getting double jaw surgery

[idkrandomhere]

HELP ME ! im getting double jaw surgery and have a couple questions for high iq individuals>

1. i’m getting a downgraft and i need to know whether or not i can / should have a downgraft with net ccw or net cw, please mention some factors regarding occlusion that affects whether u can’t get net ccw (downgraft) or u can’t get net cw (downgraft)
2. if you get a downgraft with net ccw, would net ccw be on both jaws or only one or the other?
3. does a net ccw downgraft affect the gonial angle (my biggest fear is that my acute gonial angle becomes obtuse)

ik this is badly worded im in a rush tbh but if anyone that’s high IQ can help me please do!

 

[idkrandomhere]

helpppppp

 

[foidslayer22]

ill ask chatgpt for you

 

[foidslayer22]

You can combine a downgraft with net CCW only if the bite, joints, and facial proportions allow it, because rotation isn’t an aesthetic choice but is limited by occlusion, TMJ stability, incisor position, airway needs, and vertical face balance; downgraft + CCW is common in long-face or deep-bite cases but usually not possible in open-bite or already long-face patterns, while downgraft + CW is rarer and used mainly for extreme deep bites or very short lower faces. In double-jaw surgery, “net CCW” is a rotation of the entire maxillomandibular complex, so both jaws participate in the rotation even if one jaw is translated more than the other. A CCW downgraft does not make the gonial angle biologically more obtuse, because surgery repositions the mandible rather than reshaping that bony angle; if anything, CCW often improves jawline projection, and when the angle looks worse it’s usually due to excessive vertical lengthening or poor planning, not CCW itself.

 

[idkrandomhere]

You can combine a downgraft with net CCW only if the bite, joints, and facial proportions allow it, because rotation isn’t an aesthetic choice but is limited by occlusion, TMJ stability, incisor position, airway needs, and vertical face balance; downgraft + CCW is common in long-face or deep-bite cases but usually not possible in open-bite or already long-face patterns, while downgraft + CW is rarer and used mainly for extreme deep bites or very short lower faces. In double-jaw surgery, “net CCW” is a rotation of the entire maxillomandibular complex, so both jaws participate in the rotation even if one jaw is translated more than the other. A CCW downgraft does not make the gonial angle biologically more obtuse, because surgery repositions the mandible rather than reshaping that bony angle; if anything, CCW often improves jawline projection, and when the angle looks worse it’s usually due to excessive vertical lengthening or poor planning, not CCW itself.

can u ask also if deepbite + retrusion and rotation of mandible too high up changes anything ?

 

[foidslayer22]

If someone has a deep bite and mandibular retrusion, that actually favors a downgraft with net CCW, because CCW rotation advances the mandible, opens the bite, and improves airway and facial balance; rotating the mandible “too high up” only becomes a problem if the rotation is excessive or poorly planned, since that can strain the TMJs, create posterior open bite or incisor collisions, and over-lengthen the lower face, but in a deep-bite + retrusive case moderate CCW is usually stabilizing and corrective rather than harmful, as long as occlusion, joint seating, and vertical proportions are respected.

bhai stop wasting my LLM tokens

 

[idkrandomhere]

If someone has a deep bite and mandibular retrusion, that actually favors a downgraft with net CCW, because CCW rotation advances the mandible, opens the bite, and improves airway and facial balance; rotating the mandible “too high up” only becomes a problem if the rotation is excessive or poorly planned, since that can strain the TMJs, create posterior open bite or incisor collisions, and over-lengthen the lower face, but in a deep-bite + retrusive case moderate CCW is usually stabilizing and corrective rather than harmful, as long as occlusion, joint seating, and vertical proportions are respected.

bhai stop wasting my LLM tokens

wooo tyyyy