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James: jaw surgery and implants - one surgery.

Facial diagnosis

  • Receding lower jaw
  • Asymmetric face
  • An older osteotomy from else where, gone in the mist.

Treatment jaw surgery

  • Advancement lower jaw (BSSO)
  • Advancement upper jaw (Le Fort I)
  • Rotation upper jaw
  • Rotation lower jaw
  • Chin surgery (Sliding genioplasty)
  • Simply nothing was right.

Treatment dental implants

  • Implant supported bridge (fixed denture) upper jaw


About this case

James was not very happy with the outcome of his osteotomy, performed elsewhere and eight years ago, and to be honest not very successful. His face came out of the surgery disturbingly asymmetric. The right side of his face was without any facial dept, everything in his face pointed to the left. After many years in doubt,  and finally convinced by his dentist, he came to see me.
James' face was studied by Dr.Defrancq over and over. Nothing was easy, nothing was really obvious or clear cut. Dr Defrancq saw James at least 4 times before the surgery, and finally the following plan was forged:

  • We needed a bone graft to built up his left upper jaw after the osteotomies.
  • The upper jaw was to relocate in space three dimentionally and with a bone graft. 
  • The lower jaw had to follow this movement
  • The chin, by all means was to advance.
  • His upper teeth were considered as lost and implant replacement was a necessary.(immediate loading).

All this was achieved during one single surgery. We will present james again with the final work in the mouth. Probably along the road James wil need a nose job as well. Meanwhile, James is happy with the surgical outcome, especially with the regained symmetry in his face.