BIMAX with or without braces

[imnotincelcore]

About 1 month ago, I got a surgery plan by a surgeon that I consulted with. I was told that in order to perform major movements, I would need braces before and after the surgery.

Before that, I got a 3D teeth scan and a CT scan of my skull, which the surgeon used to create a surgery plan together with a biomedical engineer of a big company in the medical industry.
Here are the images:

If anybody wants the DICOM or the STL, please DM.

This week, I had a dentist appointment and asked about the pre-surgical braces and also about the possibility of pre-BIMAX MSE. To my surprise, the dentist told me that I had a "perfect bite". He also told me that I don't need surgery and would "look like a monkey" if I proceeded with it. He also said that my chin was too big and if I wanted to do anything cosmetically, it would be a reduction of my chin. I think he is talking bullshit. He was a young doctor that primarily worked with kids and I will obviously get a different opinion. However, it got my thinking about the need for braces when doing a BIMAX.

Are braces really necessary? And why do most surgeony require them before BIMAX? I doubt that anybody will have perfectly aligned teeth after surgery, so why not do braces after surgery, when needed? I know that you will have to live with your misaligned teeth for a while, but I still don't get why it is a requirement for surgery, when you will also have braces after surgery if you get them before the surgery is performed.

Is it possible to achieve "better" results when doing a BIMAX with braces? Is it a case by case thing or are there surgeons who always do one thing or the other?

Do people that get surgery in countries abroad) e.g. giant implants, safi et c.) get braces in their home country? Do these surgeons/engineers even offer BIMAX with braces?

To be honest, I am pretty sad after my dentist appointment. I waited for so long to speak with a doctor just to get absolutely bluepilled in front of a female assistant.

@NZb6Air @RealSurgerymax

 

[normie_joe]

About 1 month ago, I got a surgery plan by a surgeon that I consulted with. I was told that in order to perform major movements, I would need braces before and after the surgery.

Before that, I got a 3D teeth scan and a CT scan of my skull, which the surgeon used to create a surgery plan together with a biomedical engineer of a big company in the medical industry.
Here are the images:

If anybody wants the DICOM or the STL, please DM.

This week, I had a dentist appointment and asked about the pre-surgical braces and also about the possibility of pre-BIMAX MSE. To my surprise, the dentist told me that I had a "perfect bite". He also told me that I don't need surgery and would "look like a monkey" if I proceeded with it. He also said that my chin was too big and if I wanted to do anything cosmetically, it would be a reduction of my chin. I think he is talking bullshit. He was a young doctor that primarily worked with kids and I will obviously get a different opinion. However, it got my thinking about the need for braces when doing a BIMAX.

Are braces really necessary? And why do most surgeony require them before BIMAX? I doubt that anybody will have perfectly aligned teeth after surgery, so why not do braces after surgery, when needed? I know that you will have to live with your misaligned teeth for a while, but I still don't get why it is a requirement for surgery, when you will also have braces after surgery if you get them before the surgery is performed.

Is it possible to achieve "better" results when doing a BIMAX with braces? Is it a case by case thing or are there surgeons who always do one thing or the other?

Do people that get surgery in countries abroad) e.g. giant implants, safi et c.) get braces in their home country? Do these surgeons/engineers even offer BIMAX with braces?

To be honest, I am pretty sad after my dentist appointment. I waited for so long to speak with a doctor just to get absolutely bluepilled in front of a female assistant.

@NZb6Air @RealSurgerymax

You need to understand why you get braces in the first place. When you have skeletal discrepancies i.e a recessed jaw, your teeth will essentially tilt in opposite direction.

So if you have a retruded lower jaw, the teeth on the bottom jaw will tilt forward and the teeth on the upper jaw will tilt backward.

If you have an underbite, the teeth on your lower jaw will tilt backwards and the teeth on the upper jaw will tilt forward.

The surgeon wants you to get braces to undo that tilt and make your teeth straight.

The surgeon needs your teeth to be straight to align your bite properly. If your teeth are tilted, the surgeon is gonna have a hard time aligning your jaws. You gotta be able to chew properly post surgery, that's always #1 on their prioriy list.

When you undo that tilt, your "perfect bite" that you have currently will be not so perfect. You will have an overjet i.e a gap between your upper teeth and lower.

That gap is how much the surgeon can move if they only move one jaw.

Also your upper jaw limits how much your lower can move and your lower jaw limits how much your upper can move.

You saw a dentist who is not qualified, you should see an orthodontist who specializes in moving teeth. Remember your surgeon has given you the greenlight for surgery, so you can ignore your dentist.

 

[incel90000]

You need to understand why you get braces in the first place. When you have skeletal discrepancies i.e a recessed jaw, your teeth will essentially tilt in opposite direction.

So if you have a retruded lower jaw, the teeth on the bottom jaw will tilt forward and the teeth on the upper jaw will tilt backward.

If you have an underbite, the teeth on your lower jaw will tilt backwards and the teeth on the upper jaw will tilt forward.

The surgeon wants you to get braces to undo that tilt and make your teeth straight.

The surgeon needs your teeth to be straight to align your bite properly. If your teeth are tilted, the surgeon is gonna have a hard time aligning your jaws. You gotta be able to chew properly post surgery, that's always #1 on their prioriy list.

When you undo that tilt, your "perfect bite" that you have currently will be not so perfect. You will have an overjet i.e a gap between your upper teeth and lower.

That gap is how much the surgeon can move if they only move one jaw.

Also your upper jaw limits how much your lower can move and your lower jaw limits how much your upper can move.

You saw a dentist who is not qualified, you should see an orthodontist who specializes in moving teeth. Remember your surgeon has given you the greenlight for surgery, so you can ignore your dentist.

question, i have a 10mm overjet as in an overbite, you said the bottom teeth will tilt forward however my bottom teeth are straight and not tilted and my upper jaw teeth aren't tilted backwards either, they're forwards (atleast the 2 front ones). So what's that about? Is that a good thing? Does that mean braces wont take as long if i were to do this?

 

[normie_joe]

question, i have a 10mm overjet as in an overbite, you said the bottom teeth will tilt forward however my bottom teeth are straight and not tilted and my upper jaw teeth aren't tilted backwards either, they're forwards (atleast the 2 front ones). So what's that about? Is that a good thing? Does that mean braces wont take as long if i were to do this?

Oh that's a good thing, yeah it means your body didn't compensate as much. 1cm is a massive overjet and will clearly need jaw surgery.

Yep in your case braces will take considerable less time, or you might even be a surgery first patient.

 

[incel90000]

Oh that's a good thing, yeah it means your body didn't compensate as much. 1cm is a massive overjet and will clearly need jaw surgery.

Yep in your case braces will take considerable less time, or you might even be a surgery first patient.

Thats sick, so I'm not crazy to think about bringing up jaw surgery to my ortho

I'm going to my first appointment in 3 weeks, I've been considering what I would suggest if surgery wasn't possible (insurance issues (unlikely but possible) or something else), for appliances I was thinking sarpe/rpe (depending on plates) -> braces(without pulling the teeth back too much)&twin blocks or herbst

Is there anything else you'd suggest?

 

[nettspendsub5]

About 1 month ago, I got a surgery plan by a surgeon that I consulted with. I was told that in order to perform major movements, I would need braces before and after the surgery.

Before that, I got a 3D teeth scan and a CT scan of my skull, which the surgeon used to create a surgery plan together with a biomedical engineer of a big company in the medical industry.
Here are the images:

If anybody wants the DICOM or the STL, please DM.

This week, I had a dentist appointment and asked about the pre-surgical braces and also about the possibility of pre-BIMAX MSE. To my surprise, the dentist told me that I had a "perfect bite". He also told me that I don't need surgery and would "look like a monkey" if I proceeded with it. He also said that my chin was too big and if I wanted to do anything cosmetically, it would be a reduction of my chin. I think he is talking bullshit. He was a young doctor that primarily worked with kids and I will obviously get a different opinion. However, it got my thinking about the need for braces when doing a BIMAX.

Are braces really necessary? And why do most surgeony require them before BIMAX? I doubt that anybody will have perfectly aligned teeth after surgery, so why not do braces after surgery, when needed? I know that you will have to live with your misaligned teeth for a while, but I still don't get why it is a requirement for surgery, when you will also have braces after surgery if you get them before the surgery is performed.

Is it possible to achieve "better" results when doing a BIMAX with braces? Is it a case by case thing or are there surgeons who always do one thing or the other?

Do people that get surgery in countries abroad) e.g. giant implants, safi et c.) get braces in their home country? Do these surgeons/engineers even offer BIMAX with braces?

To be honest, I am pretty sad after my dentist appointment. I waited for so long to speak with a doctor just to get absolutely bluepilled in front of a female assistant.

@NZb6Air @RealSurgerymax

you need the braces so your teeth fit in your jaw. if your teeth are not in the right place and they move your jaw, your teeth aren’t going to be aligned… does this make sense?

 

[Foreverbrad]

you need the braces so your teeth fit in your jaw. if your teeth are not in the right place and they move your jaw, your teeth aren’t going to be aligned… does this make sense?

If they move your jaws together as a block, retaining your existing occlusion, it doesn’t matter.

Otherwise you need to move the teeth into their best position so that you can move one of the jaws independently forward to match the other without the teeth hitting.

In theory you could also do independent rotation of the jaws but I’ve never seen this done.