Does CCW on a mandible occur?

[Deleted member 17244]

I need CCW generally due to posteriorotation of the mandible, but maxfac gonna fix it with CCW on a maxilla or on the mandible? How does it work? AFAIK ccw on the maxilla should allow to fix downwarded grown mandible. Am I right?

@randomvanish @Acromegaly_Chad @RealSurgerymax @letmeon @Lorsss

 

[randomvanish]

you need CCW bimax, this is all you need to know. earn money and get shits done.

 

[Deleted member 17244]

you need CCW bimax, this is all you need to know. earn money and get shits done.

whats the point of bsso in my case?

 

[Silver]

Any rotation involves both the mandible and the maxilla. It's called rotation of the maxillomandibular complex. You can't only rotate the maxilla without the mandible following along. This would lead to malocclusion. You can however rotate without advancing at the site of osteotomy.

 

[Deleted member 17244]

Any rotation involves both the mandible and the maxilla. It's called rotation of the maxillomandibular complex. You can't only rotate the maxilla without the mandible following along. This would lead to malocclusion. You can however rotate without advancing at the site of osteotomy.

over i only have money on lefort, not on bimax at all

 

[Silver]

over i only have money on lefort, not on bimax at all

If you have vertical maxillary excess, specifically anterior maxilla excess (gummy smile along the incisors) then you can do maxillary impaction which will automatically (autorotation) cause CCWr of the mandible without any need for BSSO.

 

[Deleted member 17244]

If you have vertical maxillary excess, specifically anterior maxilla excess (gummy smile along the incisors) then you can do maxillary impaction which will automatically (autorotation) cause CCWr of the mandible without any need for BSSO.

nah, i have underbite with lateral crossbite and downwarded grown mandible

 

[Silver]

nah, i have underbite with lateral crossbite and downwarded grown mandible

If no vertical maxillary excess is present then you will need posterior downgraft of the maxilla which requires a BSSO for CCWr.

However, you can also "create" a gummy smile by undergoing a lip lift and then as a result of the newly created gummy smile undergo anterior impaction for autorotation of the mandible in a CCW direction.

 

[Deleted member 17244]

If no vertical maxillary excess is present then you will need posterior downgraft of the maxilla which requires a BSSO for CCWr.

I have underdeveloped maxilla which caused underbite and crossbite. I need a segmental lefort 1 according to my ortho, but I dunno should I get bsso also

 

[ChristianChad]

If no vertical maxillary excess is present then you will need posterior downgraft of the maxilla which requires a BSSO for CCWr.

However, you can also "create" a gummy smile by undergoing a lip lift and then as a result of the newly created gummy smile undergo anterior impaction for autorotation of the mandible in a CCW direction.

You're so smart Silver. .

 

[randomvanish]

You're so smart Silver. .

 

[ChristianChad]

very gay GIF