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smylex

smylex's Orthognathic Adventure

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smylex
, 02-18-2010 at 10:28 AM (752 Views)
Well, here's my first blog post on this forum. Here, you'll see my cephalometric radiograph so you can see my mandibular prognathism. I'll post more pictures when they become available.



As you can see in this picture, you'll notice that there's nearly a full centimeter open bite with the anterior teeth, as well as the deep bite that where the lower teeth are covering the upper teeth by about 5 mm.

Here's the cephalometric outline they made from that picture. Thanks to this and the earlier cephalometric radiograph, the orthodontist I had my initial consult with stated that the surgeon is going to start salivating when he sees me.



My consultation with the surgeon is in less than 4 weeks.

I'll still be posting here, but my primary blog will be at smylex9.blogspot.com for the in-depth daily accounts of what I'm dealing with not only physically, but mentally and emotionally.

Updated 02-18-2010 at 09:16 PM by smylex

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Comments

  1. Anny's Avatar
    Wow this is a lot more complicated and detailed than what I got! Congrats on starting towards a happier tooth life
  2. Phantom Muse's Avatar
    Glad to hear that everything worked out with your insurance and that you can move ahead with your treatment!

    I will be interested in following your progress, so keep posting!

    Good luck!
  3. smylex's Avatar
    Thanks Anny and Phantom Muse.

    Actually, it would be "bite life." My teeth are fine - they're just in the wrong places.
  4. MCOMarkhamOrthodontist's Avatar
    Definitely a situation for combined ortho and surgery. It is possible that you may have maxillary protraction surgery in addition to a mandibular setback. Hard to see properly, but do you have an impacted canine as well?
  5. smylex's Avatar
    Yes, that's #6 sitting unerupted in the palate. On my initial consultation with the orthodontist, he recommended that it be removed along with bicuspids from the other 3 quadrants. The way I see it, if it's removed, I won't miss it as I've never had it there. My main goal is to get this surgery done.

    Every dentist that I've worked with in the Navy has stated that I would most likely need the bimaxillary osteotomy when I had this fixed. My physician feels this would also help with the sinus passage as I seem to still be having obstructive sleep apnea, even after a septoplasty to correct a deviated septum and remove nodes and a cyst from my sinuses. Put that together with the fact that I obviously can't incise my food without using my tongue to push it up against the maxillary incisors.
    Updated 02-19-2010 at 06:32 AM by smylex
  6. Sunny's Avatar
    Wow ... fantastic x-ray and cephalometric outline. It's great to be able to see this amount of detail when the specialists are talking about your teeth/bite.

    Good luck with your treatment and here's to you soon have the bite you dream of!
  7. MCOMarkhamOrthodontist's Avatar
    Sounds like a nice plan whereby your upper right first premolar will serve as the canine in that quadrant. Keep in mind that because you are doing surgery, you actually want your bottom teeth to come forward before surgery and it may still be possible to have a good final occlusion without removing teeth in the lower arch. Best of luck and keep us posted!
  8. smylex's Avatar
    Thank you, Sunny.

    MCO, that is the original plan, yeah. I'll be meeting with the orthodontist the surgeon normally works with after my consultation just for a 2nd opinion. I'm not ruling anything out just yet, and she may also advise to keep the teeth in the mandibular arch. This may add time to the process since the facial surface of #29 is almost in a straight line with the lingual surfaces of the its neighboring teeth.
    Updated 02-20-2010 at 06:10 AM by smylex (Minor correction)