
DonaldJTrump
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If you suffer from LONG FACE SYNDROME, a gummy smile, scleral show, lip incompetence, blah blah blah, and want to fix it with bimax. READ THIS THREAD! TLDR AT THE BOTTOM FOR ADHDCELS.
unmasking the decompensation can allow you to impact the maxilla upwards, EVEN MORE THAN IF YOU HAD NO BRACES. yes, decompensation may lengthen the face temporarily (longer teeth, more gum show). BUT THIS IS A DENTAL CHANGE! NOT A SKELETAL CHANGE! YOU ARE NOT ACTUALLY LENGTHENING YOUR BONES/MAXILLA. that is IMPOSSIBLE without a downgraft!
once you have decompensated and have more of a gummy smile, more teeth show. then you can get a le fort 1 impaction upwards by a few mm and PHYSICALLY SHORTEN YOUR MAXILLA, bone-wise.
TL;DR: Get braces before bimax if you have long face syndrome to "decompensate" your teeth, allowing for you to shorten your maxilla even more during bimax (And end up with a shorter, more balanced, more handsome face after, the face you were SUPPOSED to have if you weren't a mouth breathing retard).
TAG THE BIMAX BROS PLEASE
@CopeTilliRope @Devon @Lefor3Laser @LEFORT17 @savemebimax
1. Dental compensation can mask skeletal vertical excess
- Kim et al., 2014 (Journal of Craniofacial Surgery):
“Dental compensation may mask the underlying skeletal discrepancy… Retroclined maxillary incisors can reduce incisor display and gingival exposure.”
Kim, Y.I. et al. J Craniofac Surg 2014;25(5):1703–1708 - Proffit et al., Contemporary Orthodontics (textbook):
“When maxillary incisors are retroclined or intruded, the amount of gum shown on smile may be reduced, disguising vertical maxillary excess.”
2. Decompensation restores true skeletal relationship
- Proffit & White, Surgical-Orthodontic Treatment (orthognathic surgery reference):
“Pre-surgical orthodontics aims to eliminate dental compensation… This often includes proclining retroclined incisors and/or extruding them, which increases incisor and gingival display to permit accurate surgical correction.” - Arnett & Gunson, 2004 (Am J Orthod Dentofacial Orthop):
“Decompensation of incisor position is essential for proper surgical movements… For vertical maxillary excess, uprighting and extruding incisors may temporarily increase gingival exposure before impaction.”
3. Why this matters for Le Fort I impaction
- Bell, 1992 (J Oral Maxillofac Surg):
“Adequate incisor display preoperatively ensures that impaction of the maxilla will result in a harmonious smile line and facial proportion.”
unmasking the decompensation can allow you to impact the maxilla upwards, EVEN MORE THAN IF YOU HAD NO BRACES. yes, decompensation may lengthen the face temporarily (longer teeth, more gum show). BUT THIS IS A DENTAL CHANGE! NOT A SKELETAL CHANGE! YOU ARE NOT ACTUALLY LENGTHENING YOUR BONES/MAXILLA. that is IMPOSSIBLE without a downgraft!
once you have decompensated and have more of a gummy smile, more teeth show. then you can get a le fort 1 impaction upwards by a few mm and PHYSICALLY SHORTEN YOUR MAXILLA, bone-wise.
TL;DR: Get braces before bimax if you have long face syndrome to "decompensate" your teeth, allowing for you to shorten your maxilla even more during bimax (And end up with a shorter, more balanced, more handsome face after, the face you were SUPPOSED to have if you weren't a mouth breathing retard).
TAG THE BIMAX BROS PLEASE
@CopeTilliRope @Devon @Lefor3Laser @LEFORT17 @savemebimax