Skull Xray, I got some questions abt surgery and my skull. Also think orthos fucked me.

[if6wasnt9]

Background yap:
I talked to my ortho about some concerns I had like narrow palette/narrow midface. I also mentioned how I feel like my maxilla is recessed and how tooth extractions probably recessed it further. She talked about how MARPE wouldn't be good cus like itd bring the front teeth back and mess up something or some bullshit idk. She said SARPE was the way to go and id need other surgeries for my mandible too. She said I also have an underbite which I have no clue how I do but my bite is not aligned Ik that and I'm pretty sure my actual mandible is asymmetrical. She also said how id need braces to fix the expansion from MARPE and then braces again to fix the other surgeries? So I'm like okay why not do both and then get braces after but she deadass said no. Great.
My concern is that SARPE wouldn't do shit for a narrow midface, like itd expand the maxilla but not the cheekbones or anything else. Like it wouldn't move any other part of the skull. Im wondering what other surgeries I should get to help aesthetically. I'm also wondering about what problems you guys can see with my skull in the x-ray. I think my occlusal planes pretty bad and I have like recession and sunken in maxilla and mandible. Its also very down grown and no forward growth, also ramus is fucked. Also wondering what I could do abt my wisdom teeth cus it seems like they're growing into my other molars and I don't want more extractions cus I for sure think these jew orthos fucked me.

TLDR:
17 6'3 South asian
Ive had braces and 2 extractions on top and 2 on bottom, had a palette expander but they barely expanded it.
Bite also isnt aligned, mandible bone is asymmetrical I think.
Recessed maxilla?
What problems do I have? Super downgrown tho ik
How could I fix?
Ortho saying MARPE wouldn't be good I need surgery. Dk what to do
Also wisdom teeth might be a problem
Anything helps, thanks.

 

[if6wasnt9]

bump brah someone with high iq help

 

[if6wasnt9]

bump some1 respond i dont wanna make a post on whole body breathing or something

 

[Uua]

Background yap:
I talked to my ortho about some concerns I had like narrow palette/narrow midface. I also mentioned how I feel like my maxilla is recessed and how tooth extractions probably recessed it further. She talked about how MARPE wouldn't be good cus like itd bring the front teeth back and mess up something or some bullshit idk. She said SARPE was the way to go and id need other surgeries for my mandible too. She said I also have an underbite which I have no clue how I do but my bite is not aligned Ik that and I'm pretty sure my actual mandible is asymmetrical. She also said how id need braces to fix the expansion from MARPE and then braces again to fix the other surgeries? So I'm like okay why not do both and then get braces after but she deadass said no. Great.
My concern is that SARPE wouldn't do shit for a narrow midface, like itd expand the maxilla but not the cheekbones or anything else. Like it wouldn't move any other part of the skull. Im wondering what other surgeries I should get to help aesthetically. I'm also wondering about what problems you guys can see with my skull in the x-ray. I think my occlusal planes pretty bad and I have like recession and sunken in maxilla and mandible. Its also very down grown and no forward growth, also ramus is fucked. Also wondering what I could do abt my wisdom teeth cus it seems like they're growing into my other molars and I don't want more extractions cus I for sure think these jew orthos fucked me.

TLDR:
17 6'3 South asian
Ive had braces and 2 extractions on top and 2 on bottom, had a palette expander but they barely expanded it.
Bite also isnt aligned, mandible bone is asymmetrical I think.
Recessed maxilla?
What problems do I have? Super downgrown tho ik
How could I fix?
Ortho saying MARPE wouldn't be good I need surgery. Dk what to do
Also wisdom teeth might be a problem
Anything helps, thanks.
View attachment 3481738View attachment 3481740

I know what to fix but I’m not telling you.

 

[if6wasnt9]

I know what to fix but I’m not telling you.

Thanks bro I hope you descend to sub 1

 

[HostSamurai]

Have you considered bimax? If you don't mind, can you DM me your side profile?

 

[Uua]

Thanks bro I hope you descend to sub 1

Nah jp

 

[if6wasnt9]

Have you considered bimax? If you don't mind, can you DM me your side profile?

i got another post on my profile where i show front and side, yea bimax probably seems the best. maybe like chin shortening too but I also want to fix my narrow face. I think its only a problem cus my face is so long but idk tbh

 

[if6wasnt9]

Nah jp

jp about telling me? or knowing what to fix

 

[if6wasnt9]

bump brah someone help, like is my occlusal angle bad, am i recessed? I think my face is just sunken in from tooth extractions.

 

[if6wasnt9]

bbbbbbbbbbbbbbb

 

[if6wasnt9]

bawfawdawd

 

[Faavy]

from the xray u dont look recessed, literally just look at ur side profile

 

[if6wasnt9]

from the xray u dont look recessed, literally just look at ur side profile

yea idk its weird my xray seems like not terrible, but my midface is very downgrown n stuff. i got 4 tooth extractions tho which literally sunk in my face and my ramus is stupid short. my side profile looks shit now lol

 

[if6wasnt9]

adawda

 

[lurking truecel]

I mean this pics doesnt say shit, but yea doing the extractions was probably needed but your upper maxilla is for sure recessed. I dont see any clear assymetries. Expansions limitations is allways how wide you could make the lower arch with teeth being straight up. Because there is no good way to make the lower arch wider apart from some sketchy expensive surgeries. Can you send pic of your teeth and occlusion. Your front teeth looks a bit flared out. And if you do sarpe and you plan on bimax(not sure if you sre good candidate), you might aswell just make the lower arch teeth stand up straight snd then do segmental widening during bimax, its equal to sarpe apart from the anterior expansion

 

[GlowingLucario442]

Maybe tooth extraction reversal? I can name a few orthos if you want but for now make some homemade splints. DM me if you want help making some.

 

[if6wasnt9]

I mean this pics doesnt say shit, but yea doing the extractions was probably needed but your upper maxilla is for sure recessed. I dont see any clear assymetries. Expansions limitations is allways how wide you could make the lower arch with teeth being straight up. Because there is no good way to make the lower arch wider apart from some sketchy expensive surgeries. Can you send pic of your teeth and occlusion. Your front teeth looks a bit flared out. And if you do sarpe and you plan on bimax(not sure if you sre good candidate), you might aswell just make the lower arch teeth stand up straight snd then do segmental widening during bimax, its equal to sarpe apart from the anterior expansion

my ortho recommended lefort 2, but yeah idk how wide i could expand my upper jaw. I think my teeth are tilted inwards. Also ortho said I have an underbite which I agree with. I used to try and make my incisors line up when I bit so I thought my bite was normal but when I readjusted it to make more normal my front teeth are behind my lower teeth. I wouldn't want to do sarpe because I don't think it would be good aesthetically, all it does is push out the maxilla and not having the same benefits as marpe. Ill send a pic later

 

[lurking truecel]

my ortho recommended lefort 2, but yeah idk how wide i could expand my upper jaw. I think my teeth are tilted inwards. Also ortho said I have an underbite which I agree with. I used to try and make my incisors line up when I bit so I thought my bite was normal but when I readjusted it to make more normal my front teeth are behind my lower teeth. I wouldn't want to do sarpe because I don't think it would be good aesthetically, all it does is push out the maxilla and not having the same benefits as marpe. Ill send a pic later

Based ortho i must say

 

[if6wasnt9]

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