The plan

Finally, I heard from both my ortho and surgeon, here is the plan my surgeon is proposing...

Orthodontic treatment with full fixed appliances
Removal of upper and lower premolars for alignment of the arches
The upper arch will be aligned in 3 segments with space present at the extraction site
The lower arch will be aligned & the space closed
Orthognathic surgery
3 piece Maxillary Surgery
Genioplasty to enlarge the chin

Orthognathic surgery
If upper surgery doesn't do the job Dr. T will consider surgery to the lower jaw to advance. The final decision will be made prior to surgery when I get re-evaluated.

When Dr. T first evaluated me he listed the following problems
Minor TMJ symptoms
Long lower face height
Lip incompetency with gum display
Mandibular deficiency - small lower jaw
Class II dental malocclusion with severe crowding effects on speech & chewing. Large Anterior open bite

The team and I are hoping my insurance will respond to Dr. T's letter in a positive way. Please cross your fingers now and after I call Zack tomorrow to schedule Records appointment: Xrays, photos, & impressions of my teeth. After the appointment, the records will be sending to Dr. T to so he could support my diagnosis and treatment plan to the hard headed insurance! :) I'll wait till I hear from my insurance before setting a date for Braces day. My feelings: excited, nervous, worried, & hopeful. The lists above made me emo! I can't wait til these procedures get started for real. I posted the most recent pictures to show how crooked my nasal bridge is & my long lower face as well as other alskjdfhg problems. Happy hawking - LOL! Thanks for reading!!!