To correct a narrow underdeveloped jaw. Implants or osteotomy

[zurrity]

title

 

[Genio]

title

Implant's are more for defined jaws (well-developed, just not thick/striking enough), BSSO is better for narrow jaws that are under-developed.

I will try and link some example's after a few hour's since I am studying right now.

 

[zurrity]

Implant's are more for defined jaws (well-developed, just not thick/striking enough), BSSO is better for narrow jaws that are under-developed.

I will try and link some example's after a few hour's since I am studying right now.

why do u say that? Also is it possible for BSSO to give smb a near perfect jaw so chadlite-chad range. while it does depend on multiple factors, how much would it ascend ur jaw

 

[Genio]

why do u say that?

Because Positioning matter's just as much as Cortical Thickness when it comes to the mandible.
If somebody has a Retruded Jaw which will need BSSO + Rotation, You can't expect it to be fixed through Implant's.

Also is it possible for BSSO to give smb a near perfect jaw so chadlite-chad range.

It can ascend your Jaw, Maybe up 2 Point's if Heavily Recessed, but again, Cortical Thickness is Equal to Positioning, You want a Striking Jaw? BSSO if heavily recessed (Or need Rotation), Wrap-Around Implants/Filler for Thickness, That's the 2 Hardmaxx pathways for it.

Here is an Old User who was called Averagejoe, He say's his Lower Third Ascension was based off of Aging and losing fat, Though other's speculate he got implant's.

What I am trying to say is, he already had good positioning, and whether he got Implant's or just lost Fat, The Thickness of his Mandible is what made it look striking.

If he was skeletally recessed (or had narrow mandible), Implant's would've done nothing.
If your mandible is already narrow but is well developed (Gonial Angle isn't bad, doesn't need Rotation), then go for Implant's, But otherwise, you would need BSSO.

 

[ropemaxxer00]

Marpe/palate expander in general is better than both, bur out of the two an osteotomy is probably better

 

[zurrity]

Marpe/palate expander in general is better than both, bur out of the two an osteotomy is probably better

dumbass greycel thinks marpe does anything besides making ur smile wider and improving mouth to nose ratio

 

[ropemaxxer00]

dumbass greycel thinks marpe does anything besides making ur smile wider and improving mouth to nose ratio

It literally widens the jaw dumb fuck im not grey colourblind tiktokcel

 

[zurrity]

Because Positioning matter's just as much as Cortical Thickness when it comes to the mandible.
If somebody has a Retruded Jaw which will need BSSO + Rotation, You can't expect it to be fixed through Implant's.

It can ascend your Jaw, Maybe up 2 Point's if Heavily Recessed, but again, Cortical Thickness is Equal to Positioning, You want a Striking Jaw? BSSO if heavily recessed (Or need Rotation), Wrap-Around Implants/Filler for Thickness, That's the 2 Hardmaxx pathways for it.

Here is an Old User who was called Averagejoe, He say's his Lower Third Ascension was based off of Aging and losing fat, Though other's speculate he got implant's.
View attachment 4991759View attachment 4991762
What I am trying to say is, he already had good positioning, and whether he got Implant's or just lost Fat, The Thickness of his Mandible is what made it look striking.

If he was skeletally recessed (or had narrow mandible), Implant's would've done nothing.
If your mandible is already narrow but is well developed (Gonial Angle isn't bad, doesn't need Rotation), then go for Implant's, But otherwise, you would need BSSO.

if anythings recessed, u could give it more projection or better angle with implants while still getting thickness.
Also crisick edits his photos

 

[kdev]

title

Depends on whether the issue is actual skeletal deficiency or just lack of gonial width

 

[zurrity]

Depends on whether the issue is actual skeletal deficiency or just lack of gonial width

wdym

 

[kdev]

wdym

isnt the qn what is better to fix a narrow under developed jaw? or have i misunderstood?

 

[zurrity]

isnt the qn what is better to fix a narrow under developed jaw? or have i misunderstood?

yeah but you werent making sense. skeletal deficiency and lack of gonial width is the same shit. the bones are still narrow and underdeveloped.

 

[kdev]

yeah but you werent making sense. skeletal deficiency and lack of gonial width is the same shit. the bones are still narrow and underdeveloped.

Not really lol mandibular deficiency isnt a one dimensional trait like you can have adequate AP projection with poor bigonial width or decent width with mandibular retrusion or weak chin. “Bones are narrow” doesn’t automatically mean the same corrective modality applies for all lol if you get what i mean

 

[zurrity]

Not really lol mandibular deficiency isnt a one dimensional trait like you can have adequate AP projection with poor bigonial width or decent width with mandibular retrusion or weak chin. “Bones are narrow” doesn’t automatically mean the same corrective modality applies for all lol if you get what i mean

not all flawed bones are “narrow” i was referring to bizygomatic to bigonial width.

 

[kdev]

not all flawed bones are “narrow” i was referring to bizygomatic to bigonial width.

You said narrow underdeveloped jaw, that’s a vague descriptor but if ur referring to bizygomatic to bigonial width then go for implants

 

[zurrity]

You said narrow underdeveloped jaw, that’s a vague descriptor but if ur referring to bizygomatic to bigonial width then go for implants

what abt when its combined with a short ramus, and chin recession.

 

[kdev]

If you’ve got chin recession and a short ramus on top of the narrow width, then osteotomy mogs implants hard. Not even close.

what abt when its combined with a short ramus, and chin recession.

 

[zurrity]

If you’ve got chin recession and a short ramus on top of the narrow width, then osteotomy mogs implants hard. Not even close.

I frequently see before/after procedure pictures (specifically osteotomy’s) and the difference looks very minimal. im not sure if the patients are just high bf or the doctors didnt do the job right. how would they know how much to reposition and lengthen ur jaw

 

[kdev]

I frequently see before/after procedure pictures (specifically osteotomy’s) and the difference looks very minimal. im not sure if the patients are just high bf or the doctors didnt do the job right. how would they know how much to reposition and lengthen ur jaw

most jaw osteotomy before/afters look minimal because a lot of patients still have higher body fat like you stated so it just hides the new projection and surgeons tend to be conservative with movements (usually 5-10mm max) to keep the bite stable and reduce risks, and many pics are taken while still swollen so yea