Jaw Surgery

WHO NEEDS ORTHOGNATHIC SURGERY?

When someone has a bad bite, it is often a combination of a tooth position problem within bone as well as a bone growth mismatch.  That is, orthodontic therapy moves teeth whereas orthognathic surgery moves bone.  As many as 20% of people with a bad bite have a combination of a skeletal growth issue as well as a tooth position malocclusion.  The orthodontist moves the teeth in conjunction with the oral surgeon who will move the upper and/or lower jaws.  The goal is to attain maximum meshing of teeth and proper alignment between the upper and lower jaws that coincides with the hinge axis movement of jaw closure.

Commonly, when the teeth and bones do not properly aligned, chewing forces are excessively placed upon the temporomandibular joints, and the discs within the temporomandibular joints may become displaced.  That is, teeth are hard, bones are hard, and the ligaments and discs within the temporomandibular joints are soft.  So what gives?…  The joints.  A thorough evaluation of the temporomandibular joints is part of the process of managing bone and tooth misalignment.

Difficulty in the following areas should be evaluated:

• Difficulty in chewing, biting, or swallowing
• Speech problems
• Chronic jaw or TMJ pain
• Open bite
• Protruding jaw
• Breathing problems

Any of these symptoms can exist at birth, be acquired after birth as a result of hereditary or environmental influences, or as a result of trauma to the face. Before any treatment begins, a consultation will begin a complete examination with x-rays. During the pre-treatment consultation process, feel free to ask any questions that you have regarding your treatment. When you are fully informed about the aspects of your care, you and your dental team can make the decision to proceed with treatment together.

UNDERSTANDING ORTHOGNATHIC SURGERY

Dr. Ormeni uses three-dimensional models to show you exactly how your surgery will be approached. This helps you understand the surgical process and the extent of the proposed treatment.

If you are a candidate for corrective jaw surgery, Dr. Ormeni will work closely  during your treatment. The actual surgery can move your teeth and jaws into a new position that results in a more attractive, functional, and healthy dental-facial relationship.

.

1. Malocclusion: Orthognathic surgery is commonly recommended for individuals with severe malocclusions, such as underbites, overbites, open bites, and crossbites, that cannot be adequately corrected with orthodontic treatment alone.
2. Facial Asymmetry: Patients experiencing significant facial imbalances due to skeletal discrepancies may benefit from orthognathic surgery to achieve better symmetry and proportion.
3. Obstructive Sleep Apnea: In some cases, orthognathic surgery is utilized to address obstructive sleep apnea by repositioning the jaw and improving the upper airway.

The Orthognathic Surgery Process:

1. Comprehensive Evaluation: Before recommending orthognathic surgery, a thorough assessment is conducted, involving dental and facial examinations, imaging studies (X-rays, CT scans), and collaboration between oral surgeons and orthodontists.
2. Orthodontic Preparation: Patients typically undergo pre-surgical orthodontic treatment to align the teeth properly, creating a solid foundation for the surgical correction.
3. Surgical Procedure: The surgery itself involves precise cuts in the jawbones, repositioning them to achieve the desired alignment. Depending on the complexity, the procedure may involve the upper jaw, lower jaw, or both.
4. Recovery and Postoperative Care: Recovery varies, but patients can expect some swelling and discomfort initially. A postoperative orthodontic phase may follow to fine-tune the bite.

Benefits of Orthognathic Surgery:

1. Improved Functionality: Orthognathic surgery can enhance jaw function, leading to improved speech, chewing, and overall oral function.
2. Enhanced Aesthetics: By correcting facial imbalances, orthognathic surgery can significantly improve facial aesthetics, boosting self-confidence and overall well-being.
3. Health Benefits: Addressing malocclusions and airway issues may contribute to better overall health, particularly in cases related to sleep apnea.

Considerations and Patient Candidacy:

Orthognathic surgery is a major undertaking, and candidacy is carefully assessed. Factors such as skeletal maturity, overall health, and patient commitment to pre- and post-operative care are crucial considerations.

Conclusion:

Orthognathic surgery stands as a transformative option for individuals facing significant jaw and facial irregularities. Beyond aesthetic improvements, the procedure has the power to enhance functionality, alleviate health issues, and profoundly impact the quality of life for those in need. As advancements in technology and surgical techniques continue, orthognathic surgery remains a beacon of hope for individuals seeking comprehensive solutions to complex craniofacial challenges.