Orthognathic surgery is the orthopedic operation of the jaws. It is performed by an oral surgeon and an orthodontist via joint surgery. It is done in order to correct the uneven relationship between the jaws and teeth (upper or lower jaw misalignment, asymmetrical face). These deformities maybe congenital or may occur as post-traumatic degeneration. Orthognatic surgery eliminates excess or deficiency in the face, and chewing function, breathing and speech, as well as correction of aesthetic deficiencies. This misalignment of the jaws is not only an aesthetic flaw but it is also harmful to teeth, gingival tissues and tempomandibular joint due to malocclusion.
Conditions requiring corrective surgery;
-Difficulty taking a bite
-Chronic jaw joint pain
-Space between the upper and lower jaw when mouth is closed
-Unbalanced facial appearance from the front or side
-Receding or protruding jaw (upper or lower)
-Inability to make lips meet
Clinical and 3D computerized tomography data of the patients are evaluated in detail by the surgeon and orthodontist. The amount of skeletal and dental irregularities is calculated. In a special computer program, the surgical intervention is planned and the new locations of the jaws are determined.
Orthodontic surgery is accompanied by orthodontic treatment before and after the operation.
This operation is usually performed under general anesthesia. Protruding/ receding or asymmetric bones are reposition with the guidance of a previously prepared surgical splint, fixed with titanium plates and screws. These plates and screws are made of titanium and do not need to be removed. The surgery usually can be performed inside your mouth so no cuts or scars show on the patient’s skin. The patient is discharged after 2-3 days of hospitalization and 2-3 weeks of liquid feeding is required. At the end of 2-3 weeks, patients can return to their normal life, the initial recovery takes about 6 weeks, but full recovery can take up to 9-12 weeks.
After orthognathic surgery, changes occur not only in bone tissue but also in soft tissues.
- Improved facial aethetics
- Ideal bite
- Improved speech, breathing and chewing function
- Alleviate TME pain
- Treat sleep apnea
- Improved self- esteem