Planning for lower jaw surgery - need help

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FLYlowHIGHlow

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I’m currently mid-way through decompensation for orthognathic surgery and wanted to get some opinions on my OMFS’s current surgical plan.


Planned procedure:


  • Extraction of two lower premolars (no upper extractions)
  • BSSO advancement
  • Genioplasty

Ceph analysis shows:


  • SNA: 82.1°
  • SNB: 76.6° → retrusive mandible
  • ANB: 5.5° → Class II skeletal pattern
  • Wits: +8.5 mm → skeletal Class II tendency
  • MP-SN: 27.7° → skeletal deep bite
  • Interincisal angle: 111.9° → proclined incisors
  • Upper & lower lips: both protrusive relative to E-line
  • Mandibular plane: low (brachyfacial type, strong musculature)
 

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I’m currently mid-way through decompensation for orthognathic surgery and wanted to get some opinions on my OMFS’s current surgical plan.


Planned procedure:


  • Extraction of two lower premolars (no upper extractions)
  • BSSO advancement
  • Genioplasty

Ceph analysis shows:


  • SNA: 82.1°
  • SNB: 76.6° → retrusive mandible
  • ANB: 5.5° → Class II skeletal pattern
  • Wits: +8.5 mm → skeletal Class II tendency
  • MP-SN: 27.7° → skeletal deep bite
  • Interincisal angle: 111.9° → proclined incisors
  • Upper & lower lips: both protrusive relative to E-line
  • Mandibular plane: low (brachyfacial type, strong musculature)
You've a flat maxilla, go for lefort 1
 
  • JFL
Reactions: geenk worg
should i extract upper premolars also to fix my flared teeth? marpe or expansion is not an option for me
 
@RealSurgerymax please help me a little
 
what is your new venture about? it was surgerymax.cmf or smth?
Giant Implants & my medical device company are separate but related.

The Medical Device company provides products directly to surgeons:
1. Surgical Planning & Design
2. Anatomic Models
3. Custom Titanium Implants, Plates, and Guides

All products mentioned are under my invention umbrella of over a dozen inventions and modifications (Unmatched Innovation.)

Giant Implants provides services directly to patients, and is NOT a med device company. It provides:
1. Professional Consultations consisting of looksmax-oriented Aesthetic Analysis & Soft- and Hard- Looksmaxxing Recommendations, set forth by my own discoveries & systems I created.
2. Commission-Free Referrals,
3. Planning and Design (powered by the med device company partnership),
4. Clinic Coordination, and
5. Surgical Support/Assistance in the Operating Room.

Giant basically brings all the best products & services together (Surgeons, Hospital, Design/Planning, Plates/Implants) to facilitate the highest level of hardmaxxing possible in this world at this time.

Giant has unmatched experience in hardmax planning and design (6 years high volume, which no one comes close to) and exclusive access to patent-protected plate & implant products which are advantageous for a better result.
 
Last edited:
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