Lower jaw surgery delima

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streetmaster
Posts: 28
Joined: Sat Mar 14, 2009 3:12 pm

Lower jaw surgery delima

#1 Post by streetmaster »

I've talked to three Ortho's, and the third one pushed towards OS.

The first Ortho said that he believes that i can get buy with out any OS.

Just wandering if anyone went on without getting OS for lower jaw surgery, when they were told they should have it.

The dentist that i go to, got her braces at 37, was told she needed lower jaw surgery, but could'nt get it because of insurance reasons.

Her braces are off now, but she still has a bit of an overbite issue, which doesnt bother her, and is hard to even notice it.

Now the first ortho that wants to work on me with out OS, quoted $4,450 with ceramics on top, and with the $1,500 in benifits, the braces would cost me just under $3,000.

The ortho really pushing for OS quoted $6,180 + $1,040 for surgical coodination = $7,220 for ceramics on top and Damons on bottom :shock:

Since i've been on this site i've learned a bunch, like TMJ which i have none. I have not limit of movement in my lower jaw, and can even pull my lower K9's out past my upper teeth with no clicking, popping, or cracking of the joint.

I do have a boat load of crowding though, but my center line is good. The main problem with my lower teeth, the K9s and the 4 front teeth that stick out of the gum a little more, and slide up the back side of the upper teeth and i get a 100% overbite and pulls my lower jaw back.

Just curious if anyone had luck with getting a nasty overbite corrected without OS, because at 46 i'd like to avoid going under the knife.

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newsboysgrl777
Posts: 241
Joined: Fri Mar 20, 2009 8:40 pm
Location: NY
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#2 Post by newsboysgrl777 »

I can't help you with my experience of how it went to get my overbite and overjet corrected with just braces and not surgery because I'm still in treatment for it, but I did choose to go the route of non-surgical. I only met with 2 orthodontists and the first one mentioned surgery, but kind of made it sound like it wasn't a 100% necessity. (He said to have the braces first, see how it all turns out, then discuss surgery after if it's still necessary.) The second ortho (who is my ortho now) said that my problems weren't severe enough to warrant surgery.


So, that said, I opted to just go for braces because, like you, I don't have any problems with TMJ or anything like that. When I was going through the initial exam and such with the ortho I chose, she mentioned some clicking she felt when I moved my jaw, but it's hard for me to feel it when I have my hands near my jaw (where she had her hands), so it's got to be very slight.

My reasons for pursuing this was because my lower teeth were kind of pushing into the backs of my top teeth because, again, like you, i had 100% bottom tooth coverage by my top teeth. So, I wanted to correct that and prevent anything further happening down the road...and wasn't too concerned with the fact that I have an overjet (meaning, I'm not fixing it because I disliked how my teeth looked).

All of that I'm telling you so you can see that there is someone else going down the road you are contemplating and although the degree of 'problem' may be different for each of us, I think it might be in your best interest to get another opinion. (It sounded like you only went to 2 consultations, but I could be wrong. ) You definitely want to see if there is a 'tie-splitter.' If another ortho STRONGLY SUGGESTS getting the surgery, then you know there may be a good reason for it, or, he/she may agree that braces are all you need. (Just re-read your post...what did the second ortho suggest?)

That being said, I would probably pursue braces to see how your outcome is with that and if, along the way, things turn out that you need surgery, you can pursue it then. No sense 'commiting' to it if it's not an absolute necessity.

As far as price, the first ortho's quote is spot-on with what I'm paying, and sounds reasonable. The third ortho's quote seems extravagently high. Just the $6,180 alone seems much higher and I'd love to know where he justifies this price (like does he think his time is more expensive than another ortho's, his brackets better, etc.). What did the second one quote you?

The LAST thing I'll say (and I'm sorry this is so long) is that you should really go with who you feel the most comfortable with. If you think ortho #3 has a great reputation, but doesn't listen to you when you voice concerns and/or ask questions, or you aren't comfortable with him, etc., etc., I would move on and seek another. Also, what you're contemplating IS a big deal, so doing more research and taking your time is by NO MEANS a bad thing.

Good luck!!! :)
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streetmaster
Posts: 28
Joined: Sat Mar 14, 2009 3:12 pm

#3 Post by streetmaster »

Yeah the second ortho explained to me that if i wanted a faster result, that surgery was a good idea, but would take longer without.

His quote was $4,000 flat, even for the Damons top and bottom, but he wanted all the money up front. :shock:

The third ortho quoted $1,860 down, at $312. per month for 17 months, and on top of all that they threw into the mix an addisional $250 because the top brackets were to be clear, coming to a grand total of $7,470 :shock:

And the first ortho quoted $1,160 down, and is the only one out of the three, thats in the system of my insurance plan.

Yeah i've already taken to many days off from work, with a 1/2 dozen visits for dentist work + my ortho consultations, i figured i'dd shoot from the hip, and shake it all down with the first ortho i went to, probly because my boy went to him 8 yrs ago, and was also recamended by my dentised.

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