Is IMDO even done anywhere?

[ChristianChad]

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Possibly gonna get bone borne expander on upper palate and expand until I become a candidate for IMDO.
Where can I get IMDO treatment? Can it be performed in a public Israeli hospital with local maxillofacial surgeons from there? (Expecting a no, this seems to be a rare surgery until only 5 years ago at least. Would definitely be a pro do to it in my country though as I'll probably be properly hospitalised and it's not too far from my city. IMDO requires hospitalisation stay of a few weeks IIRC)

 

[Deleted member 7725]

Why do you need IMDO? It will do nothing for aesthetics. People here don't understand that bone mass is way more important for aesthetics than position.

 

[ChristianChad]

Why do you need IMDO? It will do nothing for aesthetics. People here don't understand that bone mass is way more important for aesthetics than position.

My dental arch is fairly narrow, teeth are all in straight but front teeth come forward and are tilted out, same for my upper palate/teeth, this is due to medical malpractice by my public health Orthodontist, now I have bad bite (Prognathism) and can bite an apple through a fence jfl

Distraction Osteogenesis adds literal bone mass, does it not? Or is it so only in kids?

 

[Deleted member 7725]

My lower jaw is fairly narrow, teeth are all in straight but come forward and are tilted out, this is due to medical malpractice by my public health Orthodontist, now I have bad bite (Prognathism) and can bite an apple through a fence jfl

Distraction Osteogenesis adds literal bone mass, does it not? Or is it so only in kids?

It will only add bone mass where it's split. Not at the mid mandible, gonions, or forward movement of the chin.

 

[Deleted member 3679]

Why do you need IMDO? It will do nothing for aesthetics. People here don't understand that bone mass is way more important for aesthetics than position.

The position of your jaws affect the perception of bone mass... if you're recessed with decent bone mass it will look like shit.

 

[Deleted member 7725]

The position of your jaws affect the perception of bone mass... if you're recessed with decent bone mass it will look like shit.

I never mentioned anything about forward growth.

IMDO is for widening the jaw (as far as I know). It will provide nominal aesthetic improvement. Same with MSE.

 

[LightSkinNoob]

IMDO is great if you want to grow the in three dimensions if you have a narrow jaw and overbite, however few surgeons do it and it’s expensive. If your older than 22, BSSO might be better.

 

[ChristianChad]

It will only add bone mass where it's split. Not at the mid mandible, gonions, or forward movement of the chin.

I guess you're right. Do you know if it can increase chin width? Or is this only with MMDO/MSDO (only heard of this today, massive thanks to @ NegativeNorwood for shedding light on this for me, seems fucking legit

Spoiler: MMDO / MSDO

Midline Mandibular Distraction Osteogenesis/Mandibular Symphyseal Distraction osteogenesis.
It's SARPE but for the lower jaw, it also widens the chin.

Here it's done with SARPE on a 38 year old man:
View attachment 1766766
Before:
View attachment 1766768
After:
View attachment 1766769

On a teenager, before:
View attachment 1766763
After:
View attachment 1766762

)

I do think there's value in IMDO, especially if there's actual need for it. Every case is individual, but purely for aesthetics gain as you said would probably be more beneficial to focus on other things

 

[ChristianChad]

IMDO is great if you want to grow the in three dimensions if you have a narrow jaw and overbite, however few surgeons do it and it’s expensive. If your older than 22, BSSO might be better.

Thanks. What if you have neutral bite? How forward does it bring your mandible?

 

[Deleted member 7725]

I guess you're right. Do you know if it can increase chin width? Or is this only with MMDO/MSDO (only heard of this today, massive thanks to @ NegativeNorwood for shedding light on this for me, seems fucking legit
)

I do think there's value in IMDO, especially if there's actual need for it.

Sure, it will make your chin slightly wider. But attractive chins are projected and have a square shape due to mass.

If you need it then go for it, but I don't know who "needs" IMDO.

 

[Deleted member 20421]

I never mentioned anything about forward growth.

IMDO is for widening the jaw (as far as I know). It will provide nominal aesthetic improvement. Same with MSE.

No it's not. Imdo is to move the jaw forward and fix overbites

 

[Deleted member 7725]

No it's not. Imdo is to move the jaw forward and fix overbites

I see. Well OP has a maxillary hypoplasia so forward movement wouldn't be of use.

 

[NegativeNorwood]

They are different procedures and depend on your starting point.
Under 25 years old and recessed jaw and narrow chin? SARPE/Lefort 1+IMDO+genioplasty is the better option.
Not recessed jaw but just narrow upper and lower palates (and as such narrow chin too)? SARPE + MSDO are better option then.
MSDO doesn't change chin shape or projection, it just makes it wider along with the lower palate. It doesn't widen the jaw.
IMDO creates more jaw bone in the sagital plane (more jaw lenght) and doesn't do anything for the transversal plane (doesn't add jaw width).

 

[Deleted member 7725]

They are different procedures and depend on your starting point.
Under 25 years old and recessed jaw and narrow chin? SARPE/Lefort 1+IMDO+genioplasty is the better option.
Not recessed jaw but just narrow upper and lower palates (and as such narrow chin too)? SARPE + MSDO are better option then.
MSDO doesn't change chin shape or projection, it just makes it wider along with the lower palate. It doesn't widen the jaw.
IMDO creates more jaw bone in the sagital plane (more jaw lenght) and doesn't do anything for the transversal plane (doesn't add jaw width).

That's what it is. I was confusing MSDO with IMDO.

 

[LightSkinNoob]

Thanks. What if you have neutral bite? How forward does it bring your mandible?

It does bring the mandible forward, up to 16.5mm, it can be combined with a Lefort for a neutral bite, but if your occlusion is good, get a sliding Genio then implants.

 

[randomvanish]

@tesseract

 

[coolguy1]

U aint getting imdo bro