Stephan Sachs in NYC. Might be worth looking into him

Someone on this forum said that Sachs doesn't do CCW rotation I guess they were wrong.  I've heard lots of good things about Stephen Sachs.  Dr Steven Park a reputable ENT told me I should see Dr Neugarten MD/DDS who works with Dr Sachs. 
Title: Re: CCW surgeon jaw
Post by: meepmeepmeep on February 25, 2016, 01:23:40 PM
Dr. Terry Taylor in Houston does CCW and accepts a lot of different insurances. Also Dr. Reza Movahed in St. Louis. He was a fellow of Dr. Wolford and comes highly recommended by the man himself. He is probably in the 20k-30k range.
Title: Re: CCW surgeon jaw
Post by: JimmyTheGent on February 25, 2016, 01:38:25 PM
I emailed Derek Matthew Steinbacher, DMD, MD, FACS located in Ct. and his nurse wrote back saying he does jaw surgery with CCW rotation when needed.  I asked her how many jaw surgeries he does for sleep apnea per year and she said a little more than 100.   On a side note I was talking to a guy from another forum and he had double surgery with a female surgeon in Long Island NY who only does about 4 surgeries per year and his came out fantastic!!  He also said because she does so few jaw surgeries she was meticulous from beginning to end. Go figure. 

Dr Jamali also does CCW (I think)