Blackpill Dr Obwegeser PSL god ramus widening

Acromegaly_Chad

Acromegaly_Chad

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So after Dr T and Z talked shit about BSSO Ramus widening I have found this in one of Dr Obwegesers papers:

Case 2: retromaxillism, narrow maxilla,
mandibular retroalveolism
Clinical characteristics
Frontal view showing narrow facies with poor
gonial angle contour (Fig. 2A)
Concave profile
Flat midface: maxilla and malar
??Edentulous?? facial expression
The chin prominent but in normal position
Lack of dental support to the upper and lower lip
Prominence of nasolabial folds and crease
Narrow alar base
Class I molar and canine relation
Crowding in the maxillary and mandibular
dental arches
Incongruent curves of Spee
Protrusive maxillary incisors

Treatment plan
The treatment plan is a combined surgical and
orthodontic approach. The two-stage surgical
approach (Figs. 2B?D) is
1. Anterior mandibular alveolar segment distrac-
tion osteogenesis [4,5] and surgically assisted
rapid palatal expansion (see Fig. 2B).
2. Orthodontic alignment of two dental arches,
including full decompensation of the existing
skeletal anomalies. Now it becomes clear that
this case is a class III case (retro-/micromaxil-
lism). The occlusion before the second surgical
procedure shows class III molar relation and
a negative overjet. The opened space behind
the canines will be managed by dental implants
at the end of the treatment.
3. Bimaxillary surgery: 13 mm of maxillary
advancement at the LeFort I level, mild mandib-
ular set back through BSSO [6], and clockwise
rotation of both jaws. In addition, vertical chin
augmentation and, again, mandibular segmen-
tal osteotomy for widening of the mandible.


If he does, it must be safe. He's literally my last resort now to fix my FUCKED up narrow CUCK mandible
 
RODEBLUR

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Zenturio

Zenturio

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Getting a jaw implant would be so much easier wouldnt it?
 
wagbox

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SixCRY said:
bone or die
Sometimes you simply don't have a better choice but you are right to go with bone here
 
Boldandbeautiful

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Implants are the only cope for us realistically, Sergi looks pretty good and I'm almost certain this asshole got silicone in his face.
 
SixCRY

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Boldandbeautiful said:

Implants are the only cope for us realistically, Sergi looks pretty good and I'm almost certain this asshole got silicone in his face.
this nigga look very uncanny
 
Boldandbeautiful

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SixCRY said:
this nigga look very uncanny
I did say pretty good. Implants bro, what you gonna do.. :feelsbadman:
 
SixCRY

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Boldandbeautiful said:
I did say pretty good. Implants bro, what you gonna do.. :feelsbadman:
too much angularity , also maybe it's HGH abuse , the dude is disgusting but he have good bone
 

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Acromegaly_Chad

Acromegaly_Chad

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Zenturio said:
Getting a jaw implant would be so much easier wouldnt it?
No implant for narrow airways
 
KraftDurchLeid

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Acromegaly_Chad said:
13 mm of maxillary
advancement at the LeFort I level, mild mandib-
ular set back through BSSO [6], and clockwise
rotation of both jaws.
:hnghn:

Damn, I don‘t even want to imagine that jaw
 
Zenturio

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Acromegaly_Chad said:
No implant for narrow airways
How does mandible widening affect airways tho
 
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SixCRY said:
Pagnoni does it also, and Augustopary also
Dr pary seems legit, his work is good and studied under raffaini iirc
 
TryingToImprove

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I can’t find significant data on anterior mandibular segmental distraction osteogenesis, but I’m not sure how it differs in functionality and results from the more common MSDO (mandibular sympheseal distraction osteogenesis), which does aesthetically widen the chin but NOT the ramus, and can lead to poor harmony if the chin and ramus-to-chin angle are not already narrow. The distractor placement seems similar if not nearly identical.
 

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