yorker12
Chadlite™
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So, I have finished healing and orthodontics for SARPE.
From the start I discussed genioplasty with my surgeon (he recommended waiting untill i am done with the expansion and for my jaws to stabilize before doing it), but after SARPE i also wanted to get rid of my gummy smile and get a better profile view. So my surgeon suggested getting 3-4mm LF1 impaction with CCW + genioplasty. I asked a couple of times if I will require BSSO, he said no, that my lower jaw is not recessed, only my chin. Other than my gummy smile, my bite is now class 1, but i don't know how camouflaged it is.
His reasoning is that with impaction + CCW my lower jaw will autorotate which will increase projection + genioplasty for desired chin position.
So I have 2 questions:
1) Should I still push for double jaw or stick with my surgeons recommendation. He says I have good occlusion atm. Face outline below(THIS IS PRE-SARPE AND ORTHODONTICS, I WILL GET NEW SCANS NEXT MONTH).
2) There don't seem to be a lot of single jaw autorotation before/afters, do any of you have more examples of this? I will post the ones I found here.
Below is my pre SARPE outline(idk what this kind of drawing is called)
I showed this to my surgeon because i have a somewhat similar base and he said this is achievable for my case(he also commented that my situation is worse than this guys so the change would be more noticeable JFL). This guy had LF1 impaction + ccw + genioplasty:
Then there is this woman who got LF1 impaction, mandible autorotation + genioplasty. But she got unlucky and got condylar resorption which made her relapse (but even then the post relapse version looks better than the initial picture):
Have any of you done something similar?
EDIT: PEOPLE SEEM TO BE CONFUSED WITH THE CONCEPT OF MANDIBULAR AUTOROTATION. Your lower jaw can rotate and and advance forward as a result of maxillary impaction to accomodate the new bite.
Here are a couple of resources/info:
https://progressinorthodontics.springeropen.com/articles/10.1186/s40510-018-0213-5 (non surgical impaction, this one is with TAD's)
From the start I discussed genioplasty with my surgeon (he recommended waiting untill i am done with the expansion and for my jaws to stabilize before doing it), but after SARPE i also wanted to get rid of my gummy smile and get a better profile view. So my surgeon suggested getting 3-4mm LF1 impaction with CCW + genioplasty. I asked a couple of times if I will require BSSO, he said no, that my lower jaw is not recessed, only my chin. Other than my gummy smile, my bite is now class 1, but i don't know how camouflaged it is.
His reasoning is that with impaction + CCW my lower jaw will autorotate which will increase projection + genioplasty for desired chin position.
So I have 2 questions:
1) Should I still push for double jaw or stick with my surgeons recommendation. He says I have good occlusion atm. Face outline below(THIS IS PRE-SARPE AND ORTHODONTICS, I WILL GET NEW SCANS NEXT MONTH).
2) There don't seem to be a lot of single jaw autorotation before/afters, do any of you have more examples of this? I will post the ones I found here.
Below is my pre SARPE outline(idk what this kind of drawing is called)
I showed this to my surgeon because i have a somewhat similar base and he said this is achievable for my case(he also commented that my situation is worse than this guys so the change would be more noticeable JFL). This guy had LF1 impaction + ccw + genioplasty:
Then there is this woman who got LF1 impaction, mandible autorotation + genioplasty. But she got unlucky and got condylar resorption which made her relapse (but even then the post relapse version looks better than the initial picture):
Have any of you done something similar?
EDIT: PEOPLE SEEM TO BE CONFUSED WITH THE CONCEPT OF MANDIBULAR AUTOROTATION. Your lower jaw can rotate and and advance forward as a result of maxillary impaction to accomodate the new bite.
Here are a couple of resources/info:
The inter-relationship between mandibular autorotation and maxillary LeFort I impaction osteotomies - PubMed
The purposes of the present investigation were to: 1)locate the instantaneous rotation center of mandible autorotation during maxillary surgical impaction; 2) identify the discrepancies between the resultant mandibular position following by maxillary surgical impaction and presurgical...
pubmed.ncbi.nlm.nih.gov
https://progressinorthodontics.springeropen.com/articles/10.1186/s40510-018-0213-5 (non surgical impaction, this one is with TAD's)
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