Orthognathic surgery is a treatment method performed by orthodontics and jaw surgery, and is among the branches of dentistry, to improve both functions (chewing and speaking) and aesthetic appearance in patients with advanced jaw skeletal structure.
Orthognathic surgery is a surgical procedure that allows improvements to the jaw skeleton in cases where the jaw closure is inconsistent with each other and the lower jaw is anterior, posterior, or highly asymmetric compared to the upper jaw. Individuals enter a growth spurt with adolescence. From this period until the end of growth, the lower and upper jaw grows downward and forward. While this growth grows symmetrically and in relation to each other in many individuals, some individuals experience underdevelopment or overgrowth of the lower or upper jaw. Skeletal jaw disorders occur as a result of growth problems.
Some problems noticed during a child’s growth and breakthrough period can be prevented with orthodontic treatments. However, post-growth skeletal problems cannot be corrected by applying pressure to the jawbones. In this case, the structural relationship of the lower jaw or upper jaw, or both, can be corrected at the same time with surgical treatment.
Before the relationship between the lower and upper jaws is corrected with surgery, orthodontic treatment (wire therapy) is applied before surgery to ensure that the closure of the teeth (occlusion) is compatible after surgery.
In some cases, wire therapy may be left off after surgery. This procedure is called “first surgery”. The joint decision of a maxillofacial surgeon and an orthodontist is important to perform the first surgery. With the first surgery, the patient’s skeletal aesthetic concerns are eliminated early, while post-operative dental problems are resolved.
How is orthognathic surgery applied?
In Dentakademi Oral and Dental Healthcare Center, before orthognathic surgery, 3D imaging in our CT unit in our imaging center, and after consultation with oral diagnosis, orthodontics and maxillofacial surgery departments, appropriate treatment planning is prepared for the patient. The treatment planning made is explained to our patient in detail and all questions of our patient are answered. After our patient accepts the treatment plan we have suggested, his appointments are organized and the treatment process is started.
The first step of the treatment is the orthodontic treatment process that will last 1-2 years on average. Before proceeding to the surgical step, the bite of the teeth on the jaws should be corrected. With the applied wire treatment, the teeth are brought to their intended positions and the correct jaw closures are ensured.
After the orthodontic treatment process is completed and the teeth on the jaw are in the correct positions, the patient is directed to the jaw surgery department of our hospital to plan the surgical process. Our maxillofacial surgeon performs the examination of our patient with 3D imaging and informs our patient about the procedure to be performed. After the surgical planning, the surgical phase is started with the approval of our patient.
Our patient, who has a 1-month recovery period after the surgical procedure, will have an orthodontic treatment process that will last for 6-12 months as the final stage. This treatment is the finishing treatment that ensures permanent positions of the teeth after the first orthodontic and corrective surgical procedure.
Orthognathic surgery is applied to whom?
Orthognathic surgery is a corrective treatment method applied to adult patients who have completed bone development. If deemed necessary, with this procedure applied in both jaws:
1- Problems in respiratory functions due to excessive chewing, closing and speaking in the face area and improper jaw positions,
2-It is applied to patients who have aesthetic anxiety in the face area because the chin positions are too far ahead or too far behind each other
Advantages of orthognathic surgery
The patient’s own wishes are also taken into consideration while making the treatment plan required by the patient during the first examination, namely oral diagnosis. Basically, although physical problems are at the forefront, they are expressed in aesthetic concerns. The treatment performed is a treatment that improves the patient psychology in terms of both being a corrective procedure on the jaw skeleton structure and providing aesthetic improvement by bringing the teeth to their own positions.
After the procedure, the correction of the jaw closures and the idealization of the tooth rows create positive results in the patient’s appearance. Improves quality of life as a result of improvements in speech, chewing and respiratory functions.
Does the patient feel pain during it?
Orthognathic surgery is a detailed surgical procedure performed under general anesthesia, unlike implant surgery. Therefore, our patients will not feel any pain and surgical procedure as they will be under general anesthesia during the procedure.
Complications such as pain, swelling of the face, bruising, and numbness in the procedure area can be seen in all surgical procedures after the surgical procedure. Compliance with our physician’s recommendations and correct use of medications will help to minimize the complications that may occur and to eliminate them in a short time.
Contact us…
Please do not hesitate to contact us. If you have any questions about orthognatic surgery or any topic of dentistry, you can contact Dentakademi through the Internatioal Patient Services’ via WhatsApp line or e-mail:
Dentakademi International Patient Services
WhatsApp Line 1: +90 505 004 05 10
WhatsApp Line 2: +90 537 525 77 66
E-Mail 1: international@dentakademi.com.tr
E-Mail 2: dentakademi@dentakademi.com.tr
