CAN BRACES BEFORE BIMAX GIVE YOU MORE TEETH SHOW?

[DonaldJTrump]

I might need bimax to fix my LONG FACE (vertical maxillary excess), i have scleral show as well, all from downward growth i think. however, i don't have a lot of teeth show (i have a NORMAL amount, i definitely don't have SFS at all but i'm not a gummy smilecel).


will getting braces to decompensate my teeth before bimax give me more of a gummy smile, more teeth show, so that i can impact my maxilla upwards during LeFort 1 and shorten my face?

 

[geenk worg]

you seem very confused my guy.
vertical maxillary excess means overly long distance between the nose and incisor edge. that makes a gummy smile unless you have a very long philtrum.

 

[LEFORT17]

I might need bimax to fix my LONG FACE (vertical maxillary excess), i have scleral show as well, all from downward growth i think. however, i don't have a lot of teeth show (i have a NORMAL amount, i definitely don't have SFS at all but i'm not a gummy smilecel).


will getting braces to decompensate my teeth before bimax give me more of a gummy smile, more teeth show, so that i can impact my maxilla upwards during LeFort 1 and shorten my face?

didnt u have a bimax already?

 

[DonaldJTrump]

you seem very confused my guy.
vertical maxillary excess means overly long distance between the nose and incisor edge. that makes a gummy smile unless you have a very long philtrum.

I know what it means, im wondering if braces can help “worsen” it.

didnt u have a bimax already?

yes but my face is too long now i want to shorten my face

 

[LEFORT17]

I know what it means, im wondering if braces can help “worsen” it.

yes but my face is too long now i want to shorten my face

hmm you got xrays?

 

[geenk worg]

I know what it means, im wondering if braces can help “worsen” it.

Yes it's possible but why would you do that? lengthen your face just to make it shorter after? Doesn't make any sense

 

[savemebimax]

I know what it means, im wondering if braces can help “worsen” it.

yes but my face is too long now i want to shorten my face

Yes

 

[geenk worg]

Yes

Notice the upper lip, he's just smiling differently.

 

[DonaldJTrump]

Yes it's possible but why would you do that? lengthen your face just to make it shorter after? Doesn't make any sense

I just need increased tooth show so that I can shorten my actual maxilla during surgery. Braces wont lengthen the face.

 

[DonaldJTrump]

Yes

Nice, he got braces in preparation for bimax?

 

[savemebimax]

Nice, he got braces in preparation for bimax?

Correct but I don't know if his face got shorter

 

[geenk worg]

I just need increased tooth show so that I can shorten my actual maxilla during surgery. Braces wont lengthen the face.

Increased tooth show = increased facial height, genius.
And yes it is possible to lengthen the face with braces, with a certain technique

 

[DonaldJTrump]

Increased tooth show = increased facial height, genius.
And yes it is possible to lengthen the face with braces, with a certain technique

what i meant is that i need my teeth to be at their true position (decompensated), which i assume means more teeth show, so that i could fix my vertical maxillary excess

 

[geenk worg]

what i meant is that i need my teeth to be at their true position (decompensated), which i assume means more teeth show, so that i could fix my vertical maxillary excess

Are your incisors proclined?

 

[DonaldJTrump]

Are your incisors proclined?

Yes, top are backwards, bottom forwards

 

[geenk worg]

Yes, top are backwards, bottom forwards

oh. that means your teeth are retroclined. in that case, fixing it won't increase your tooth show

 

[DonaldJTrump]

Increased tooth show = increased facial height, genius.
And yes it is possible to lengthen the face with braces, with a certain technique

1. Dental compensation can mask skeletal vertical excess​

• Kim et al., 2014 (Journal of Craniofacial Surgery):
  

  “Dental compensation may mask the underlying skeletal discrepancy… Retroclined maxillary incisors can reduce incisor display and gingival exposure.”
  Kim, Y.I. et al. J Craniofac Surg 2014;25(5):1703–1708

• Proffit et al., Contemporary Orthodontics (textbook):
  

  “When maxillary incisors are retroclined or intruded, the amount of gum shown on smile may be reduced, disguising vertical maxillary excess.”

---

2. Decompensation restores true skeletal relationship​

• Proffit & White, Surgical-Orthodontic Treatment (orthognathic surgery reference):
  

  “Pre-surgical orthodontics aims to eliminate dental compensation… This often includes proclining retroclined incisors and/or extruding them, which increases incisor and gingival display to permit accurate surgical correction.”

• Arnett & Gunson, 2004 (Am J Orthod Dentofacial Orthop):
  

  “Decompensation of incisor position is essential for proper surgical movements… For vertical maxillary excess, uprighting and extruding incisors may temporarily increase gingival exposure before impaction.”

---

3. Why this matters for Le Fort I impaction​

• Bell, 1992 (J Oral Maxillofac Surg):
  

  “Adequate incisor display preoperatively ensures that impaction of the maxilla will result in a harmonious smile line and facial proportion.”

unmasking the decompensation can allow you to impact the maxilla upwards. yes, it may lengthen the face temporarily (longer teeth, more gum show). BUT THIS IS A DENTAL CHANGE! NOT A SKELETAL CHANGE! YOU ARE NOT ACTUALLY LENGTHENING YOUR BONES/MAXILLA. that is IMPOSSIBLE without a downgraft!

once you have decompensated and have more of a gummy smile, more teeth show. then you can get a le fort 1 impaction upwards by a few mm and PHYSICALLY SHORTEN YOUR MAXILLA, bone-wise.

 

[geenk worg]

i doubt if you would notice it.

THIS IS A DENTAL CHANGE! NOT A SKELETAL CHANGE! YOU ARE NOT ACTUALLY LENGTHENING YOUR BONES/MAXILLA. that is IMPOSSIBLE without a downgraft!

wrong. it is possible.

 

[DonaldJTrump]

i doubt if you would notice it.

wrong. it is possible.

doubt i would notice what? the difference before and after le fort 1 impaction if i got braces to decompensate my teeth? you're right that it might be a small change, but it's still worth it imo for certain long faced people who REALLY need to shorten their faces (like me )....

 

[geenk worg]

doubt i would notice what? the difference before and after le fort 1 impaction if i got braces to decompensate my teeth? you're right that it might be a small change, but it's still worth it imo for certain long faced people who REALLY need to shorten their faces (like me )....

Then maybe you need chin shortening

 

[DonaldJTrump]

Then maybe you need chin shortening

tall chin is law. mine isn't over 3.0+ so nah...

 

[geenk worg]

tall chin is law. mine isn't over 3.0+ so nah...

maxilla impaction makes your chin look shorter as well. what did you think?