The Technical Side of Things

In case anyone is interested in the technical side of things, here they are:

Dr. Gerlein (Orthodontist) - Diagnosis:

• Gingival margins in the maxillary anteriors are uneven
• Thin gingival tissue morphotype with localized areas of recession on the bicuspids
• The front teeth in the upper dental arch are retrusively inclined
• Lower front teeth are too far behind upper front teeth
• Overbite is severe
• Moderate maxillary crowding
• Mild mandibular crowding

Dr. Posnick (Surgeon) - Diagnosis, Conclusion & Plan:

Diagnosis:

• Jaw deformity with malocclusion
• malocclusion characterized by Angle Class II deep bite
• Angle Class II deep bite affects occlusion/chewing/bite; speech articulation and lip closure/posture
• Grinds and clenches teeth
• Gingival recession especially in the labial aspect of the posterior maxillary dentition

Conclusion:

• Jaw deformity best corrected with orthodontic decompensation, followed by jaw surgery then finishing orthodontics

Plan:

• Bilateral sagittal split osteotomies of the mandible with advancement
• Le Fort I osteotomy with horizontal advancement, vertical lengthening and transverse widening
• Chin osteotomy
• Septoplasty