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How to achieve Counter clockwise rotation of the maxillomandibular complex
These are the procedures you need for CCW rotation of the maxillomandibular complex, these procedures done simultaneously step 1-3 followed by step 4 after distraction phase. will yield unbelievable changes to the face. you will become unrecognizable.
in a positive way might i add.
(Cranio Maxillofacial student here)
Copy the picture that ive made and refer it to your doctor to hear what he has to say.
Facial upswing is easily attained, and auto rotation is fixable by growing the bones before mainly the ramus, to lower the occlusal plane vertically before moving int horizontally and upwards.
its just time consuming, that is why oral maxillofacial and orthognatic surgeons never do it.
Im sure i will be proceeding with the type of treatment that always assures facial upswing, thus this will be my go to treatment based plan that i will try to apply on every future patient.