Treatment

Orthognathic surgery

Overview

Orthognathic surgery is also known as jaw surgery or corrective jaw surgery, it is a type of surgery that addresses jaw alignment issues. It helps correct irregularities in the jaws and teeth, improving both function and appearance. People typically undergo this surgery to correct problems that affect their bite, jaw structure or overall facial symmetry. The procedure may involve one or both jaws and is used to treat conditions like overbites, underbites and jaw misalignment.

Why Orthognathic surgery Treatment is Required?

Orthognathic surgery is required for various reasons, such as:

• Bite problems: If your teeth do not align properly, such as an overbite or underbite, it can make eating, speaking, or breathing difficult.
• Jaw pain or discomfort: Misalignment of the jaw can cause chronic pain, discomfort, or TMJ disorders.
• Aesthetic concerns: Uneven jaws or facial appearance may be affecting your confidence, and jaw surgery can provide better facial symmetry.
• Sleep apnea: Sometimes, jaw issues contribute to obstructed airways, causing sleep apnea, which can be resolved with orthognathic surgery.
• Difficulty chewing or speaking: Misalignment can affect daily functions and surgery can improve overall quality of life.

Key Advantages of Orthognathic surgery Treatment

• Improved bite: Orthognathic surgery corrects bite issues like overbites, underbites, or crossbites.
• Enhanced facial appearance: Surgery can make your jawline and facial features more symmetrical, improving overall facial aesthetics.
• Better oral health: Jaw surgery can reduce the risks of tooth wear, gum damage, or speech problems caused by improper bite.
• Increased comfort and function: Many patients experience improved jaw function, such as ease in chewing, swallowing and speaking after surgery.
• Long-term solution: Unlike braces alone, orthognathic surgery addresses the root cause of jaw misalignment, offering a more permanent solution.

How Should You Prepare Yourself Before Orthognathic surgery Treatment

• Consultation: Speak with your surgeon about your goals and concerns. They will explain the procedure, risks and outcomes.
• Medical assessment: You may need X-rays, CT scans or models of your jaw to plan the surgery.
• Avoid certain medications: Your surgeon may advise stopping the use of medications that could increase bleeding, such as blood thinners, before surgery.
• Clear liquids diet: The day before surgery, you may be asked to follow a clear liquid diet and avoid food after midnight.
• Arrange post-surgery care: Make sure you have someone to drive you home after surgery and help during the recovery period.

How Orthognathic surgery Treatment is Performed?

• Pre-surgery preparation: The procedure usually begins with anesthesia to ensure you are comfortable and pain-free during the surgery.
• Incisions: Surgeons make incisions inside your mouth or under the jawline to access the jawbones.
• Jaw repositioning: The surgeon moves the upper jaw (maxilla) and/or lower jaw (mandible) into the desired position. In some cases, double jaw surgery may be necessary.
• Securing the jaw: The bones are then secured with screws, plates or wires to hold the jaw in place while it heals.
• Closing incisions: After repositioning the jaw, the incisions are closed and the patient is monitored as they wake up from anesthesia.

What You Can Expect Before, During and After Procedure?

• Before Procedure: You may experience some anxiety or uncertainty about the surgery. Rest assured that this is normal. Your surgeon will guide you on how to prepare.
• During Procedure: The surgery is performed under general anesthesia, so you would not feel any pain. The surgery can take several hours, depending on the complexity of your case.
• After Procedure: Expect some swelling, bruising, and discomfort in the first few days. You may be given pain management instructions, and your diet will likely be limited to liquids or soft foods for the first few weeks.

Risk and Potential Complications

• Infection: As with any surgery, there is a risk of infection, but it can usually be managed with antibiotics.
• Nerve damage: There is a small risk of nerve injury during jaw surgery, which may cause numbness or tingling in the lower lip or chin.
• Jaw misalignment: In rare cases, the jaw may not heal as expected, leading to misalignment.
• Bleeding: Some bleeding is normal during the surgery, but excessive bleeding may occur in rare cases.
• Scarring: While scarring is usually minimal, some swelling and bruising may persist after surgery.

Results/Outcomes

• Improved facial symmetry: Orthognathic surgery can enhance the balance and aesthetics of your face.
• Corrected bite: After healing, your bite will be more aligned, and chewing, speaking and breathing should improve.
• Increased self-esteem: Many patients feel more confident with their new smile and facial appearance.
• Long-term stability: The results are usually permanent, giving you lasting benefits in terms of both appearance and function.