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What would be the best procedure for my concerns (jaw surgery, teeth extractions)? (Photo)

SunnnJan 30, 2023
Concerns: asymmetry, unflattering jaw area (recessed chin, protruding mouth, gummy smile, lip incomptence), poor side profile, weak jawline, prominent nasolabial folds. I started braces treatment with the intention of removing 4 premolar teeth to correct my protruding mouth. I am worried that removing my teeth may lead to a sunken face. I have gotten mixed advice on what procedures I should undergo. Some say double jaw, only nasolabial implants. Would I be a good candidate for extractions?

Answers (1)

From board-certified doctors and trusted medical professionals
Dr. Gerald Wittenberg, MSc, DMD (retired)
Certified Oral & Maxillofacial Surgeon
Answered on Jan 31, 2023
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Gerald Wittenberg, MSc, DMD (retired)

You do have a 'recessed/deficient' lower jaw which will affect the bite and facial balance. The mouth soft tissue does require good dental/bone support, so your comments are reasonable. The midface and adjacent areas to the upper lip/nose can change with better bone support. A maxillofacial...

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Gerald Wittenberg, MSc, DMD (retired)

The answer depends in part on what you perceive as the cosmetic issue. You have a vertical facial growth pattern which typically leads to a more narrow ramus/gonion, and a ,'longer face'. Alterations to the mandible are common including reductions and augmentation

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Gerald Wittenberg, MSc, DMD (retired)

You appear to have a lower jaw which developed asymmetrically. Xrays would demonstrate the problem to you. consult a Maxillofacial surgeon in your area. The management is well described.

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