Guest guest Posted August 23, 2005 Report Share Posted August 23, 2005 Hello everyone, I have heard that relapsing is possible with orthognathic surgery. My question is..is it more likely to occur with one type than the other? I was thinking about it, and I don't understand how someone who has had a lower jaw advacement with plates implanted (and screws)--like me-- could possibly relapse if there is something there to keep the jaw pushed forward (e.g. the plates). I know, I know, I am always thinking of the worst case scenario but I just want to be as informed as I can. Thanks! -Ash (BSSO lower jaw advancement on July 23) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 23, 2005 Report Share Posted August 23, 2005 Well, here's what I've read and heard: It can happen whether you're wired or fixed with plates and screws. I've heard of it happening with forward movement and backwards movement of the lower jaw. It can also happen with the upper jaw. Never heard of a relapse of a genioplasty, but I guess that's possible too. Plates can break, screws can come loose. Studies say relapse tends to happen with large movements, but I've heard of it happening in more minimal movements. I've also read that open bites are apparently notoriously difficult to correct, either orthodontically or orthognathically. It can happen to the best of surgeons too. Just like life, nothing is a guarantee. That's why the risks need to be carefully weighed before taking this surgery on. And why I would never personally consider it for cosmetic reasons alone. You do tend to hear about relapse more here, but it's really a minority of cases in which it happens. I wouldn't worry about it until it happens, but you should pay close attention to what's happening to your jaws and teeth during the treatment process and let your surgeon and/or ortho know if anything changes. > Hello everyone, > > I have heard that relapsing is possible with orthognathic surgery. My > question is..is it more likely to occur with one type than the other? > I was thinking about it, and I don't understand how someone who has had > a lower jaw advacement with plates implanted (and screws)--like me- - > could possibly relapse if there is something there to keep the jaw > pushed forward (e.g. the plates). I know, I know, I am always thinking > of the worst case scenario but I just want to be as informed as I can. > Thanks! > > -Ash > (BSSO lower jaw advancement on July 23) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 23, 2005 Report Share Posted August 23, 2005 , Do you know what causes relapse? You mentioned hardware breakage. In the case of drastic movements I'm wondering if it has something to do with muscle memory and the body trying to put things back in their " natural " place. > > Hello everyone, > > > > I have heard that relapsing is possible with orthognathic > surgery. My > > question is..is it more likely to occur with one type than the > other? > > I was thinking about it, and I don't understand how someone who > has had > > a lower jaw advacement with plates implanted (and screws)--like me- > - > > could possibly relapse if there is something there to keep the jaw > > pushed forward (e.g. the plates). I know, I know, I am always > thinking > > of the worst case scenario but I just want to be as informed as I > can. > > Thanks! > > > > -Ash > > (BSSO lower jaw advancement on July 23) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 23, 2005 Report Share Posted August 23, 2005 My OS did mention that it is seen more in people that have had large movements for the very reason, muscle memory. Cori > > > Hello everyone, > > > > > > I have heard that relapsing is possible with orthognathic > > surgery. My > > > question is..is it more likely to occur with one type than the > > other? > > > I was thinking about it, and I don't understand how someone who > > has had > > > a lower jaw advacement with plates implanted (and screws)--like > me- > > - > > > could possibly relapse if there is something there to keep the > jaw > > > pushed forward (e.g. the plates). I know, I know, I am always > > thinking > > > of the worst case scenario but I just want to be as informed as > I > > can. > > > Thanks! > > > > > > -Ash > > > (BSSO lower jaw advancement on July 23) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 24, 2005 Report Share Posted August 24, 2005 Hardware failure is one of the causes, but it's not common as far as I know. Yes, I've heard that muscle memory is a cause. Not to scare those who are wired, but I was told that once the wires are removed, the muscles have a tendency to snap back to their original positions. Using plates & screws & banding patients instead (that's how my surgeon works), the muscles have a chance to get used to their new position. It could still happen, of course, but it's less likely. Each surgeon has his/her own style, though, and there's disagreement on this amongst surgeons. If your surgeon wants to wire you, you should let him/her do so. The same is true with teeth. My ortho (and also my surgeon) said that teeth want to go back to their original positions (adult teeth especially) and that's why I've got fixed retainers. Even though I tried a removeable one on top for a year, my teeth still wanted to migrate. > , > > Do you know what causes relapse? You mentioned hardware breakage. > In the case of drastic movements I'm wondering if it has something > to do with muscle memory and the body trying to put things back in > their " natural " place. > > Quote Link to comment Share on other sites More sharing options...
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