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Old 07-12-2006, 03:02 PM   #1
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bartez HB User
Help! Jaw Surgery advice needed......

Hi,

Im a 23 year old male from the UK and was yesterday told by an Orthodontist that before I can get braces I need surgery on my jaw as my bottom teeth are slightly further forward than my top ones.

It came as a bit of a shock to be honest I never even imagined I would need surgery and the process she described sounded pretty daunting.

She said it involves breaking my Jaw, cutting my gums open at the back of my mouth and then adjusting my Jaw.

I am now waiting for an apointment to see a specialist at a dental hospital and was wondering if anyone has had this procedure or knows anything on the subject?

I dont know about your countries but here in the UK trying to get treatment is like trying to get blood from a stone.

I first asked my dentist to get braces over 2 years ago and this is how far Ive got in two years.

All this waiting 6 months for appointments here and waiting another 6 months for apointments there is so frustrating

At this rate I'll be lucky to have my braces on and off by the time i'm 30!

Last edited by bartez; 07-12-2006 at 03:18 PM.

 
Old 07-13-2006, 10:42 PM   #2
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Join Date: Apr 2004
Location: Rockland County, NY
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Thelma-Louise HB UserThelma-Louise HB UserThelma-Louise HB User
Re: Help! Jaw Surgery advice needed......

Sounds like orthognathic surgery and yes it is drastic. I had it done for aesthetic purposes as braces left me with a receded chin- but my jaw was broken near the chin area and just the chin was moved forward. At the time - they told me my other option was to have the jaw boken near the ear but that that was more painful and could cause complications with jaw movement. Can you get other opinions from other drs? Why can't they just remove some teeth on the bottom and then reposition the remaining ones with braces? PS I now have very bad tmj - and often wonder if the surgery contributed to it.

 
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Old 07-13-2006, 10:43 PM   #3
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Join Date: Apr 2004
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Thelma-Louise HB UserThelma-Louise HB UserThelma-Louise HB User
Re: Help! Jaw Surgery advice needed......

Sounds like orthognathic surgery and yes it is drastic. I had it done for aesthetic purposes as braces left me with a receded chin- but my jaw was broken near the chin area and just the chin was moved forward. At the time - they told me my other option was to have the jaw boken near the ear but that that was more painful and could cause complications with jaw movement. Can you get other opinions from other drs? Why can't they just remove some teeth on the bottom and then reposition the remaining ones with braces? PS I now have very bad tmj - and often wonder if the surgery contributed to it.

 
Old 08-11-2006, 01:15 AM   #4
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alexx HB User
Re: Help! Jaw Surgery advice needed......

Quote:
Originally Posted by bartez
Hi,
Bartez, Listen to me and listen to me very well. DO NOT GO AHEAD WITH BRACES AND SURGERY! I am a 25 year old male I had the same exact problem happen to me when I was 20 years old I was told that I needed braces by my dentist. I went to see an orthodontist for braces and he told me that I would need to have surgery because my lower jaw was positioned slightly forward. I was in braces for over 2 years and I had my surgery when I was 23. Now ever since the surgery none of my teeth touch except for in the front. My teeth hit heavily in the front and none of my back teeth touch. ever since the surgery I have had shooting pains into my face whenever my front teeth touch, I can't chew any food because none of my back teeth touch, Since the surgery I also have developed major TMJ problems. I can't work and when I talk my entire face hurts. PLEASE DO YOURSELF A FAVOUR AND DON'T GO FORWARD WITH ANY OF IT. I am 26 now and my life has been destroyed. Please don't do it these peaple destroyed my life I'm in desperate need of help and I can't find any. If anybody out there can help me please give my some advic I"m thinking about killing myself


Im a 23 year old male from the UK and was yesterday told by an Orthodontist that before I can get braces I need surgery on my jaw as my bottom teeth are slightly further forward than my top ones.

It came as a bit of a shock to be honest I never even imagined I would need surgery and the process she described sounded pretty daunting.

She said it involves breaking my Jaw, cutting my gums open at the back of my mouth and then adjusting my Jaw.

I am now waiting for an apointment to see a specialist at a dental hospital and was wondering if anyone has had this procedure or knows anything on the subject?

I dont know about your countries but here in the UK trying to get treatment is like trying to get blood from a stone.

I first asked my dentist to get braces over 2 years ago and this is how far Ive got in two years.

All this waiting 6 months for appointments here and waiting another 6 months for apointments there is so frustrating

At this rate I'll be lucky to have my braces on and off by the time i'm 30!

 
Old 08-11-2006, 05:28 PM   #5
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Join Date: Apr 2004
Location: Rockland County, NY
Posts: 3,278
Thelma-Louise HB UserThelma-Louise HB UserThelma-Louise HB User
Re: Help! Jaw Surgery advice needed......

Alexx - where do you live? There is a tmj forum on this site as well - that's where I usually am. I have severe tmd as well - haven't been able to work in 2 1/2 years due to unbareable pain - can't eat, chew or talk without whincing in pain & getting teary eyed or having jaw and tongue spasms. There are a lot of us with similar problems so don't give up. Have you tried splint therapy to stablize your bite and give the back teeth something to rest on? There are a number of web sites I can tell you about and there is a posted thread in the TMJ forum that lists good drs (most in the US) that other members recommend that you should check out. Also - its not unusual to have to go through many drs before finding the right one. I have consulted with over 20 during the past 2 years and let 5 of them treat me, most unsuccessfully. I just started with a new one a few weeks ago. Please hang in there.

 
Old 08-12-2006, 09:26 AM   #6
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Join Date: Jul 2006
Location: Europe
Posts: 26
Miara HB User
Re: Help! Jaw Surgery advice needed......

Hello,

I'm supposed to have similar surgery on my lower jaw, to move it forward. I've had braces for about 6 months, and my teeth have straightened quite well. I recently found out about Herbst appliance and that it has been used on adults successfully (it's normally used for children) so I am now reconsidering. (However, I don't know if it works for Class III malocclusion as well, but you could ask a specialist about it or do some of your own research.)

I also have some joint problems, but nothing major. I saw the surgeon for the second time recently and he said sometimes this surgery makes joint problems worse - so that made me look for alternative treatment. Now I'm leaning towards Herbst appliance - just need more info on it and its possible effects on one's joints.

If you do have the surgery, there is a small chance of nerve damage (usually numbness), but the overall success rate is quite high. Another option, of course, is not having surgery at all.

Regardless of which treatment I choose, my teeth must be drilled down/have filling added to make them more even after the braces come off. Maybe they could do this to you as well, Alex? If my lower jaw will be moved forward (surgery or Herbst appliance) my middle teeth would not touch, but it could be fixed like that.

I suggest you ask about different options from a couple of different specialists, even if you are being treated at a public health care centre, you can probably call some private specialist to get more information, after all one consultation probably does not cost too much and might well be worth it. And finally, if anyone knows about Herbst appliance (or of specialists in Scandinavia) I would really appreciate any info.

 
Old 08-12-2006, 08:36 PM   #7
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Join Date: May 2006
Posts: 65
Lexijones99 HB User
Re: Help! Jaw Surgery advice needed......

Quote:
Originally Posted by Miara
Hello,

I'm supposed to have similar surgery on my lower jaw, to move it forward. I've had braces for about 6 months, and my teeth have straightened quite well. I recently found out about Herbst appliance and that it has been used on adults successfully (it's normally used for children) so I am now reconsidering. (However, I don't know if it works for Class III malocclusion as well, but you could ask a specialist about it or do some of your own research.)

I also have some joint problems, but nothing major. I saw the surgeon for the second time recently and he said sometimes this surgery makes joint problems worse - so that made me look for alternative treatment. Now I'm leaning towards Herbst appliance - just need more info on it and its possible effects on one's joints.

If you do have the surgery, there is a small chance of nerve damage (usually numbness), but the overall success rate is quite high. Another option, of course, is not having surgery at all.

Regardless of which treatment I choose, my teeth must be drilled down/have filling added to make them more even after the braces come off. Maybe they could do this to you as well, Alex? If my lower jaw will be moved forward (surgery or Herbst appliance) my middle teeth would not touch, but it could be fixed like that.

I suggest you ask about different options from a couple of different specialists, even if you are being treated at a public health care centre, you can probably call some private specialist to get more information, after all one consultation probably does not cost too much and might well be worth it. And finally, if anyone knows about Herbst appliance (or of specialists in Scandinavia) I would really appreciate any info.
Isn't the Herbst appliance the expander? From what I've been told, adults still need to have surgery in order for the expander to work. I need it done and I'm scared to death to go through with it. I really don't understand why my orthodontist can't just pull some teeth and realign the rest.

 
Old 08-13-2006, 12:44 AM   #8
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Join Date: Jul 2006
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Posts: 26
Miara HB User
Re: Help! Jaw Surgery advice needed......

Quote:
Originally Posted by Lexijones99
Isn't the Herbst appliance the expander? From what I've been told, adults still need to have surgery in order for the expander to work. I need it done and I'm scared to death to go through with it. I really don't understand why my orthodontist can't just pull some teeth and realign the rest.

I don't think you need any surgery for it to work. A study has been made at the University of Bern in Switzerland, and according to that it is a realistic option for orthognathic surgery for adults, although the changes in profile were smaller (but I don't really care about that at least - if I can avoid surgery!). It should be an option at least for those who do not need their jaw moved forward significantly (e.g. more than 8 mm). You can google "Herbst appliance adult" or something like that and you should find some article(s) about the research. You can also do a picture search if you don't know what it looks like.

I know someone who had it done as an adult (she had no surgery) and it worked. I am not really sure how it works, because it's supposed to stimulate bone growth, but it seems to, so... I don't think many doctors like to use it on adults for whatever reason. You would think they would keep up with the new research, but I suppose a lot of them don't and therefore may not know of this study - at least I've had quite a lot of trouble finding information and doctors who may do it on adults.

 
Old 08-13-2006, 09:45 AM   #9
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Join Date: May 2006
Posts: 65
Lexijones99 HB User
Re: Help! Jaw Surgery advice needed......

Quote:
Originally Posted by Miara
I don't think you need any surgery for it to work. A study has been made at the University of Bern in Switzerland, and according to that it is a realistic option for orthognathic surgery for adults, although the changes in profile were smaller (but I don't really care about that at least - if I can avoid surgery!). It should be an option at least for those who do not need their jaw moved forward significantly (e.g. more than 8 mm). You can google "Herbst appliance adult" or something like that and you should find some article(s) about the research. You can also do a picture search if you don't know what it looks like.

I know someone who had it done as an adult (she had no surgery) and it worked. I am not really sure how it works, because it's supposed to stimulate bone growth, but it seems to, so... I don't think many doctors like to use it on adults for whatever reason. You would think they would keep up with the new research, but I suppose a lot of them don't and therefore may not know of this study - at least I've had quite a lot of trouble finding information and doctors who may do it on adults.
I just googled and it's a different appliance than what I was thinking it was. I thought it was the expander to expand your upper jaw. That is what I need and it requires surgery in adults.

 
Old 08-31-2006, 02:11 PM   #10
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bartez HB User
Re: Help! Jaw Surgery advice needed......

Thankyou all for your comments but I must say some of them are pretty scary.


I am still currently waiting for an appointment to see the oral surgeon and this whole thing is playing on my mind day in day out.

 
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