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General Category => Aesthetics => Topic started by: Jayyy123 on March 30, 2017, 06:24:52 PM

Title: Treatment suggestion (pic inside)
Post by: Jayyy123 on March 30, 2017, 06:24:52 PM

Hey everyone,

I have a picture of my side profile with angles and am looking for some input. I have recessed upper/lower jaws and am wondering specifically what you guy would recommend based on this photo.

A bimax surgery is what was suggested but don't know if I am able to get the desirable CCW rotation because I do not have a gummy smile.

http://imgur.com/a/pzz7D

thanks in advance

Title: Re: Treatment suggestion (pic inside)
Post by: slysurfz on March 31, 2017, 05:37:32 AM

I agree with bimax , probably add a slding genio but cant say for sure with just the ceph trace

Title: Re: Treatment suggestion (pic inside)
Post by: Jayyy123 on March 31, 2017, 05:04:02 PM

What do you think about rotation though? From what I can tell the aesthetic benefits mainly come from CCW but I don't have a gummy smile so I would be restricted to getting it through impaction.

Or is my occlusal plane angle not too bad as is?

Title: Re: Treatment suggestion (pic inside)
Post by: ditterbo on March 31, 2017, 09:48:00 PM

Quote from: slysurfz on March 31, 2017, 05:37:32 AM

I agree with bimax , probably add a slding genio but cant say for sure with just the ceph trace

How are his jaws grossly deficient such that bimax would significantly help him?  Maybe you're right but I see hardly any deficiency at all in either maxilla or jaw. Haven't taken the extra time to check what those SNA, SNB etc angles are relative to mean though (hint hint OP).

Title: Re: Treatment suggestion (pic inside)
Post by: Jayyy123 on April 01, 2017, 02:02:48 PM

from what I found,

SNA: 82 +/- 2
SNB: 80 +/- 2

So ya not really close to the mean

E - ANB is how they are relative to each other, which is in a good range, but both the mandible and maxilla are significantly recessed based on the measurements (72.5/71.5 vs. 82/80)

Title: Re: Treatment suggestion (pic inside)
Post by: ditterbo on April 01, 2017, 07:02:25 PM

Quote from: Jayyy123 on April 01, 2017, 02:02:48 PM

from what I found,

SNA: 82 +/- 2
SNB: 80 +/- 2

So ya not really close to the mean

E - ANB is how they are relative to each other, which is in a good range, but both the mandible and maxilla are significantly recessed based on the measurements (72.5/71.5 vs. 82/80)

Just googling but ANB and SNA, SNB measure recession relative to different landmarks.  Given what little you showed us, a bad ANB value would be a lot easier to see than bad SNA/SNB's.  Your face is like harmoniously retrognathic, but I don't think one can tell much else from that crooked tracing (eg occlusal plane, mandibular plane angle) for optimal surgical movements.

Title: Re: Treatment suggestion (pic inside)
Post by: Lefortitude on April 02, 2017, 08:36:06 AM

had to check the date on this post because i thought it must be from 1979.  get some computer generated cephs