Dr Obwegeser PSL god ramus widening

Acromegaly_Chad

Acromegaly_Chad

Offical Surgery Consultant
Joined
Apr 16, 2020
Posts
2,050
Reputation
5,178
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
 
  • +1
Reactions: AscendingHero, Mouthbreath, mulattomaxxer and 1 other person
Pagnoni does it also, and Augustopary also
 
  • +1
Reactions: Deleted member 14280 and Acromegaly_Chad
Getting a jaw implant would be so much easier wouldnt it?
 
  • +1
Reactions: Wallenberg
  • +1
  • Love it
  • JFL
Reactions: toolateforme, Deleted member 16110, Hankhill2160 and 6 others


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


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
 
  • +1
Reactions: AscendingHero

Attachments

  • 7105151A-F01F-4C38-89C4-F5EFA68F16BE.jpeg
    7105151A-F01F-4C38-89C4-F5EFA68F16BE.jpeg
    30.8 KB · Views: 101
  • JFL
Reactions: Acromegaly_Chad
  • +1
Reactions: Deleted member 2729
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
 
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.
 
are there any ramus widening before/after pictures?
 
  • +1
  • Ugh..
Reactions: mvp2v1, Wallenberg, Toth's thot and 1 other person
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
Mind if I ask the cost of this procedure.
 
  • +1
Reactions: Wallenberg
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
what do you mean by narrow? Can I see or can you give examples? And have you considerd chewing on steroids or hgh?
 


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

god that looks horrible.
 

Similar threads

asdvek
Replies
52
Views
3K
Giant Haystacks
Giant Haystacks
H
Replies
41
Views
4K
lebesgue
lebesgue
bradpittshairline
Replies
55
Views
5K
BootySniffer69
BootySniffer69
Mr. President
Replies
70
Views
5K
DR. NICKGA
DR. NICKGA
RSzeiS
Replies
5
Views
633
DeformedCell
DeformedCell

Users who are viewing this thread

Back
Top