12-11-2007, 05:11 AM
|
|||
|
|||
|
Overbite Jaw Surgery
Hello I am a 19 year old male. I have been suffering from pain around the jaw area since I was 13 and I have an overbite. I visited a doctor when the pain first started but he told me it was just stress and I just need to massage the area. Yea.... stupid doctor.... I have already talked to my parents and I am getting a surgery. I was wondering if anyone could answer a few of my questions.
1. I had braces for three years in the past during high school years. I really dont want to have another time with braces. Are they necessary? Recommended? 2. What is the average cost of a overbite surgery? including the braces and all? 3. How long does the operation take? 4. How long does recovering period last? 5. If I am supposed to get braces before or/and after the operation, how long does it take to take them off? 6. Are there side effects? 7. Do I need to remove some of my teeth? (It is totally fine if I do because I didn't get to remove any when I had braces) 8. Do they pull your jaw to the point you want or they do they just do it bythemselves? 9. Can I expect my face to look better? 10. My chin is quite short lengthwise. Does this surgery cover that and lengthen it? If not, is there a way to do that? 11. What is a 'jaw implant'? Is it different from this surgery? If it is, could you explain a bit? Thank you. 
|
|
12-11-2007, 09:27 AM
|
||||
|
||||
|
Quote:
My answers are up there. Don't worry it is pretty easy surgery and usualy a good decision on your part.
|
|
12-12-2007, 03:52 PM
|
|||
|
|||
|
thank you for your reply. but i have one more question... does your chin grow a little bit more after you get the surgery? i mean in my case, im 19 and i think i stopped growing...
|
|
02-19-2008, 10:15 PM
|
|||
|
|||
|
Re: Jaw Surgery
I am in the exact same situation as you, and also have opted for jaw surgery after dealing with pain since my early teens. I'll try and give you all the info my doctors have given me concerning your questions: Hello I am a 19 year old male. I have been suffering from pain around the jaw area since I was 13 and I have an overbite. I visited a doctor when the pain first started but he told me it was just stress and I just need to massage the area. Yea.... stupid doctor.... I have already talked to my parents and I am getting a surgery. I was wondering if anyone could answer a few of my questions.
1. I had braces for three years in the past during high school years. I really dont want to have another time with braces. Are they necessary? Recommended? --I also had braces in high school and was reluctant to go through them again, however in my case (and i believe in most cases) it is required. the teeth must be manipulated into the appropriate places for when your jaw is moved. I have had them for a month now, and have gotten use to them AGAIN. braces aren't fun, but its only about 5-8 months before and after surgery. in my case, less than that. 2. What is the average cost of a overbite surgery? including the braces and all? --i believe braces run about $2000 once you add in all the appointments. I'm not sure about the surgery, it depends on the hospital and your insurance provider. i was researching the surgery on youtube and one man's surgery cost about $40,000 all together. however, he had his done at a MayoClinic. Talk with your surgeon and insurance provider about that. It can be very difficult to get the "ok" from insurance, they must be provided with a medical necessity form, and be badgered about it pretty much. 3. How long does the operation take? --my surgeon told me from 3-6 hours including the going under and coming out of the anesthesia. they sometimes keep you over night at the hospital, but some people go home the same day. 4. How long does recovering period last? -- i've been told that you will be miserable for about a week, then things start getting better. also, liquid foods from 4-6weeks. 5. If I am supposed to get braces before or/and after the operation, how long does it take to take them off? braces usually go on before the surgery, and remain on during surgery so that they can place the jaw in its correct position. the braces stay on for a few (4-6-8) months after surgery for fine tuning. 6. Are there side effects? --apparently there can be permanent sensory nerve damage. this does NOT control movement, only sensory. meaning, parts of your lip, chin, or cheek could be permanently numb. they say that this occurs 10% of the time, but my surgeon has only seen it in a few cases. this is one of the things that worries me the most. most people say its not a big deal, but its still concerning. 7. Do I need to remove some of my teeth? (It is totally fine if I do because I didn't get to remove any when I had braces) --i haven't heard about this... i would think that would only apply to underbite surgeries where they have to shorten the upper jaw. but i could be wrong so i would ask your doctor. 8. Do they pull your jaw to the point you want or they do they just do it bythemselves? --i believe they move it to the point that gives you a correct bite; again, check that with your doctor. 9. Can I expect my face to look better? --everyone has told me yes. 10. My chin is quite short lengthwise. Does this surgery cover that and lengthen it? If not, is there a way to do that? --they told me that sometimes surgery is done on the chin as well as the mandible. in my case, they tell me it is not necessary, so i opted not to. 11. What is a 'jaw implant'? Is it different from this surgery? If it is, could you explain a bit? --i have not heard of this, but i do know that if they need extra bone, they sometimes remove some from your hip during surgery. i hope this helped somewhat. I am still researching myself to prepare for surgery. Good Luck!
|
|
02-21-2008, 05:04 PM
|
||||
|
||||
|
Some OS will still wire the mouth closed for a short period of time, but this isn't very often.
Mostly now you have an archwire with surgical pins placed on it. At the end of your surgery, elastics are attached to these surgical pins and this keeps your jaws where they need to be to facilitate the best healing. Most people can't return to work for a few weeks, and by the time they do, these initial elastics will have severed their purpose and no longer be a part of your life. They may have been replaced with other elastics, but usually much less intrusive. When can you return to work? That question needs to be addressed by the OS doing your surgery, as they'll have a much better idea of how long this surgery requires you to rest. Also energy levels may be low, due to limited food intake, but there are ways for you to help yourself in this area ... again ask your OS. Good luck.
|
|
04-22-2008, 04:26 AM
|
|||
|
|||
|
It's true that today most OMS, for most procedures, for most patients will no longer need to wire the jaws, but it's not unheard of, and there are some particular types of orthognathic surgery that still require it always. However, knowing that most patients would prefer to avoid being wired shut if possible, it is common for an OMS to offer an alternative procedure.
The reason that most orthognathic surgeries no longer require the jaw to be wired is nothing to do with the post-op elastics really, but is due to the development and use of rigid internal fixation - miniature plates and screws (usually, but not always made from titanium) that hold the bones in place while they heal. The elastics that are sometimes used in the immediate days and weeks post-op are usually there to help train the jaw muscles to relax in their new positions. Sometimes the OMS will also have the patient continue to wear a splint for some period of time following surgery - the splint is attached either to the archwire (via surgical hooks) or directly to the brackets, so not everyone needs surgical hooks to be added to their braces. Lingual patients usually need buttons added on the labio-buccal side (the "outside"  ) of their teeth for the splints and elastics.Recovery is a very individual thing, and depends partly on the length of the surgery - this in turn depends on the skill of the OMS and also on what orthognathic procedures are involved. Age, and general health play into it too, as does your level of activity post-op - mild exercise is to be encouraged, so take the dog for a walk, if you have one Nutrition is also extremely important, and unless the patient is wired shut, it should be possible to manage a diet that offers all the necessary nutrition, and in sufficient quantities to make weight loss minimal. Depending on the OMS and the procedures performed, the patient may be back to chewing soft foods in under a week, and many people can be back to work within as little as a couple of weeks.
|
|
07-05-2008, 08:07 PM
|
|||
|
|||
|
Had the surgery
Hi! I had an overbite surgery about 8 years ago. I'm 21 now, and I was 13 at the time of the surgery. I'll answer your questions...
1. I had braces for three years in the past during high school years. I really dont want to have another time with braces. Are they necessary? Recommended? I had them. But I ended up only needing to wear them for 11 months because I needed my teeth to be slightly straightened too. I got them in December '99 (when I was 12) and got them off in November '00 (when I was 13). I had the surgery in June '00. I think the braces are actually required fbecause they wire your mouth shut during the surgery. They put hooks on the end of each brace. I actually hated that part the most because they kept the hooks on long after the surgery, i.e. until I got the braces off. The hooks gave me a bunch of cuts on the inside of my mouth  2. What is the average cost of a overbite surgery? including the braces and all? Mine was about $20,000 USD, but I don't know how much the braces cost 3. How long does the operation take? 4 or 5 hours 4. How long does recovering period last? Long. You're still wired shut for 2 weeks after the surgery. But "wired shut" basically means they put rubber bands on each hook to connect the top and bottom jaws. And then, like I said, they kept the hooks on my braces for months after the surgery. Those 2 weeks are hell because you can't eat solid foods and still in pain. I lost about 10 pounds because of it. 5. If I am supposed to get braces before or/and after the operation, how long does it take to take them off? I got them on/off about 6 months before/after the surgery 6. Are there side effects? Well, the obvious: lots of swelling around the lower jaw (that goes away at the end of the 2 week recovery), light bruising -- my jaw was yellowish for a few days after the surgery, dried up blood in the mouth 7. Do I need to remove some of my teeth? (It is totally fine if I do because I didn't get to remove any when I had braces) I got my wisdom teeth out during the surgery just to get it over with 8. Do they pull your jaw to the point you want or they do they just do it bythemselves? I think they do it themselves. Though at 13, I couldn't really judge what was the best point to pull it out to, so I let the doctors make the call. 9. Can I expect my face to look better? It looked pretty much the same for me, though my chin ended up looking a lot...bigger. I was used to having a little chin, and the surgery made my face more oblong. 10. My chin is quite short lengthwise. Does this surgery cover that and lengthen it? If not, is there a way to do that? I feel like the surgery widened it more than anything. It made it a little longer, but not much. 11. What is a 'jaw implant'? Is it different from this surgery? If it is, could you explain a bit? You need surgery for it, I think. But I didn't get one. I think it is more for cosmetic purposes, right?
|
|
07-06-2008, 04:40 AM
|
|||
|
|||
|
It's true that braces are commonly required for this type of treatment, but that is really because the teeth need to be moved first to the best possible positions for the post-op bite. However, it's possible, if the teeth are essentially already correctly positioned that braces can be skipped - in this case buttons could be bonded to the teeth temporarily for fixation of the splints intra-operatively. Buttons can also be used for orthognathic surgery when lingual braces are being used to treat the case. For patients who do have braces, it is not even true that surgical hooks are always required - depending on the type of brackets being used, it is sometimes possible to attach the surgical splint directly to the brackets without adding surgical hooks.
The biggest thing to understand about these types of treatment is that there is really not a single experience that would exemplify all cases. For one thing, what procedure(s) is/are required varies from one patient to another. For example, in treating an "overbite" (and I am assuming here that what people are really talking about is an overjet ) it may be sufficient to advance the lower jaw (using a procedure referred to as a BSSO - bilateral sagittal split osteotomy), or instead the lower jaw may be advanced and the upper jaw set back (Lefort I osteotomy); yet other patients might, due to suffering from OSA (obstructive sleep apnea), need to have both jaws advanced; or it is even possible (though rare) that the right approach might just be to move the upper jaw back.Obviously how long the surgery takes will depend on what is being done. But it will also depend a lot on the surgeon. There are some who can get through a bimax case (that is an operation where both the lower and upper jaw are moved) in just a couple of hours or so, whereas others may take longer. This alone will impact recovery time (the longer you're under general anesthesia, the tougher that can be on the body) and will also impact some of the other factors that play into surgery (for example, if the surgery is expected to take 4 or 5 hours or more, a catheter will typically be needed). Recovery post-op depends on a lot of factors, not least of which being the procedure(s) being performed, and the OMS's skill. But obviously the patient's age and general health can be expected to play into this as well, as can how the OMS manages his patients post-op. As an exmaple, you mentioned weight loss and eating: well, some surgeons will keep all of their patients on a no-chew diet for several weeks, but by contrast, some others mandate a return to soft-chew meals in less than a week. The obvious corrolary to this is that for some patients maintaining weight and ensuring adequate nutrition is more challenging for some patients than for others, and this is bound to impact recovery time. Eating is also, obviously, impacted by banding post-op, and that's something else that is greatly variable from one surgeon to another, and even from one case to another for the same doctor. Some surgeons generally prefer to keep tight bands for several days, or even weeks, whereas others routinely remove all banding immediately post-op. Similarly, some surgeons will keep the splint in place for a period of weeks, whereas others will routinely remove it from all patients (even bimax cases) before the patient regains consciousness post-op. Pain is also something that varies greatly from one person to another. At one extreme there will be no pain whatsoever, and at the other there are patients who must rely on prescription pain relief for a more protracted period - not surprisingly, the latter case will tend often to bring with it a slower recovery. Costs are also incredibly variable. Some "big name" surgeons charge in the realm of $50k for the surgery alone, and that does not include hospital fees; others charge as little as $3k - $5k per jaw, and even negotiate "package deals" with the hospital where they operate, so that uninsured patients can better afford the work if they need it. The cost of the associated orthodontic treatment is also incredibly variable, not least depending on where you're located. One rule of thumb though is that surgical cases are usually a little more costly than non-surgical. Six months in braces post-op is certainly a good "average". However, some lucky folks will get their braces removed just a few weeks post-op, and others will still be finishing things up a year or more later. Likewise the amount of time spent in braces pre-op will depend on how much needs to be done. The question of extractions is an interesting one. Some surgeons will remove wisdom teeth at the same time. But it is sometimes necessary to extract the lower wisdom teeth prior to a BSSO, because the bony incisions are made close to the roots of those teeth. If the OMS wants the wisdom teeth removed ahead of a BSSO, then this will typically need to be done weeks to months in advance to give the bone time to heal and strengthen again before the orthognathic surgery is performed. The amount of movement that is made to the jaws - and even the precise procedures performed - are carefully considered not only to ensure functional correction, but also a good appearance post-op. The changes can, for some people, be jarring. But usually most patients will feel that the final results are pleasing. The question about a "jaw implant" is most likely asking about chin implants. This is not commonly done with orthognathic surgery, but a genioplasty - a procedure where the bony tip of the chin is slid forward or back - is not uncommon at the same time as orthognathic surgery, usually to help with the overall aesthetic of the results; when it is done, it is usually considered by insurance providers to be purely cosmetic, and so most patients need to cover the additional cost for that procedure out of pocket. That said, there are studies that indicate that even a genioplasty alone can help with OSA, by the changes it makes to the tongue. Side effects? Now that's a biggie. Everyone can expect swelling, which typically peaks around the third day post-op; ice packs applied during the first 48 - 72 hours can be very helpful with this. Bruising is also to be expected for all patients. Bimax or upper jaw patients very commonly suffer from sinus congestion for a few weeks post-op. A sore throat is not uncommon (from the breathing tube). Numbness is also generally to be expected, but for most patients this does generally resolve (albeit sometimes not completely) over time. For BSSO patients, this will usually be in the lower lip and chin, although sometimes it is also in and around the lower teeth and gums. For Lefort I it is common around the upper teeth and gums, and the palate, and sometimes also in the cheeks. As mentioned, it can generally be expected to resolve over time, but for some patients it does not - in this case though the lingering area of numbness is most often limited in extent. Numbness of the tongue is far less common, since this would be due to an injury to the lingual nerve, rather than the inferior alveolar nerve (injury to which is the cause for numbness in the lower lip and chin. Other side-effects are less common, but might include thrush (an oral infection that can be very painful), infection or loosening of the plates and screws used to fix the bone segments (in which case they are usually extracted surgically), and incomplete union; the latter occurs in about 1% of Lefort I cases - the chance can be minimised by using bone grafts if there will be a large gap - this is something that is going to be more likely in advancements that set-backs or impactions, since that is when a gap is more likely to be created. Hope this helps create a more general picture.
|
|
08-07-2008, 06:13 PM
|
|||
|
|||
|
i've been told that my overbite is 100% genetic therefore i wont be able to push it back with braces, but i didnt ask if it was possible to push it back with surgery. i want to get this surgery done for purely aesthetic reasons, is this possible?
|
|
08-13-2008, 06:17 PM
|
|||
|
|||
|
I think you actually mean overjet, not overbite - your upper front teeth are too far in front of the lower ones, right?
How this is treated depends on the individual case. It may be purely a dental issue, in which case it is just treated orthodontically. But if it is a skeletal issue - a problem with how the jaw bones developed (and you indicate you have been told this is the case for you) - then surgery is most often the better way to go (although a decent compromise result can sometimes be achieved with braces alone). If it is to be corrected surgically, there are still different procedures that can be used, depending on the precise cause of the problem: is it that the lower jaw is under-developed, that the upper jaw is over-developed, or both? Thus, surgery can be undertaken to move the lower jaw forward, or teh upper jaw back - or both. A third "special" situation can exist for people who have OSA (obstructive sleep apnea) in addition to an overjet - in this case sometimes both jaws will be brought forward (obviously the lower jaw is moved further forward) so that a better airway is created, and the OSA is cured. You ask if it is possible to get surgery of this type done for purely aesthetic reasons. It is, although personally I would consider the risks to be significant if the only reason for taking them is cosmetic. And it would also be far harder to get this work covered by insurance if it is cosmetic reasons alone. However, even if your reasons are centered on the aesthetic, it is of course entirely possible that there are functional issues as well that the OMS would recognise and highlight in any insurance-related documentation.
|
|
08-13-2008, 11:34 PM
|
|||
|
|||
|
I thought I should throw my own two cents in on the subject since I was in a similar situation to yours (overjet and everything), and just recently finished my own procedures (two sets of braces, two sets of surgeries, one set of stabilizing arches). Now just to explain about the second one. It wasn't so much on the jaw as giving me the lip closure that they weren't able to obtain the first time. Now I am not saying anything about my surgeon the way I looked pre-surgery and post-surgery the first time I had surgery you could tell there was an EXTREME difference if you had known me prior. Even within the first month of surgery.
1. I had braces for three years in the past during high school years. I really dont want to have another time with braces. Are they necessary? Recommended? The situation really depends on how severe my overbite it is and how much of a recession of the jaw there has been between the braces previously had been on and when the surgery is scheduled. In my case there was there was an approximate four year lapse plus my surgeon required them in the case of the first surgery. I know from personal experience that having braces AGAIN sounds annoying but really it depends on the situation it is probably best to go through it again. Usually the second time around it is a lot shorter. Like you I had mine on the first time for three years (4th to 7th grade). But the second time I had them on for approximately a year and a half (10th to summer before 12th grade). However there is another option that you might be able to suggest though the surgeon might insist on braces for various reasons: The second time I lucked out (probably because as compared to the first one this was a minor one) and he said all I needed was a stabilizing arch. Which are similar to braces but go on the gum (or at least they did with me) and have to be removed usually by a surgeon. The upside being they might be able to come out earlier (I got the all is go to get them off approximately 5 weeks after the surgery. Also on another note in either route you are going to have to wear rubber bands on your applience for a certain amount of time. Which is annoying but it is to keep the jaw from moving around to much. Whatever you do don't go for wiring the jaw, unless that is absolute mandatory, either of the above options will allow you to start eating non-liquids a lot faster. I was able to eat soft foods approximately two months after the first surgery. Also note that situations vary. Just because this is what happened with me does it mean that it will happen with you. 2. What is the average cost of a overbite surgery? including the braces and all? Hate to admit but I am not 100 percent since my parents paid for both surgeries and braces. 3. How long does the operation take? The first time for me it lasted approximately 5-6 hours and I didn't wake up for another one and even then I wasn't fully awake (heavier dose of anaesthesia). The second time if only lasted approximately 2-3 hours and I was pretty much fully aware within a couple of hours after. 4. How long does recovering period last? Once again depends on the case. For me post-op the first time I was back to pretty much normal (even with braces) about 6 months afterwards. The second time I was back to normal six weeks (would have been faster but the stabilizing arch much like braces still restricted some of my eating habits) 5. If I am supposed to get braces before or/and after the operation, how long does it take to take them off? This is also a case by case basis. Usually ahead of time the surgeon will tell you when you should have your braces on at the latest. About a month or two after surgery in my case the surgeon turned the work over the orthodontist who will be working on his advice and his own judgements on when you get your braces off. 6. Are there side effects? The worst side effect I have is the occasional pain flash (a sudden jolt of pain felt through the nerve lasting one second at best, or three to four seconds at worst). In my case this is what happened: If your nerves go mostly offline in the first couple of months post-op then you better be prepared to bring some pain medication as you get into the awakening month as I like to call it. Which hurts like hell! For about a month the pain flashes occur on a very frequent basis. Some days are better than others (sometimes I only needed to go down once or twice, others I had to excuse myself from class to go down to nurses office as soon as I could take my next dosage). Usually the sunnier the day the better. Because when electrical activity is in the air they seem to become more frequent. In fact during this time it is bust to avoid all sorts of electrical activity. One day in class during this month my teacher brought in one of those electrical balls that if you touch your hair stands on hand. Well I decided I wanted to touch it. In actually that wasn't too bad at first (mainly because the machine hadn't been on all that long). Than my idiotic classmates kept trying to shock me. I ended up getting down and withdrawing to a corner of the room with a friend because of it. As time progressed the pain flashes became worse and I asked to excusing myself to the hallway to get away from it. Said friend joined me and kept me company for the remainder of the time I was in the hall. 7. Do I need to remove some of my teeth? (It is totally fine if I do because I didn't get to remove any when I had braces) This more depends on the size of the jaw. I have a small jaw so they had to pull all five (yes five, still don't know how I got the extra one) of my wisdom teeth. That was done approximately a week before my braces went on the second time. 8. Do they pull your jaw to the point you want or they do they just do it bythemselves? What my surgeon did was ask what I was looking for with the surgery and set those as his goals for the surgery. 9. Can I expect my face to look better? Yes! 10. My chin is quite short lengthwise. Does this surgery cover that and lengthen it? If not, is there a way to do that? Probably since the situation is similar you can expect a better chin. I went into my surgery the first time with a flat chin so to speak. Five days later I was staring in the mirror I noticed for the first time I actually had a what I considered real chin. I later found out that during the surgery the surgeon had put some metal in my mouth to help stabilize it and at the end of the metal there was a hook that now gives me the chin I have. So yes it is possible I would recommend talking to your surgeon about it. 11. What is a 'jaw implant'? Is it different from this surgery? If it is, could you explain a bit? I unfortunately have no knowledge on this area. Anyway that is my story. Just to throw in some of my own two cents, if you live on the West Coast, or even if you don't, look into going to Stanford for the surgery. That's where I had my surgeries done (except for the stabilizing arch removal I did not feel like waiting another month for it to come out so we ended up going to a local doctor) and there really good doctors. Sorry for the extremely long post!
|
|
08-14-2008, 01:18 AM
|
|||
|
|||
|
Quote:
|
|
08-28-2008, 03:51 PM
|
|||
|
|||
|
I don't know what my case is called now... my lower jaw is much smaller than usual and chin is small. I'm living in Georgia and Orthodonist told me that it'd be better if we remove the bottom two teeth (not wisdom teeth), one on each side. and then the surgery will bring the jaw forward. so what's my condition called?
anyways, so they are going to put something called splints before they put braces on my teeth to make my joints healthier first. because apparently my right joint has been 'degenerated' and the joint is popping out alittle and making my jaws feel sore. remove two teeth, get braces, bring the bottom front teeth back. (12 months estimated) get surgery to lengthen the jaw and genioplasty for the chin. (cutting the tip of my chin and moving it to a position that makes my facial profile more natural) 1 month of closed mouth. (losing 10 pounds of weight too) another braces for 12 months. (estimated) that sounds doable. the only thing that worries me is the cost. my parents are paying for me. how many of you guys had parents paying for your surgery and how much did that cost?
|
|
08-28-2008, 08:49 PM
|
|||
|
|||
|
Your parents should look into whether their insurance would cover this work. If you're under 18, there is a chance that their dental insurance might give some partial coverage for orthodontic treatment (braces), and they should also verify whether their medical insurance gives any coverage for the surgical portion of treatment, and also for the splint. It's possible, of course, that their insurance will not cover any of these things, but it's definitely something to look into.
Costs can be widely varied. For the braces, I'd say anywhere in the ballpark of $4k to $7k is possible. And surgical costs can be even more variable. Some doctors have negotiated with the hospitals where they operate so that they can offer special "packages" to uninsured patients, and I've heard as little as $7k for such deals, but at the other end, with some of the "big name" surgeons, by the time you factor in hospital and anesthesia costs, the totals can run in excess of $50k. Since you mention some degeneration of the jaw joint already, I'd urge you to get multiple opinions before proceeding, including consulting with more than one very experienced oral surgeon. I'm especially curious why the treatment plan that's been presented to you includes removal of teeth - I do know that to bring the lower jaw forward as they will be doing it can often be necessary to extract the lower wisdom teeth, but I've not before heard of it being necessary to extract other teeth. I'm curious too by what the doctor meant when he told you your mouth would be closed for a month - whether he was speaking about wiring the jaws closed. I'd also say that it's not necessarily true that you would need to be wired shut. The procedure that is used to advance the lower jaw does not generally require this (the bone segments are held together with little metal plates and screws, all under the skin); it may be that the doctor is suggesting this more conservative approach (that is to say, wiring the jaws shut) because of your jaw joint issues, but even then I wonder would a month be necessary? Most people I know who have had a BSSO (bilateral sagittal split osteotomy - the procedure that's used to advance the lower jaw) have only had little rubber bands used to help the jaw muscles "learn" the new position for the jaws; and even among the few I've known who did end up being wired shut, it was only for a week or just a little longer. You asked, by the way, what your condition is called: at a guess you have both retrognathia (the lower jaw is too far back) and micrognathia (the chin is too small). The latter is why they are suggesting the sliding genioplasty. Good luck.
|
 |
«
Previous Thread
|
Next Thread
»
| Thread Tools | |
| Display Modes | |
Linear Mode
|
|
All times are GMT -4. The time now is 08:10 AM.
