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Advice needed!!! Double Jaw surgery

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Miss01Herself:
Heya everyone,

I really want to have a double jaw surgery and I already had a consultation with dr. D in Belgium. He wants to first widen my upperjaw for 2 incisives implants (extracted when I was young), widen my lower jaw to align with uppers teeth and BSSO...So I dunno, what do you guys think? Based on my pictures. PS I also going to have a consultation with dr Z in Germany. Will keep you guys updated.

Many many thanks :-*

https://ibb.co/dCooSG
https://ibb.co/eDkDuw
https://ibb.co/nmSREw
https://ibb.co/h3MKZw

kavan:

--- Quote from: Miss01Herself on January 07, 2018, 02:38:11 PM ---Heya everyone,

I really want to have a double jaw surgery and I already had a consultation with dr. D in Belgium. He wants to first widen my upperjaw for 2 incisives implants (extracted when I was young), widen my lower jaw to align with uppers teeth and BSSO...So I dunno, what do you guys think? Based on my pictures. PS I also going to have a consultation with dr Z in Germany. Will keep you guys updated.

Many many thanks :-*

https://ibb.co/dCooSG
https://ibb.co/eDkDuw
https://ibb.co/nmSREw
https://ibb.co/h3MKZw

--- End quote ---

In the profile ceph scan, do you hold your head like how they have positioned you?  It looks like your head is positioned down and you might hold it up more in 'real life'. It looks like you could have bi-max. They would first need to push the front teeth forward (braces) to prepare for it and that the lower jaw most definitely could benefit by advancement.

kavan:
The lateral ceph is kind of weird as to head position.

The combination of the SNA AND SNB values (ANB) look right: Class 2 bone structure.

But the sna angle value is really low suggesting a lot of upper jaw retrusion
The snb angle value is really low too suggesting a lot of lower jaw retrusion.

But on one of your photos that's almost a profile, you don't look THAT retruded even though you can see the lower jaw could use some forward advancement relative to the upper jaw.

The head position in this photo suggests a BOAT LOAD of bimax advancement which is why I think there is something wierd about how your head is positioned in this ceph.

What was this particular head position pose for?

ODog:

--- Quote from: Miss01Herself on January 07, 2018, 02:38:11 PM ---Heya everyone,

I really want to have a double jaw surgery and I already had a consultation with dr. D in Belgium. He wants to first widen my upperjaw for 2 incisives implants (extracted when I was young), widen my lower jaw to align with uppers teeth and BSSO...So I dunno, what do you guys think? Based on my pictures. PS I also going to have a consultation with dr Z in Germany. Will keep you guys updated.

Many many thanks :-*

https://ibb.co/dCooSG
https://ibb.co/eDkDuw
https://ibb.co/nmSREw
https://ibb.co/h3MKZw

--- End quote ---

How is he going to widen your lower jaw?

kavan:

--- Quote from: ODog on January 08, 2018, 11:20:55 AM ---How is he going to widen your lower jaw?

--- End quote ---

That's a good question.  From the description given where she states space needs to be made to place tooth implants (also to the lower jaw), she could be referring to making space in the anterior-posterior direction (profile direction) where the term; 'width' or 'too widen' the lower jaw is incorrect use . To 'widen' the lower jaw refers to increasing jaw to jaw distance seen frontally.

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