Looksmax Why isn’t anyone talking about how you get recessed even after BSSO? (2 Viewers)

[Mandy]

Not generally only BSSO,but many other orthognathic procedures. Just to disclaim,this doesn’t always happen and also doesn’t mostly happen. But especially when your mandible is extremely recessed,you have a higher chance of something called condylar resorption.

This is the condyle, the anchor of your mandible basically which most people know. But also,this area during development has something called the condylar cartilage, which in simplified is basically the growth plate of your jaw.



This is how the the common case of condylar resorption can be,
But here is a more severe example:

How does this happen?

After a bilateral sagittal split osteotomy,it’s not just the mandibular body that is brought fowards,your whole mandible has to adjust to this new position including the condyle. It’s another reason why this usually happens to very recessed patients,since their mandible does not have the base to properly adapt to this new position. This would lead to bone resorption in the TMJ,which not only does affect your TMJ,but your entire mandible after a specific period of time.


If this happens after a BSSO:
Will your mandibular body shrink in length? Depends on severity.
Will your jaw grow more downwards (CW rotation)? Most likely indeed.
Will you have TMJ discomfort or maybe pain? Most likely.
Will your chin and alveolar process be effect? Depends on severity.
Will your bone mineral density be impacted? Highly likely.

 

[tmpll]

Synapzyzz check this out

 

[imogmost]

conner Murphey explained?

 

[tmpll]

nice post btw

 

[Synapzyzz]

Not generally only BSSO,but many other orthognathic procedures. Just to disclaim,this doesn’t always happen and also doesn’t mostly happen. But especially when your mandible is extremely recessed,you have a higher chance of something called condylar resorption.

View attachment 32547
This is the condyle, the anchor of your mandible basically which most people know. But also,this area during development has something called the condylar cartilage, which in simplified is basically the growth plate of your jaw.


View attachment 32548
This is how the the common case of condylar resorption can be,
But here is a more severe example:
View attachment 32549



How does this happen?
View attachment 32550
After a bilateral sagittal split osteotomy,it’s not just the mandibular body that is brought fowards,your whole mandible has to adjust to this new position including the condyle. It’s another reason why this usually happens to very recessed patients,since their mandible does not have the base to properly adapt to this new position. This would lead to bone resorption in the TMJ,which not only does affect your TMJ,but your entire mandible after a specific period of time.


If this happens after a BSSO:
Will your mandibular body shrink in length? Depends on severity.
Will your jaw grow more downwards (CW rotation)? Most likely indeed.
Will you have TMJ discomfort or maybe pain? Most likely.
Will your chin and alveolar process be effect? Depends on severity.
Will your bone mineral density be impacted? Highly likely.

getting bsso is not good enough for most people, also the fixation plates and screws play a important role into this, also depeding on the amount of advancement can increase the relapse risk.

 

[Dexter]

mirin, im developing a sexual attraction to you

 

[tmpll]

mirin, im developing a sexual attraction to you

i think evb is

 

[Mandy]

mirin, im developing a sexual attraction to you

I can say the same for me on you

 

[Mandy]

conner Murphey explained?

Connor Murphy just overtrained his masseters and is now mandibulis zygomatis

 

[Synapzyzz]

I can say the same for me on you

also the relapse risk is also very dependent on the surgeons skill and advancement plan, the plates and screws used to hold the osteotomy in place also play a super important role, stronger fixation with tighter and stronger titanium plates usually avoids this. But even with this if the advancement is to much the relapse risk will dramatically increase Mandy

 

[Mandy]

also the relapse risk is also very dependent on the surgeons skill and advancement plan, the plates and screws used to hold the osteotomy in place also play a super important role, stronger fixation with tighter and stronger titanium plates usually avoids this. But even with this if the advancement is to much the relapse risk will dramatically increase

I’m aware and I do agree

 

[Synapzyzz]

I’m aware and I do agree

the problem with some of the stats and info for relapse risk in bsso and jaw surgery in general sometimes the forget to take into account the surgeons skill and the type of fixation device used, and also the advancement needed, they usually left out this parts.

 

[Ascension]

mirin, im developing a sexual attraction to you

Who doesn’t

 

[Synapzyzz]

I’m aware and I do agree

we all love giant rapist here right?

 

[Dexter]

we all love giant rapist here right?

he sparks a fire in me that no one can extinguish

 

[Synapzyzz]

we all love giant rapist here right?

the creator of modified orbital anal rape Dexter

 

[Ascension]

we all love giant rapist here right?

Giant gave me the dih osteotomy implants to ascend it from 2.71inch to 6.7inch

 

[Dexter]

Giant gave me the dih osteotomy implants to ascend it from 2.71inch to 6.7inch

ASCENSION, GIVE ME GOOD IDEAS FOR MY NEXT THREAD OR ELSE I WILL STUFF MY 32 INCH COCK IN YOUR ANUS UNTIL IT COMES OUT OF YOUR MOUTH

 

[Ascension]

Not generally only BSSO,but many other orthognathic procedures. Just to disclaim,this doesn’t always happen and also doesn’t mostly happen. But especially when your mandible is extremely recessed,you have a higher chance of something called condylar resorption.

View attachment 32547
This is the condyle, the anchor of your mandible basically which most people know. But also,this area during development has something called the condylar cartilage, which in simplified is basically the growth plate of your jaw.


View attachment 32548
This is how the the common case of condylar resorption can be,
But here is a more severe example:
View attachment 32549



How does this happen?
View attachment 32550
After a bilateral sagittal split osteotomy,it’s not just the mandibular body that is brought fowards,your whole mandible has to adjust to this new position including the condyle. It’s another reason why this usually happens to very recessed patients,since their mandible does not have the base to properly adapt to this new position. This would lead to bone resorption in the TMJ,which not only does affect your TMJ,but your entire mandible after a specific period of time.


If this happens after a BSSO:
Will your mandibular body shrink in length? Depends on severity.
Will your jaw grow more downwards (CW rotation)? Most likely indeed.
Will you have TMJ discomfort or maybe pain? Most likely.
Will your chin and alveolar process be effect? Depends on severity.
Will your bone mineral density be impacted? Highly likely.

Good thread

 

[Ascension]

ASCENSION, GIVE ME GOOD IDEAS FOR MY NEXT THREAD OR ELSE I WILL STUFF MY 32 INCH COCK IN YOUR ANUS UNTIL IT COMES OUT OF YOUR MOUTH

Bro I don’t fucking know

 

[Synapzyzz]

ASCENSION, GIVE ME GOOD IDEAS FOR MY NEXT THREAD OR ELSE I WILL STUFF MY 32 INCH COCK IN YOUR ANUS UNTIL IT COMES OUT OF YOUR MOUTH

learning from giant i see

 

[Dexter]

Bro I don’t fucking know

OKAY, OPEN UP THAT ASSHOLE FOR ME

 

[Ascension]

ASCENSION, GIVE ME GOOD IDEAS FOR MY NEXT THREAD OR ELSE I WILL STUFF MY 32 INCH COCK IN YOUR ANUS UNTIL IT COMES OUT OF YOUR MOUTH

What compounds have you ever used I reckon you should make guides on that as I did with my mt2 guide

 

[Mandy]

MANDY, GIVE ME GOOD IDEAS FOR MY NEXT THREAD OR ELSE I WILL STUFF MY 32 INCH COCK IN YOUR ANUS UNTIL IT COMES OUT OF YOUR MOUTH

I am NOT giving you ideas,but I’m down for the other part

 

[Dexter]

What compounds how you ever used I reckon you should make guides on that as I did with my mt2 guide

multivitamin g-gummies...?