Hi everyone,
Seeking your opinions on my case.
Main concern is sleep apnea prevention and general health + aesthetics. I was initially concerned with condylar resorption but the surgeon i saw says condyles look fine and big enough and doesn't recommend replacement
Some pictures of smile and resting mouth posture, palate :
https://imgur.com/a/9zbehcNSide profile with tongue up holding my breath:
https://i.imgur.com/e2KsoKW.pngCeph and panoramic:
https://imgur.com/a/AIJFMF6I'm located in Canada.
I recently had a first consultation with a surgeon and here is the proposed plan i got on his report:
Diagnosis : Long face, class 2 div 1, anterior open bite
Gum show measured at 5mm when maximum smile, incisor show 10mm
Treatment plan:
Lefort 1 (1 piece)
Maxillary advancement (not specified how much)
Differential impaction : 5mm anterior, 3mm posterior
CCW rotation
BSSO 10mm advancement
Lateral deviation 1.5mm on the left
Genioplasty - 8mm advancement - 3 to 4mm reduction
Just wondering after reading a lot about CCWr, impaction, posterior downgraft.
What do you think of the plan ?
I know i need a lot of CCWr and would like to know if you guys think i need impaction, or downgraft, or both, and what should i ask the next surgeon.
I also saw all the stories about overimpaction on here.
I read that no surgeons do posterior downgrafts in Canada but not sure if i even need it.
I plan to probably do MSE first to maximize transverse expansion first since palate is narrow.
Thanks in advance for your time.