Jaw

[jsmogu]

I am 16.5 years old with a recessed lower jaw (4-5mm overbite), breathing issues from a narrow jaw, and a retained metal cap from childhood that has blocked an adult tooth from erupting and likely contributed to my jaw problems. My current orthodontist (not airway-focused) said I'm too old for growth appliances like Herbst based on my age, but he never checked my bone age. I suspect my bone age is actually younger (around 15), which would make me a candidate for a Herbst appliance to bring my lower jaw forward. I want to pair the Herbst with either local IGF-1 injections into my jaw or HGH to enhance growth, but I'm worried about accelerating bone maturation. Based on research, local IGF-1 seems better for targeted jaw growth with less risk of speeding up bone age, while HGH raises systemic IGF-1 and directly drives bone age advancement((possibly with MARPE), can you give me advice

 

[micheal_2884]

I am 16.5 years old with a recessed lower jaw (4-5mm overbite), breathing issues from a narrow jaw, and a retained metal cap from childhood that has blocked an adult tooth from erupting and likely contributed to my jaw problems. My current orthodontist (not airway-focused) said I'm too old for growth appliances like Herbst based on my age, but he never checked my bone age. I suspect my bone age is actually younger (around 15), which would make me a candidate for a Herbst appliance to bring my lower jaw forward. I want to pair the Herbst with either local IGF-1 injections into my jaw or HGH to enhance growth, but I'm worried about accelerating bone maturation. Based on research, local IGF-1 seems better for targeted jaw growth with less risk of speeding up bone age, while HGH raises systemic IGF-1 and directly drives bone age advancement((possibly with MARPE), can you give me advice

Honestly bro I would see another doctor or like airway specialist. Surgery’s an option too. And I don’t think IGF-1 will close ur plates it just accelerates aging but can’t close them on their own with that being said they can close earlier than normal but and AI can help counteract. Also localized IGF-1 will yield better results in terms of growth and lower systemic bone age maturation.

 

[jsmogu]

Honestly bro I would see another doctor or like airway specialist. Surgery’s an option too. And I don’t think IGF-1 will close ur plates it just accelerates aging but can’t close them on their own with that being said they can close earlier than normal but and AI can help counteract. Also localized IGF-1 will yield better results in terms of growth and lower systemic bone age maturation.

which igf1 should i get?