powaqa wrote:
Hi all, I've been needing surgery since i was 16 -- 40 years! I have a class III underbite. My orthodontist at the time gave my parents the choice of doing the surgery or angling my lower teeth back under my upper teeth. They chose the latter for many reasons, cost certainly was one of them. The long term affects to my facial aesthetics as well as my teeth, and consequently other aspects of my life, have been been detrimental. So, at 56, I'm looking into it, terrified and filled with questions. Am I too old? How much does this cost? How much pain is involved? Who deals with the insurance company? If insurance refuses to cover it, what will I be charged? I have a good dentist. How do I find a good surgeon -- one with technical and aesthetic skills? What will I look like afterward? How do I find an orthodontist? Who coordinates the treatment plan? Should they fix my "turkey waddle" at the same time? (seriously). It's all so bewildering I feel like my head is going to explode. (ha, that would certainly make all of this moot wouldn't it!)
I live in St. Louis, Mo.
Any comments or guidance would be appreciated.
My Dr's have been coordinating the insurance - however not all insurance covers this sort of thing. I'm paying for the braces out-of-pocket, but the SARPE & lower jaw surgery will be covered - under medical rather than dental. I expect facial features to change somewhat; mostly I'll be getting a chin! I am 55, soon to be 56 and while I am in the minority in both ortho & surgeons office, neither of them think I'm too old. Costs differ so wildly that I don't think anyone but your orthodontist & surgeon will be able to give you anything close to a good quote. I checked out a couple of orthodontists before choosing one that I liked. They took a team approach, and after they decided what they wanted to do, my guy had lunch with the surgeon to map out a plan. I picked the surgeon because my insurance plan covered him. I asked him a lot of questions before I decided to go with him. Then I had to wait for insurance to decide if they were going to cover it. Evidently my mouth was bad enough that it didn't take them long to decide it was medically necessary. I guess, in a way, I'm lucky. However, you bring up an interesting subject - that of the "turkey wattle". I'm gonna ask about that.
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