Could jaw distractors+jaw sculpting add as an alternative to jaw implants ?

[reptiles]

Distraction osteogensis is the method of creating new bone tissue from large acts of distraction this principle in theory allows for unlimited amounts of movement this technique has it's own advantage and disadvantages such as long amount of down time, tons of potential pain if not done correctly, unpredictability large scars.

But here is the advantages you get new bone, more advancement is possible, you can keep repeating this process until you get to chad hood what do i define as chad hood ? some 1 who has forward growth (occasional plane is parallel to the mid philtrum line+ a more projecting jaw from the frankfurt plane.) in the upper and lower similar to the male posted here is a good representation of what i'm talking about.

off course certain independent factors exist not related to forward growth such as such as thinner soft tissues, hunter eyes you can be a really recessed person but have hunter eyes, skin tonne his is very pale, a high set hyoid so no sag is found in the jaw line.

Here are the things that are to do with forward growth the position of his mandible and ramus, the pointiness of his chin projecting cheek bones, a very forward and handsome face.

My question basically is could you have jaw distractors and jaw sculpting as an alternative to jaw implants ? assuming you have had CCW OR CW rotation to flatten any down wards growth from there all the issues arise due to recession could you use a ramus distractor combined with a jaw sculptor as an alternative to an implant ?


@RealSurgerymax
@Sergio-OMS

 

[sandcelmuttcel]

what's jaw sculpting?

 

[reptiles]

what's jaw sculpting?

Reshaping the jaw to a certain shape lets say you had a round 1 it could be reshaped to a square

 

[sandcelmuttcel]

Reshaping the jaw to a certain shape lets say you had a round 1 it could be reshaped to a square

by what?

 

[randomvanish]

what makes you think this new technique will be less problematic than a jaw implant ?

 

[reptiles]

by what?

Usually by a ostetomy based based device although osteotimes often have the down side of being limited to the amount of movement possible that is if your moving bone if you want to reduce bone rather than add bone you you can cut as much as you want

 

[reptiles]

what makes you think this new technique will be less problematic than a jaw implant ?

Well 1 This is working with your own bone structure so the results are permanent, the risk of infection only decreases, you have no risk of relapse of 1 or 2 mm most common with these techinques, with jaw implants because it's held with titanium plates you have a risk of shock vibrations which can wear down the material over years. This techique seems more impressive than an implant

 

[randomvanish]

it's held with titanium plates you have a risk of shock vibrations which can wear down the material over years.

wow, really ? i've never heard of this

 

[Deleted member 4430]

it is an impressive and definitely better procedure than BSSO and genioplasty, but the problem is that its mainly used to deal with big overbite aka micro jaw, chin. Im not sure if this is exactly the technique that invented or just practiced by the Australian surgeon.

but maxilla distraction is still sci-fi unless you have some syndrome and even that it is not self-saving with infinite expansion. Someone posted a year ago the twins who had distracted maxilla, in the end they looked only less deformed with a scar like after Lefort III.

 

[reptiles]

it is an impressive and definitely better procedure than BSSO and genioplasty, but the problem is that its mainly used to deal with big overbite aka micro jaw, chin. Im not sure if this is exactly the technique that invented or just practiced by the Australian surgeon.

but maxilla distraction is still sci-fi unless you have some syndrome and even that it is not self-saving with infinite expansion. Someone posted a year ago the twins who had distracted maxilla, in the end they looked only less deformed with a scar like after Lefort III.

This is a cope lefort 2 distraction osteogensis has been preformed on non deformed patients most of us aren't rich enough to afford it in the west but india that's a different story.

 

[Deleted member 4430]

This is a cope lefort 2 distraction osteogensis has been preformed on non deformed patients most of us aren't rich enough to afford it in the west but india that's a different story.

the point is nobody here needs it

 

[reptiles]

the point is nobody here needs it

If you want to get to chad hood you absolutely need it, assuming you have a normal occlusal plane all you need to do to reach to chad is to focus on the upper and lower jaw course eyes is also factor same with cranium but those surgeries are seperate and not neccarily the most important the most important is the development of the upper and lower jaws.

 

[ratiorichard]

what do u mean occasional plane parallel to the philtrum midline.

 

[reptiles]

what do u mean occasional plane parallel to the philtrum midline.

It should ideally be flat this is why you get CCW it's to flatten your occlusional curve

 

[ratiorichard]

It should ideally be flat this is why you get CCW it's to flatten your occlusional curve

damn mine is almost flat but not quite there. guess its lefort 1 for me.

 

[reptiles]

@RealSurgerymax

 

[Acromegaly_Chad]

How should distraction osteogenesis create lateral projection of the corpus mandibulae? Hlw would you even make the cut and fixate the distractor? And how do you create a convex shape of the corpus mansibulae using distractors?

All of this is not possible. Distraction osteogenesis can be used for simple linear advancements like leg lengthening or pushing the mandible forwards instead of a BSSO.

But currently there's no way around either osteotomies or implants. Some day not too far from now we will hopefully have materials that merge with the bone and ultimately become bone (PEEK goes into that direction) or some fillers that activate bone growth (radiesse is said to do so when injected near the bone).

 

[RealSurgerymax]

@RealSurgerymax

No.... They do different things.