How is a short face due to deep bite treated?

[tinderhacker]

Yeah yeah, I perma jutt slightly 24/7 and never ever bite in front of other people

Dude when I bite my face becomes so small. Usually people with other types of deep bite have small midface but mine is actually perfect length. It’s only the mandible that becomes non existent during the bite

 

[straightheadandrew]

I never understood this.

Apparently doing a CW rotation will only make your deep bite worse.

Yet if I don't do cwr my terribly low gonial angle won't allow for much height increase.

How is it fixable?

a deep bite with a short face is usually treated with orthodontics, sometimes combined with surgery depending on severity. counterclockwise rotation (ccw) can help, but if your bite is deep, it might need to be corrected first with braces, bite blocks, or even mse if your maxilla needs expansion. if your gonial angle is too low, vertical augmentation genioplasty or even implants can help add height. best thing to do is see an ortho and maxfax who actually specialize in these cases they’ll know what’s realistic for your situation

 

[tinderhacker]

a deep bite with a short face is usually treated with orthodontics, sometimes combined with surgery depending on severity. counterclockwise rotation (ccw) can help, but if your bite is deep, it might need to be corrected first with braces, bite blocks, or even mse if your maxilla needs expansion. if your gonial angle is too low, vertical augmentation genioplasty or even implants can help add height. best thing to do is see an ortho and maxfax who actually specialize in these cases they’ll know what’s realistic for your situation

for people with small mandibles but good maxillas do they just do BSSO with CCW rotation to bring out the lower jaw?

From self diagnosis that’s essentially what I need

 

[slice]

for people with small mandibles but good maxillas do they just do BSSO with CCW rotation to bring out the lower jaw?

From self diagnosis that’s essentially what I need

If you have sfs you’ll need lefort too, to downgraft the maxilla.

 

[tinderhacker]

If you have sfs you’ll need lefort too, to downgraft the maxilla.

yes it’s called posterior downgrading which allows for the rotation of the mandible.

This doesn’t change the length of the midface from a visual perspective.

 

[muragoat]

I would like to also say that I have a deep bite , with a long midface

I have Damon braces rn but nothing change worse or better

same i have long mid face and deep bite, im getting bimax in 6 months

 

[kurdishnormie]

holy s hi t bro this problem is so fucking annoying literally nothing works

Me fellow kurd have you ever heard about bite pads

 

[tinderhacker]

It's called maxillary disimpaction; your case applies to mine word for word.

Here's alfaro's patient who had it done. Her profile looks remarkably similar to mine.



They essentially bring the maxilla down in a counter clockwise manner.

Problem is stability and I don't even know if my surgeon is capable of doing such maneuver.

The result is good except that the girl lost all gonial width from the front. Is there a way to achieve exactly this result without sacrificing the begonial width?

 

[tinderhacker]

Cool thread, missed this at the time.

My ortho is treating my deep bite by putting bite blocks on my front teeth, which leaves me in a posterior open bite. The posterior teeth are then all supposed to erupt further and close up the 2-3mm gap that exists thus correcting the Curve of Spee.

Meanwhile the incisors are moved into their ideal inclinations relative to the jaw bones creating a massive overjet.

I will then finally have bimax and lefort to move the lower jaw forward relative to the upper jaw and bring the incisors into proper occlusion.

My ortho thinks it might be possible to avoid the bimax entirely as the lower jaw can just move forward using play in the TMJ. We shall see. I will probably get bimax anyway for aesthetics reasons.

I must say, the approach surprised me as I thought the solution would be a CCW maxilla rotation rather than to try and correct the Curve of Spee with a purely orthodontic solution.

Update?

As for what you’ve wrote you’re essentially 90% correct except for the part where your ortho believe the lower jaw would slide forward. That part won’t happen without bimax.

People have already tried using appliances like the AGGA to move the teeth forward giving the illusion of lower jaw advancement. But all that does is cause TMJ issues.

However your 2 step plan is as solid as I’ve seen got deep bite cases.

 

[Foreverbrad]

Update?

As for what you’ve wrote you’re essentially 90% correct except for the part where your ortho believe the lower jaw would slide forward. That part won’t happen without bimax.

People have already tried using appliances like the AGGA to move the teeth forward giving the illusion of lower jaw advancement. But all that does is cause TMJ issues.

However your 2 step plan is as solid as I’ve seen got deep bite cases.

Update is that proclining my upper incisors created a gap behind them so he’s thinking to move them back into that gap to correct the bite.

However the molars are still class 2, not sure how this is meant to work. If I move my molars into class 1 by jutting then I have under bite.

 

[FLYlowHIGHlow]

Update is that proclining my upper incisors created a gap behind them so he’s thinking to move them back into that gap to correct the bite.

However the molars are still class 2, not sure how this is meant to work. If I move my molars into class 1 by jutting then I have under bite.

what to do now brother

 

[Foreverbrad]

what to do now brother

Cut the lower jaw and move it forward into correct occlusion

 

[FLYlowHIGHlow]

Cut the lower jaw and move it forward into correct occlusion

getting a consultation done this week