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*Treatment results may vary
Three months update
Three months further, the swelling has come down, but i can say that i am not happy with the results.
Eventhough they fixed my bite, and my profile is more balanced, there is now a lot assymetry in my face. Upper teeth are off the midline, canted incisors, the arch is not symmetrical because of the assymetrical SARPE and unbalanced teeth movement between both sides.
I am going to discuss the assymetry with my orthodontist and surgeon and what the possibilities are from here, but i expect that they are not going to do anything for me.
I am reconsidering another round of orthodontics and another BSSO surgery, but i don't know if i can make this happen. It would probably take a completely new team. Besides this, it will probably not get covered by insurance since there are no medical problems.
What i think that needs to happen is that all my upper teeth need to be moved 2mm to the right. Then the upper jaw would need to be realigned to correct the midline of the incisors by moving the upper jaw 2mm to the left. Then the movement in the lower jaw would need to be changed to match the position of the upper teeth. Because they rotated both the lower and upper jaw, the rotation would need to be reversed to fix the assymetry.
Eventhough they fixed my bite, and my profile is more balanced, there is now a lot assymetry in my face. Upper teeth are off the midline, canted incisors, the arch is not symmetrical because of the assymetrical SARPE and unbalanced teeth movement between both sides.
I am going to discuss the assymetry with my orthodontist and surgeon and what the possibilities are from here, but i expect that they are not going to do anything for me.
I am reconsidering another round of orthodontics and another BSSO surgery, but i don't know if i can make this happen. It would probably take a completely new team. Besides this, it will probably not get covered by insurance since there are no medical problems.
What i think that needs to happen is that all my upper teeth need to be moved 2mm to the right. Then the upper jaw would need to be realigned to correct the midline of the incisors by moving the upper jaw 2mm to the left. Then the movement in the lower jaw would need to be changed to match the position of the upper teeth. Because they rotated both the lower and upper jaw, the rotation would need to be reversed to fix the assymetry.
Lower Jaw Too Small After Jaw Surgery
2 and a half years ago, i started the trajectory to fix my bite. My orthontist immediately told me that my upper jaw was too narrow and i had a protruding lower jaw (class 3 malocclusion).
So i had SARPE surgery which resulted in 9mm asymetrical expansion. It then took two years to align my teeth with orthodontics.
On 27 august 2018 i had double surgery. Everything went really well and it only took 2 and a half hours. I'm now 2 weeks post op. I did have some numbness but it it is already getting better. I only worry a bit about some numbness in my tongue.
I still have residual swelling, but you can only see it when you look at my face with a 45 degree angle. Most is visible at my cheeks
The asymmetric upper jaw has now been aligned, but my lower jaw has been shortened so much, that i do not like my facial profile anymore, even though my upper en lower teeth have been properly aligned. (my lower teeth are touching the back of my frontal incisors).
My nose is also kinked because they moved my upper jaw forward and upward. I was never told that there was a chance that the shape of my nose could change as a side effect.
So i had SARPE surgery which resulted in 9mm asymetrical expansion. It then took two years to align my teeth with orthodontics.
On 27 august 2018 i had double surgery. Everything went really well and it only took 2 and a half hours. I'm now 2 weeks post op. I did have some numbness but it it is already getting better. I only worry a bit about some numbness in my tongue.
I still have residual swelling, but you can only see it when you look at my face with a 45 degree angle. Most is visible at my cheeks
The asymmetric upper jaw has now been aligned, but my lower jaw has been shortened so much, that i do not like my facial profile anymore, even though my upper en lower teeth have been properly aligned. (my lower teeth are touching the back of my frontal incisors).
My nose is also kinked because they moved my upper jaw forward and upward. I was never told that there was a chance that the shape of my nose could change as a side effect.
Provider Review
E. Nout