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run__rabbit_run10 karma

Hi there! Not OP, but just had double jaw surgery + genio and can tell you that it's very, very uncommon for most U.S. insurance companies to cover any kind of orthognathic surgery - especially when the reason is TMJ.

My case was an exception as the position of my jaws was causing severe sleep apnea. This is one of the very few exceptions they make for covering this procedure.

I will note that I also have TMJ (which was acutally caused by the sleep apnea), which could be your son's situaiton as well. Couldn't hurt to have a sleep study done to see whether that's the case - it could help him get the procedure covered.

run__rabbit_run8 karma

I had TMJ my whole life and I didn't connect it - nor did any doctor, until this year - with my sleep issues and brain fog (was actually diagnosed with ADHD).

The TMJ, sleep problems, and cognitive problems were caused by severe obstructive sleep apnea (OSA). The OSA was caused by the position of my jaw, which caused my airway to collapse when I would sleep and exercise. My ADHD was actually a symptom of the OSA, as it caused my oxygen saturation to drop. My TMJ was caused by my body clenching and grinding my jaw at night in an effort to move it forward, to widen my airway to get oxygen. My TMJ was always worse in the morning for this reason. That stuck out to me in your post, so I figured I'd ask.

run__rabbit_run5 karma

Hiya! Love from a fellow bionic jaw - I had double jaw surgery (bimaxillary advancement; Lefort 1 + BSSO) and a sliding genioplasty two weeks ago.

How's your nerve situation from the genio? I'm still mostly numb but finally felt some sensation after brushing a towel against it this morning. Shit feels real weird.

run__rabbit_run3 karma

Ah, interesting - the other end of the spectrum!

I admittedly know less about the risks of getting too much sleep, but do know that it can (when coupled with the other symptoms mentioned) also be a sign of Sleep Apnea. Either way - it couldn't hurt talking to your doctor about it and setting up a sleep study.

If you do have Sleep Apnea, treatment is truly life-changing (not to mention, life-saving).

run__rabbit_run3 karma

By any chance, do you also have sleep issues (like insomnia) and/or attention issues/brain fog?