everyone come here lets discuss Class3(underbite) and its corrections in adults

[hakan251]

Hi everyone I want you to discuss problem of class-3 Malocclusion and its full corrections types. First of all, ı can not be professional regarding this issue with my poor English. Anyway lets look into those.

Firstly, I want you who either went to surgery procedure or non-surgical treatment of class-3 malocclusion can help us. important point firstly can be that Non-surgical Treatment in other words Orthodontic camouflage [U]VS [/U] Orthognathic Surgery or Jaw surgery or Lefort-1 e.t.c Lets order advantages and disadvantages of both operation-treatment. These can be Time,reliability,stability,side effects, changes on profile,bites,skelatal changes,soft tissue changes,nose shape, how much improved your simile,psychology so on, pls write extra information about both issues something so that I can not remember now.

as most of us know, class-3 underbite problem can be because of a jaw or both jaw maxila or mandila or both of them. everyone needs different evaluation pls before write anything, indicates your underbite problem fully.

my purpose in which ı open this thread is to contribute people who really need information and reliable ideas about their underbite problems.

I am 21 years old guy. I have underbite(class-3) problem because of my undeveloped upper jaw. I used face mask for 2 years and procedure was not successful and problem still remains. I have two options. one of them is jaw surgery second one is non-surgical treatment. Let me illustrate this case. I have problem with my jaw just when I smile and laugh and it is not much visible-extreme.

everyone pls indicate their own ideas about these 2 treatments. For me,
Examples;
-I can choose non-surgical treatment which has one important advantage is not to have surgical risks. I can choose surgical treatment which has important advantage is stability and more increased physical appearance.

I except your contributions

[Sunny]

Hi Hakan ... good luck with your decision.

I had a class III as a result of dental issues. My upper teeth were moved forward in my arch while my lowes were moved back. It took a lot of work and some IPR to make room for this movement, but eventually it has happened. I have a good class I on my right side, but my left side doesn't seem like it's ever going to make it. From the front I have what looks like a class I bite and that's good. I still have a couple of teeth on my left side that meet edge to edge, which isn't so good, but it still seems that this might be as good as it will get.

To help with stability I will have both upper and lower bonded retainers on front six teeth. The rest will be held in place using hawley retainers. Retainer wear will be full time to begin with, then night only for life.

What we've had done to us, will not really help you as your teeth/bite will not be the same as any of us on here. You need to consult with a few orthodontist's and surgeons (since your's is a result of your skeleton) ... and then make the best decision recommended for you.

Many people have surgery for class III with outstanding results.

Good luck!

[mikeg]

without seeing your pics or knowing much, I'm still a fan of surgery for STABILITY purposes...

I have seen to many relapses when braces alone are used to try and correct bites... including myself..

If I had the option, money, etc to do the surgery.. i'd do it.

[hakan251]

Thanks for your ideas friends. as I said before. I have gone some orthodontist in which some of them said you dont exactly need surgery, moreover, he said that if you dont lıke result of orthodontic treatment of your class-3 then we can do surgery. I sent my teeth shape an orthodontist who told me you need jaw surgery. There are complicated tendencies between orthodontists. why I sent my teeth shape was that there is no orthodontist and any orthodontic clinic in my city where I live. but lıke I said, my problem is what ı said previous thread of me and ı got them from clinic when I went to a orthodontist(about class-3,undeveloped upper jaw) now, I know my problem's procedures totally. I have two choices which are surgery and non-surgical orthodontic treatment to fix class-3. My bite is not extreme. when I smile and laugh, it disturbs me too much. Maybe I am lucky one because I have two options to undergone operation. I think that the best decision will be gave by myself regarding either surgery or non-surgery treatment. Problem arises here because if I undergone surgery which has own advantages or if I undergone non-surgical treatment for class-3 which has own advantages. My target is to get ideas people who either get surgery or non-surgery treatment for their class-3 bite(underbite) in this case, my photographs or bite definition fully dont matter. Because people with underbite(class3 problem can be different bite, tenth place e.t.c but they remain presumably into the same procedure to be corrected bite. Such as, ''mikeg'' illustrated one of the troubles about non-surgical treatment which is stability.

I want you give all of us ideas based on ''Correction of class-3(underbite) as SURGERY VS NON-SURGERY

Advantage of surgery
-More quality bite correction with stability then non-surgical

Disadvantage of surgery

-some possible risks(complications) such as,permanent numbless

Advantage of non-surgery

-doesnt include surgery complications

disadvantage of non-surgery treatment

-though it is successful in proportion of %75-80, as not successful as surgery.

lıke these, what can you add this list ? what can you say about these two procedures that it is worth because bla bla bla.. I did and say that bla bla, I chose this because doctor said that so on.

[coconut]

Hakan, almost all of us on this forum are or were patients. We are not orthodontic professionals.

We can speak for our own experiences, but they are singular experiences and may not be comparable to your situation.

Essentially, the choice for you is between surgery - or not. If you're still uncertain, I suggest you get another opinion. At the end of the day, you must do what feels right for you.

[marcib]

Please, please do due dilengence before having surgery. I don't think they stress the possible complications enough. I am a RN and thought I was confident of going through unscathed. Alas, I was wrong.
I had orthongathic surgery for Class III in March of 2010. I am still dealing with numerous issues. A non-union of my mandibular symphysis required another surgery in Dec of 2010 and I am presently at a delayed union status (6 months from 2nd surgery). Unknowingly, the original surgery completely blocked all sinuses on one side of my face, resulting in a massive infection that invaded my orbital bone. This required surgery in 3/2011. I actually had eye tissue in my sinus cavity at the time of surgery from a hole that was caused by the infectious pressure. My sinus problems have not yet resolved. I have nerve damage to my chin/lips; which does not sound like a big deal; but - you use those nerves for speaking, eating, drinking, kissing..............I have to drink through a straw - room temp., my speech is affected and believe it or not, my bite is completely off on one side so I can't chew on that side. My front bite was changed to the point that I can't "bite" hard items at all and soft items just tear; making a mess. I bite my bottom lip constantly.
I live in Dallas Texas and have access to the best medical care anywhere, yet here I am which poor results that seem like they are going to be permament. No one knows where to go from here and they all seemed reluctant to direct me. (Dentist, orthodonist, oral surgeon, etc)
I wish someone had strongly urged me to live with what I had.
I wish someone knew what to do now.
Good luck, I'm sorry to share unpleasant news with you but I had (and still have) a hard time finding people to talk to about "the other side" of the wonder story. People need to beware.
Marci B

[Dr.NP]

marcib,
I also live in Dallas Texas. I have a pretty severe class III that was "corrected" with braces in early adolescence, with removal of several permanent teeth and extensive orthodontic treatment. The asymmetry in my jaws was never truly corrected though I felt was masked at an acceptable level. Over the years (I am 40), the bite has slipped back into a class III again (I stopped wearing the retainers). At any rate, each dentist I see, as well as the 2 orthodontic consults I have done here have recommended surgery, which I am not considering as an option (due in part to the risk of the unfortunate complications you encountered).
My question to you is: do you know of anyone in the DFW area who is willing to consider non-surgical intervention for class IIIs? So far I have not found anyone. Your help is much appreciated and I am sorry to hear of all the complications you have had to suffer.
Thanks,
Andrea