Jaw surgery Case# 124: Andrés- Class II, Open bite, Maxillo-mandibular retrusion

[@PhillyFan76]

Just changed that kid’s life.

[@hereyougofirst]

this is why i respect doctors. they can change a person's life forever! i am a lawyer but very often i think to myself why i wouldnt be a doc 🥲💞

[@jawi499]

Good for him. Fantastic results.

[@hereyougofirst]

the smile changed completely! excellent!

[@MZ-iq9nz]

Well done ! It’s gonna change his life

[@fierroman9868]

quedaste como una estrella de cine 10 de 10

[@rockspyder3970]

Unbelievable. Life-changing results!

[@shuikai272]

One of the best results you've had. I think by and large the primary reasons this result turned out so well, are: 1. Minimal maxillary advancement (rotated), you can see the top of the maxilla where the LeFort is made, is moved forward very minimally. For class 2 I think this is often ideal. 2. Orientation is okay, maybe slightly too downwards. Even though orientation may be too downwards, the flaring of his incisors forced the planning to be advanced less, and A/B plane greater. I think orientation should be more precise to prevent variability in results. I also think it would be nice to be able to reduce the flaring and allow for more advancement at the B point, but of course this is a complicated matter. It seems that genioplasty has the geniohyoid muscle attachments whereas B point has the genioglossus.

[@Joseph-eq5od]

Despite little advancement there were still noticeable nose changes. Could steps have been taken to avoid this?

[@shuikai272]

@@Joseph-eq5od You would have to basically just not operate on the upper jaw at all. There is very minimal movement here.

[@KatrasaMondavula]

You seem very knowledgable of this topic. I am trying to understand how decompensation of incisors inclination affects the whole picture. - Could they extract only the lower premolars to create a bigger overjet or do they need to extract both upper and lower because it would otherwise create big discrepancies in the bite? - If they would extract upper premolars and then advance the maxilla to that position again, the lip shape and position would be very similar if not the same, right? - For this case, would you do any decompensation or do you think they did correctly by leaving the incisors slightly flared? I dont know if it would be worth it to walk around with an even worse bite and profile for a year or so. - When tongue is rested on the roof of the mouth, how much space should there be between the tip of the tongue and upper incisors? Should it be where the palate meets the incisors or more forward/ behind?

[@Dietcoke600ml]

I think what separates the good and bad results is the cheekbones and eye area of the patients beforehand, if you cover his mouth and jaw in his before he looks good

[@VinnyR15]

crazy good results

[@dominikgolus9160]

Hi. Have any of your patients reported any positive impact that the surgery gad on his body posture (neck,/pelvis etc.)

[@InstitutoMaxilofacialBarcelona]

After surgery, the repositioning on the bones might have an impact of the body posture. Specially in cases where there was an assymetry that caused tension in the TMJ.

[@Templar.Knight-Reaper]

@@InstitutoMaxilofacialBarcelona how much is it? Correcting the jaw I mean

[@InstitutoMaxilofacialBarcelona]

@@Templar.Knight-Reaper Hello, in this link you can find a price range for orthognathic surgery: www.institutomaxilofacial.com/en/2019/06/28/cuanto-cuesta-una-cirugia-ortognatica/

[@giantsguy89]

Will insurance cover this procedure ? If not what does it cost out of pocket?

[@InstitutoMaxilofacialBarcelona]

We are a private center. In this link you can find a price range for orthognathic surgery: www.institutomaxilofacial.com/en/2019/06/28/cuanto-cuesta-una-cirugia-ortognatica/

[@Tai09]

Hi, ill like to ask how long is the recovery, how painful it is and how risky is the surgery

[@InstitutoMaxilofacialBarcelona]

Hello, this articles might help you with your questions: www.institutomaxilofacial.com/en/2020/01/08/orthognathic-surgery-in-spain-hows-the-process-like/ www.institutomaxilofacial.com/en/2019/04/23/is-jaw-surgery-painful/

[@surajsubedi4425]

Do u have office here in dubai?

[@InstitutoMaxilofacialBarcelona]

No, we don't, but we can offer remote consultation if you contact us at [e-mail]

[@abhoydeep-gs6mn]

How much dd it cost?

[@InstitutoMaxilofacialBarcelona]

Hello, in this link you can find a price range for orthognathic surgery: www.institutomaxilofacial.com/en/2019/06/28/cuanto-cuesta-una-cirugia-ortognatica/

[@Riddick-]

Hello I love your work! I am from Israel and I need corrective jaw surgery for upper and lower I have class 2 and gummy smile if I come to you to Spain can you give me an offer for entire procedure?

[@InstitutoMaxilofacialBarcelona]

Good morning. Our international patients normally have their first consultation online, but if you prefer to come personally, that is also an option. To request the consultation, please write to [e-mail]

[@techwizard8214]

does every class 2 malocclusion need surgery?

[@InstitutoMaxilofacialBarcelona]

No, depending on the degree, it can be fixed with orthodontic treatment.