Jaw surgery

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Smokeshot

Sergeant of the Hide
Full Member
Minuteman
Oct 8, 2024
140
1,389
Illinois
#1
Did any of you get a jaw correction surgery for a class two overbite?

After 1.5 years of bouncing back and forth between orthodontists, periodontists, and oral surgeons … I am not sure what to do.

I’m 29 years old and never got braces or any treatment that would’ve prevented this whole situation while growing up. They’re saying that I could develop sleep apnea and other issues. The whole thing will cost up to $20k to $30k it seems. Not sure how much insurance will cover.

I’m nervous af and looking for some input on this. Thanks in advance.
 
#2
How much overjet do you have? If moderate to severe you will have TMJ, apnea issues and dental problems from aberrant occlusion as you get older, guaranteed. A sagittal split osteotomy is not without some risk to your inferior alveolar nerve but today that is minimal though you can expect some transient (like 6 months max) neuralgia/parasthesia usually. In most class II and class III cases the reward outweighs the risk a good bit and issues associated with being left untreated increases with age. It is a shame it wasn't treated before puberty as it can often be remedied with a good orthodontist guiding Md growth. However, if you are a true skeletal and dental combined class II case, surgery likely would have been unavoidable anyway.
 
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#3
ggmanning said:
How much overjet do you have? If moderate to severe you will have TMJ and apnea issues as you get older, guaranteed. A sagittal split osteotomy is not without some risk to your inferior alveolar nerve but today that is minimal though you can expect some transient (like 6 months max) neuralgia/parasthesia usually. In most class II and class III cases the reward outweighs the risk a good bit and issues associated with being left untreated increases with age. It is a shame it wasn't treated before puberty as it can often be remedied with a good orthodontist guiding Md growth. However, if you are a true skeletal and dental combined class II case, surgery likely would have been unavoidable anyway.
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Thanks for the detailed response. Most of it went over my head. Can I get braces for now to “camouflage” it as well as they can and eventually get the surgery in my early 40s or something?
 
#4
You can, sort of, but that would only address alignment and orthodontics would have to be done again with surgery to really correct the problem. So really the answer is no and I would run from any orthodontist willing to treat the case that way. How much space (gap) would you say is between your bottom and top teeth when you teeth are bit together?
 
#7
ggmanning said:
You are likely mild Class II by that description....do your top teeth flare out or are they in normal position....not "buck teeth"? Feel free to send your CT or CBCT and I'll give you a better recommedation.
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Thank you 🙏🏽. I’ll have to email them and get a copy. I’ll send you a private message then.
 
#10
ggmanning said:
You are likely mild Class II by that description....do your top teeth flare out or are they in normal position....not "buck teeth"? Feel free to send your CT or CBCT and I'll give you a better recommedation.
Click to expand...
I love SH and how we all look out after each other…is this wehere you tell him you slept at a holiday inn last night😂
 
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