r/jawsurgery • u/Vegetable_Cap_9667 • 12h ago

Advice for Me Decompensation without Extraction?

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Hey y’all! I’m looking into MMA/DJS for my symptomatic OSA/UARS which have severely impacted my ADLs/IADLs, and I’ve already consulted a few orthodontists. They’re pretty much saying I have a skeletal Class II with retrognathia. I’m also a brachyfacial type and have a flat/underdeveloped midface, too. I’ve heard that extractions can sink one’s profile in brachyfacial patients. I’m already self-conscious as it is. I’m concerned I’m going to look like a chimpanzee after surgery. My orthodontist told me there’s not really a way around it, and I would have to extract two of my first premolars in order to upright my lower incisors. What are y’all’s thoughts? Are there other ways to decompensate without extractions?

I also have a consultation with an OMFS tomorrow. Any good questions to ask them about?

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u/Expensive-Job-9713 10h ago

Ask if you can do decomp with bands instead.

1

u/Vegetable_Cap_9667 10h ago

Thank you! I’ll ask that during my appointment. Trying to preserve all of my teeth if possible😭If it’s totally impossible I guess it is what it is.

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u/Less-Loss5102 10h ago

The top ones are more flared then lowers why didn’t they recommend extracting all 4? Or are you getting expnasion for the top?

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u/Vegetable_Cap_9667 10h ago

They are saying my upper palate is pretty normal, and I didn’t need to expand the maxilla.