Jaw surgery is worth it

Jaw surgery and braces - don't know what to do

  • I have a difficult decision ahead of me and I don't know what to do. : uhoh:

    Today I had an appointment at the hospital with the oral surgeon and my orthodontist.
    CMD (Craniomandibular Dysfunction)! (Misalignment of the jaw)

    My problem: an asymmetrical jaw position (consequence: my face is crooked) and an extremely open bite (I can't bite with my front teeth because there is about 0.6mm-1cm air)

    According to the doctors, the treatment should go like this:
    Festivals braces, above and below so that the dental arch is widened a little and the open bite is corrected and then one Jaw surgery (if I'm lucky, only the Lower jaw broken and moved correctly again).
    That means 1-1.5 years of orthodontic treatment and then the operation.

    I'm terrified of the op.
    Not only because of the general anesthesia, the plates and screws in the jaw and the risk of the lip deaf can stay.
    Also the Pain (Healing takes at least 6-8 weeks) worries me.
    Well and anyway, who will voluntarily have their jaw broken?
    It's not because of the aesthetics, the misalignment can cause my headaches and neck pain, and I can't really bite.

    I also have my concerns about the braces.
    How expensive is it?
    The doctor couldn't tell me that, I did got to first say whether I want to do all of this (Op) then she creates a cost plan that she submits to the KK.

    I only know if I say "yes" to the op, the KK pays 80% of the braces.
    If I only want the braces, I have to wear everything myself.

    Can someone tell me what you paid for?
    Do you have to pay extra every time you pull the wires tighter?
    If you change the rubber, there are costs too?

    And what about the brackets? I want see-through, but there are ceramics, plastic, sapphire, fiberglass? Nowhere in the I-Net does it say what such a bracket costs. I only pay it once out of my own pocket, right?

    Have any of you had a jaw operation?

    Basically, I tell myself that I have lived well with the deformity for 30 years and that I have come to terms with the fact that I have a hole and can slide my tongue through it
    The question is whether I will get more pain if I do not remove the deformity.
    But is such a hammer operation really necessary? Just so that all teeth can bite each other straight and the load is distributed correctly?

    Would you take something like that on yourself?

  • My orthodontist advised me to have such an operation. I was 16 at the time, I had braces behind me for 4 years and it hadn't been able to change anything about my overbite. He said, "Come back when you're 18 and we'll break our jaws and fix it, but you'll have to pay for it yourself because it's cosmetic surgery." Yes, yes, the man is very sensitive .. I have never dealt with the thought again, but now I tend to suffer from tension headaches and other complaints, wake up every morning with a strong feeling of pressure on my jaw because I squeeze so hard at night (have a bite guard). Some time ago I found out for the first time that there was a diagnosis like CMD at all and am now considering presenting myself to a dentist who is familiar with it. So if someone can recommend a specialist who also treats patients with statutory health insurance in the Rhine-Neckar triangle, let me know!

    Regarding your question, hmm, I would be very careful there too. Such an operation is no walk in the park and the psychological aspect (your appearance will eventually change as a result) should not be completely ignored. I don't know what such a treatment costs, but I do think that a larger sum will come together. How much do you suffer from the effects of the CMD?

  • Hello Lucy

    Yes here! I did it - when I was 25 (13 years ago: rolleyes2:).

    I don't remember the exact names, at least I couldn't get the chewing surfaces on one side. The lower jaw bone was severed, pulled forward and also rotated a little. That was in September ... think about it ... before that I had been wearing fixed braces since February in preparation (with normal brackets - it was the cheapest and makes you young ).

    After the operation, the lower and upper jaws were wired together for a while to allow the bone to heal. Hm, 3 weeks or so? No idea. I almost only got liquid food in there and lost 4 kilos. As soon as it was one or two centimeters apart, I let chocolate melt on my tongue ...: tongue2: Yes, and by Christmas I was finished and completely free of clamps. So it took me 10 months all in all.

    My teeth turned out great. Visually (facial symmetry) I didn't notice any major change. Above all, however, the misalignment caused me to rub off the enamel so severely in some places that there would soon have been problems; the teeth could have fallen out too. But the experts (Nile?) Can certainly explain that better here. - As a souvenir, I have left 2 small wires in the jawbone, which always hit nicely when x-rayed at the airport.

    So, I would have it done again. Sure, the first 3-4 days after the operation weren't great, my face was badly swollen and there was also pain from the wounds. The operation itself is under general anesthesia, so you don't notice anything. But the benefits clearly outweigh the benefits! You could never have done it with just a clamp without surgery, and it would have been more expensive. So the cost factor was not worth mentioning back then, I don't even remember.

    In my "wired up" time, I even worked in sales at a medieval market, with a veiled mouth (could hardly speak anyway) and a "sorry mute" badge So, that's all! Take courage!


    DieMaus: cosmetic surgery? Funny, it wasn't seen like that with me. If the teeth are at risk, isn't that a clear medical indication ...?

    ... because you know the common names yourself

  • LG, Sharona17

    Do not call yourself poor because your dreams did not come true;
    The only real poor is someone who has never dreamed. (Marie von Ebner-Eschenbach)

  • Oh right, I had completely forgotten about the numbness - I actually have a small spot on the left between my chin and lower lip where the feeling has remained somewhat "muffled" - as if, for example, an anesthetic injection at the dentist had not yet been completely removed.

    I don't think that's bad at all, it doesn't affect the feeling in my lip and it doesn't make me a "drooling monster". (It's actually very practical if the beautician cleans me up exactly where I am - if you know what I'm talking about ... it hurts less.)

    ... because you know the common names yourself

  • Huhu

    Well, at the beginning of this year I also had an oop of the jaw. I didn't notice anything from the operation. Such an anesthetic is great!

    By the way, I got drops of pain after the operation because my mouth didn't open that well either. They went through better than pills (although I didn't take either one because I wasn't in pain).

    So, you don't need to be afraid of the anesthetic: cuddle:


  • When I was 16 or 17, some dentist otto advised me to have that done too. He was also "very sensitive": "Clearly: break your jaw and then hope that everything will get better after the treatment." Okaaaay.
    At the end of the day, my parents and I decided NOT to do it at the time. I let go for a few years and then by chance ended up with a really good dentist who works very closely with a very good orthodontist. He too had first considered breaking his jaw. But then he thought about it for so long that at some point he said: "We can also try it in the classic way, and if it really doesn't work, then the operation has to be done." I really had an extreme deformity. The upper jaw was much smaller than the lower jaw, the canine stood over the lateral incisor, two teeth had not come out in the first place. Before the jaw treatment, I had the teeth that had not grown out and one wisdom tooth removed under general anesthesia - which the health insurance company does not pay for Has. (General anesthesia, because I was an absolute fear patient). 2 months later the fixed bracket was used and the normal brackets were used, although I wanted the transparent ones. In the end, they are cheaper. I got used to it quickly. I then wore the clip for 2.5 years (instead of 2 years, as it was called at the beginning) and got it out a week before my wedding. It turned out to be such a great result. without surgery!

    So I would definitely get at least one, even better two other opinions. Maybe there is another way.

    Ov vür ov zoröck - new game is called 'new Jlöck * E Jeföhl dat verbingk
    Ov young or old - Ov poor or rich - Zesams are always strong * Through thick and through thin - janz ejal where

  • I take the liberty of digging up this thread.

    Today I went to the orthodontist. The good news is that the misalignment of my teeth is so great that the health insurance company would cover some of the costs. The prerequisite, however, is a jaw operation.

    In the thread I have already read some experience reports - is there anyone else who has had an operation or not?

    At first I only went to the orthodontist. Should I go to an oral surgeon beforehand for advice directly from him? I am always a little overwhelmed with doctors and the like, because I don't know my way around and don't know what exactly to ask. I also think that the doctor will do it full-time after all and will already know what to do. Yeah, I know some call it naive

    Is that vodka - asked Margarita weakly?
    The cat was so offended that he hopped up on the chair.
    Have mercy, Queen, he gasped, would I ever allow myself to pour vodka for a lady?
    No, that's pure spirit!
    (M. Bulgakov "The Master and Margarita")

  • I was faced with the same decision and decided against it (at least for the time being) (my lower jaw is too far back and after pretreatment through whitening teeth and firm braces my lower jaw would have to be broken and moved forward). To be honest, I'm just terrified of the surgery and everything that goes with it. For a while I also read in a corresponding forum and was shocked at how much most people lose weight after such an operation. Since I'm always at the lower limit of normal weight, that scared me off a bit. And what was otherwise written about the time after the operation really scared me ...
    The consequences: it is possible that I will eventually (!) Have problems with the jaw joints. In addition, according to the findings, I bite into the alveolar dam (i.e. into the gums behind the upper incisors), which could loosen the upper row of teeth at an early stage. In fact, that's just not true, I have no idea what they wrote in the report (my dentist has also confirmed that this is nonsense).
    About the temporomandibular joint again: on the advice of a friendly and very experienced speech therapist (specialist in LKG clefts), I went to a functional diagnostician at the university clinic and he said that the temporomandibular joint was good for me simply with a corresponding splint and the subsequent grinding of individual teeth could be relieved. So far I have not managed to let myself miss such a track, but at some point I will tackle it.
    Oh yes, I got 4 different opinions back then. Orthodontist, two oral surgeons and the opinion of the functional diagnostician. The oral surgeons would have advised surgery and I have to say that both of them were very rough and told me more or less that my face with the jaw as it is now is unaesthetic ... Thank you very much, that is really good for the ego ...

    I wish you will make the right decision for yourself!

    Best regards!
    The key bunny

  • Hey, I can't tell you about surgery, but I've been wearing Invisalign for about 2 years.

    These are two transparent splints that are worn like anti-grinding splints and correct the jaw as well as the teeth. Check it out on the net. I have to pay that myself.

    I used to have several braces, also because of an overbite, but with two braces that were wired together and thus connected the upper with the lower jaw, it came back to normal until today.

    Unfortunately, some teeth have shifted at the back, which I wanted to straighten again at night by grinding, which is why I decided to use Invisalign because of headache and jaw pain.

    Lilly, aren't you anywhere near S? There is an oral surgeon / orthodontist there who treats with it.


  • Button bunny - thank you!

    I'll talk to my dentist next week and then I'll go to another orthodontist

    Lilly, aren't you anywhere near S? There is an oral surgeon / orthodontist there who treats with it.

    So, if you mean S in BW, then don't. I live near Salzburg

    The operation is an option for me because it means I don't have to bear all the costs myself, otherwise the treatment would cost € 5000 (with the white brackets) or € 8000 (lingual).

    Is that vodka - asked Margarita weakly?
    The cat was so offended that he hopped up on the chair.
    Have mercy, Queen, he gasped, would I ever allow myself to pour vodka for a lady?
    No, that's pure spirit!
    (M. Bulgakov "The Master and Margarita")