Bimax consult in 4 days, need help on what to ask for/say. My xray included in post

[literalgoatted]

This is my xray.

In 4 days I have my bimax consult ive waited over a year for. Its with public healthcare in my country.

I think Ideally I want only maxillary advancement and CCW rotation instead of moving my mandible at all, but I believe my doctor wanted to touch my mandible last time.

How can I argue to my doctor in a good way to argue for not touching my mandible, and only doing rotation + maxillary advancement? What sort of health issues and claims can i bring up, like breathing stuff?

I really do not want my mandible touched, since they wanted to move it back even tho my maxilla is the problem and my mandible is downgrown and i need CCW.

 

[ICL]

View attachment 4498609


This is my xray.

In 4 days I have my bimax consult ive waited over a year for. Its with public healthcare in my country.

I think Ideally I want only maxillary advancement and CCW rotation instead of moving my mandible at all, but I believe my doctor wanted to touch my mandible last time.

How can I argue to my doctor in a good way to argue for not touching my mandible, and only doing rotation + maxillary advancement? What sort of health issues and claims can i bring up, like breathing stuff?

I really do not want my mandible touched, since they wanted to move it back even tho my maxilla is the problem and my mandible is downgrown and i need CCW.

why would you not want them to touch your mandible? they extend the maxilla, which would cause the underbite to become an overjet, which should be brang front with a bsso. Bimax will only extend your upper jaw and lower jaw together. Especially with people like you with underbites
Also, you gotta remove that wisdom teeth bro

 

[geenk worg]

Upper jaw only is probably not a good idea. Post your side profile so i could give a better assessment

 

[geenk worg]

why would you not want them to touch your mandible? they extend the maxilla, which would cause the underbite to become an overjet, which should be brang front with a bsso. Bimax will only extend your upper jaw and lower jaw together. Especially with people like you with underbites
Also, you gotta remove that wisdom teeth bro

what load of nonsense

the state of this forum...

 

[ltn_looksminner]

mandibular set back with premolar extractions and bsso , lefort to advance the maxilla , and maybe a slight CW rotation

CCW rotation

ccw rotation nigga what , ur already dogmaxed

downgrown

dude what ???? cant u see that ur mandibular angle is fucking nearly dogmaxxed ? you're a 2023 cel and you can't even figure that out


@tweaqo @LEFORT17 @lurking truecel @yussimania @AustrianMogger are retards like this the reason people tend to get "botched" with lower third osteotomies

 

[KinG_moSsAd]

i hope you mean cw rotation and the surgeon is not letting you advance only the maxilla lil bro

 

[tyler1234]

Show ur side profile looks like ur titling ur head up abit , h have a good / ideal lower jaw

 

[yussimania]

mandibular set back with premolar extractions and bsso , lefort to advance the maxilla , and maybe a slight CW rotation

ccw rotation nigga what , ur already dogmaxed


dude what ???? cant u see that ur mandibular angle is fucking nearly dogmaxxed ? you're a 2023 cel and you can't even figure that out


@tweaqo @LEFORT17 @lurking truecel @yussimania @AustrianMogger are retards like this the reason people tend to get "botched" with lower third osteotomies

is this a brachy class 3? brutal shit I've seen this in textbooks thought it was some ancient legend

OP don't ccw you will be all scrunched up you gotta do bimax CW rotation

 

[ICL]

what load of nonsense

the state of this forum...

stupid nigger tell me where i am wrong. He has an underbite and lefort will bring it into an overjet maybe 20-30%, corrected by a bsso, which is what makes it a bimax and not a lefort procedure alone

 

[ICL]

i need CCW.

no

 

[Deleted member 80642]

mandibular set back with premolar extractions and bsso , lefort to advance the maxilla , and maybe a slight CW rotation

ccw rotation nigga what , ur already dogmaxed


dude what ???? cant u see that ur mandibular angle is fucking nearly dogmaxxed ? you're a 2023 cel and you can't even figure that out


@tweaqo @LEFORT17 @lurking truecel @yussimania @AustrianMogger are retards like this the reason people tend to get "botched" with lower third osteotomies

Uhm what the fuck

CCW would literally be impossible anyway LOL.

Look at his occlusal plane.

Dont be silly OP

 

[IDontBlameAnybody]

I’m in a similar situation with you. They want to do premolar extractions to me for BiMax, but I’m scared it will fuck my face up.

 

[IDontBlameAnybody]

mandibular set back with premolar extractions and bsso , lefort to advance the maxilla , and maybe a slight CW rotation

ccw rotation nigga what , ur already dogmaxed


dude what ???? cant u see that ur mandibular angle is fucking nearly dogmaxxed ? you're a 2023 cel and you can't even figure that out


@tweaqo @LEFORT17 @lurking truecel @yussimania @AustrianMogger are retards like this the reason people tend to get "botched" with lower third osteotomies

What is ur opinion of premolar extractions for Bimax? My ortho told me I need premolar extractions for my bimax, but im scared it will fuck my face up.

 

[geenk worg]

stupid nigger tell me where i am wrong. He has an underbite and lefort will bring it into an overjet maybe 20-30%, corrected by a bsso, which is what makes it a bimax and not a lefort procedure alone

class iii cases who need both jaws advanced do exist, but it's surely not this one.

 

[literalgoatted]

why would you not want them to touch your mandible? they extend the maxilla, which would cause the underbite to become an overjet, which should be brang front with a bsso. Bimax will only extend your upper jaw and lower jaw together. Especially with people like you with underbites
Also, you gotta remove that wisdom teeth bro

because she originally wanted to touch my mandible as in pushing it back

 

[literalgoatted]

mandibular set back with premolar extractions and bsso , lefort to advance the maxilla , and maybe a slight CW rotation

ccw rotation nigga what , ur already dogmaxed


dude what ???? cant u see that ur mandibular angle is fucking nearly dogmaxxed ? you're a 2023 cel and you can't even figure that out


@tweaqo @LEFORT17 @lurking truecel @yussimania @AustrianMogger are retards like this the reason people tend to get "botched" with lower third osteotomies

im confused. might be my head tilt in the xray, but my frankfort mandibular is high, i was always told before that i need ccw by people like garoupilled, havent been active here in ages so im not sure how accurate that is

 

[literalgoatted]

i hope you mean cw rotation and the surgeon is not letting you advance only the maxilla lil bro

might be me tilting my head in the Xray since everyone i showed my actual face to said i should get ccw

 

[literalgoatted]

Uhm what the fuck

CCW would literally be impossible anyway LOL.

Look at his occlusal plane.

Dont be silly OP

1-2 yrs ago when I asked and everyone i showed my face to said my frankfort mandibular is too high and that I am downgrown. People like garoupilled, not sure if they are still around. Everyone who saw my face said I needed CCW. Could it be me tilting my head in the xray or was everyone lying to me

 

[monecel]

Some questions you might want to ask

• How many years have you been doing this (specific) surgery?
• How often do you do this procedure per year?
• What hospital service is covered?
• How long will the surgery take?
• What's would be your maximum advancement?

 

[Adee]

3x my airway size

 

[Adee]

update me

 

[literalgoatted]

update me

I had the consult

Turns out it wasnt even a consult, apparently 1.5years ago when I had the first consult we agreed the next one would be to extract my wisdom teeth, and since this one got delayed I forgot

So i pulled up ready to argue and reason about my plan and such and she just started ripping out my wisdon teeth.

They said after im done taking out teeth then Ill get an actual CT scan and not this shitty ceph then planning can properly happen.

 

[.dunkbro]

wisdom teeth extraction will ruin the face