S
sapp22
Iron
- Joined
- May 24, 2020
- Posts
- 31
- Reputation
- 45
I have seen a lot of people recommend Lefort / Jaw / Orthognatic surgery just by looking at someone’s face. People saying you shouldn’t do implants that you need to do orthognathic surgery instead or that someone fucked up by getting implants instead of orthognathic, etc, etc. Thing is you cannot say that without looking inside someone’s mouth and looking at position of the teeth. the main objective of orthognathic surgery is to fix malocclusion not your face, that is secondary.
There are 3 classifications of occlusion:
The objective of orthognathic surgery is to reach class I occlusion, it is not to fix your face, although for most people it will do that aswell.
There’s also Skeletal Classification in which you can have a good Class I occlusion but your bones and your face look like you have class 3 or class 2 face. in which case they are not candidates for Orthognathic surgery because if you move the bones forwards or backwards you will give the patient class 2 or class 3 malocclusion, you cant give aesthetics instead of function, Patients with class II or III have a more difficult time eating, drinking, breathing or some might get TMJ problems. The skeletal classification is more complicated than that but there’s no need to get into it.
If you have a class II face with a class I bite like a lot of people here probably do (since class I its the most common occlusion), you are fucked. You need implants to reach the forward face growth you desire.
If the doctor decided to give implants instead of orthognathic surgery its for a reason, doctors know who needs and doesn’t need do orthognathic surgery, they are not trying to milk you by giving implants instead of orthognathic surgery.
EDIT: Your occlusion class is determined by the position of your first upper molar in relation with your first lower molar.
There are 3 classifications of occlusion:
The objective of orthognathic surgery is to reach class I occlusion, it is not to fix your face, although for most people it will do that aswell.
There’s also Skeletal Classification in which you can have a good Class I occlusion but your bones and your face look like you have class 3 or class 2 face. in which case they are not candidates for Orthognathic surgery because if you move the bones forwards or backwards you will give the patient class 2 or class 3 malocclusion, you cant give aesthetics instead of function, Patients with class II or III have a more difficult time eating, drinking, breathing or some might get TMJ problems. The skeletal classification is more complicated than that but there’s no need to get into it.
If you have a class II face with a class I bite like a lot of people here probably do (since class I its the most common occlusion), you are fucked. You need implants to reach the forward face growth you desire.
If the doctor decided to give implants instead of orthognathic surgery its for a reason, doctors know who needs and doesn’t need do orthognathic surgery, they are not trying to milk you by giving implants instead of orthognathic surgery.
EDIT: Your occlusion class is determined by the position of your first upper molar in relation with your first lower molar.
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