I'm 29. I've class 3 and a bit narrow upper jaw. But I don’t suffer from any snoring or apnea. Doctor thought SARPE is not necessary. I use Damon braces. He said they could help that too. But I've aesthetic concerns about narrowness. To me SARPE and LeFort I are nearly the same things. So I wonder if palatal expansion can be performed during the maxillary advancement operation. Like not in couples weeks by expander but at once by separating the palate and screwing them in final position.
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Answers (2)
From board-certified doctors and trusted medical professionals
The vertical dimension can be controlled with the double jaw advancement but it is the perception of the patient to the physical change that does occur that may be less desirable. One cannot move bones that far without a cosmetic change. As well the inclination of the front teeth from...
Thank you for the great question.
You have the essence of what needs to be done to achieve facial harmony.
To achieve this goal it would be ideal to treatment plan your surgery with a thorough facial and dental examination which includes cone beam CT (bone imaging) imaging and 3D...
You can have a combination of an 'upper jaw' surgery to raise the maxilla/upper jaw and reduce the gummy smile, if present. Cheek implants at the same procedure can then improve the cheekbone zone. Not uncommon and you can maintain the same bite.