Is ramus length a limiting factor in CCW rotation?

[materialistic]

If someone is downward grown and has a very steep occlusal plane AND short ramus then CCW movement will be limited to match ramus length, right? Otherwise joints wouldn't be able to support the new bone structure (in my theory). That's why the following patient result wasn't perfect, or do you think a more skilled surgeon could have done better?

Let's discuss.

 

[Deleted member 51358]

 

[Deleted member 1735]

Mandible length in general is a limiting factor so yes.

 

[Deleted member 51358]

Mandible length in general is a limiting factor so yes.

 

[Deleted member 52566]

well we dont know how much they could have done. bluepilled surgeons do the minimum amount of movement to fix function

 

[materialistic]

well we dont know how much they could have done. bluepilled surgeons do the minimum amount of movement to fix function

In this case I really think they could have done better, but you got my point. This patient could never have a perfect jaw with flat occlusal plane because she lacks ramus length.

 

[PotassiumMaxxer]

Yeah I think your onto something. There's simply not enough ramus bone to rotate the mandible any further, you'd simply be pushing straight through the teeth.

Unless you could somehow make the midface shorter so maybe long midface is also a limiting factor. Perhaps if the midface was more forwardly grown, it would also be shorter, allowing that room to rotate into.

I guess it all comes down to forward growth in the end, but I'm not a surgeon so I might not know what the fuck I'm taking about

 

[ascenscionisnear]

Yeah I think your onto something. There's simply not enough ramus bone to rotate the mandible any further, you'd simply be pushing straight through the teeth.

Unless you could somehow make the midface shorter so maybe long midface is also a limiting factor. Perhaps if the midface was more forwardly grown, it would also be shorter, allowing that room to rotate into.

I guess it all comes down to forward growth in the end, but I'm not a surgeon so I might not know what the fuck I'm taking about

Perhaps an inverted L osteotomy instead of the Du pont cut could have saved her?