Guest guest Posted November 8, 2005 Report Share Posted November 8, 2005 Hello, and welcome to the group! Get ready to learn some useful terminology, because if you are contemplating this surgery you will be learning alot about your condition and the treatment. I have an underbite and will be having my surgery by next June. I have been in braces for the last 3 months; this is the first time in braces for me. I'm 47, BTW. I will be in braces for up to ten months prior and up to six months after my surgery. I'm having both lower (for set-back) and upper (to bring my upper forward) surgeries. The lower procedure is called a BSSO (Bilateral Sagittal Split (Ramus) Osteotomy) and is the most common lower procedure done because it can be used to set back or advance the mandible. The upper procedure is called a LeFort Maxillary Osteotomy. The reason I am having the upper procedure is because I not only have Mandibular Hyperplasia (underbite), but also have Maxillary Hypoplasia which means that my maxilla didn't grow forward as it should have and I have a " midface deficit " . Not everyone with an underbite is treated for it in the same manner. Your Orthodontist (OD for short) will work closely with your Oral and Maxillofacial Surgeon (OMS for short) to decide what will be needed in your case.// The braces are installed and kept on your teeth throughout the whole process because your OMS needs to have something to attach the splint to during your surgery. The splint is something used to stabilize your new bite after the surgery while you are recovering.// Not everyone gets their mouth wired shut; this depends on your particular situation and your OMS's preferences and the type of procedure done. There is a surgery called an IVRO (IntraOral Vertical Ramus Osteotomy) that requires that the jaws be wired shut. This procedure is not as common as the BSSO, and can only used for set-back. The most common method of closure is Rigid Internal Fixation, which uses plates, screws, and a splint. My OMS will be using this method, but will only be using screws and a splint. In my case, the splint will be removed after three to four weeks.// Food: The first week I will be drinking clear liquids, the 2nd thru 4th weeks I will be on a blenderized diet, and once my splint is removed I will be on a no-chew/soft diet. // Well, I hope I answered some of your questions. If you have any other questions, please feel free to ask them. Again, welcome! ~~~~~ Diane (Idaho) > > Ijust have a few quesions for anyone thats had surgery to fix an > underbite..Do you have to get braces for a while before you have the > surgery? Do you have to get braces after the surgery, if so how long? > and Do you they wire your mouth shut? I know its probably different for > everyone but Id just like to know the process..Thanks > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 8, 2005 Report Share Posted November 8, 2005 Hello, and welcome to the group! Get ready to learn some useful terminology, because if you are contemplating this surgery you will be learning alot about your condition and the treatment. I have an underbite and will be having my surgery by next June. I have been in braces for the last 3 months; this is the first time in braces for me. I'm 47, BTW. I will be in braces for up to ten months prior and up to six months after my surgery. I'm having both lower (for set-back) and upper (to bring my upper forward) surgeries. The lower procedure is called a BSSO (Bilateral Sagittal Split (Ramus) Osteotomy) and is the most common lower procedure done because it can be used to set back or advance the mandible. The upper procedure is called a LeFort Maxillary Osteotomy. The reason I am having the upper procedure is because I not only have Mandibular Hyperplasia (underbite), but also have Maxillary Hypoplasia which means that my maxilla didn't grow forward as it should have and I have a " midface deficit " . Not everyone with an underbite is treated for it in the same manner. Your Orthodontist (OD for short) will work closely with your Oral and Maxillofacial Surgeon (OMS for short) to decide what will be needed in your case.// The braces are installed and kept on your teeth throughout the whole process because your OMS needs to have something to attach the splint to during your surgery. The splint is something used to stabilize your new bite after the surgery while you are recovering.// Not everyone gets their mouth wired shut; this depends on your particular situation and your OMS's preferences and the type of procedure done. There is a surgery called an IVRO (IntraOral Vertical Ramus Osteotomy) that requires that the jaws be wired shut. This procedure is not as common as the BSSO, and can only used for set-back. The most common method of closure is Rigid Internal Fixation, which uses plates, screws, and a splint. My OMS will be using this method, but will only be using screws and a splint. In my case, the splint will be removed after three to four weeks.// Food: The first week I will be drinking clear liquids, the 2nd thru 4th weeks I will be on a blenderized diet, and once my splint is removed I will be on a no-chew/soft diet. // Well, I hope I answered some of your questions. If you have any other questions, please feel free to ask them. Again, welcome! ~~~~~ Diane (Idaho) > > Ijust have a few quesions for anyone thats had surgery to fix an > underbite..Do you have to get braces for a while before you have the > surgery? Do you have to get braces after the surgery, if so how long? > and Do you they wire your mouth shut? I know its probably different for > everyone but Id just like to know the process..Thanks > Quote Link to comment Share on other sites More sharing options...
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