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Hi,

Lots of questions, I'll try to answer some of them, from the

perspective of someone who had upper/lower/genio (genio was chin

reduction/advancement which is often done to balance the other

changes) and am older. I was almost 47 when I had the surgery, didn't

know I needed it, but found out that my joints were starting to wear

because of their deformity (don't you love that word?).

I had popping, clicking, occasional locking of the jaws, but only

when I started to have some pain on opening to eat did I start to

investigate, and only when my dentist suggested it (he had always

asked if I had any pain, always monitored the sounds). I did not have

the surgery for cosmetic reasons and would not recommend it for that,

there are risks involved and one needs to carefully weigh them

against the benefits. Although I was teased as a child, I would have

been happy to live with my looks for the rest of my life, but I

decided to have the surgery in order to prevent the further

deterioration of my joints, and to have it while I was still

relatively young and quite healthy.

I had no pain or serious discomfort throughout all of this process.

There is a large nerve that runs through the lower jaw that, because

it will be disturbed during surgery (but hopefully not damaged), will

provide enough numbness that you shouldn't have pain. Most people

don't have pain. I was given demerol while I was in hospital (2 days)

and then weaned off onto children's tylenol with codeine. That was

quite adequate for the discomfort, which I would characterize as

muscle soreness.

Likely symptoms post-op? You'll swell up, you'll drool, you'll have

trouble talking, you'll have numbness in the face and gums and

possibly tongue. None of this is permanent, luckily, although some of

the numbness can take a long time to go away. Most of it goes away in

the first few weeks, but the remainder probably won't be gone that

fast. I would describe the remaining numbness as an altered sensation

something like the very last few seconds of dental freezing

(novocaine) before it wears off. It's more annoying than anything

else, you have feeling, but you also have some little tinglies to

entertain you.

Keep your mom involved, you're young and she can help you weigh the

risks and benefits. You don't have to have surgery at your age, you

can and might be better off to wait, especially until you have

stopped growing.

I started investigating this in Jan of 2000, decided on surgery after

meeting the surgeon in October of that year. I started my ortho

treatment in Jan of 2001, had surgery in August of 2002, and was out

of braces in April of 2003. The timelines are different for everyone,

it definitely depends on how fast your teeth move (the ortho will

move them into the position they need to be in post-surgery, so they

often mess up your bite).

I hope that helps. There's also an info website that I set up that

will provide lots of links and FAQs about this at

http://www.geocities.com/orthognathicinfo/

>

> I have recently been told by my orthdadontist that if I want to I

> can go for the operation for my lower jaw to be moved slightly

> because my front teeth don't meet at all, because of the misaligned

> jaws.

>

> I did ask if I could possibly just have braces, but that wouldnt

> help and I would need the operation to correct my bite. Plus braces

> for 2 years (1 year of them and then operation and then another

year)

>

> They orthadontist said that I don't definately need it, but if I

> feel that I want it because of how I look, then I can.

>

> The reasons she said for having the operation is that it could

> inprove the way I talk, because the gap between top and bottom

teeth

> creates some speech problems, but nothing mayjor, also because I

> have flat cheekbones and that when Im older it could cause problems

> with pain in my jaws.

>

> So I was wondering if anyone here could give me advice... I want it

> done to improve my bite, and looks, but I really don't like the

> thought of the pain, discomfort and everything else. But saying

> that, I would probably be alright with it - what I want to know

> really, is what is involved with the op and after the op.. what

kind

> of things should I expect?

>

> Also, the orthadontist has said that she will make an appointment

> with the hospital for me, which will now probably be in Feb or

> March.. and thats just to talk about everything and then decide

> whether to go ahead with it... So after that, about how long would

I

> be waiting for the actual operation? What age do they prefer to do

> the operation on? I am 16 now.

>

> Sorry for going on and on... just keep asking these questions to my

> mum and she doesnt know, so thought I would ask here :)

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Hi,

Lots of questions, I'll try to answer some of them, from the

perspective of someone who had upper/lower/genio (genio was chin

reduction/advancement which is often done to balance the other

changes) and am older. I was almost 47 when I had the surgery, didn't

know I needed it, but found out that my joints were starting to wear

because of their deformity (don't you love that word?).

I had popping, clicking, occasional locking of the jaws, but only

when I started to have some pain on opening to eat did I start to

investigate, and only when my dentist suggested it (he had always

asked if I had any pain, always monitored the sounds). I did not have

the surgery for cosmetic reasons and would not recommend it for that,

there are risks involved and one needs to carefully weigh them

against the benefits. Although I was teased as a child, I would have

been happy to live with my looks for the rest of my life, but I

decided to have the surgery in order to prevent the further

deterioration of my joints, and to have it while I was still

relatively young and quite healthy.

I had no pain or serious discomfort throughout all of this process.

There is a large nerve that runs through the lower jaw that, because

it will be disturbed during surgery (but hopefully not damaged), will

provide enough numbness that you shouldn't have pain. Most people

don't have pain. I was given demerol while I was in hospital (2 days)

and then weaned off onto children's tylenol with codeine. That was

quite adequate for the discomfort, which I would characterize as

muscle soreness.

Likely symptoms post-op? You'll swell up, you'll drool, you'll have

trouble talking, you'll have numbness in the face and gums and

possibly tongue. None of this is permanent, luckily, although some of

the numbness can take a long time to go away. Most of it goes away in

the first few weeks, but the remainder probably won't be gone that

fast. I would describe the remaining numbness as an altered sensation

something like the very last few seconds of dental freezing

(novocaine) before it wears off. It's more annoying than anything

else, you have feeling, but you also have some little tinglies to

entertain you.

Keep your mom involved, you're young and she can help you weigh the

risks and benefits. You don't have to have surgery at your age, you

can and might be better off to wait, especially until you have

stopped growing.

I started investigating this in Jan of 2000, decided on surgery after

meeting the surgeon in October of that year. I started my ortho

treatment in Jan of 2001, had surgery in August of 2002, and was out

of braces in April of 2003. The timelines are different for everyone,

it definitely depends on how fast your teeth move (the ortho will

move them into the position they need to be in post-surgery, so they

often mess up your bite).

I hope that helps. There's also an info website that I set up that

will provide lots of links and FAQs about this at

http://www.geocities.com/orthognathicinfo/

>

> I have recently been told by my orthdadontist that if I want to I

> can go for the operation for my lower jaw to be moved slightly

> because my front teeth don't meet at all, because of the misaligned

> jaws.

>

> I did ask if I could possibly just have braces, but that wouldnt

> help and I would need the operation to correct my bite. Plus braces

> for 2 years (1 year of them and then operation and then another

year)

>

> They orthadontist said that I don't definately need it, but if I

> feel that I want it because of how I look, then I can.

>

> The reasons she said for having the operation is that it could

> inprove the way I talk, because the gap between top and bottom

teeth

> creates some speech problems, but nothing mayjor, also because I

> have flat cheekbones and that when Im older it could cause problems

> with pain in my jaws.

>

> So I was wondering if anyone here could give me advice... I want it

> done to improve my bite, and looks, but I really don't like the

> thought of the pain, discomfort and everything else. But saying

> that, I would probably be alright with it - what I want to know

> really, is what is involved with the op and after the op.. what

kind

> of things should I expect?

>

> Also, the orthadontist has said that she will make an appointment

> with the hospital for me, which will now probably be in Feb or

> March.. and thats just to talk about everything and then decide

> whether to go ahead with it... So after that, about how long would

I

> be waiting for the actual operation? What age do they prefer to do

> the operation on? I am 16 now.

>

> Sorry for going on and on... just keep asking these questions to my

> mum and she doesnt know, so thought I would ask here :)

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Share on other sites

Thanks for your post . I hadn't realised that your surgery, age,

motivation and timing were so close to mine.

When I signed all the forms giving consent all of them had " Gross

Skeletal Deformity " as the reason for surgery. love it. But as a

friend points out, if it got Aetna to approve it....

- In orthognathicsurgerysupport , fiddlesticks220002

<no_reply@y...> wrote:

>

> Hi,

>

> Lots of questions, I'll try to answer some of them, from the

> perspective of someone who had upper/lower/genio (genio was chin

> reduction/advancement which is often done to balance the other

> changes) and am older. I was almost 47 when I had the surgery,

didn't

> know I needed it, but found out that my joints were starting to

wear

> because of their deformity (don't you love that word?).

>

> I had popping, clicking, occasional locking of the jaws, but only

> when I started to have some pain on opening to eat did I start to

> investigate, and only when my dentist suggested it (he had always

> asked if I had any pain, always monitored the sounds). I did not

have

> the surgery for cosmetic reasons and would not recommend it for

that,

> there are risks involved and one needs to carefully weigh them

> against the benefits. Although I was teased as a child, I would

have

> been happy to live with my looks for the rest of my life, but I

> decided to have the surgery in order to prevent the further

> deterioration of my joints, and to have it while I was still

> relatively young and quite healthy.

>

> I had no pain or serious discomfort throughout all of this process.

> There is a large nerve that runs through the lower jaw that,

because

> it will be disturbed during surgery (but hopefully not damaged),

will

> provide enough numbness that you shouldn't have pain. Most people

> don't have pain. I was given demerol while I was in hospital (2

days)

> and then weaned off onto children's tylenol with codeine. That was

> quite adequate for the discomfort, which I would characterize as

> muscle soreness.

>

> Likely symptoms post-op? You'll swell up, you'll drool, you'll have

> trouble talking, you'll have numbness in the face and gums and

> possibly tongue. None of this is permanent, luckily, although some

of

> the numbness can take a long time to go away. Most of it goes away

in

> the first few weeks, but the remainder probably won't be gone that

> fast. I would describe the remaining numbness as an altered

sensation

> something like the very last few seconds of dental freezing

> (novocaine) before it wears off. It's more annoying than anything

> else, you have feeling, but you also have some little tinglies to

> entertain you.

>

> Keep your mom involved, you're young and she can help you weigh the

> risks and benefits. You don't have to have surgery at your age, you

> can and might be better off to wait, especially until you have

> stopped growing.

>

> I started investigating this in Jan of 2000, decided on surgery

after

> meeting the surgeon in October of that year. I started my ortho

> treatment in Jan of 2001, had surgery in August of 2002, and was

out

> of braces in April of 2003. The timelines are different for

everyone,

> it definitely depends on how fast your teeth move (the ortho will

> move them into the position they need to be in post-surgery, so

they

> often mess up your bite).

>

> I hope that helps. There's also an info website that I set up that

> will provide lots of links and FAQs about this at

> http://www.geocities.com/orthognathicinfo/

>

>

>

>

>

> >

> > I have recently been told by my orthdadontist that if I want to I

> > can go for the operation for my lower jaw to be moved slightly

> > because my front teeth don't meet at all, because of the

misaligned

> > jaws.

> >

> > I did ask if I could possibly just have braces, but that wouldnt

> > help and I would need the operation to correct my bite. Plus

braces

> > for 2 years (1 year of them and then operation and then another

> year)

> >

> > They orthadontist said that I don't definately need it, but if I

> > feel that I want it because of how I look, then I can.

> >

> > The reasons she said for having the operation is that it could

> > inprove the way I talk, because the gap between top and bottom

> teeth

> > creates some speech problems, but nothing mayjor, also because I

> > have flat cheekbones and that when Im older it could cause

problems

> > with pain in my jaws.

> >

> > So I was wondering if anyone here could give me advice... I want

it

> > done to improve my bite, and looks, but I really don't like the

> > thought of the pain, discomfort and everything else. But saying

> > that, I would probably be alright with it - what I want to know

> > really, is what is involved with the op and after the op.. what

> kind

> > of things should I expect?

> >

> > Also, the orthadontist has said that she will make an appointment

> > with the hospital for me, which will now probably be in Feb or

> > March.. and thats just to talk about everything and then decide

> > whether to go ahead with it... So after that, about how long

would

> I

> > be waiting for the actual operation? What age do they prefer to

do

> > the operation on? I am 16 now.

> >

> > Sorry for going on and on... just keep asking these questions to

my

> > mum and she doesnt know, so thought I would ask here :)

Link to comment
Share on other sites

Thanks for your post . I hadn't realised that your surgery, age,

motivation and timing were so close to mine.

When I signed all the forms giving consent all of them had " Gross

Skeletal Deformity " as the reason for surgery. love it. But as a

friend points out, if it got Aetna to approve it....

- In orthognathicsurgerysupport , fiddlesticks220002

<no_reply@y...> wrote:

>

> Hi,

>

> Lots of questions, I'll try to answer some of them, from the

> perspective of someone who had upper/lower/genio (genio was chin

> reduction/advancement which is often done to balance the other

> changes) and am older. I was almost 47 when I had the surgery,

didn't

> know I needed it, but found out that my joints were starting to

wear

> because of their deformity (don't you love that word?).

>

> I had popping, clicking, occasional locking of the jaws, but only

> when I started to have some pain on opening to eat did I start to

> investigate, and only when my dentist suggested it (he had always

> asked if I had any pain, always monitored the sounds). I did not

have

> the surgery for cosmetic reasons and would not recommend it for

that,

> there are risks involved and one needs to carefully weigh them

> against the benefits. Although I was teased as a child, I would

have

> been happy to live with my looks for the rest of my life, but I

> decided to have the surgery in order to prevent the further

> deterioration of my joints, and to have it while I was still

> relatively young and quite healthy.

>

> I had no pain or serious discomfort throughout all of this process.

> There is a large nerve that runs through the lower jaw that,

because

> it will be disturbed during surgery (but hopefully not damaged),

will

> provide enough numbness that you shouldn't have pain. Most people

> don't have pain. I was given demerol while I was in hospital (2

days)

> and then weaned off onto children's tylenol with codeine. That was

> quite adequate for the discomfort, which I would characterize as

> muscle soreness.

>

> Likely symptoms post-op? You'll swell up, you'll drool, you'll have

> trouble talking, you'll have numbness in the face and gums and

> possibly tongue. None of this is permanent, luckily, although some

of

> the numbness can take a long time to go away. Most of it goes away

in

> the first few weeks, but the remainder probably won't be gone that

> fast. I would describe the remaining numbness as an altered

sensation

> something like the very last few seconds of dental freezing

> (novocaine) before it wears off. It's more annoying than anything

> else, you have feeling, but you also have some little tinglies to

> entertain you.

>

> Keep your mom involved, you're young and she can help you weigh the

> risks and benefits. You don't have to have surgery at your age, you

> can and might be better off to wait, especially until you have

> stopped growing.

>

> I started investigating this in Jan of 2000, decided on surgery

after

> meeting the surgeon in October of that year. I started my ortho

> treatment in Jan of 2001, had surgery in August of 2002, and was

out

> of braces in April of 2003. The timelines are different for

everyone,

> it definitely depends on how fast your teeth move (the ortho will

> move them into the position they need to be in post-surgery, so

they

> often mess up your bite).

>

> I hope that helps. There's also an info website that I set up that

> will provide lots of links and FAQs about this at

> http://www.geocities.com/orthognathicinfo/

>

>

>

>

>

> >

> > I have recently been told by my orthdadontist that if I want to I

> > can go for the operation for my lower jaw to be moved slightly

> > because my front teeth don't meet at all, because of the

misaligned

> > jaws.

> >

> > I did ask if I could possibly just have braces, but that wouldnt

> > help and I would need the operation to correct my bite. Plus

braces

> > for 2 years (1 year of them and then operation and then another

> year)

> >

> > They orthadontist said that I don't definately need it, but if I

> > feel that I want it because of how I look, then I can.

> >

> > The reasons she said for having the operation is that it could

> > inprove the way I talk, because the gap between top and bottom

> teeth

> > creates some speech problems, but nothing mayjor, also because I

> > have flat cheekbones and that when Im older it could cause

problems

> > with pain in my jaws.

> >

> > So I was wondering if anyone here could give me advice... I want

it

> > done to improve my bite, and looks, but I really don't like the

> > thought of the pain, discomfort and everything else. But saying

> > that, I would probably be alright with it - what I want to know

> > really, is what is involved with the op and after the op.. what

> kind

> > of things should I expect?

> >

> > Also, the orthadontist has said that she will make an appointment

> > with the hospital for me, which will now probably be in Feb or

> > March.. and thats just to talk about everything and then decide

> > whether to go ahead with it... So after that, about how long

would

> I

> > be waiting for the actual operation? What age do they prefer to

do

> > the operation on? I am 16 now.

> >

> > Sorry for going on and on... just keep asking these questions to

my

> > mum and she doesnt know, so thought I would ask here :)

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Share on other sites

Hi ,

You're welcome. Hope you never have to use that reason again in the

future : )

>

> Thanks for your post . I hadn't realised that your surgery,

age,

> motivation and timing were so close to mine.

>

> When I signed all the forms giving consent all of them had " Gross

> Skeletal Deformity " as the reason for surgery. love it. But as a

> friend points out, if it got Aetna to approve it....

>

>

>

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Share on other sites

Hi ,

You're welcome. Hope you never have to use that reason again in the

future : )

>

> Thanks for your post . I hadn't realised that your surgery,

age,

> motivation and timing were so close to mine.

>

> When I signed all the forms giving consent all of them had " Gross

> Skeletal Deformity " as the reason for surgery. love it. But as a

> friend points out, if it got Aetna to approve it....

>

>

>

Link to comment
Share on other sites

That website was great, thanks very much! Also appreciate you

answering all my questions :)

Age was a thing I was wondering about.. and my orthadontist said

they prefer to wait until people are out of school and evertyhing.

So I would have to have the operation after the age of 19 anyway...

after A Levels.

Just think I need to do a lot more thinking, and also little more

research about it all just to know what I'll be having done.

> >

> > I have recently been told by my orthdadontist that if I want to

I

> > can go for the operation for my lower jaw to be moved slightly

> > because my front teeth don't meet at all, because of the

misaligned

> > jaws.

> >

> > I did ask if I could possibly just have braces, but that wouldnt

> > help and I would need the operation to correct my bite. Plus

braces

> > for 2 years (1 year of them and then operation and then another

> year)

> >

> > They orthadontist said that I don't definately need it, but if I

> > feel that I want it because of how I look, then I can.

> >

> > The reasons she said for having the operation is that it could

> > inprove the way I talk, because the gap between top and bottom

> teeth

> > creates some speech problems, but nothing mayjor, also because I

> > have flat cheekbones and that when Im older it could cause

problems

> > with pain in my jaws.

> >

> > So I was wondering if anyone here could give me advice... I want

it

> > done to improve my bite, and looks, but I really don't like the

> > thought of the pain, discomfort and everything else. But saying

> > that, I would probably be alright with it - what I want to know

> > really, is what is involved with the op and after the op.. what

> kind

> > of things should I expect?

> >

> > Also, the orthadontist has said that she will make an

appointment

> > with the hospital for me, which will now probably be in Feb or

> > March.. and thats just to talk about everything and then decide

> > whether to go ahead with it... So after that, about how long

would

> I

> > be waiting for the actual operation? What age do they prefer to

do

> > the operation on? I am 16 now.

> >

> > Sorry for going on and on... just keep asking these questions to

my

> > mum and she doesnt know, so thought I would ask here :)

Link to comment
Share on other sites

That website was great, thanks very much! Also appreciate you

answering all my questions :)

Age was a thing I was wondering about.. and my orthadontist said

they prefer to wait until people are out of school and evertyhing.

So I would have to have the operation after the age of 19 anyway...

after A Levels.

Just think I need to do a lot more thinking, and also little more

research about it all just to know what I'll be having done.

> >

> > I have recently been told by my orthdadontist that if I want to

I

> > can go for the operation for my lower jaw to be moved slightly

> > because my front teeth don't meet at all, because of the

misaligned

> > jaws.

> >

> > I did ask if I could possibly just have braces, but that wouldnt

> > help and I would need the operation to correct my bite. Plus

braces

> > for 2 years (1 year of them and then operation and then another

> year)

> >

> > They orthadontist said that I don't definately need it, but if I

> > feel that I want it because of how I look, then I can.

> >

> > The reasons she said for having the operation is that it could

> > inprove the way I talk, because the gap between top and bottom

> teeth

> > creates some speech problems, but nothing mayjor, also because I

> > have flat cheekbones and that when Im older it could cause

problems

> > with pain in my jaws.

> >

> > So I was wondering if anyone here could give me advice... I want

it

> > done to improve my bite, and looks, but I really don't like the

> > thought of the pain, discomfort and everything else. But saying

> > that, I would probably be alright with it - what I want to know

> > really, is what is involved with the op and after the op.. what

> kind

> > of things should I expect?

> >

> > Also, the orthadontist has said that she will make an

appointment

> > with the hospital for me, which will now probably be in Feb or

> > March.. and thats just to talk about everything and then decide

> > whether to go ahead with it... So after that, about how long

would

> I

> > be waiting for the actual operation? What age do they prefer to

do

> > the operation on? I am 16 now.

> >

> > Sorry for going on and on... just keep asking these questions to

my

> > mum and she doesnt know, so thought I would ask here :)

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