Help! Off-Centred Lower and Upper Jaw

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Naderq
Posts: 15
Joined: Wed Nov 30, 2016 6:12 am

Help! Off-Centred Lower and Upper Jaw

#1 Post by Naderq »

Guys,

I'm having a terrible time right now. I'm 5 months out of upper and lower surgery to fix an overbite.

Before my surgery my midlines were dead centre - both the upper and lower. After double jaw surgery both my midlines are now off 1.6mm - I did a CB CT Scan to verify. My lips are uneven. My chin is completely off centred as well and I can literally feel my teeth scraping along the left side of my cheek. I have quite the narrow face so this is all very noticeable to me. It looks even worse because my nose is shifted in the opposite direction.

I see my surgeon on Friday but I know she's going to give me some BS excuse.

The orthodontist hasn't been able to move my teeth much either. I've attached a picture but it looks worse in person - trust me.

What are other people's experience with midlines being off? Typically I read That the upper is off but rarely do I read that both are off especially after being centred before surgery. Anyone have experience? What did you do? I'm so friggin nervous about being told I would need a revision surgery.
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FlyByNight
Posts: 208
Joined: Sat Mar 18, 2017 11:07 am

Re: Help! Off-Centred Lower and Upper Jaw

#2 Post by FlyByNight »

My midline started to shift a few months away from my debond. They gave me an elastic to wear from the bottom left bracket to the top canine. It seemed to work, but I got my braces off and my top upper teeth are crooked. Whenever I tried to fix something, it just created another problem. My ortho always told me "it's how your jaw is" or "your jaw is higher on one side"

http://a66.tinypic.com/29ncevd.jpg

Elucidation
Posts: 26
Joined: Mon Mar 13, 2017 1:30 pm

Re: Help! Off-Centred Lower and Upper Jaw

#3 Post by Elucidation »

I'm 1 month post-op from double-jaw, I've had similar concerns about my mid-line being off, one jaw being canted, and my nose, lips and teeth not aligning. It's pretty minor though. On the order of 1.5mm or so shifts, and though I am still somewhat worried, this unfortunately seems to be within the realm of expectation coming out of double jaw surgery. I have to keep reminding myself how much worse my jaw and teeth looked before surgery through pictures etc. I made a post with a photo of my mid-line shift in today's blog post.

Image

Almost nobody will ever notice these shifts, I met someone with a whole tooth offset (more than 6mm easily) and I never even noticed it until she pointed it out, her smile looked completely normal and beautiful.

The orthodontist didn't seem worried about the results of the jaw surgery 9 days post-op, and at 5 weeks post-op he still seemed fine with it. My bite is starting to come together. The cant is making the right side of my back teeth take longer to come together. Only those close to me can tell anything is off. So in terms of how I'll look in public, and how I'll look in almost all the photos I'll ever be in, it'll be a 'perfect' smile. Sure the nose is slightly off, it was kinda off before surgery too and I never noticed. I wonder if I would've been more assertive with the surgeon in the first 2 weeks whether I would've had a revision surgery. In my case, I don't think it's worth going under the knife again.

My mid-lines were dead centre before surgery too, but if I blind-test show photos of myself before or after, they unanimously say I look better after. Maybe if there was a perfect head-on photo close-up of my teeth somebody might notice.
Blog: http://doublejawsurgery.samansari.info
My arch-wired topic on my surgery: http://www.archwired.com/phpbb2/viewtopic.php?p=492454

Braces from March 2015 - January 2018
Double-jaw surgery on March 7, 2017 to correct a class III malocclusion (upper -1mm, lower +7mm from normal), ie. an underbite.

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