I never understood why u need to extract teeth for bigger advancements
Two lower premolars (1 on each side) gets removed. The teeth gets pushed back to close the gap and to create a bigger overjet which gives more bsso advancement. If I had an horrible class II bite I wouldnt need extractions because there would be enough overjet. Its the other way around. I have a slight class II bite and need a bigger overjet for movement
if your lower jaw is very small, it cannot make a big movement without giving you an underbite. Therefore, 2 teeth in the lower jaw are usually extracted so that the tooth can be moved to the back and the surgeon can then perform a larger advancement
The aim is not to give chin projection but to create an overjet to increase the bsso advancement. The chin doesnt get vertical / horicontal projection through extractions.
No I need jaw projection. My whole lower third is recessed.
How did your ortho botch you
He said he was preparing me for surgery but then when I was ‘ready’ the oral surgeon saw that he couldn’t advance my jaw given the way my ortho did it. Basically, make sure your ortho and oral surgeon are constantly communicating. See your oral surgeon for checkups regularly.
That’s fucking unfortunate man, so many orthos are piece of shit retards
Doesnt mandible addapt the dental changes with time?
Wym? lke bone loss?
basically
but u put in titanium plates for extra bone. What other option is there? Even if you lose bone it doesn’t matter u had more bone than before
i know but wouldnt the bone loss/recession until the surgery cuck our final results by hindering the advancement with the added recession prior to surgery?
wisdom or premolar extractions btw? also nah tbh u will lose some bone but it’s usually to create a bigger overbite or something similar for then a larger advancement. Idk tho but u end up better than before. just calcium and vitamin d3 max to prevent bone loss ig
Helps i think, but doesn’t completely prevent
I already had Genio and I think that my mentolabial fold would look bad if I get another one,
Yes it does matter lol, premolar extractions and the resulting bone loss can completely fuck up your face and make it look flat asf
That is my fear when choosing extractions + BSSO route, although I have talked to a few people who have also extracted 2 lower premolars and have not observed any negative effects on the face. I think it depends on the person and of course the number of teeth that are extracted (some people get 4 or even more teeth extracted).
I was referring to maxilla premolars, not mandible. Idk if it would really impact the mandible tbh.
talking about when getting extractions for jaw surgery after. Ur not gonna have a flatter face than before
Yes I think maxilla extractions are way worse from what I´ve seen.
Yes
You will or won’t have a flatter midface?
From what I have read the BSSO advancement overweights negative impact from lower premolar extractions + LOWER premolar extractions dont seem to be as bad for the face, e.g. creating flat face, as UPPER extractions.
What about upper extractions + lefort
Depends if you want to be a a normie or a chad
ok thx
What did you end up doing?
