Will this case require ccw or cw rotation?

[Deleted member 13367]

As you can see, this guy has an underbite but he also has a short face syndrome, which would require a rotation in the opposite direction?
What would he need to get?

 

[Deleted member 13367]

@Acromegaly_Chad
@SixCRY
thoughts?

 

[Deleted member 13495]

View attachment 1274943

As you can see, this guy has an underbite but he also has a short face syndrome, which would require a rotation in the opposite direction?
What would he need to get?

no just lefort 1/2 surely?

 

[Deleted member 13367]

no just lefort 1/2 surely?

Yea obviously he would need a lefort 1 cut but would the maxilla need to be rotated upwards or downwards?

 

[Deleted member 13495]

Yea obviously he would need a lefort 1 cut but would the maxilla need to be rotated upwards or downwards?

hard to say considering we cant see his teeth, but his anterior nasal spine points outwards so most likely downwards

 

[SixCRY]

Édit: just lf1

 

[Deleted member 13367]

Édit: just lf1

no rotation at all?

 

[SixCRY]

I think he need a full downgraft of Maxilla , and if maxilla is downgraft ed fully he also need BSSO to add heigh

 

[SixCRY]

no rotation at all?

i can't answer from only the pic i need X-RAY minimum to see his Occlusale plane

 

[one job away]

i can't answer from only the pic i need X-RAY minimum to see his Occlusale plane

Bro can you Check dm pls ?

 

[varbrah]

View attachment 1274943

As you can see, this guy has an underbite but he also has a short face syndrome, which would require a rotation in the opposite direction?
What would he need to get?

Impossible to say without a scans or at least a good look at his smile, but *typically* short face syndrome due to vertical maxillary deficiency calls for CW rotation.

What's the source btw?

 

[Deleted member 13367]

Impossible to say without a scans or at least a good look at his smile, but *typically* short face syndrome due to vertical maxillary deficiency calls for CW rotation.

What's the source btw?

Got this pic from here:

DEFINE_ME

Tho im not sure whether or not this is the actual original source