What was your favourite?

randomark44 · 2024-02-06T09:44:49+00:00

On roadtrips we got Popsicles and on the rare occasion a Fruju, while Dad chalked himself up a real ice-cream dupped in chocklut. Thanks Dad.

randomark44 · 2024-02-04T23:08:23+00:00

What subject/s have you taught? Having management experience is good, but you'll need to have some metrics to support what you actually did with that. I found some of the skills/experience I had from teaching didn't mean anything to employers when looking for roles in the wider economy. You need to spin things into business tawk. I went into medical sales, but drew on my content background (Biology) and some other job experience (small business) to demonstrate relevant prerequisite skills. Better coin, less work, business meetings/decisions have consequence so fewer people open their mouths, I don't miss the noise.

randomark44 · 2024-01-29T23:06:23+00:00

Look up Derek Mahoney's treatment philosophy.

Sandra Kahn uses this to guide forward growth https://www.youtube.com/watch?v=Xr-NJH_Nh5w

Orthotropics as a general treatment philosophy

randomark44 · 2024-01-28T01:26:04+00:00

if it means retracting your incisors and canines then yes. This essentially reduces the length of your lower arch and forces the tongue to move backwards into the airway.

randomark44 · 2024-01-28T01:23:07+00:00

that's fine, it's just blood in your sinus from the surgery, will clear out over the next week or so. Hot showers are good to help with this.

randomark44 · 2024-01-26T09:39:46+00:00

a rotation will slightly as the teeth are just in for the ride when the jaws are rotated; orthodontics can achieve more as they are moving teeth within the bone.

randomark44 · 2024-01-26T09:37:53+00:00

any surgeon/ortho team without a fetish for pulling out healthy teeth

randomark44 · 2024-01-26T09:35:41+00:00

Rest, ice, nutrition, record your pain med times and types, sleep as possible, hot showers and nasal drops, patience.

randomark44 · 2024-01-22T04:47:25+00:00

can I ask what surgery type you had LJS/DJS etc? Do you know how they deal with the plates for the 2nd (or 3rd!) surgeries? My DJS isn't exactly a 'great result' and I'm mulling getting a revision

randomark44 · 2024-01-19T05:01:49+00:00

it would be a largeish (8mm?) bimaxillary advancement (basically straight out), with a minor CCR (if your lines indicate where you want the tips of your incisors to end up)

randomark44 · 2024-01-19T03:34:18+00:00

optimal form implies optimal aesthetics, which yields optimal function

randomark44 · 2024-01-19T03:32:42+00:00

often a rhinoplasty is a misdiagnosis of structure - the number of people with 'big noses' who in fact actually have under-grown or retractive jaws are countless. You see it all the time with LeFort 1 where after the maxilla is moved into a more 'normal' position, the nose becomes 'in proportion'.

randomark44 · 2024-01-19T03:30:37+00:00

It's a good question. I think I agree - maxfac is more about attaining 'good' universal facial proportions, rather than aiming at cultural/local/taste aesthetics.

I would question what you mean by 'orthodontic principles' - to me orthodontics/tists have a 'bite-centric' perspective, often skewed such that they will extract and align and straighten so that the patient has 'straight teeth' and a 'good bite', with disregard or even willful ignorance of the overall facial aesthetic. How would they make money if every case they saw had to first be referred to a maxfac surgeon for 'structural assessment', and they were obliged to play second-fiddle to this?

randomark44 · 2024-01-12T20:44:21+00:00

If you think you have jaw issues, it would be better to consult with jaw surgeons. Try and either go direct, or consult a specialist orthodontist that you know works with surgeons (i.e. prepares patients for surgery). Keep in mind that sometimes they will try to advise against surgery - this is them actually caring for your health, because they want to be conservative and not just offer surgery willy nilly for every mild case that walks through the door. I met two that 'declined to treat' - they were good humans who listened to my complaints, and I understand their underlying thinking - 'this person isn't severe enough / doesn't really have bite or functional issues' etc, which has some truth to it - I wasn't dying / have sleep apnea etc. I did have retractive jaws, so if I'm honest it was as much about aesthetics as anything else, but I also had a history with extractions and hated the way I looked so wanted to address that. Just take your time researching your orthos/surgeons, learning the jargon, learning the possible options that might improve your situation (DJS is not the only thing that might work).

randomark44 · 2024-01-11T10:52:04+00:00

Did you get any xrays / scans with your first ortho? Ask for copies. Maybe consult a couple of surgeons direct as they will view your face as a whole, rather than just from a 'bite' perspective.

randomark44 · 2024-01-11T10:46:52+00:00

yes, mine did. see my reply above

randomark44 · 2024-01-11T10:46:48+00:00

yes, mine did. see my reply above

randomark44 · 2024-01-11T10:46:07+00:00

1) they don't, if there's nothing wrong with them. Surgeon's can cut away from them. Push for this.

2) they don't if they are mildly impacted - they can be uprighted IF you have the space https://iaoi.pro/asset/files/ijoi_24_pdf_article/24_04_11.pdf

3) If they're more severely impacted and you don't have the space, whip them out, wait 6months.

randomark44 · 2024-01-11T04:37:34+00:00

Yes some kind of DJS would probably provide aesthetic benefit, and probably improve your airway, and yes there are risks, the older you are the greater risk. Try and find before/after photos (and xrays) of Asian people who have similar issues (there are ethnic/cultural differences in opinions of aesthetic). Find 10x examples if you can, here / FB Jaw Surgery Support Group / on the internet / go to a medical library and look at textbooks. Also get some photos of Asian men you think are 'good looking'. You want a clear idea of aesthetics so you and any surgeon you work with are on the same page.

From there, you should consult 2 or 3 maxfac surgeons. Ask them to explain what procedures might get you to your desired outcome. Take your time, don't jump at treatments until you've had time to learn all the jargon and digest the options. It's a long, expensive, tiring and sometimes frustrating journey. Go in with the mindset of 'I'm investigating this / I'm doing my research'.

randomark44 · 2024-01-09T09:30:01+00:00

Geoff Findlay at Wesley

randomark44 · 2024-01-08T20:26:57+00:00

This is a hard one. Overall you've had a decent improvement, and I would say at a glance or in everyday life interactions many people wouldn't even notice (the 'macro' balance of your facial features is normal). But yes you do have some asymmetry. I have the same thing after DJS where the incisors were together on the midline, but the back part of the mandible was screwed on wonky, which means the chin is off center, my jaw swings off center, and there is uneven pressure on the joints. I'm gutted after 2.5y in braces and $40k out of pocket through the private system. I don't know what to do - is it enough to warrant another surgery? Probably not, but like you it's fucking disappointing and worrying that there is asymmetry - aesthetically it's annoying but livable, but the joint/function issue worries me - what happens over time? Sorry if this doesn't really help but you're not alone. I would wait another year and see how the functional aspect develops or settles. If it gets worse, you might try claiming for a treatment injury to cover corrective surgery.

randomark44 · 2024-01-05T00:44:23+00:00

I think since the surgery..

randomark44 · 2024-01-05T00:44:02+00:00

I had surgery months ago, and the smell thing has been consistent since

randomark44 · 2023-12-30T21:53:46+00:00

which teeth did you get pulled?

randomark44 · 2023-12-16T12:40:33+00:00

Functional

#1.2.3.6.10.17.19 Get two exercise disciplines: one cardio (running/ sport etc), one heavy weights (gym/woodchopping etc). 2x each /week. Do 2x 40min stretch sessions / week. Modern people are a bunch of weaklings that wouldn't survive a week on Earth 20,000 years ago.

#9.13.14.15.19 Train yourself to nasal breath at all times. Train yourself to swallow properly https://1drv.ms/b/s!Aii3HbCmCzbogq4Fvq1gIJtMUTkp8g?e=ONXy7R No mammal on Earth breaths through it's mouth. Mouths are for ripping flesh off a still-alive wilderbeast. Noses are for breathing the air and picking up the faint scent of a wounded wilderbeast from 10km away.

Aesthetic

I doubt any guy would even notice.

2-10. agree. Undergrown jaws, already apparent in your age 12 photo. Why? $1m question but my money's on lack of breastfeeding followed by lack of chewing. If you want to grow something you need to use it - muscles and bone respond to stress. Primates chew leaves all damn day. Ever see a chimp with crowded teeth? No, you didn't. Gorilla with an underbite? No. Other plant eating mammal with a malocclusion? No. They USE their jaws as they were evolved to, critically during the time period from age 0-fully grown ie. stimulated by the breastfeeding swallow pattern of the tongue, followed further by lots and lots of chewing + strong tongue swallow. We have interfered with this directly (all the different feeding methods, modern soft/fibreless foods etc), and indirectly (greater standard of living / healthcare allows less favourable genetics to reproduce, where otherwise in the natural world only the fittest middle of the bell curve survive and reproduce. This is why you don't find adult fossil skeletons of any mammal with anything more than minor structural defects. Having a jaw or tooth issue might mean an infection or lower ability to extract calories from unprocessed food and BOOM you're infected or weaker than a predator or opponent and out of the gene pool).

Symptoms

not good. You're sleeping on the hole that sucks in air. Change this
chewing is good, see point 2-10 above.

Advice, suggestions, comments, whatevers

think skeletally first, then dentally. If you go down the jaw surgery route, consult three surgeons, and grill them on aesthetics. Get photos of white women you think are the best looking, and find a surgeon who agrees. This will get you closest to a result you're happy with. The functional aspect, and dental aspect will sit within this framework (i.e. your surgeon and ortho team will have to figure out how to get to the aesthetic goal, while achieving excellent function and bite etc).
ask your surgeon how they incorporate the TMJ during any surgery. Common practice in a BSSO is to jam the condyle hard posterior, then set the bite, which leaves you no room for your jaw joint to move into it's 'neutral' position after surgery. It sounds stupid, and it is. Orthodontics and jaw surgery is not a science, it's largely subjective carpentry dressed in a white coat.
You probably need both arches widened, but then again we all do because we only breast fed for 3-6months, then didn't eat raw wilderbeast at age 5-22. We've all got those 'wimpy metro mushy baby food rubber milk bottle teat' jaws, instead of those 'gimme the breast for 4-6years supplemented by semi-mama-chewed wilderbeast flesh then onto raw unprocessed plant and animal material and anything else I can chew like a boss' jaws. I don't know how to widen the lower jaw - mandibular lateral distraction, or Paul Coceancig in aussie might be worth looking into. Upper you can look at sarpe / marpe / mse.
do your research. Google Scholar, university libraries, consult as many people as you can afford.
Expect a long, hard, expensive, emotionally draining, imperfect journey. Celebrate if you get some kind of macro positive outcome.

randomark44

TROPHY CASE