How to I ask my orthodontist to get me bimax?

[RayPeater]

How do I ask my orthodontist to get me bimax/orthognatic surgery?
16, UK
Currently starting orthodontic treatment:
-Very narrow palate
-Jaw maloccusion (front teeth don't meet)
-Deep overbite (recessed mandible)
-TMJ
-Sleep issues

Orthodontist wants to do premolar extractions, insane looxsmin due to bone resorption and linked to a variety of health issues to due with airways. When I brought this up to her (only to do with health concerns so I don't look like an autist) I got dismissed about "reading things on the Internet" (I was reading pubmed studies).

I understand NHS orthodontists aren't going to have an eye for aesthetics and are there purely to most efficiently treat whatever problem you have but what they're trying to do is going to directly sabotage me long term, caving my entire face in so that my teeth can be straight!

Surely I qualify for bimax/orthognatic surgery

 

[Zeekie]

Look for another orthodontist, lol, I don't think that's going to be an easy one to convince. Alternatively, suck it up until you're 18 and then get the surgery, it's only 2 years really (plus a few years of saving if you don't get insurance to cover it and have to do it as an aesthetic procedure if no orthodontist can help you by then).

 

[RayPeater]

Look for another orthodontist, lol, I don't think that's going to be an easy one to convince. Alternatively, suck it up until you're 18 and then get the surgery, it's only 2 years really (plus a few years of saving if you don't get insurance to cover it and have to do it as an aesthetic procedure if no orthodontist can help you by then).

I get what you mean. Braces should take like 1.5 years anyway before the surgery would even take place. Turning 17 in a month as well so feel incredibly frustrated that I was on a 3 year waiting list and missed out on having proper developmental treatment, retard dentist also said it was better to wait until the jaw was fully formed before doing anything like expanders because they don't know what development will look like. Genuine iqlet statement

 

[RayPeater]

I get what you mean. Braces should take like 1.5 years anyway before the surgery would even take place. Turning 17 in a month as well so feel incredibly frustrated that I was on a 3 year waiting list and missed out on having proper developmental treatment, retard dentist also said it was better to wait until the jaw was fully formed before doing anything like expanders because they don't know what development will look like. Genuine iqlet statement

equivalent of telling a cancer patient that they're gonna wait until they progress to stage 3-4 to start chemo/radiotherapy even though they've identified it at stage 1 because they don't know if the tumor is just going to somehow go into remission by itself

 

[Zeekie]

I get what you mean. Braces should take like 1.5 years anyway before the surgery would even take place. Turning 17 in a month as well so feel incredibly frustrated that I was on a 3 year waiting list and missed out on having proper developmental treatment, retard dentist also said it was better to wait until the jaw was fully formed before doing anything like expanders because they don't know what development will look like. Genuine iqlet statement

Honestly, it's such a shame these people are mostly trained on function and not on aesthetics, but you have to understand his position too, he has zero knowledge about this stuff and if I were him I wouldn't risk my license for a 16yo over something he doesn't understand.

So really, it boils down to looking for an orthodontist who actually knows about this stuff and giving you the referral, so insurance can cover it. If you don't manage to get it, then you may need to self-pay and do it for aesthetics rather than a functional issue. But really, either way you'll probably be forced to wait until 18, a dentist/orthodontist will be much more open to help you if they think you're done developing and stuff.

Kind of a tough position really, good luck, but being 100% real with you, I don't think you're getting the referral until at least 2 years. But then again, you could try going to other orthodontists and trying your luck.