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Oral and Maxillofacial Surgery (Expert Forum)
Jaw Surgery = Still have a Class II bite?
Answered by
Michael H Kirsch, DDS - Oral Surgery, Maxillofacial, Wisdom Teeth, Bone Grafting, dental implants
Dr. Michael H. Kirsch
Caldwell - NJ
Questions in the Oral and Maxillofacial Surgery forum are answered by Dr. Michael H Kirsch. Topics covered include teeth extractions, wisdom teeth, dental implants, bone grafting, orthognathic surgery, facial bones realignment, facial trauma repair, jaw alignment, anesthesia, jaw cyst or tumor diagnosis, reconstructive jaw surgery, temporomandibular joint syndrome (TMJ) and TMJ surgery.
Jaw Surgery = Still have a Class II bite?
by BraceGirl, Jan 16, 2008 03:31PM
Hello-
First, thank you for taking the time to read my question. I will try and be brief!
I have had braces for almost two years now. I had palatal expansion surgery two years ago
I just had my second surgery almost two months ago now. My doctor moved my upper jaw up 6mm and then auto-rotated the bottom jaw forward. I also had Genioplasty on my chin.
With all of this work, my orthodontist informed me that even though I had the jaw surgery, I still had a Class II bite. I now have these elastics that I have to wear that hook from my molars to my canines in hopes of aligning the teeth properly (they like the bite on one side of my mouth, but the other side is not ideal).
My question is this...after such a surgery...can you still have an improper bite? My oral surgeon is wonderful and I personally think a perfectionist. :-) It’s hard for me to believe that he may have made a mistake or misjudged something...resulting in this Class II bite. Is it possible though?
Thank you again for any information/guidance you can provide. :-)
First, thank you for taking the time to read my question. I will try and be brief!
I have had braces for almost two years now. I had palatal expansion surgery two years ago
I just had my second surgery almost two months ago now. My doctor moved my upper jaw up 6mm and then auto-rotated the bottom jaw forward. I also had Genioplasty on my chin.
With all of this work, my orthodontist informed me that even though I had the jaw surgery, I still had a Class II bite. I now have these elastics that I have to wear that hook from my molars to my canines in hopes of aligning the teeth properly (they like the bite on one side of my mouth, but the other side is not ideal).
My question is this...after such a surgery...can you still have an improper bite? My oral surgeon is wonderful and I personally think a perfectionist. :-) It’s hard for me to believe that he may have made a mistake or misjudged something...resulting in this Class II bite. Is it possible though?
Thank you again for any information/guidance you can provide. :-)
Doctor's Answer
by Michael H Kirsch, DDS, Jan 17, 2008 03:36PM
, Jan 17, 2008 03:36PM
To answer your questions:
1. Yes, your bite may not be ideal after surgery.
2. The surgeon should have been able to predict within a high degree of certainity what the immediate post-surgical jaw position would have been even before the surgery was complete.
Your surgeon should be able to answer these questions for you. I would certainly call them.
Information contained within this reply is intended solely for general educational purposes and is not intended nor implied to be a medical diagnosis or treatment recommendation. This is not a substitute for professional medical advice relative to your specific medical condition or question. Always seek the advice of your own doctor for medical condition. Only your doctor can provide specific diagnoses and therapies.
1. Yes, your bite may not be ideal after surgery.
2. The surgeon should have been able to predict within a high degree of certainity what the immediate post-surgical jaw position would have been even before the surgery was complete.
Your surgeon should be able to answer these questions for you. I would certainly call them.
Information contained within this reply is intended solely for general educational purposes and is not intended nor implied to be a medical diagnosis or treatment recommendation. This is not a substitute for professional medical advice relative to your specific medical condition or question. Always seek the advice of your own doctor for medical condition. Only your doctor can provide specific diagnoses and therapies.
Member Comments (3)
by BraceGirl, Jan 16, 2008 03:38PM
Just a follow-up, please accept my apologies. I did not know the formal name of my jaw surgery off the top of my head.
by Michael H Kirsch, DDS, Jan 19, 2008 11:49AM
, Jan 19, 2008 11:49AM
no apologies necessary. Good luck.
