Search found 114 matches

by PierreDeFermat
Sat Mar 23, 2019 6:11 pm
Forum: Oral (Orthognathic) Surgery
Topic: Bone plates for 12 year old?
Replies: 2
Views: 822

Re: Bone plates for 12 year old?

My advice is to seek a 2nd and 3rd opinion with a board certified orthognathic surgeon, and also, your daughter. Surgery always carries some inherent risk, and you may not want to go down that route unless absolutely necessary... 12 is young for surgery, usually around 16-18+ is acceptable if a pers...
by PierreDeFermat
Thu Jan 10, 2019 9:18 pm
Forum: Oral (Orthognathic) Surgery
Topic: Recommended Resources
Replies: 0
Views: 1259

Recommended Resources

I thought I'd share some textbooks that were a big help as I was preparing for jaw surgery almost a year ago. You may be able to find them at your local university library. Oral and Maxillofacial Surgery: Volume 3 -- Fonseca, Marciani, Turvey (2008) https://www.amazon.com/Oral-Maxillofacial-Surgery-...
by PierreDeFermat
Fri Dec 21, 2018 4:53 pm
Forum: Oral (Orthognathic) Surgery
Topic: Not sure of the next step to pursue surgery
Replies: 3
Views: 757

Re: Not sure of the next step to pursue surgery

The surgical bite mold cannot be cast until 30 days or less from date of surgery, as your teeth will be moving quite a bit before then. The last month or two of your braces treatment is when the surgeon will speak to your orthodontist and go over your case to make sure your teeth are in the correct ...
by PierreDeFermat
Fri Dec 21, 2018 4:26 pm
Forum: Oral (Orthognathic) Surgery
Topic: After Jaw surgery do you have to continue your orthodontic treatment?
Replies: 3
Views: 1001

Re: After Jaw surgery do you have to continue your orthodontic treatment?

You should follow the advice of the surgeon and your orthodontist. Your bite/teeth will indeed relapse without proper post-surgical treatment (including arch-bars, retainers (Hawley or palatal bonded), etc.). You may also experience new-found TMJ issues if your teeth relapse with your new jaw-positi...
by PierreDeFermat
Wed Dec 19, 2018 3:58 pm
Forum: Oral (Orthognathic) Surgery
Topic: Surgeon Review - Carlos Villegas Bateman
Replies: 3
Views: 1013

Re: Surgeon Review - Carlos Villegas Bateman

Very sorry to hear that it turned out poorly. I'm sure there are some very talented surgeons in Colombia (Bogotá most likely) that will be able to do a revision for you, and if you can fly to Miami that might be a good option, even if it's just a consultation. I do not recommend going back to the sa...
by PierreDeFermat
Tue Dec 18, 2018 8:06 pm
Forum: Oral (Orthognathic) Surgery
Topic: Surgeon Review - Carlos Villegas Bateman
Replies: 3
Views: 1013

Re: Surgeon Review - Carlos Villegas Bateman

How long ago was your surgery? Was it in the last 3 months?
by PierreDeFermat
Thu Oct 18, 2018 9:39 am
Forum: Oral (Orthognathic) Surgery
Topic: April 18 Surgery Buddies...
Replies: 147
Views: 12633

Re: April 18 Surgery Buddies...

N2Deep, Sorry to hear you're still in the saddle! These things take a long time but I think the pay-off is worth it in the end; a great smile goes a long way towards making someone look and feel more attractive! I just got back from my 6 month post-op visit. Everything going well and I feel essentia...
by PierreDeFermat
Fri Aug 24, 2018 12:18 pm
Forum: Oral (Orthognathic) Surgery
Topic: Correction of horizontal deviation?
Replies: 3
Views: 803

Re: Correction of horizontal deviation?

Yes, a "cant" is one of the more common reasons a person would undergo orthognathic surgery. Your case would be considered moderate. You will most likely need bimaxillary surgery (surgery on both the upper and lower jaw) and a period of braces before, during, and after surgery. I suggest y...
by PierreDeFermat
Wed Jul 18, 2018 2:43 pm
Forum: Oral (Orthognathic) Surgery
Topic: Will lower jaw surgery make my chin disappear?
Replies: 5
Views: 1060

Re: Will lower jaw surgery make my chin disappear?

Unless you have a major underbite, the surgeon will likely move your upper jaw forward instead of bringing your lower backward (or a combination of the top forward, and the bottom a little backward). This is to ensure you still have good mandibular projection/definition post-op. Please don't get any...
by PierreDeFermat
Tue Jul 03, 2018 1:40 pm
Forum: Oral (Orthognathic) Surgery
Topic: Help! Totally botched?
Replies: 6
Views: 1297

Re: Help! Totally botched?

Four weeks is still extremely early in the process and you're still very swollen judging by your pictures. Most of the swelling will be along the osteotomy lines (toward the back of your lower jaw and on either side of your nose), which explains the prominence and visible flaring. My midline was som...
by PierreDeFermat
Sun Jul 01, 2018 5:16 pm
Forum: Oral (Orthognathic) Surgery
Topic: Getting braces before seeing a jaw surgeon
Replies: 6
Views: 824

Re: Getting braces before seeing a jaw surgeon

I strongly recommend you consult another orthodontist before getting teeth extracted. While it maybe true in your case that the teeth need to come out (e.g. if you have an open bite with severe crowding and a narrow palate), it's getting rarer and rarer for orthodontists to extract teeth and I would...
by PierreDeFermat
Fri Jun 29, 2018 12:09 am
Forum: Oral (Orthognathic) Surgery
Topic: April 18 Surgery Buddies...
Replies: 147
Views: 12633

Re: April 18 Surgery Buddies...

Looking great Mojo, that first pic of your teeth is so funny to me for some reason! :-* I imagine that people must think I'm on some kind of crazy drugs when they see me massaging my face or using my fingers to gently stretch open my mouth (let alone while trying to eat a sandwich). This Saturday is...
by PierreDeFermat
Sun Jun 24, 2018 11:04 am
Forum: Oral (Orthognathic) Surgery
Topic: April 18 Surgery Buddies...
Replies: 147
Views: 12633

Re: April 18 Surgery Buddies...

Mojo, I'm writing this from the gym on my second day back: I could only do 20 push-ups and isolated bench machine at 70lbs for 20 reps. The rest of my exercises were similarly very light. The weakness sucks, especially since I used to workout every other day and put on good size (lost 20lbs since su...
by PierreDeFermat
Thu Jun 14, 2018 1:20 pm
Forum: Oral (Orthognathic) Surgery
Topic: April 18 Surgery Buddies...
Replies: 147
Views: 12633

Re: April 18 Surgery Buddies...

The arch bars may move your teeth a little but your occlusion should return to normal a few weeks after having them removed. Residual swelling may also play a part. I'm not sure about occlusal discrepancy after IMF screws but I assume it's similar. I just saw my surgeon for my 7th week post-op visit...
by PierreDeFermat
Wed Jun 13, 2018 2:18 pm
Forum: Oral (Orthognathic) Surgery
Topic: surgery tomorrow
Replies: 6
Views: 744

Re: surgery tomorrow

Best of luck!

I recommend you join the latest "Surgery Buddies" thread (June/July 2018) and post about your particular case. It helps to have people who are also going through the same thing at the same time as you for support and to ask questions.