Help starting the hardmax journey downgraft bimax/ortho

disco

disco

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Note: -I’m in the beginning of my research on this (sorry if there’s dumb questions)

I have
-slightly small face
-short piltrum
-malocclusion
-narrow pallet
-minimal teeth gaps
[/SPOILER
IMG 5827
IMG 5826
IMG 5670
IMG 5671
]


Now my first thought is to go to an airway orthodontist (I already have one picked out) but I’m taking a guess and saying he wouldn’t even consider a Bimax sense my bite isn’t extreme and I’m not very resessed. I just have a short face which is an aesthetic problem and he’s a functional doctor not aesthetics that being said I have no idea who to go to first because I have functional and aesthetics problems I would like to get fixed.

Other concerns:
- I’ve heard it may prevent being able to get gonion angle implants later
- Is my case extreme enough that’s it’s even worth it. Because In my case it’s not very extreme but the fact I’m tall greatly exaggerates in photos of my whole body not just my face.
-ortho will most likely recommend maspe or some kind of expansion which may cause my face to look even shorter and wider. Aswell as may widen my already wide ipd. And will widen my nose but I’ll prob get rhino anyways.


Note: obviously I’m scared of a bimax but I’m willing to do it if it makes drastic/worthy changes
 
click on “spoiler” for the rest of the thread (accidentally put the spoiler for the rest of the thread not just the pictures)
 
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Note: -I’m in the beginning of my research on this (sorry if there’s dumb questions)

I have
-slightly small face
-short piltrum
-malocclusion
-narrow pallet
-minimal teeth gaps
[/SPOILERView attachment 4976605View attachment 4976607View attachment 4976629View attachment 4976631]


Now my first thought is to go to an airway orthodontist (I already have one picked out) but I’m taking a guess and saying he wouldn’t even consider a Bimax sense my bite isn’t extreme and I’m not very resessed. I just have a short face which is an aesthetic problem and he’s a functional doctor not aesthetics that being said I have no idea who to go to first because I have functional and aesthetics problems I would like to get fixed.

Other concerns:
- I’ve heard it may prevent being able to get gonion angle implants later
- Is my case extreme enough that’s it’s even worth it. Because In my case it’s not very extreme but the fact I’m tall greatly exaggerates in photos of my whole body not just my face.
-ortho will most likely recommend maspe or some kind of expansion which may cause my face to look even shorter and wider. Aswell as may widen my already wide ipd. And will widen my nose but I’ll prob get rhino anyways.


Note: obviously I’m scared of a bimax but I’m willing to do it if it makes drastic/worthy changes
Bimax would be life changing for you, it looks like you have SFS. Skip the MSE/MARPE.
 
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1777372174965
why get bimax when no recession at all, doing bimax just for downgraft or ccw is just retarded. also smile normally and show the teeth show. if its not really small you shouldnt even think of bimax. you could prob get away with a down graft genio for 70-80 procent of the profit for 20% procent of the effort and time
 
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View attachment 4978000 why get bimax when no recession at all, doing bimax just for downgraft or ccw is just retarded. also smile normally and show the teeth show. if its not really small you shouldnt even think of bimax. you could prob get away with a down graft genio for 70-80 procent of the profit for 20% procent of the effort and time
1000107364


This level of tooth show at repose or death
 
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View attachment 4978090

This level of tooth show at repose or death
i mean tooth show is both about gummy smile and lip incompetence, and gregor has too much, he is slighly downward grown in the end

1777374196524


in gregors total relaxed state his lips dont even close, but there are many good looking ones which have this and some jaw surgeons even live it like that for aesthetics

1777374293865

in this pic its even more obv that his lips dont close in total relaxation unless straining
 
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Bimax is mostly for cases with malocclusion or severe asymmetry. What malocclusion did your ortho say you have? Did they measure overjet, etc?
 
Bimax is mostly for cases with malocclusion or severe asymmetry. What malocclusion did your ortho say you have? Did they measure overjet, etc?
Bimax mainly due to my short face syndrome but the other things I have are
-narrow pallet
-sleep apnea
-tounge doesn’t fit in mouth
And then minimal
-over bite
-overjet
-crossbite
 
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Bimax mainly due to my short face syndrome but the other things I have are
-narrow pallet
-sleep apnea
-tounge doesn’t fit in mouth
And then minimal
-over bite
-overjet
-crossbite
Show your smile

A social smile you would do with a group of friends not showing your bite or doing some stupidly wide smile
 
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Show your smile

A social smile you would do with a group of friends not showing your bite or doing some stupidly wide smile
Ngl I don’t smile with my teeth but I tried

IMG 5835
IMG 5834
 
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Ok, what does the smile show to make you think I should?
Have mouth open like dead mouth breathing face and see how much teeth show you have ? Like relaxed face but mouth open
 
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Teeth show is determined by a full smile, not a relaxed smile. You dont want to have gum show when you laugh. Aesthetically you don't need a bimax
 
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View attachment 4978000 why get bimax when no recession at all, doing bimax just for downgraft or ccw is just retarded. also smile normally and show the teeth show. if its not really small you shouldnt even think of bimax. you could prob get away with a down graft genio for 70-80 procent of the profit for 20% procent of the effort and time
Downgraft genio wouldn't be great at all. He'd become ogre looking. Philtrum is already well on the small side
 
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Teeth show is determined by a full smile, not a relaxed smile. You dont want to have gum show when you laugh. Aesthetically you don't need a bimax
When you laugh there should be gum show wdym - also having slightly too much gum show is far better than having none at all (imo)

OP need a bimax for sure bro
 
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And you're like doing a normal smile that you would do in a friend setting? Not like a subtle one
I mean it makes sense

People with vertical maxillary deficiency won't smile properly out of habit so he isn't used to smiling
 
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When you laugh there should be gum show wdym - also having slightly too much gum show is far better than having none at all (imo)

OP need a bimax for sure bro
it shouldn't really. 1-2mm at most. He could just do lefort downgraft
 
Holy shit since when did it get this good?
New GPT image update, looks powerful for morphs, and more even (all those diagrams + info were AI generated)
 
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You can also instruct it to do certain things like reducing UEE and such @yussimania

You also have full control to the diagrams and info that you want displayed
 
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You can also instruct it to do certain things like reducing UEE and such @yussimania

You also have full control to the diagrams and info that you want displayed
Man these Turkish surgeons are gonna have a field day with this for their IG marketing
 
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