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CCW Rotation via TAD Intrusion: Someone help me make sense of this..

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(@jonathancastles)
Posts: 1
Topic starter
 

Hi all,

I have a VME (gummy smile), a longer than ideal face, and a somewhat retrusive chin (due mostly to a steep occlusal plane), and although none of these traits have proven absolutely ruinous, I'd really like to improve. A couple years ago, I nearly underwent orthognathic surgery, but I couldn't justify the abysmal risk to reward ratio—the planned movement was the smallest my surgeon had ever performed, and.. well, I'm sure you're all familiar with the numerous potential complications of double jaw surgery. Since then, I've just been 'mewing' and keeping an ear to the ground for advancements in alternative treatments.

One such treatment I've been monitoring is TAD intrusion, because it's one of the few orthodontic procedures that can:

  • Rotate the maxilliomandibular complex (even if only slightly)
  • Reduce gingival exposure
  • Reduce facial convexity

That being said, for the life of me, I cannot understand how this s**t works. This article in particular both amazed and confused me. The lower jaw clearly comes up and forward, yet the patient undergoes extractions, and the maxillary dentation is pulled both superiorly and posteriorly. Why are extractions necessary, and why is the upper jaw moved back?


 
Posted : 31/12/2018 1:27 am
(@misseruvi)
Posts: 9
 

Hello! I wanted to chime in with my own experience as I've had two TAD's for almost 3 months. I attached a before and after picture of my profile in my topic, but deleted it on my pc so you can just check it out there: Mewing whilst chin-tucking ALL DAY? *EDIT: picture included .

Sorry for that, hope you can find it useful! I made a paragraph answering a user about TAD treatment you might find interesting!

Gluck, and remember never to extract. This site, and many others always recommend to not extract due to many complications in health and even appearance.  I realized upon searching many TAD articles that most undergo extractions, making profile much better, yet make the face flatter. You will see that my changes aren't very visible, however in 3D real life I can see them more prominent than in 2D pictures.

It's hard to explain, but what TADS did for me was expand my palate even more than braces could, therefore expanding my maxilla. My proof is that my lips look more "stretched" aka longer, and my face has a tiny bit more cheekbone. I'm not confident in posting front picture because of personal reasons :)

Changes are minimal in pictures, but for me worth it in real life :)

Gluck!


 
Posted : 31/01/2019 6:47 am

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