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Serious Lower Jaw surgery and teeth extraction?.

Mosan

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Hello. I currently live in sweden and i am a 19(07) year old guy. I have som jaw problems and i have Waited to fix it for a long time in a waiting list. I have now gotten the chance to talk to orthtodontist for Braces. They say i need both surgery for my lower jaw and braces. I was fine with it until they Said i need to take out two premolars from my front Jaw and two from my lower jaw. To sum upp the bite problems i have. I have a underbite,crossbite and a open bite. I went to another dentist to see if i could get invisalign and immediately when she saw me she Said this is not fixable with invisalign. From what she saw she Said my lower jaw is way to Big compared to my upper jaw. she Said i needed lower jaw surgery Aswell but she could not see the reason as to why they needed to take two teeth from my upper jaw. She Said i need surgery for my lower jaw and that i need to take out two teeth and pull back my lower jaw to match with my upper jaw. My question is can someone help me as to what i should do. One dentist said i should get lower jaw surgery and take out two Lower jaw teeth and the other Said i need to take out four. I asked both of these dentists if they could maybe give me upper Jaw surgery or something instead of taking out teeth to match with my upper jaw. They said my teeth would not match and it wouldnt work but i dont know. I feel like lefort to fix the underbite and then lower jaw to fix the crossbite would work good. But i really dont know and i need help. I Will show pictures of me and my bite now.
 

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listen to your dentist not to random teenagers on this forum
 
listen to your dentist not to random teenagers on this forum
one dentist Said i need four extractions. The other two. The One with four extractions saw xrays and everything so thata Maybe why she Said four but idk. Either way im scared of extraction and if i do get it i am pretty sure i Will become even More recessed
 
hey dont get lower jaw surgery, ur maxilla is already recessed and ljs is just gonna make your mandible just as recessed. idk abt the premolar part, id try to ask to not do it. do bimax if you can you'll probably be able to fix ur bite in one surgery
 
I wouldn’t choose between two extraction plans based on photos or forum opinions. The decision usually comes from cephalometric measurements, facial growth, tooth position, and how much movement is actually needed. Get the full records and ask an oral and maxillofacial surgeon plus an orthodontist to explain each option, including how extractions affect lip support and profile. A second or third opinion is reasonable before anything irreversible.

I’ve seen people worry that extractions automatically cause a sunken face, but it depends heavily on the starting anatomy and treatment plan. Non surgical jawline and chinlift approaches may help facial balance in selected bite-related cases, but they aren’t a replacement for correcting a major skeletal discrepancy.
 
I wouldn’t choose between two extraction plans based on photos or forum opinions. The decision usually comes from cephalometric measurements, facial growth, tooth position, and how much movement is actually needed. Get the full records and ask an oral and maxillofacial surgeon plus an orthodontist to explain each option, including how extractions affect lip support and profile. A second or third opinion is reasonable before anything irreversible.

I’ve seen people worry that extractions automatically cause a sunken face, but it depends heavily on the starting anatomy and treatment plan. Non surgical jawline and chinlift approaches may help facial balance in selected bite-related cases, but they aren’t a replacement for correcting a major skeletal discrepancy.
Hey. thank you for your reply. I really want to get lefort 1 and a bsso. i believe the lefort will fix my recessed maxilla and the bsso will fix my misaligned jaw and give me a jaw that i would say is atleast decent looking which is what i want. The only good redeemable feature about my jaw is my hyoid and my mandibles forward growth although its is a quite downward grown. But the problem is i need to find a surgeon and orthodonist who thinks a lefort 1 is suitable for my face. I am going to another clinic who is private ( the last one was state driven which meant i did not need to pay for anything)

Hopefully they can decide that a lefort is suitable for my face but if they say they wanna bring back my jaw and everything i will decline, because bringing everything back is just gonna make my mandible just as recessed as my maxilla and will maybe give me a better bite and teeth but i will still be chopped. What advice would u give me if i wanna convince this clinic i an going to, to give me lefort 1 and bsso?
 
he got my maxilla tbh
hey dont get lower jaw surgery, ur maxilla is already recessed and ljs is just gonna make your mandible just as recessed. idk abt the premolar part, id try to ask to not do it. do bimax if you can you'll probably be able to fix ur bite in one surgery
t
 

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