In recent years, I have noticed that a large number of patients suffering from bimaxillary protrusion (also known as buck teeth) have adopted the method of extracting four premolar teeth and then simply orthodontic treatment, and after treatment, it was found that the teeth were gouged in (note my choice of words is derogatory), but the maxilla and alveolar bone did not recede, and the maxilla was still protruding. told that there was nothing they could do to make the maxillary alveolar process recede. What’s more, some cosmetic clinics or dental clinics to make the patient’s teeth gouge in, the patient’s six front teeth all cut off the crown, or the good teeth deactivation grinding fine, and then change the tooth axis, with porcelain teeth re-set, the patient found after treatment, did not solve her jaw protrusion problem, the treatment failed! Regret to find me for advice, want to use surgery to solve, I told the patient, I also have no way to cure, this is the original choice of non-surgical treatment options caused by the error, you know in the case of treatment failure and then choose surgery, for surgeons is a very difficult thing, but also very reluctant, not only high surgical difficulty, but also unsatisfactory results, want to solve the problem for the patient, but difficult to start. I sympathize with these patients, who is to blame for spending the money and not curing the disease? The doctor’s responsibility or the patient’s responsibility? I think both have responsibility, small clinics (there is also a sizeable hospital) doctors are red-eyed by money, but do not know how to cure this disease (or know also do not choose the best program), rhetoric to lure patients to do only orthodontics, and the surgery treatment is said to be terrible, difficult to be accepted; patients do not understand the medical, be lulled by others to lead the nose, and finally ended up a failure, patients often wash their faces with tears. I summarize the reason for these evils is: it’s all about money, the clinic doctors are eager to earn money, and patients are afraid of surgery, but also unwilling to spend more money, willing to fight willing to suffer, you say blame who? So if you are a patient of this kind of deformity, first of all to the maxillofacial surgery or orthodontics department of a large hospital to see, do not go to cosmetic clinics or small dental clinics to see, most of these doctors do not have the knowledge to treat this disease or not comprehensive, do not mind the treatment of large hospitals cumbersome, orthodontic time is long, but their treatment is standardized, formal, the current standard treatment around the world are orthodontic orthognathic joint treatment. There are also patients who go directly to orthopedic surgery, which treats this malformation mostly without combined orthodontic and orthognathic treatment, but directly surgery, because they do not have orthodontic technology to help them prepare their teeth, the advantage of this treatment is fast, and also in line with the psychology of the patient to figure out fast, but it is not the best choice. If a doctor chooses surgical treatment for you, be sure to communicate with your doctor if you have doubts, the surgery is not terrible, the results are the ultimate goal to pursue. If you choose non-surgical treatment, be sure to ask your doctor if he or she can solve your maxillary protrusion, especially the problem of exposed gums, simple orthodontics can only solve the protrusion of teeth, but not the protrusion of bone and too much exposed gums, to know that most of the maxillary protrusion is caused by jawbone protrusion, only a few are caused by teeth. If you have jaw protrusion with excessive gingival exposure and with jaw recession (jaw recession) or even snoring at night, you must choose the best option for combined orthodontic and orthognathic treatment. You should also be careful about when to extract the four premolar teeth. If the orthodontist asks you to extract the teeth first, make sure to ask the purpose of the extraction, is it for internalizing the teeth or internalizing the jawbone? If it is only for internalizing the teeth, then extraction orthodontics must not solve your jawbone protrusion, if you want to significantly recede the jawbone, it should be extracted in the surgery. In conclusion, the purpose of saying so much is for the sake of the patient in order to reduce the patient’s pain due to treatment failure, it may not be easy to understand, I will inform you the types of jaw protrusion, causes, surgical and non-surgical principles and surgical methods in the next article in the form of diagrams.