Orthognathic Surgery

“Transform Your Smile: The Power of Orthognathic Surgery”

Orthognathic surgery, also known as corrective jaw surgery, is a complex surgical procedure that aims to correct abnormalities of the jaw and facial structure. It is primarily used to treat conditions such as malocclusion (improper bite), jaw misalignment, and facial asymmetry. This procedure can have significant functional and aesthetic benefits for patients who experience difficulties with chewing, speaking, breathing, or have concerns about their facial appearance.

The decision to undergo orthognathic surgery is typically made in collaboration between the patient, orthodontist, and oral and maxillofacial surgeon. Prior to the surgery, a comprehensive evaluation is conducted, which may include dental impressions, X-rays, and 3D imaging to assess the precise nature and extent of the jaw and facial irregularities. The procedure is performed under general anesthesia, ensuring the patient’s comfort throughout the operation.

During the surgery, the surgeon carefully repositions the upper jaw (maxilla), lower jaw (mandible), or both, depending on the specific needs of the patient. The surgical techniques used in orthognathic surgery vary depending on the individual case, but generally involve making incisions inside the mouth to access the jawbones. The surgeon then repositions the bones, often using specialized plates, screws, or wires to secure them in their new positions. In some cases, bone grafts may be necessary to augment deficient areas or improve facial symmetry.

Orthognathic surgery is typically followed by a period of healing, during which the bones consolidate and adapt to their new positions. This healing process usually takes several weeks to months, and patients may experience swelling, bruising, and temporary numbness or stiffness in the facial region. Pain medications and a modified diet may be recommended during the initial recovery period.

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Here are some key points about orthognathic surgeries:

  1. Purpose: Orthognathic surgery aims to improve the function and appearance of the jaw and face. It can help address issues like difficulty chewing, speaking, or breathing due to jaw misalignment, as well as enhance facial aesthetics.
  2. Malocclusion types: There are various types of malocclusion, including overbite (upper teeth protrude over lower teeth), underbite (lower teeth protrude beyond upper teeth), crossbite (misalignment of upper and lower teeth), and open bite (front teeth do not meet when biting). Orthognathic surgery can correct these bite problems.
  3. Treatment process: Orthognathic surgery usually involves a multidisciplinary approach. The process typically begins with a thorough evaluation by an orthodontist, who may use braces or other orthodontic appliances to align the teeth before surgery. The oral and maxillofacial surgeon performs the surgical procedure, which may involve repositioning the upper jaw (maxilla), lower jaw (mandible), or both. After the surgery, orthodontic treatment may continue to achieve final alignment.
  4. Surgical techniques: Orthognathic surgery techniques vary depending on the specific needs of the patient. Common procedures include maxillary osteotomy (repositioning of the upper jaw), mandibular osteotomy (repositioning of the lower jaw), genioplasty (chin surgery), and septoplasty (nasal septum correction). The surgeon carefully plans the surgical approach based on the patient’s condition.
  5. Recovery and outcomes: Recovery from orthognathic surgery can take several weeks to months. Patients may experience swelling, pain, and restricted jaw movement initially. A liquid or soft diet is usually recommended during the initial healing phase. Follow-up visits with the surgeon and orthodontist are essential to monitor progress and adjust orthodontic treatment as needed. The ultimate goal is to achieve improved jaw function, proper bite alignment, and enhanced facial harmony.
  6. Risks and considerations: As with any surgery, orthognathic surgery carries certain risks, including bleeding, infection, nerve injury, and adverse reactions to anesthesia. It is crucial to have a thorough discussion with the oral and maxillofacial surgeon to understand the potential risks, benefits, and expected outcomes of the procedure.

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Questions & Answers

What is orthognathic surgery?

Orthognathic surgery, also known as corrective jaw surgery, is a surgical procedure performed to correct abnormalities of the jaw and facial structure. It is typically used to treat conditions such as malocclusion (improper bite), jaw misalignment, and facial asymmetry.

How do I know if I need orthognathic surgery?

The need for orthognathic surgery is determined through a comprehensive evaluation by an orthodontist and an oral and maxillofacial surgeon. They will assess your dental and facial condition, including bite irregularities, jaw alignment, and facial symmetry, to determine if orthognathic surgery is the appropriate treatment option for you.

What are the benefits of orthognathic surgery?

Orthognathic surgery can improve your ability to chew, speak, and breathe properly. It can also enhance your facial aesthetics, correct facial asymmetry, and improve your overall oral health. Additionally, it can have a positive impact on self-esteem and confidence.

Is orthognathic surgery performed under general anesthesia?

Yes, orthognathic surgery is typically performed under general anesthesia to ensure that you are comfortable and pain-free during the procedure.

How long does the orthognathic surgery procedure take?

The duration of the surgery varies depending on the complexity of your case and the specific procedures involved. It can range from a few hours to several hours.

Will I have visible scars after orthognathic surgery?

In most cases, the incisions for orthognathic surgery are made inside the mouth, resulting in no visible external scars. This allows for a more discreet and aesthetically pleasing outcome.

How long does it take to see the final results of orthognathic surgery?

The final results of orthognathic surgery become apparent once the swelling subsides, which can take several weeks to months. It is important to follow your orthodontist’s and surgeon’s recommendations and attend follow-up appointments to ensure the best possible outcome.

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