Rare sight: My Overcrowded teeth (I also need Jaw surgery)!!

This forum is for discussions relating to oral surgery for orthodontics.

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boatsink
Posts: 98
Joined: Sat May 23, 2009 11:56 am
Location: Bay Area, California

#46 Post by boatsink »

congrats!!!! thanks for sharing your journey with us :P

sgguy
Posts: 155
Joined: Mon May 21, 2007 12:24 am

#47 Post by sgguy »

As some of you may know, I was on braces for 3 yrs and did a double jaw surgery. I needed to remove some teeth by my surgeon before surgery. However, due to some overlook or miscommunication, one wisdom tooth that was supposed to be removed at that time was NOT extracted.

My ortho refused to admit any miscommunication and claimed it was a "small thing" to jus remove a wisdom tooth, even after removal of braces.

When I went to remove the wisdom tooth at my surgeon, she told me I cannot extract the wisdom tooth as my jaw surgery was still recent and further healing was needed til maybe at least around June/July. And she said I might need to do ANOTHER SURGERY to remove the bone plates inserted during surgery which is at the widom tooth area!!

This is a very serious overlook/miscommunication and someone has to bear the responsiblity .. don't u think so?

P.S : Anyone who wans to know who my ortho and surgeon is can PM me.
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ReneG
Posts: 195
Joined: Fri Dec 28, 2007 3:16 am
Location: Singapore

#48 Post by ReneG »

Your teeth look FANTASTIC and I'm sorry to hear about the overlooked wisdom teeth.

Dr Tay told me today that I have the option of having the plates removed about a year after surgery but not before or after a year. However, if there is no infection or complications, I could just leave them alone.

My upper wisdom teeth were impacted and the roots consolidated into one thick root so they could be removed via regular extraction. The lower ones were also impacted but had normal four long roots and had to be cut and removed bit by bit - this was done as day surgery in NDC.

Wisdom teeth removal can get complicated because of the depth of the roots and closeness to the nerves - much like in lower jaw surgery. I guess given the recent trauma to the area, I would not want to risk it.

I'm not sure what course of action you can take against the orthodontist though... Do you have any documentation about the proposed wisdom teeth removal?
My 2 year diet plan in progress: http://www.archwired.com/phpbb2/viewtopic.php?p=243462

10 Mar 2008: Braced - upper and lower
12 Jan 2010: BSSO (Advancement)
?? Jun 2010: 6th post-op appointment
30 Jun 2010: 6th post-op ortho appointment - debanding!!! :D
07 Jul 2010: Retainer day!

sgguy
Posts: 155
Joined: Mon May 21, 2007 12:24 am

#49 Post by sgguy »

Some amendments to be added to previous post :

As some of you may know, I was on braces for 3 yrs and did a double jaw surgery. I needed to remove 3 wisdom teeth and 1 upper tooth by my surgeon just before surgery. I was ordered to remove them just before surgery and had to wait for 6 weeks to have the wounds healed, thereby delaying my surgery. I was wondering all along why the teeth were not taken out earlier. My ortho claimed further adjustments of the wire to straighten my teeth were needed and it would coincide wif the timing of my surgery. The wisdom teeth were NOT bonded all along and they were located at the end of the mouth, so how could it affect the straightening of my other teeth?? I suspect my ortho did not communicate wif my surgeon earlier regarding this 6 week healing period therefore creating the delay.

Due to some overlook or miscommunication, one wisdom tooth that was supposed to be removed at that time was NOT extracted.

My ortho refused to admit any miscommunication and claimed it was a "small thing" to jus remove a wisdom tooth on my own free time, even after removal of braces.

So, I decided to extract this tooth wif a dentist friend of mine but he was not free, so i went to my surgeon instead.

When I went to remove the wisdom tooth at my surgeon, she told me I cannot extract the wisdom tooth as my jaw surgery was still recent and further healing was needed til maybe at least around June/July. And she said I might need to do ANOTHER SURGERY to remove the bone plates inserted during surgery which is at the widom tooth area!!

I was shocked that had I extracted that tooth wif my dentist friend, something bad could have happened to my jaw!!!

This is a very serious overlook/miscommunication and someone has to bear the responsiblity .. don't u think so?

P.S : Anyone who wans to know who my ortho and surgeon is can PM me.
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sgguy
Posts: 155
Joined: Mon May 21, 2007 12:24 am

#50 Post by sgguy »

ReneG wrote:Your teeth look FANTASTIC and I'm sorry to hear about the overlooked wisdom teeth.

Dr Tay told me today that I have the option of having the plates removed about a year after surgery but not before or after a year. However, if there is no infection or complications, I could just leave them alone.

My upper wisdom teeth were impacted and the roots consolidated into one thick root so they could be removed via regular extraction. The lower ones were also impacted but had normal four long roots and had to be cut and removed bit by bit - this was done as day surgery in NDC.

Wisdom teeth removal can get complicated because of the depth of the roots and closeness to the nerves - much like in lower jaw surgery. I guess given the recent trauma to the area, I would not want to risk it.

I'm not sure what course of action you can take against the orthodontist though... Do you have any documentation about the proposed wisdom teeth removal?
I just realised a method of lower jaw op called the IVRO (Intraoral vertical ramus osteotomy) that can prevent numbness... however it's practised in NUH/NDC now only, i believe AH hasnt' used it yet.
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qwertz1
Posts: 144
Joined: Fri Mar 26, 2010 2:21 pm

#51 Post by qwertz1 »

sgguy wrote: I just realised a method of lower jaw op called the IVRO (Intraoral vertical ramus osteotomy) that can prevent numbness... however it's practised in NUH/NDC now only, i believe AH hasnt' used it yet.
are you sure you didn't mix up something here?
IVRO doesn't prevent numbness, can only be used for lower jaw setbacks and THIS IS SPAM PLEASE REPORT IT TO THE ADMINISTRATOR. THIS IS SPAM PLEASE REPORT IT TO THE ADMINISTRATOR. THIS IS SPAM PLEASE REPORT IT TO THE ADMINISTRATOR. THIS IS SPAM PLEASE REPORT IT TO THE ADMINISTRATOR. requires being wired shut for several weeks. (not sure about wired shut though)
most doctors use BSSO or variations of it like HSSO nowadays.

sgguy
Posts: 155
Joined: Mon May 21, 2007 12:24 am

IVRO

#52 Post by sgguy »

Hi qwertz1,

Could u explain more abt IVRO or is there any thread here that talks more abt it?

I've done BSSO and i've got quite a bit of numbness in my lower lip and chin .. 4 months post op..

wat's HSSO ?
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sgguy
Posts: 155
Joined: Mon May 21, 2007 12:24 am

#53 Post by sgguy »

The IVRO method has a very low chance of causing numbness, creating post-op TMJ problems as compared to BSSO method.. also, the absence of plates and screws is another good thing as they may cause IAN nerve bundle injury... but the only BIG disadvantage is it can only be used to move the lower jaw backwards

That's why the BSSO method is most often used worldwide , correct?
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sgguy
Posts: 155
Joined: Mon May 21, 2007 12:24 am

#54 Post by sgguy »

Pls correct me if i'm wrong.. comparing pros and cons of IVRO and BSSO(from what i've read in this forum and other websites/ literature online)

Advantages of IVRO

1) Less chance of post op TMJ problems
2) Almost no chance of numbness in lower lip and chin
3) Less chance of relapse as bone plates and screws not used

Disadvatages of IVRO

1) Can only move lower jaw BACKWARDS.

Disadvantages of BSSO

1) Numbness of lower lip and chin quite high (as I've had it for 4 months already!!) as the cut is made at the bone very near to the IAN nerve bundle. Also, insertion of screws are also very near the IAN nerve bundle thus can cause disturbance to it leading to numbness.
2) Relaspse is likely as bone plates and screws are used.

Advanatages of BSSO

1) ????
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sgguy
Posts: 155
Joined: Mon May 21, 2007 12:24 am

#55 Post by sgguy »

The lower wisdom tooth is stil inside my mouth and i didn't bother to take it out .. yet.

I still have numbness in my entire lower lip and chin.. almost reaching 1 yr post-op...

Any suggestions to improve numbness?
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sgguy
Posts: 155
Joined: Mon May 21, 2007 12:24 am

Re: Rare sight: My Overcrowded teeth (I also need Jaw surger

#56 Post by sgguy »

Hi all,

A few hours ago on Tuesday of 20th November 2012, I've just removed the bone plates and screws on my jaw bone after my double jaw surgery 3 years ago..

There is no need for the Urine tube but the Glucose drip is needed. But it was removed before I woke up :) I was discharged a few hours shortly after the operation cos the surgery center will be closed by night time. So there're no overnight stayers.

It's a relatively short and simple operation. Just took 1 hour or so only. Nothing compared to jaw surgery. It's advisable to do this operation not later than 1 year cos the bone will grow over the plates and screws and the surgeon need to drill the bone away first (which is what happened in my case <_< )

Only my cheeks are quite swollen (like after a wisdom teeth extraction) but it's expected to subside significantly within a week. My lips are okay. There is no numbness at all.

Teeth do not need to be tied up unlike in jaw surgery, so I was able to eat SOLID food right away :)

Btw, this is an OPTIONAL surgery. It's ur choice if u want to remove them or not.

Below is a photo I've just taken at home of the bone plates and screws.

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bbsadmin
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Joined: Sat Aug 28, 2004 7:03 pm
Location: Northern California
Contact:

Re: Rare sight: My Overcrowded teeth (I also need Jaw surger

#57 Post by bbsadmin »

This topic was locked in the other two forums due to duplicate content. It can continue here in this forum.
I'm the owner/admin of this site. Had ceramic uppers, metal lowers ~3 years in my early 40's. Now in Hawley retainers at night!

bemozart
Posts: 1
Joined: Thu Apr 18, 2019 6:22 pm

Re: Rare sight: My Overcrowded teeth (I also need Jaw surgery)!!

#58 Post by bemozart »

Hi sgguy

Are you still in this forum as this is very dated. I'm from the same country as you and doing the surgery soon. Really encouraged by your courage. How is the numbness now and to what areas? Any improvements? Will be glad if you can share

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