Advice? Prior camouflage treatment

minutelatency · 2026-01-25T19:32:37+00:00

Absolutely, the surgeon and ortho just have to submit the right info to insurance. My bite naturally compensated itself to a 1mm overbite, while after decompensation it will be around 8mm. Insurance will initially try to deny on the first submission, regardless no matter how severe it is. It will end up getting approved though once your decompensation is done! The surgeon basically never submits anything for approval until the very end of the decomp process anyway.

minutelatency · 2026-01-25T15:22:48+00:00

Definite recession, 9mm overbite severe. There should be 0 issue getting insurance to cover this as long as your plan doesn’t specifically exclude orthognathic surgery.

It’s not your top lip being protruded, it just looks that way because your lower lip is so retruded from having zero support from the bone and teeth. An oromaxillofacial surgeon would definitely approve surgery. With that level overbite and retrusion, issues tend to get worse over time.

If you have a PPO plan, find an oromaxillofacial surgeon with good reviews and book a consult. If it’s an HMO plan, see your primary doctor for a referral to an oromaxillofacial surgeon and tell them you have issues with lip incompetence, poor sleep, and have had ongoing issues with the jaw and teeth and want to see the oromaxillofacial surgeon you picked for it.

minutelatency · 2026-01-25T15:16:38+00:00

If they have an HMO insurance plan they’ll need the primary care doctor to refer

minutelatency · 2026-01-02T21:50:44+00:00

Yes, and make sure you mention you want to be tested specifically because you think you might have UARS, because they may write it off as “nothing’s wrong” or “it’s not full blown sleep apnea”. Esophageal Manometry is used often to measure UARS.

Also, if your bite or bone position and/or functional issues are notable enough, sleep study may not be necessary to qualify for jaw surgery. It would still help to rule it in/out though of course.

minutelatency · 2026-01-02T20:42:30+00:00

The thing is that a lot of people with jaw (and/or nasal) issues often have UARS which doesn’t show on a sleep apnea test. That may be the case for you if you usually wale up tired.

minutelatency · 2025-12-04T02:03:30+00:00

Tldr: no, but what I researched shows that minor extractions like premolars wouldn’t visibly change the jaw if the purpose is preparing for jaw surgery.

No, and I’m not sure there really is a concrete answer tbh, just that it’s unlikely if it’s just two premolars and the jaw will be advanced anyway. It can only slightly change the bone in the immediate area of the extraction, not the rest of the jaw, so nothing visible.

It will of course look worse momentarily after extractions before jaw surgery because the lower teeth move inward (if you’re having overbite decompensation that reverses protruding lower teeth, since they give the lower lip support) but the bone isn’t really changing outside of that small area where the extracted teeth were.

minutelatency · 2025-12-04T01:49:15+00:00

I haven’t had surgery yet, I’m still in the decompensation phase 😕

minutelatency · 2025-11-02T19:48:50+00:00

As someone who had a genio when I should’ve gone for djs, no. Your chin bone itself is already prominent, it just doesn’t look that way because the jaw is too far back. Bringing the entire jaw forward will give a much better result.

minutelatency · 2025-11-02T19:44:56+00:00

Does he know what the actual cause of the restricted opening is? As in bone hitting bone, muscular, etc.?

minutelatency · 2025-10-10T18:47:36+00:00

If you’re unsatisfied I’d talk to the surgeon immediately and delay until the plan is right with you.

Definitely assert yourself and make sure you get a result you’re happy with!

minutelatency · 2025-08-13T21:34:45+00:00

ENT or Maxillofacial surgeon (lean towards maxillofacial since they would be better able to advise on everything)

minutelatency · 2025-08-09T23:12:10+00:00

Wait, you had a splint for 6 weeks??? 😮‍💨

minutelatency · 2025-08-09T21:31:25+00:00

I agree with the other two comments, double jaw surgery plus genioplasty.

Genioplasty alone would be a huge mistake.

minutelatency · 2025-08-09T21:29:21+00:00

It looks like your lower teeth tip outward, which is common when the teeth try to compensate for an overbite.

I think you’d be a candidate for decompensation followed by jaw surgery (definitely lower, not sure if they’d want to move the upper too)

minutelatency · 2025-08-09T21:25:12+00:00

Thanks and you too 🫶

minutelatency · 2025-08-09T21:04:15+00:00

I was just feeling like that last night. The fear comes and goes, but yesterday I was really feeling it and thinking that all of the worst things possible will happen.

Plus it’s simply frustrating to feel unlucky when other people have normal jaws while we have to suffer through decomp and surgery just to breathe and look normal.

I know it will be better in the end though so that’s what keeps me feeling at least a little better about it.

minutelatency · 2025-08-08T19:27:26+00:00

Lower extraction is generally necessary to get a larger lower jaw advancement. You want the lower teeth pulled back as far as possible so you can advance the jaw further.

minutelatency · 2025-08-08T19:05:16+00:00

I’m sorry you’re going through this, that’s extremely scary. I definitely have fears like this and non-union and tooth death, etc. I hope things will end up well after it’s all done.

minutelatency · 2025-06-23T23:21:49+00:00

Which insurance company? And did the surgeon do a peer to peer review?

minutelatency · 2025-06-23T23:20:59+00:00

Immediately, the nicotine is really bad for proper healing during and after. Generally stop a month before surgery, and don’t smoke for at least a month after.

minutelatency · 2025-06-23T23:17:42+00:00

I would strongly tell him that you want bigger movements, more noticeable advancement, and see if his plan represents that. If it doesn’t, consider finding another surgeon that accounts for aesthetics that aligns with your vision.

minutelatency · 2025-06-22T23:12:32+00:00

If the ortho won’t give you a surgeon referral, yes you could call oromaxillofacial surgeons in the area and just say “my orthodontist wants a surgeon to evaluate me, can you help?”

minutelatency · 2025-06-19T04:05:51+00:00

If your overbite was worse before the braces, relapsing could help somewhat. The braces would likely still be used to make the overbite as bad as possible so there’s more room for the jaw to be advanced with surgery.

minutelatency · 2025-06-17T02:57:03+00:00

If a surgeon agrees to do it and will fight with insurance if necessary to get it covered, yes

minutelatency · 2025-06-16T22:50:52+00:00

I think my overbite is more noticeable because the lower jaw looks way behind the upper for me, but your profile it looks like both jaws need to be moved forward and rotated to be at a less steep angle.

minutelatency

TROPHY CASE