Search found 114 matches

by PierreDeFermat
Thu May 03, 2018 1:26 pm
Forum: Oral (Orthognathic) Surgery
Topic: Time off for Orthognathic Surgery
Replies: 13
Views: 817

Re: Time off for Orthognathic Surgery

I'm only 5 days post-op but I had a lot of movement and soft-tissue work (including UPPP), which means I'm still in the hospital and feeling like crap. I imagine in another 2-4 days I'll be able to head home, but my situation has been incredibly "heavy" and I'm just trying to get by day by day... It...
by PierreDeFermat
Fri Apr 27, 2018 11:19 am
Forum: Oral (Orthognathic) Surgery
Topic: April 18 Surgery Buddies...
Replies: 147
Views: 4765

Re: April 18 Surgery Buddies...

Hey Karatz, Surgery is a very big step, but 10 days of discomfort maybe worth it for a great bite! Has your surgeon explained to you how your TMJs will be effected by the surgery? I should mention that everybody is worried about having their mouth secured by elastics/splint, so we're all in the same...
by PierreDeFermat
Fri Apr 27, 2018 11:09 am
Forum: Oral (Orthognathic) Surgery
Topic: Incision in mouth not closing
Replies: 2
Views: 159

Re: Incision in mouth not closing

Yes, significant blood loss can slow down the healing time. Did you need a blood transfusion? How often does your surgeon perform orthognathic surgery? Is he/she board certified to perform such operations? Unfavorable osteotomy splits occur in some 15% of patients and can usually be compensated for,...
by PierreDeFermat
Sat Apr 21, 2018 2:32 pm
Forum: Oral (Orthognathic) Surgery
Topic: April 18 Surgery Buddies...
Replies: 147
Views: 4765

Re: April 18 Surgery Buddies...

Awesome, hope you're excited! Do you have any problems with your TMJs? Has your doctor spoken to you about condylar resorption? It's interesting that the genioplasty isn't present in the surgical plan, I assume that is because the surgeon wants to check soft-tissue response after positioning the max...
by PierreDeFermat
Fri Apr 20, 2018 11:39 am
Forum: Oral (Orthognathic) Surgery
Topic: June/July 2015 Surgery Buddies
Replies: 958
Views: 44529

Re: June/July 2015 Surgery Buddies

Hey Snap, congratulations on your approval!

Can I ask why you're having the hardware removed?
by PierreDeFermat
Thu Apr 19, 2018 5:16 pm
Forum: Oral (Orthognathic) Surgery
Topic: April 18 Surgery Buddies...
Replies: 147
Views: 4765

Re: April 18 Surgery Buddies...

Got a full VSP report a few days ago which included a table with all the movements, very satisfied.

Here's a sample shot:
by PierreDeFermat
Wed Apr 18, 2018 7:28 am
Forum: Oral (Orthognathic) Surgery
Topic: April 18 Surgery Buddies...
Replies: 147
Views: 4765

Re: April 18 Surgery Buddies...

I assume he will be splitting your 11mm between the BSSO and genio (8/3 respectively) to help ensure your result is stable. I called the surgeon's office and they said they would forward me the final VSP as soon as they received it (the company has to finalize it), I suggest you do the same so you c...
by PierreDeFermat
Tue Apr 17, 2018 9:39 am
Forum: Oral (Orthognathic) Surgery
Topic: April 18 Surgery Buddies...
Replies: 147
Views: 4765

Re: April 18 Surgery Buddies...

Good luck tomorrow, Rach! Please let us know how it goes!
by PierreDeFermat
Mon Apr 16, 2018 4:35 pm
Forum: Oral (Orthognathic) Surgery
Topic: April 18 Surgery Buddies...
Replies: 147
Views: 4765

Re: April 18 Surgery Buddies...

Did you guys get to see your VSP or cephalometric tracings? I just had my pre-op visit to meet with the surgeon to go over the surgery, but he didn't have a "final VSP done yet." Needless to say I was extremely disappointed I didn't get to see any renderings or predictions... I'm having Lefort 1, BS...
by PierreDeFermat
Wed Apr 11, 2018 2:51 pm
Forum: Oral (Orthognathic) Surgery
Topic: Appealing Denial of Coverage Decision
Replies: 2
Views: 174

Re: Appealing Denial of Coverage Decision

Very sorry to hear that Sarah, unfortunately if you don't meet the exact exceptions put forth by UHC (which are mandated at the federal level) there's almost no chance you will be covered. But there is hope! I know many people on the forums who have decided to get out of pocket insurance with an ins...
by PierreDeFermat
Fri Apr 06, 2018 8:54 am
Forum: Oral (Orthognathic) Surgery
Topic: Was Your Virtual Surgical Planning Covered By Insurance?
Replies: 7
Views: 367

Re: Was Your Virtual Surgical Planning Covered By Insurance?

A CPT code is procedure, in this case the doctor took a scan of your head. It was covered by your insurance (check your EOB for details). The other two are diagnosis codes which describe your condition and why you required the scan done. I'm still trying to ask around for the proper CPT codes for th...
by PierreDeFermat
Wed Apr 04, 2018 4:16 pm
Forum: Oral (Orthognathic) Surgery
Topic: UPPP or MMA for apnea in Ontario?
Replies: 2
Views: 148

Re: UPPP or MMA for apnea in Ontario?

Septoplasty will have very little effect on your Obstructive Sleep Apnea (OSA), as OSA is caused by the genioglossus muscle blocking your airway during sleep, not a deviated septum constricting your airflow (which is why most people have fewer obstructive apneas when sleeping on their side). It will...
by PierreDeFermat
Sun Apr 01, 2018 10:08 pm
Forum: Oral (Orthognathic) Surgery
Topic: Wired shut and worried about relapse. So nervous that I picked the wrong doctor!
Replies: 14
Views: 800

Re: Wired shut and worried about relapse. So nervous that I picked the wrong doctor!

This is internal wire vs. internal plate fixation (rigid fixation):
Wire Vs Plate.jpg


This is you with internal plates and external occlusal wire fixation (and possibly a splint, shown in blue)
IRF.gif
by PierreDeFermat
Sun Apr 01, 2018 9:45 pm
Forum: Oral (Orthognathic) Surgery
Topic: Was Your Virtual Surgical Planning Covered By Insurance?
Replies: 7
Views: 367

Re: Was Your Virtual Surgical Planning Covered By Insurance?

Upon further research I've found a new CPT Code which I believe is more accurate:

21085, Under Head Prosthesis Preparation: Impression and custom preparation; oral surgical splint