IPR makes the teeth smaller so you can pull them back—look it up on Google. The occlusal plane is a straight line from the incisors to the molars, and you can measure its angle relative to the Frankfurt plane
12mm bsso or pogonion?
That's a lot of new terminology haha, yeah I will search it up on Google.
Pogonion 12mm = 9mm lower jaw alone and 3mm more of the maxilla
Looks like you're almost done with decomp
It's easier to evaluate this ceph without the flared incisors. I can see why you'd want maybe a marginal advancment of the maxilla and big BSSO movement now. Mandible is clearly retruded.
Will need significant CCW considering disparity of LF and BSSO advancments.
I wouldn't say significant, I would say moderate CCW. 9 - 3 is 6, and he has a significant overjet right now
Yeah, I was completely wrong before. I think Ramieri's plan looks solid.
Yep. I had 2 so 6 is significant to me!
Yes
I would prefer to have a 4 or maybe 5mm advancement, but ramieri said that he doesnt want to do more because it can look weird, he said in the first consultation that 5mm of advancement are the max before looking like a wolf, so i think 4mm might be ideal.
No, I mean he will do a 3 mm maxilla advancement and 9 mm BSSO, so that's a 6 mm difference. Since he has a significant overjet, it won't be a huge rotation.
My mistake. Moderate CCW then.
About CCW numbers I have no idea how it works, but i can tell I might need a big CCW, what do you mean by disparity of LF and BSSO advancements?
It's difficult to explain rotations verbally. In your case, the CCW is going to be pretty moderate because you have a significant overjet.
Much more advancement of lower vs upper jaw.
I'll search the video of the consultation, he didn't mention any CCW there but you can see the 3D plan
That's usually the case because if you move the maxilla as far as the jaw it could dogmax, maybe after 5mm, so isnt that something normal, that the lower jaw has much more advancement than the maxilla ?
In Class 2s, there's generally much more mandibular vs maxillary advancement, yes.
No, you have skeletal Class II. Sometimes you need to move the maxilla more than the lower jaw—it's completely case-dependent. The reason why they're moving your lower jaw so much is to correct your overjet. If they moved your upper jaw the same amount, you would still have an overjet
Or if they moved the maxilla further, they have to advance the mandible as well and he'd end up looking like a chimp.
Yes I understand that, but the CCW how do you calculate that, is based on the distance and movements of the lower jaw and the maxilla?
Do you know that guy Timothy Haireth? What do you think about him? He looks chimpmaxed to me
Yes, I do. Chimpmaxed. Was never a candidate for bimax. His occlusion and jaw positions looked absolutely fine to me pre-op.
Please do,
Also curious to see
About the advancement of the jaw i heard that instead of moving the maxilla more they can do CCW to get a bigger advancement without doing risk of overadvancment of the maxilla
Ill send you
CCW moves the anterior (front of) maxilla forward. So there's still a risk of over-advancement.
Remember dont share it publicly on this or any forum, maybe i dont have permission to share this video publicly and if he finds it here that could lead to legal problems or anything so please dont share with anyone else.
I'm not sharing anything.
me too
