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Orthognathic Surgery

by Margaret V. Osman

What is Orthognathic Surgery?

Orthognathic surgery, often referred to as jaw surgery, is a specialized surgical procedure aimed at correcting various dental and skeletal irregularities, including misaligned jaws and teeth. This type of surgery is typically performed by oral and maxillofacial surgeons and is essential for improving both function and aesthetics. Patients may seek orthognathic surgery to address issues such as difficulty in chewing, speaking, or breathing, as well as to enhance facial symmetry and appearance.

Indications for Orthognathic Surgery

There are several indications for orthognathic surgery, which may include severe malocclusion, facial asymmetry, and congenital jaw deformities. Patients suffering from conditions such as overbites, underbites, or crossbites may require surgical intervention to achieve proper alignment. Additionally, individuals with temporomandibular joint (TMJ) disorders may benefit from orthognathic surgery as it can alleviate pain and improve jaw function.

The Orthognathic Surgery Process

The process of orthognathic surgery typically begins with a comprehensive evaluation by a dental professional, including orthodontists and oral surgeons. Diagnostic imaging, such as X-rays and 3D scans, is utilized to assess the jaw structure and plan the surgical approach. Once the treatment plan is established, patients may undergo orthodontic treatment to align their teeth before surgery. The surgical procedure itself involves repositioning the jawbones and securing them with plates and screws to achieve the desired alignment.

Types of Orthognathic Surgery

Orthognathic surgery encompasses various types of procedures, including maxillary osteotomy (upper jaw surgery), mandibular osteotomy (lower jaw surgery), and bimaxillary osteotomy (both upper and lower jaw surgery). Each type of surgery is tailored to the specific needs of the patient and aims to correct unique jaw discrepancies. The choice of procedure depends on the severity of the condition and the overall treatment goals.

Recovery After Orthognathic Surgery

Recovery from orthognathic surgery can vary depending on the complexity of the procedure and the individual patient. Generally, patients can expect swelling, bruising, and discomfort in the initial days following surgery. A soft diet is recommended for several weeks, and patients are advised to follow their surgeon’s post-operative care instructions closely. Regular follow-up appointments are essential to monitor healing and ensure optimal results.

Risks and Complications of Orthognathic Surgery

As with any surgical procedure, orthognathic surgery carries certain risks and potential complications. These may include infection, bleeding, nerve damage, and issues related to anesthesia. Patients should discuss these risks with their surgeon during the pre-operative consultation to make an informed decision about their treatment. Understanding the potential complications can help patients prepare mentally and physically for the surgery.

Benefits of Orthognathic Surgery

The benefits of orthognathic surgery extend beyond aesthetic improvements. Many patients experience significant enhancements in their ability to chew, speak, and breathe after the procedure. Additionally, correcting jaw misalignments can lead to improved oral health, reduced wear on teeth, and decreased risk of developing TMJ disorders. The psychological benefits, including increased self-esteem and confidence, are also noteworthy.

Orthognathic Surgery and Orthodontics

Orthognathic surgery is often closely linked with orthodontic treatment. In many cases, patients will undergo braces or other orthodontic appliances before and after surgery to ensure that their teeth are properly aligned with the newly positioned jaws. This collaborative approach between orthodontists and oral surgeons is crucial for achieving the best functional and aesthetic outcomes for the patient.

Cost of Orthognathic Surgery

The cost of orthognathic surgery can vary widely based on several factors, including the complexity of the case, the geographical location of the surgery, and the specific surgical techniques employed. Insurance coverage may also play a role in the overall cost, as some plans cover orthognathic surgery when it is deemed medically necessary. Patients should consult with their healthcare providers and insurance companies to understand the financial aspects of their treatment.

Finding a Qualified Orthognathic Surgeon

Choosing a qualified orthognathic surgeon is a critical step in the surgical process. Patients should seek out board-certified oral and maxillofacial surgeons with experience in performing orthognathic procedures. It is advisable to review the surgeon’s credentials, ask for patient testimonials, and schedule consultations to discuss treatment options and expectations. A well-informed decision can significantly impact the success of the surgery and the overall patient experience.