Hey, so I'm beginning to learn A HELL OF A LOT more of all the s**t that go wrong, even at just the orthodontics stage of preparing for surgery, leave alone the surgery itself.
Specifically, you should know that the gums are in a constant state of gingival inflammation the entire time you are in braces. This is VERY bad for your teeth roots/gum health etc. While this should resolve once your braces are taken off (remember min. 6 months AFTER surgery) the longer you have your braces, the worse it is for your overall oral health, not to mention comfort. But while in theory this should all resolve it is WAY WORSE the older you get, i.e. late adolescent or older and if you're an adult, you should be ESPECIALLY CONCERNED.
Let me share my problems: first, my treatment time was dramatically extended due to extractions, in fact an entire 1.5 years. These extractions and closing spaces created horrible problems for me, making my arches smaller, unaesthetic result.
DARK TRIANGLES/SPACES BETWEEN TEETH: if you've had extractions you'll have spaces between the teeth or close to the gum line. These will always fill up with space and you'll have to constantly use one of those little brushes to clean between every tooth. Also they look like s**t and make you look much older.
BUT WAY WORSE: I now have serious periodontal recession. The gum tissue is receding, roots are exposed to bacteria, and are beig damaged. Moreover, remember you can't have a proper teeth cleaning min 1 year after surgery so expect a ton more damage after your surgery and during recovery!!!
Of course those ASSHOLE orthodontists don't tell you about any of this s**t.
I've been told now by several surgeons: maximum time it should take for you to be orthodontically prepared for surgery is 12 -16 months. And if you don't have extractions(WHICH YOU SHOULD NEVER HAVE) it should take 12-15 months at the most. Total turnaround time till you're dismanded should be within 2 years.
You're putting your teeth, gums, etc. etc. at serious risk if you don't have an experienced orthodontist who has done hundreds of such cases and understands the need for expedient treatment.
There is no solution for the dark triangles which will require a combination of bonding, gum grafting, and even then may still need veneers, and all of this is even worse for your dental roots, health etc. etc.
The conclusion of this article says orthodontic appliances do not necessarily put you at increased risk for periodontal disease --this is BULLs**t --if you have chronic gingival inflammation and recession for close to 2-3 years WHAT THE FUK DO YOU THINK IS GOING HAPPEN?
Regardless, this article mentions some of the risks and they are SCARY!
http://eprints.whiterose.ac.uk/401/1/bensonpe6.pdf
