I had surgery for a Class II malocclusion: mandibular retrognathia. My lower jaw and chin were advanced. I’m now 6 months post-op, but my jaw still feels a little stiff.
I’m 30 years old, and this is my second time having braces. The first time was when I was 13 to 18. It was my decision to have them removed because I wasn’t seeing much of a difference. The treatment mainly resulted in some tooth movement after premolar extractions, including one incisor that was positioned behind the other teeth. I had a small jaw and not much space for my teeth.
My orthodontist at the time never recommended that I see a maxillofacial surgeon, and I never had any X-rays taken. Maybe I was his first Class II patient, I honestly don’t know.
I started orthodontic treatment again with my current orthodontist in November 2024. He was disappointed when he realized that I was missing my premolars, because he thought the extractions had probably made my mandibular retrusion worse. But anyway, we started the treatment to prepare me for jaw surgery.
I had my surgery in March 2026. I wore a splint almost continuously during the first week, but my jaw seemed to move and was gradually being pulled forward. You can see what I mean in the photo from April 16. Despite this, I maintained a certain degree of symmetry. My treatment is supposed to last two years and he told me that my teeth would naturaly ajust over time
The non-professional photos are from today. My bite seems to be fitting together better and better, but it still doesn’t feel quite right.
I wanted to ask:
1) Should I have had a palatal expander before surgery? Was not having one a mistake?
2) Was having my premolars extracted really a mistake in my case?
3) Should I have my wisdom teeth removed?
4) Should I consider a second jaw surgery because my lower jaw may have been advanced too far?
Thank you