How is a short face due to deep bite treated?

[Foreverbrad]

I didnt really understand this, your ortho thinks its possible that the lower jaw will just fall in place and you'll be basically perma jutting?

Essentially yes, correct the occlusion and let the TMJ do the rest. I have doubts.

 

[slice]

Essentially yes, correct the occlusion and let the TMJ do the rest. I have doubts.

I doubt that too, especially if you have a deepbite it may not even be possible to fix the occlusion without surgery

 

[Foreverbrad]

I doubt that too, especially if you have a deepbite it may not even be possible to fix the occlusion without surgery

How would you expect the surgery to fix the deep bite to look?

I thought it would be a CCW rotation of the maxilla to bring the incisors up and the molars down, then some orthodontic fine tuning.

 

[punanslayer123]

Ooh I thought you were talking about there being no surgical options. Kinda scared me there.


This is one of the biggest ascensions I've seen to date:




One last question I have for you since you also happen to have a deep bite:


So we all know that when our molars touch our jaw is shorter. Most deepbiters thus jutt their jaw all the time.


However, there's a third thing I can do with my jaw: I can let it "drop" fully. I then have a huge gap (10mm) between my upper and lower incisors. Can your jaw also drop a lot when you relax it fully?

I have a deep bite and it makes my face look short as fuck. When i was like 15 i decided to just jut it forward as often as possible. Now it feels weird when im not jutting it forward, and my relaxed state is my jaw being held forward, only time i’m not is when im eating

 

[slice]

How would you expect the surgery to fix the deep bite to look?

I thought it would be a CCW rotation of the maxilla to bring the incisors up and the molars down, then some orthodontic fine tuning.

downgraft of the maxilla and vertical genio if needed. Rotation can also increase height but depends on the occlusal plane

 

[Foreverbrad]

downgraft of the maxilla and vertical genio if needed. Rotation can also increase height but depends on the occlusal plane

Maxillary downgraft without BSSO makes sense but also risks an anterior open bite if done without proper consideration.

Need to make sure my ortho and surgeon are actually on the same page.

 

[idkwhattoputhere]

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?

lengthening of the mandible to match probablt

 

[tinderhacker]

Ooh I thought you were talking about there being no surgical options. Kinda scared me there.


This is one of the biggest ascensions I've seen to date:




One last question I have for you since you also happen to have a deep bite:


So we all know that when our molars touch our jaw is shorter. Most deepbiters thus jutt their jaw all the time.


However, there's a third thing I can do with my jaw: I can let it "drop" fully. I then have a huge gap (10mm) between my upper and lower incisors. Can your jaw also drop a lot when you relax it fully?

I have never related to something more than “most deepbiters jutt their jaw all the time”

I don’t even know the term and I do this subconsciously and have been since I was a teenager.

Have you fixed it yet?

 

[Lonenely sigma]

I have never related to something more than “most deepbiters jutt their jaw all the time”

I don’t even know the term and I do this subconsciously and have been since I was a teenager.

Have you fixed it yet?

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

 

[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.