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DistortedPenguin
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- Jan 22, 2023
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I’ve been consulting with some surgeons about jaw surgery with the primary goal being to address my short face syndrome, which looks pretty bad at rest, but subhuman if I smile. I’ve now received some simulated results from Pagnoni and Ramieri.
Here’s some CBCT images showing my face currently:
These are the simulated results from Pagnoni screenshotted from zoom hence the weird block covering the cams. This would be surgery only with no orthodontics:
Ramieri has given me two simulations depending on whether or not I want to do orthodontic refinement post-surgery. I’m a surgery-first candidate either way, but I can choose to keep my occlusion the same as it’s already pretty good (but not perfect) or I can do decompensation + braces after the surgery to get perfect occlusion. Doesn’t seem worth it based on the images, but Ramieri said the result would look a little more natural because of lip protrusion I think (audio was so bad during the consult) which I suppose isn't super apparent in these simulations.
Without braces:
With braces + decompensation:
Which simulated result looks better: Pagnoni’s or Ramieri’s? I’m leaning towards going with Ramieri just because he’s more affordable, unless I choose to have custom plates, which makes him almost as expensive as Pagnoni who only offers custom plates.
Then if I do go with Ramieri, is the cost and hassle of post-surgery orthodontics worth it for perfect occlusion?
Here’s some CBCT images showing my face currently:
These are the simulated results from Pagnoni screenshotted from zoom hence the weird block covering the cams. This would be surgery only with no orthodontics:
Ramieri has given me two simulations depending on whether or not I want to do orthodontic refinement post-surgery. I’m a surgery-first candidate either way, but I can choose to keep my occlusion the same as it’s already pretty good (but not perfect) or I can do decompensation + braces after the surgery to get perfect occlusion. Doesn’t seem worth it based on the images, but Ramieri said the result would look a little more natural because of lip protrusion I think (audio was so bad during the consult) which I suppose isn't super apparent in these simulations.
Without braces:
With braces + decompensation:
Which simulated result looks better: Pagnoni’s or Ramieri’s? I’m leaning towards going with Ramieri just because he’s more affordable, unless I choose to have custom plates, which makes him almost as expensive as Pagnoni who only offers custom plates.
Then if I do go with Ramieri, is the cost and hassle of post-surgery orthodontics worth it for perfect occlusion?
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