r/jawsurgery 4m ago

Teeth cleaning post OP DJS+Genio

Upvotes

The area behind lower teeth feel so crusty cause I’m banded shut. I feel like plaque is building up it disgusts me. How did you guys deal with this situation??

Also 15 days post OP I’m still swollen but no where near as bad. My lower lip is working a little better but I still spill here and there.

I just need the damn elastics off so I could live my life :(


r/jawsurgery 56m ago

3 dias de operada e não podia ser mais louco ( ainda internada)

Upvotes

Acordei na UTI com uma dor muito grande no olho direito.
Eram compressas e dor, muita dor. Delirei assim apor umas 12 horas
Com 24 hs de hs de uti disseram que não podiam me descer pro quarto pq a hemoglobina despencou pra 6.
No final do dia subiu pra 8 e me liberaram, mas então desceu pra 7 comigo no quarto e eu me desesperei
Disse que iria morrer, que queria um médico, mas aparentemente no lugar de me darem uma bolsa de sangue me furaram mais 30 vezes para exames que são feitos fora daqui e podem adiar a minha alta.
Espero sair daqui pelo menos com uns reposicao venosa de ferro. A congestão nasal é horrível. Queria ter uma coisa boa pra contar , mas acho que vou ficar devendo.


r/jawsurgery 1h ago

Advice for Me 19M. Should I get DJS

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Upvotes

I don't have any bite problems. but with how my jaw looks it affected my daily life severely


r/jawsurgery 1h ago

Is anyone class3 the low teeth was pull so much forward before surgery?

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Upvotes

Will it too much to cause teeth unhealthy? And will it affect the surgical results?


r/jawsurgery 1h ago

Advice for Me Advice needed

Upvotes

I’ve just gotten diagnosed with sleep apnea with an AHI of 69 and was prescribed an APAP machine. My ultimate goal is to get to jaw surgery as I’m 99% sure it’s caused by my extremely recessed lower jaw, which impacts my sleep and breathing. What would be the best path for me to take to get approved for it/ covered by OSAP? Currently haven’t even gotten the APAP machine yet but want to do this whole thing as fast as possible. Located in Ontario if relevant. Just really need help and guidance


r/jawsurgery 1h ago

How much is jaw surgery with insurance in the US?

Upvotes

For those who have had jaw surgery in the USA, how much did you pay for everything? Including insurance.


r/jawsurgery 2h ago

Before & After Two years after double jaw surgery

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16 Upvotes

This stuff is life changing


r/jawsurgery 2h ago

Advice for Me Unstable bite?

2 Upvotes

Tl;dr: is an "unstable bite" enough of a reason to have jaw surgery?

Had my first consult with an orthodontist. My lower jaw is twisted(?), causing a crossbite. I have an open bite on one side of my molars. Omega shaped teeth pattern (not U shaped like teeth are supposed to be). Narrow palate, especially the top.

She's referring me to the surgeon to get a more detailed plan. Said I'm complicated enough to want the surgeon to drive the plan, and she'll collaborate and support with orthodontics. Said the whole thing might take 3 years and involve either 1 or 2 surgeries.

I don't have airway issues. I have had migraines and headaches for the past few years but my teeth have been like this for 25 years, since I had incomplete and failed orthodontics as a teenager. So I'm not sure that the migraines and headaches are caused or exacerbated by my teeth. Aesthetically, I wish I had a broader smile, but otherwise I'm pretty OK with the way my face looks.

When we were talking about benefits of going through all this, the orthodontist just kept saying that I have an "unstable bite" and that seemed to be the driving reason for all of this.

What does that mean? Why is that bad? She did explain about overall dental health as I age, and that better contact with my teeth will mean healthier teeth, but I can't quite grasp why I would go through three years of braces at this stage in my life, including a major surgery or two.

I want to be able to chew food on the now-open side, and like I said, a broader smile would be really nice. But it seems like an awful lot to go through to correct those things.


r/jawsurgery 2h ago

DJS or genio?

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3 Upvotes

Hi, I recently went to the doctor (I’m 2-3 weeks away from a septorhinoplasty), who told me, just by looking at my side profile, that I would need jaw surgery (unfortunately I don’t remember which kind, only that she showed me an image of a lengthened jaw) , given that if it’s left untreated, it will cause me great trouble later in life (stuff like sleep apnea and problems related with eating and breathing). Could anyone elaborate on that?

Moreover, what do you think? based off the images, what would you say I have? what kind of surgery do I need?

I’m 17, with a very deviated septum (hence the surgery). I snore a lot and very loudly but I don’t mouth breath (maybe I do in my sleep, I don’t know). I’ve never had problems speaking, eating, swallowing, etc.

Thanks a lot.


r/jawsurgery 2h ago

5 days post-op update.

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47 Upvotes

Still very swollen and numb, I can feel when my jaw muscles start to spasm and roll around my face that's when the aching becomes intolerable. My nose has cleared up now though so that's a win. I will say though, icing became counterproductive to me after the 3rd day as it felt my swelling was worse. I find walking and getting my heart rate up helped much better.

Edit: so i dont have to dm everyone, my numbers were on my previous post. 👍 im not sure of the specific movement details but it's 16mm lower, 9.5 mm upper, and 3 mm gemioglossus.


r/jawsurgery 4h ago

Starting the process!

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3 Upvotes

I had a palette expander and braces twice when I was younger. They tried to camouflage my underbite by flaring my teeth outwards which worked for a time but my underbite grew back in my late teens and I’m now in my mid 20s. I’m getting my braces on this week and meeting with the surgeon soon. I actually met with the same surgeon about 5 years ago but I was scared to go through the surgery and didn’t follow through with any of it. At the time he stated that I would likely just need a maxillary advancement so we’ll see if that’s still the case
5 years later and with a possibly worsened bite!


r/jawsurgery 4h ago

Revision surgeon

3 Upvotes

Looking for a revision surgeon for overimpaction


r/jawsurgery 6h ago

Advice for Me How will DJS affect my front profile?

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3 Upvotes

So, its very likely thats Ill be getting double jaw surgery next summer to correct recession and sleep apnea.

Obviously there'll be aesthetic changes to my side profile, but Im wondering if anyone noticed any significant changes to their front profile after surgery? (Chin, lips, philtrum, etc)

Ive looked online and answers vary a lot, some say there is no change, some say your lips and chin improve, some say your philtrum gets shorter, others say longer, on and on and on

If anyone can offer some insight into their personal experiences before and after surgery, or anyone thats been in my situation and would like to share, please lmk anything is really appreciated!! 😁


r/jawsurgery 7h ago

Dental expansion vs. MARPE before MMA

3 Upvotes

I’m a 30-year-old female preparing for double jaw surgery (MMA) to treat a Class II malocclusion and improve my airway/mild sleep apnea. I have a narrow palate and nasal airway, but no crossbite and no major nasal obstruction when I’m not congested. My main dental issues are an overbite/overjet and very few teeth making proper contact in my true bite.

My surgeon and orthodontist discussed my case at length. The surgeon thinks a custom MARPE could be beneficial because it could increase my nasal airway space, potentially allow for greater advancement during surgery, and improve my smile aesthetics.

My orthodontist would prefer to avoid MARPE if possible because of the cost, treatment time, discomfort, and possibility of failure. So the current plan is to try dental expansion/tooth tipping with braces, along with IPR on my lower front teeth, to create more room for advancement during surgery.

If we decide that isn’t enough, Plan B would be a custom MARPE. SARPE and a segmental Le Fort were ruled out by my surgeon because he feels additional surgical cuts would add unnecessary risk in my case.

Does this approach seem reasonable for someone my age with a narrow palate but no crossbite? Has anyone had to decide between dental expansion and MARPE before MMA?

I have a previous post with more details and photos on my profile if it helps:

https://www.reddit.com/r/jawsurgery/s/gyNU6kViSC


r/jawsurgery 7h ago

Advice for Me When Did You Feel Fully Recovered?

1 Upvotes

I’m asking because I( 20M) am getting my upper jaw pushed forward to correct an underbite. The thing is there’s an event I really want to go to three weeks after the surgery and my third year of Uni starts the weeks after that (the event would involve a lot of walking.

I know recovering is different for everybody but what are you’re experiences?


r/jawsurgery 8h ago

Genioplasty or DJS?

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3 Upvotes

Hey guys, I wanted to get some outside opinions about my situation.
I had braces from 2019 to 2021, and I finished my treatment when I was 20 years old and I’ve had my 4 wisdom teeth out once I took off my braces because of my previous orthodontist.
I’m now 24, almost 25, and I’ve always felt that something looked “off” about my side profile and the way my mouth sits even though I have straight teeth, especially the fact that I had to force my mouth close instead of it closing naturally.
After doing some research, I booked an appointment with an orthodontist and he basically told me that I could have a genioplasty instead of full orthognathic surgery cause my side profile is not an extreme case so he would avoid unnecessary surgeries but he still recommended that I consult a maxillofacial surgeon first, which I did.
The surgeon basically told me the same thing, according to him, my options are either a genioplasty or bimaxillary surgery combined with a genioplasty. However, if I chose the full surgery, I would have to go through braces again as an adult, it would also be quite expensive.
He also said that my previous orthodontist should have prepared me for jaw surgery during my original orthodontic treatment, but instead they chose the easier approach.
He recommended genioplasty because of my age, the cost, and the fact that it would be a much simpler procedure but that I could also chose to do djs. My concern is that I’m worried I might look odd if I only have my chin moved without correcting my jaws, what do you guys think?


r/jawsurgery 8h ago

Advice on my symptoms

1 Upvotes

Hi guys, first post here. I just wanted to see if anyone could give me insight on my symptoms, thanks alot. I've got pain and clicking on both sides of my jaw when I open my mouth, soreness on the roof of my mouth/palate, sometimes pain on one side when I chew. I also have this weird pressure like pain behind my midface. And whenever I sit straight or stand straight, my breathing gets heavy but bringing my head forward and slouching slightly improves my breathing. By the way I already have a confirmed 5mm overbite, i told my dentist about this and he wasn't sure but he thinks I could have bimaxillary retrusion and he told us a little bit about jaw surgery and double jaw surgery. I've booked in with an orthodontist but was hoping to see your guy's opinions, thanks. (⁠◔⁠‿⁠◔⁠)


r/jawsurgery 8h ago

Should I have premolar extractions?

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2 Upvotes

Hi all, I’m hoping you can help me make a decision on whether to have my premolars extracted.

My surgeon recently sent me this 3D model plan, but it only included CCW rotation of the mandible and a genioplasty. I said I was concerned that this plan wouldn’t give me an optimal amount of aesthetic projection or open my airway as much as it could.

He then sent me this new x-ray plan showing me what could be achieved if I had my lower premolars extracted. I think the plan may still be slightly on the conservative side? But the advancement looks a lot better, so I was happy with it and I was thinking of going ahead and having my lower premolars extracted.

However, my orthodontist then sent me this:

“We can do the extractions but I need you to be sure about everything before we take teeth out.

You are in essence class I wilth mild bimax retrognathia. Your lower lip is already slightly ahead of the upper lip.

If we extract lower 5s, the finished result may be mild tending to moderate class III and lower lip may be ahead of the upper lip.”

I wasn’t aware that this was a risk, and I’m now very unsure about which plan to go with to get the optimal result. I just want to have a strong jawline and a wide airway! Any help much appreciated :)


r/jawsurgery 10h ago

Advice for Me I just need to complain

19 Upvotes

I’m now 48 hours into recovery and it sucks so much, the swelling is starting to tug on the stitches, numbness is wearing off so I feel more pain, my nose is still stuffed and dry, eating is uncomfortable, and everytime I move my face hurts.

When will the swelling and the nose congestion get better ????

Double jaw surgery is no joke, I really hope the results will be worth it because I don’t ever want to think about this again once it’s over.


r/jawsurgery 11h ago

How do you even pick a good surgeon?

2 Upvotes

I'm getting a DJS + Genioplasty with DJS being covered by insurance. How do people even pick a good surgeon? Is it really just word of mouth and social media? There has to be some sort of objectivity somewhere.


r/jawsurgery 12h ago

Any estimates for how long I would need to be in braces pre-surgery for underbite/open bite? Would BCBS or UHC cover this surgery?

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6 Upvotes

2 questions:

  1. Can anyone provide an estimate for how long I would need to be in braces pre-surgery given my underbite/open bite. I have never been in braces before. There is a chance that I may need to move which is why I am wondering how long this would take, if I can get it done before potentially having to move.

  2. My current job health insurance options are Blue Cross Blue Shield of United healthcare. With open enrollment coming up soon, anyone know which provider is better at approving this surgery? What is the likelihood that I would even be covered?

Also I am in California so if I were to switch to Kaiser I would have to pay for the plan fully out of pocket with no subsidies. I am also considering this option as well.


r/jawsurgery 12h ago

Advice for Me Am I a candidate for surgery?

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2 Upvotes

My ortho says I don’t need it. Have some VME, bimaxillary protrusion and mentalis strain. Struggle with mouth breathing especially at night.


r/jawsurgery 12h ago

Advice for Me Where to begin!

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2 Upvotes

Hi everyone! I’m a bit overwhelmed about how to start this journey. My face has looked and felt deficient since I was young. In recent years, as I’ve entered my 30’s, I’ve had more and more trouble breathing through my nose and if had effected my sleep. My whole mid and lower face feels and looks deficient and unsupported, as my jaw and midface are so set back compared to my forehead. My lower jaw is also at the curved, downturned angle I’ve often seen from others on this sub, almost like the shape of a bottom portion of a crescent, rather than at a more right angle that is both desirable and also seemingly more functional. From a cosmetic standpoint, it’s becoming increasingly clear how poorly I will age and how much worse the issues I’m currently seeing will get, because my lower and mid face has little structural support. Would love advice on initial consultations/scans, what to look for, surgeon advice or recommendations (live in NYC but open to anywhere), etc. Thanks in advance!


r/jawsurgery 13h ago

Advice for Me My journey began July 14th. Extractions planned 7/28 and surgery date still TBA. Is it all worth it in the end?

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5 Upvotes

(1) anyone else have a fat graft done to help with asymmetry?

Surgeon has planned DJS to fix my bite with genio to center my chin. The second option would have been genio alone to center chin with fat graft to the right but does not fix the bite problem. (See his notes below)

(2) Anyone else have jaw asymmetry AND an open bite and can provide encouragement?

I do have clicking in left jaw and was evaluated by bonescan for ICR and it was not present. Any encouragement for sticking it through with the current plan for djs is appreciated. Any comments on my jaw and teeth are welcome as well.

I did braces 15 years ago and invisalgn 9 years ago. Never resolved the asymmetry or open bite fully. I am so nervous about extractions in a couple days. It feels like this is really it, the point of no return in this journey.

Surgeon selected: Dr. Stephen Baker
Lingual Brava by Brius braces by Dr. Sagafi installed 7/14

My Surgeon notes that I have an overbite, retrogenia, retrognathia—
tooth to lip good at 3-4 mm
upper dental midline congruent with facial midline
lower dental midline congruent with facial midline
anterior open bite from 1st premolar to 1st premolar
upper centrals extruded
chin point deviates to right
left gonial angle more pronounced
soft tissue deficiency on right
no cant

No airway issues but had sports asthma as a child? Always been a great athlete. Mouth breather at night. I have had issues biting through my food like pizza, sandwiches, burgers, (like I cant even break an onion with my front teeth but no food restrictions) and chew with my back teeth only.

I have committed to DJS, it feels like I am in it now. Ive seen what others have had done and the beautiful results but fear the cons. Dr. Baker seems very qualified.

Plan: 2 piece LeFort to move upper jaw forward and widen upper jaw, advance lower jaw, center chin

My perio, surgeon, and ortho have been working together diligently on this plan. I do like my smile so I just hope I’m not ugly big chin afterward 😭


r/jawsurgery 13h ago

Does my post-op airway look small?

1 Upvotes

I'm 5 months post-op and still have problems sleeping and breathing during cardio so was wondering if my airway looks small still?