90 degree gonial angle over?

Ali7

Ali7

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I got it as a result from malocclusion. There’s a way to fix it but I need ramus widening during bsso. Can custom plates fix this or smtn?
 
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No
 
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I
Explanation?
It can work in some cases but is rly dependent on harmony. You can dm me a pic if you want
 
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I’ve seen research papers where a combined approach with a large modified like genioplasty and jaw shaving for the notch but maybe custom cut and plates can work
 
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I’ve seen research papers where a combined approach with a large modified like genioplasty and jaw shaving for the notch but maybe custom cut and plates can work
This is very hard to treat
 
Who are some good people I can tag that are knowledgeable on this type of stuff I don’t pm or talk to much here
 
trimax with downgrafting but case dependent, need to share front/side to determine
 
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If you have a short chin just do a vertical genioplasty
 
If it is actually 90 degrees then you will need jaw surgery
 
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trimax with downgrafting but case dependent, need to share front/side to determine
I heard of down grafting but never studied it interesting. I watched an animation but does it increase fwhr since ur bringing the maxilla downwards?
 
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i also have something close to 90
its brootal
 
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If you have a short chin just do a vertical genioplasty
Csnt because it will look weird with the gonial angle but I do agree when I jut my jaw and increase its height I ascend hard asf
 
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downgraft lf2 will decrease fwhr not lf1
Alright yea that’s good bc I don’t rlly need any more vertical length. I still need to measure my fwhr properly. So wait since the angle is 90 degrees custom plates can be used to alter the angle I assume?
 
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So wait since the angle is 90 degrees custom plates can be used to alter the angle I assume?
yes, when downgrafting the cut is on the horizontal part of the mandible keeping the ramus in the same position.
 
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yes, when downgrafting the cut is on the horizontal part of the mandible keeping the ramus in the same position.
Do you think a combined approach with ramus widen during bsso can still work because my jaw is narrow like shit
 
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I just realized this might now work but I have an insane ramus length I’ll pm
 
i have an almost 90° due to sfs

looks good on me.
 
Here’s a case for example that looks identical to mine. I still feel as if downgrafting won’t work for this especially if your mandible plane isn’t steep and would look uncanny because of the vertical height ur adding along with a large ramus
 

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