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I looked into this surgery about 15 years ago and was

not going to be wired shut but I didn't have it. Now

years later I am looking into it again and they said I

need upper and lower and will need to be wired. I

asked why the process was different and they said

years ago they did the surgery without wiring and they

found over time that the final results were better

with the wiring than without. Procedures and

methodology change over time and it makes sense to me

that the wiring would produce better results.

Kim

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Hi Kim thanks. That's pretty much what I figured.

> I looked into this surgery about 15 years ago and was

> not going to be wired shut but I didn't have it. Now

> years later I am looking into it again and they said I

> need upper and lower and will need to be wired. I

> asked why the process was different and they said

> years ago they did the surgery without wiring and they

> found over time that the final results were better

> with the wiring than without. Procedures and

> methodology change over time and it makes sense to me

> that the wiring would produce better results.

>

> Kim

>

>

>

>

> __________________________________

> Yahoo! Mail - PC Magazine Editors' Choice 2005

> http://mail.yahoo.com

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-Hello, Joanne - I think all this wired vs unwired stuff is up to each

surgeon and I think that all surgeons do it differently. Mine won't be

wiring me shut, just splinting and banding my mouth closed. The only

lower procedure that I think requires that the patient be wired shut is

the IVRO or Intraoral Vertical Ramus Osteotomy but it can only be used

for mandibular set-back, and isn't really used very much anymore. Most

surgeons don't wire their patients shut these days because it makes the

recovery period that much harder. ~~~ Diane-- In

orthognathicsurgerysupport , " jpulaski129 "

<jpulaski129@y...> wrote:

> My mother brought home a printout from work about a Dr. Weber in New

> York City, says he is able to perform jaw surgery without wiring shut

> for most patients. I am having a Leforte I and BSSO for an overjet

and

> open bite and will be wired, then likely banded and will be getting

> permanent screws. I trust my doctor, and don't see how I could avoid

> any of this with the upper and lower jaw surgery I'll be getting. I

> trust my OMS and I don't think this would be an option if my OMS

hasn't

> said anything about it. Any thoughts? Thanks!

> ~Joanne

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Hi Diane, thanks! I do trust my OMS and I'm sure he knows what's best

in this situation. I would never change course midstream, but the

more research I can do about it all, the better I'll feel :)

Talk to you soon. It seems like I'm not posting very much, but I'm

sure it will be more as my surgery gets close.

~Joanne :)

> -Hello, Joanne - I think all this wired vs unwired stuff is up to

each

> surgeon and I think that all surgeons do it differently. Mine won't

be

> wiring me shut, just splinting and banding my mouth closed. The

only

> lower procedure that I think requires that the patient be wired

shut is

> the IVRO or Intraoral Vertical Ramus Osteotomy but it can only be

used

> for mandibular set-back, and isn't really used very much anymore.

Most

> surgeons don't wire their patients shut these days because it makes

the

> recovery period that much harder. ~~~ Diane

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-Hello Joanne - I agree about the research too. My OMS says that by

the time my surgery is here, I will be SO ready for anything and

everything that happens, both pre-op and post-op. He is very

impressed with all the knowledge I have acquired, and enjoys the

wonderful questions I ask him. But, the one thing that continues to

have me concerned about this surgery is the question I asked :

How will I feel when I wake up after the surgery without my

underbite, the underbite I have had for nearly forty years? My OMS

says it will feel foreign and strange and different, especially after

the splint is removed three to four weeks afterward. 's

response did make me feel better; he said he had the same fears but

it turned out to be no big deal. He said when he woke up he was so

relaxed, numb, and tired that he couldn't react to the new feel, but

felt the presence of the splint in his mouth. He said he couldn't

tell/feel that his underbite was gone. He says his splint comes out

on Monday so he will feel the difference when he can bite his teeth

together. My OMS is aware of my concern about this.// Do you have a

tentative date for your surgery yet, or at least the month it will be

done? Yes, research is very important - this surgery is serious, not

just the rootcanal type of thing one of my sisters believes it to

be.LOL. Well, take care. ~~~ Diane :-)#) -- In

orthognathicsurgerysupport , " jpulaski129 "

<jpulaski129@y...> wrote:

> Hi Diane, thanks! I do trust my OMS and I'm sure he knows what's

best

> in this situation. I would never change course midstream, but the

> more research I can do about it all, the better I'll feel :)

> Talk to you soon. It seems like I'm not posting very much, but I'm

> sure it will be more as my surgery gets close.

> ~Joanne :)

>

>

> > -Hello, Joanne - I think all this wired vs unwired stuff is up to

> each

> > surgeon and I think that all surgeons do it differently. Mine

won't

> be

> > wiring me shut, just splinting and banding my mouth closed. The

> only

> > lower procedure that I think requires that the patient be wired

> shut is

> > the IVRO or Intraoral Vertical Ramus Osteotomy but it can only be

> used

> > for mandibular set-back, and isn't really used very much anymore.

> Most

> > surgeons don't wire their patients shut these days because it

makes

> the

> > recovery period that much harder. ~~~ Diane

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Hi Diane, I kinda joked with my oms, told him before long I'd be able

to do this on myself. Just take me down to the bar. He thought that

was pretty funny. It does make me feel better the more I know. My

bite has gotten worse in recent weeks (I knew this would happen).

I've noticed that I'm biting down with a sideways motion instead of

straight down and biting up the inside of my cheeks.

As for not having the underbite, It will feel foreign I'm sure once

you do become aware of it post surgery, but then you'll be so happy

you finally have a jaw that functions correctly. I can't wait for

that. I don't know how it'll feel (teeth meeting). They never have.

No date/month for my surgery yet. Someone told me that it takes

anywhere from 8 to 12 months for gaps to close (from my 4

extractions), so I guess next spring/summer likely around the same

time you'll be getting yours. It'd be nice if it could be earlier,

but I know these things can't be rushed, so I'm trying to be patient.

Great hearing from you Diane! Hard to believe I'm into all this over

nine months already.

Talk to you soon,

~Joanne

> -Hello Joanne - I agree about the research too. My OMS says that by

> the time my surgery is here, I will be SO ready for anything and

> everything that happens, both pre-op and post-op. He is very

> impressed with all the knowledge I have acquired, and enjoys the

> wonderful questions I ask him. But, the one thing that continues to

> have me concerned about this surgery is the question I asked

:

> How will I feel when I wake up after the surgery without my

> underbite, the underbite I have had for nearly forty years? My OMS

> says it will feel foreign and strange and different, especially

after

> the splint is removed three to four weeks afterward. 's

> response did make me feel better; he said he had the same fears but

> it turned out to be no big deal. He said when he woke up he was so

> relaxed, numb, and tired that he couldn't react to the new feel,

but

> felt the presence of the splint in his mouth. He said he couldn't

> tell/feel that his underbite was gone. He says his splint comes out

> on Monday so he will feel the difference when he can bite his teeth

> together. My OMS is aware of my concern about this.// Do you have a

> tentative date for your surgery yet, or at least the month it will

be

> done? Yes, research is very important - this surgery is serious,

not

> just the rootcanal type of thing one of my sisters believes it to

> be.LOL. Well, take care. ~~~ Diane :-)#)

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