Guest guest Posted October 2, 2004 Report Share Posted October 2, 2004 I was told my orthodontist that they do not wire your jaw shut in orthognatic surgery anymore, but from reading the posts here I am finding out different. Was wondering if anyone knew why or why not someone would be wired? I am having surgery Nov. 17 and have not asked my OS about being wired since my orthodontist said it was not done anymore, but I think it is something I need to know. Any input would help. Thanks Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 2, 2004 Report Share Posted October 2, 2004 I was told my orthodontist that they do not wire your jaw shut in orthognatic surgery anymore, but from reading the posts here I am finding out different. Was wondering if anyone knew why or why not someone would be wired? I am having surgery Nov. 17 and have not asked my OS about being wired since my orthodontist said it was not done anymore, but I think it is something I need to know. Any input would help. Thanks Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 2, 2004 Report Share Posted October 2, 2004 I am having surgery on 11/22 and my surgeon says that he will not know until he gets in to the surgery ... so I think it depends the person... He did say that he has not wired anyone in a long time but he takes it case by case.... Sadie KelJoSt wrote: I was told my orthodontist that they do not wire your jaw shut in orthognatic surgery anymore, but from reading the posts here I am finding out different. Was wondering if anyone knew why or why not someone would be wired? I am having surgery Nov. 17 and have not asked my OS about being wired since my orthodontist said it was not done anymore, but I think it is something I need to know. Any input would help. Thanks Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 2, 2004 Report Share Posted October 2, 2004 I am having surgery on 11/22 and my surgeon says that he will not know until he gets in to the surgery ... so I think it depends the person... He did say that he has not wired anyone in a long time but he takes it case by case.... Sadie KelJoSt wrote: I was told my orthodontist that they do not wire your jaw shut in orthognatic surgery anymore, but from reading the posts here I am finding out different. Was wondering if anyone knew why or why not someone would be wired? I am having surgery Nov. 17 and have not asked my OS about being wired since my orthodontist said it was not done anymore, but I think it is something I need to know. Any input would help. Thanks Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 2, 2004 Report Share Posted October 2, 2004 Hi , Getting wired shut, as my OS and orthodonist agree, is used to prevent any infection that could come from using a lot of hardware like screws and plates. Also, he had mentioned a very slightly higher incidence of relapse with not being wired than with being wired. I am wired, and despite the difficulty talking, I am glad I don't have to worry about spare parts in my jaws (save for 4 internal wires). He said 6 weeks wired is worth it to prevent any future problems. , it depends on your OS too. They know best, and if they are competent, your results will be excellent! > I was told my orthodontist that they do not wire your jaw shut in > orthognatic surgery anymore, but from reading the posts here I am > finding out different. Was wondering if anyone knew why or why not > someone would be wired? I am having surgery Nov. 17 and have not > asked my OS about being wired since my orthodontist said it was not > done anymore, but I think it is something I need to know. Any input > would help. > > Thanks > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 2, 2004 Report Share Posted October 2, 2004 Hi , Getting wired shut, as my OS and orthodonist agree, is used to prevent any infection that could come from using a lot of hardware like screws and plates. Also, he had mentioned a very slightly higher incidence of relapse with not being wired than with being wired. I am wired, and despite the difficulty talking, I am glad I don't have to worry about spare parts in my jaws (save for 4 internal wires). He said 6 weeks wired is worth it to prevent any future problems. , it depends on your OS too. They know best, and if they are competent, your results will be excellent! > I was told my orthodontist that they do not wire your jaw shut in > orthognatic surgery anymore, but from reading the posts here I am > finding out different. Was wondering if anyone knew why or why not > someone would be wired? I am having surgery Nov. 17 and have not > asked my OS about being wired since my orthodontist said it was not > done anymore, but I think it is something I need to know. Any input > would help. > > Thanks > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 3, 2004 Report Share Posted October 3, 2004 Hi , I am over three months post op and am still banded. OS calls it rigid fixation. he prefers to do that and said that the only reason he would wire me is if a bone did not cut properly, imagine cutting a piece of bread vs tearing it. Same thing, bone can break or shatter and not cut smoothly, in that case he said he would have wired me. Not needed though. katie > I was told my orthodontist that they do not wire your jaw shut in > orthognatic surgery anymore, but from reading the posts here I am > finding out different. Was wondering if anyone knew why or why not > someone would be wired? I am having surgery Nov. 17 and have not > asked my OS about being wired since my orthodontist said it was not > done anymore, but I think it is something I need to know. Any input > would help. > > Thanks > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 3, 2004 Report Share Posted October 3, 2004 Hi , I am over three months post op and am still banded. OS calls it rigid fixation. he prefers to do that and said that the only reason he would wire me is if a bone did not cut properly, imagine cutting a piece of bread vs tearing it. Same thing, bone can break or shatter and not cut smoothly, in that case he said he would have wired me. Not needed though. katie > I was told my orthodontist that they do not wire your jaw shut in > orthognatic surgery anymore, but from reading the posts here I am > finding out different. Was wondering if anyone knew why or why not > someone would be wired? I am having surgery Nov. 17 and have not > asked my OS about being wired since my orthodontist said it was not > done anymore, but I think it is something I need to know. Any input > would help. > > Thanks > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 4, 2004 Report Share Posted October 4, 2004 Hi -- I was literally " wired shut " with wires for the first 2 weeks after my surgery (I had a Vertical Ramus Osteotomy; my lower jaw was set back 5 mm) but it was more because there was a question about a latex allergy and he didn't want to use " latex " rubber bands if I had any type of allergy. After that I was " banded " shut but VERY TIGHTLY banded with about 20 rubber bands for four more weeks. I think people often use the term " wired shut " loosely to mean anything where your jaw is clamped shut, even if it is done with rubber bands vs. literal wires. I was curious about why so many people on this listserv seemed not to be " wired " shut (either with wire or rubber bands) for more than a week or 2 and why I needed to have it for 6 weeks. I think it was because of the surgical operation I was having. I was told that the lower jaw is most vulnerable to relapse so he needed to be the most conservative and use the most mobilization possible. Having said that, I will be 12 weeks post-op on Thursday and am now down to 1 rubber band that I wear when not eating to insure that my bite settles properly. Hopefully, my OS will remove it in the next week or two and then I can get finished with the orthodontics and be done! Helen > I was told my orthodontist that they do not wire your jaw shut in > orthognatic surgery anymore, but from reading the posts here I am > finding out different. Was wondering if anyone knew why or why not > someone would be wired? I am having surgery Nov. 17 and have not > asked my OS about being wired since my orthodontist said it was not > done anymore, but I think it is something I need to know. Any input > would help. > > Thanks > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 4, 2004 Report Share Posted October 4, 2004 Hi -- I was literally " wired shut " with wires for the first 2 weeks after my surgery (I had a Vertical Ramus Osteotomy; my lower jaw was set back 5 mm) but it was more because there was a question about a latex allergy and he didn't want to use " latex " rubber bands if I had any type of allergy. After that I was " banded " shut but VERY TIGHTLY banded with about 20 rubber bands for four more weeks. I think people often use the term " wired shut " loosely to mean anything where your jaw is clamped shut, even if it is done with rubber bands vs. literal wires. I was curious about why so many people on this listserv seemed not to be " wired " shut (either with wire or rubber bands) for more than a week or 2 and why I needed to have it for 6 weeks. I think it was because of the surgical operation I was having. I was told that the lower jaw is most vulnerable to relapse so he needed to be the most conservative and use the most mobilization possible. Having said that, I will be 12 weeks post-op on Thursday and am now down to 1 rubber band that I wear when not eating to insure that my bite settles properly. Hopefully, my OS will remove it in the next week or two and then I can get finished with the orthodontics and be done! Helen > I was told my orthodontist that they do not wire your jaw shut in > orthognatic surgery anymore, but from reading the posts here I am > finding out different. Was wondering if anyone knew why or why not > someone would be wired? I am having surgery Nov. 17 and have not > asked my OS about being wired since my orthodontist said it was not > done anymore, but I think it is something I need to know. Any input > would help. > > Thanks > Quote Link to comment Share on other sites More sharing options...
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