Orthodontic treatment plan

Before orthodontic treatment, i was having an open bite, but not that severe. Maybe you will ask isn't that I should have my lower teeth overlapping my upper teeth since my lower jaw is so protrude??

Yup, this is what nature play a role. Because my upper jaw doesn't grow together with my lower jaw, so as my upper and lower teeth are so in love and they want to meet each other, the lower teeth took the steps to move inward, and the upper teeth took the steps to move outward. Finally, they met, but not in that perfect situation.

Ok this is a picture of the types of occlusion from lateral view. The normal occlusion is show in A.

My orthodontic treatment is to make my occlusion like picture D, so that after surgery, my jaw is push back, then i can obtain a occlusion like A. Or what the surgeon said, worst come to worst, edge-to edge bite. Well there are possibilities that the surgery is not 100% successful.

Background 2

My orthodontist is Dr. Chay Siew Han, her clinic is situated in Jalan Burma, Penang. My first appointment with her is just for consultation and she also recommended a oral maxillofacial surgeon to me. We set up another appointment together with the surgeon on another date. Second visit to her clinic was to take my impression, opg (i.e. full mouth x-ray) and lateral cephalic view x-ray.

Third visit is about my treatment plan, with the surgeon together.

So my orthodontic treatment plan is to de-compensate my occlusion ie to make my lower teeth come out, overlapping the upper teeth, so that after the surgery i will obtain a normal occlusion.

My surgery plan is originally involving 2 jaws, but after some consideration, the surgeon decide to do only the lower jaw surgery. Well the surgery is called as a bilateral sagittal split osteotomy (BSSO). Well this surgery is approximately about 2 to 3 hours, after surgery you need to be hospitalized for one to two days, depends on your condition, some require a week or more.

Background 1

I was searching about info for jaw surgery as I am going to get one done. But I found out that there are less Malaysia patients that share the info or their experience compare to other countries' patients. So I decided to share tid-bits of my experience.

I has inherited a class III malocclusion from my father.I went to orthodontic consultation when I was 14 years old. The orthodontic said that I need a jaw surgery but the surgery can only be done after my bone is fully grown *after 18years old. So nothing was done by that time. He also told me about the cost of the surgery which made me decided not to start the treatment after I reach 18. (I truly regret of not starting the treatment earlier)

But years after, I started to bite my cheek and tongue unintentionally or during eating or under stress ( YUP I bite my cheek or tongue more often during exam time). So I have no choice but to seek the advice of the experts.