I have a recessed chin. Should I go for a sliding genioplasty, implant or extractions? (Photo)

Question

I previously had braces to fix an overjet. This however did not fix other issues like lip incompetence or recessed chin. Would I need to extract teeth or a sliding genioplasty would be the best option?

Randal Haworth, MD, FACS · Answer

Braces are commonly used to correct dental alignment issues such as overjet, but they may not always address concerns related to lip incompetence or a recessed chin. Lip incompetence refers to the inability to close the lips fully at rest, which can be caused by various factors including dental and skeletal issues.

In cases where the position of the chin is a concern, a sliding genioplasty is a surgical procedure that involves repositioning the chin bone to improve facial balance and aesthetics. This procedure can be used to augment or reduce the chin's projection, depending on the specific needs of the patient.

Extraction of teeth is another potential treatment option in certain cases to address dental crowding or other issues related to dental alignment. However, the decision to extract teeth or opt for alternative treatments would depend on factors such as the severity of the orthodontic concerns, your facial and dental structure, and the recommendations of a qualified orthodontist or maxillofacial surgeon.

To get a definitive answer and appropriate recommendations for your specific situation, I strongly recommend scheduling a consultation with an orthodontist or maxillofacial surgeon. They will be able to evaluate your case, discuss your concerns, and provide you with personalized advice based on a comprehensive assessment of your dental and facial structure.

I hope this helps,
best of luck !

Timothy Osborn, MD · Answer

Extracting teeth would not change your chin recession and should not be done unless teeth must be removed for a health or dental reason. You could potentially be a candidate for jaw surgery, especially if your bite does not fit together, That being said, if you are looking for just a cosmetic procedure, then a genioplasty could certainly be beneficial. Your chin is quite recessed, and moving it forward would add projection and length to your chin while balancing out your profile. An added benefit is lengthening and adding definition to your jawline. We are happy to discuss options more with an in-person or virtual consultation.

Michael P. Morrissette, DDS, FACS · Answer

The x-ray shows a significant amount of recession and will require a considerable advancement. In large advancements, I believe that a sliding genioplasty provides a more natural result. I perform both procedures and for 6 mm or greater movement I prefer the genioplasty.

I have a recessed chin. Should I go for a sliding genioplasty, implant or extractions? (Photo)

Answers (3)

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