Maxfac: go see ortho --> ortho: you're fine

[needagameplan]

maxfac said I should go see an orthodontist to see if treatment is indicated

I go back to my old orthodontist. he's very friendly and happy to see me.

he shows me my before treatment photos. my bite was pretty good. he shows me after treatment. looks like not much has changed.

he takes current photos. there has been some shifting. but he goes through each photo and says "this bite is pretty good".

regarding my functional issues, he brushed them off and said he recommends me go see another guy who might recommend a sleeping device.

regarding the uneven bite (more pressure on front teeth than back), he looks at photos and says "the bite is pretty good". I was thinking maybe there might be some sort of filler procedure at least?

regarding muscular tension and feeling that my bite holds back my lower jaw, he said the device might help if i am clenching at night.

he said nothing can realy change since my bite is good, so changing one thing would change everything.

brought up my airway briefly but he didn't seem concerned and i didn't want to sound crazy since i essentially came in for a 5 year checkup only to hear him say "your bite looks pretty good".

maybe after all this I will be better off living with my mild functional issues, hoping they don't get worse, and perhaps getting a conservative sliding genioplasty?

should i maybe try seeing a maxfac or should I just learn to live and be happy with what I have? in the grand scheme of things, even my profile is in the lower range of "normal" looking. I also have a SLIGHTLY gummy smile. I do have quite the medley of symptoms, but thus far they are all within a fairly normal range whereas surgery is incredibly invasive.

still I was hoping that he might offer a 6-month invisalign correction course as a treatment?

Why was he utterly uninterested in pursuing any treatment?

Maybe he was just being honest?

[needagameplan]

the thing that realy gets to me, is that advancing my lower jaw yields a hugely noticeable improvement to my profile and brings my whole profile into harmony. but when i advance it to the proper position I have a significant underbite.. so basically nothing could be done except to expand my upper palate then let the lower jaw come forward more naturally? like I don't think I need bsso, I just need the upper teeth to stop blocking the lower jaw...

[needagameplan]

looking at the photos the ortho took yesterday, i basically look fine... I can see why no one would want to do surgery on a case like mine...

I guess I see the problem...if you move ANYTHING then the whole bite is off, when it's already okay...

but the problem is, AT REST, I'm not comfortable. I feel like I have to hang my lower jaw open because it isn't easy to swallow with my current bite. should I have emphasized swallowing difficulty?

I don't think I could even bow the teeth out for some palatal width (my palate is a little narrow and the teeth are currently bowed in a bit to close the bit) because then the lower teeth need to be expanded!

I would think there's at least some minor adjustment that can be done with invisailgn to make things fit together a bit better?

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[needagameplan]

note that due to my head posture my recessed jaw looks better than usual. but looking at those photos i feel kind of crazy since I'm sure most of you would think I'm a nut for even considering surgery

[needagameplan]

well, I have some uplifting news. I feel like my ortho at least did not worsen my situation. in my picture at 15 years old pre-treatment, I have sunken lower eyes and my lower jaw looks more recessed. I look significantly better now than back then, so at least I can avoid that regret. In my before pics I can't really tell an obvious overbite but the lower jaw is a little more recessed

[notrain]

post a ceph.

preferably pre and post treatment and/or a current one.

[needagameplan]

i never got a ceph :-/ but it's definitely possible that i have mild sleep apnea