I had a hospital appointment on Thursday 6th October. I had my wires changed, they seem to be a bit thicker now. Apparently I still need another mm of movement before she can bring forward my backwards tooth with no bracket, so I had a new spring put on. My teeth have been a bit achey so hopefully that means they're actually moving.
It was meant to be just a normal check-up appointment, but as I was the last patient of the day my ortho started talking to me a bit about my surgery. She started looking at my face and said what she thinks they'll do during the surgery. She confirmed that I do indeed have a cant, which I was pleased about because I was starting to worry that I'm just being completely over paranoid and analytical of my face.
She re-took some of my photos because she said they were a bit blurry. Then she got another man who I think is a surgeon to come and have a look at me. He kept getting me to push my jaw forward and do a really big smile so that he could see the extent of my gummyness and cant. He said that I should definitely have both jaws on, and said to me and my ortho that I should make sure I push for the surgeon to do both jaws because I won't get as good a result from just having the lower jaw done. He also said that he thinks I should have a genioplasty. This isn't something I've considered before, but he said that I do have a 'diddy' chin. But he said that this is a secondary procedure and that they would do this after the jaw surgery, which means that I can see what I think of my appearance after the surgery and decide whether or not I want the genioplasty. At this stage I don't think I will, as I don't think I'll want to put myself through more surgery, and I don't want to risk my chin looking too big. But I'll worry about this after surgery. They also said that my midline on my top jaw is 2mm to the right so my top jaw will have to be moved 2mm to the left. This isn't something I've noticed before but now she's pointed it out I can see it.
Then my ortho showed me my x-ray on the computer and showed me what they'd do in my surgery and what effect it would have. She clicked the measurements that they would move each bit by on the computer, and as she clicked each mm it moved my x-ray to show how it would look. So I've seen a rough idea of what my new profile will look like.
When the ortho and surgeon were talking to each other about me, the surgeon was weighing up whether a bi-saggital split osteotamy or a Lefort 1 would be better. I don't know what a Lefort 1 is...I'll have to google it. But I'm a bit worried because he said that one of them had 'lower morbidity' than the other. I don't really know what that means but I'm a bit worried because the only meaning of morbidity I know is death...but I'm sure he doesn't mean that...I hope not anyway.
Here is a very rough guide to what they will do during the surgery:
- Upper jaw moved forward 2mm
- Upper jaw moved up about 5mm
- Greater impaction of the upper jaw on the right side than the left to correct the cant
- Upper jaw moved 2mm to the left to correct midlines
- Lower jaw moved forward - probably about 8mm at a guess
I never realised I had so much wrong with my top jaw. The reason I got into all this was because I hated my bottom jaw being too far back, but it turns out I actually have much more wrong with my top jaw!
Here are some photos I took today...I look very ugly as I have no make-up on, so please excuse my ugly face lol. I can really notice my cant in these pictures.