Acromegaly_Chad
Offical Surgery Consultant
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- Apr 16, 2020
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I first need an intramandibular distraction osteogenesis as described and performed by Dr. Triaca and Dr. Coceancig, for 5mm mandibular widening to fix teeth crowding. I then need an unilateral side wing osteoromy to fix my asymmetric jaw angles. After 6 months I need a bilateral side wing osteotomy to fix the overly convex shape of my corpus mandibulae.
I then need 2 mandibular premolars extracted and a ny mandibular teeth distaled by 5mm, giving me a 8mm overjet and deep bite with posterior open bite, and 4mm overbite.
Perform a bilateral sagittal split osteotomy as described by Dr. Obwegeser, don't forget to protect my nervus alveolaris inferior. Advance my mandible towards ventral by 12mm with 4° of rotation and give me a bilateral ramus widening for additional 8mm bigonial distance. Add a massive 5mm lefort 1 osteotomy, high cut, maybe even a quadrangular lefort 1 with anterior impaction and posterior downgrafting to enable a counterclockwise rotational advancement and additionally fix my nasolabial folds.
Add a chin visor osteotomy as described by Dr. Triaca to fix my sublabial fold but take care of my foramen mentale.
Finally, put me in braces again, bleech my teeth and put veneers on to give me a hyper masculine, hyper aesthetic, hyper anteface as described by Dr. Sailer.
I then need 2 mandibular premolars extracted and a ny mandibular teeth distaled by 5mm, giving me a 8mm overjet and deep bite with posterior open bite, and 4mm overbite.
Perform a bilateral sagittal split osteotomy as described by Dr. Obwegeser, don't forget to protect my nervus alveolaris inferior. Advance my mandible towards ventral by 12mm with 4° of rotation and give me a bilateral ramus widening for additional 8mm bigonial distance. Add a massive 5mm lefort 1 osteotomy, high cut, maybe even a quadrangular lefort 1 with anterior impaction and posterior downgrafting to enable a counterclockwise rotational advancement and additionally fix my nasolabial folds.
Add a chin visor osteotomy as described by Dr. Triaca to fix my sublabial fold but take care of my foramen mentale.
Finally, put me in braces again, bleech my teeth and put veneers on to give me a hyper masculine, hyper aesthetic, hyper anteface as described by Dr. Sailer.
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