Orthognathic surgery is needed when jaws don't meet correctly
and/or teeth don't seem to fit with jaws. Teeth are straightened with orthodontics,
and corrective jaw surgery repositions misaligned jaws. This not only improves facial
appearance, but also ensures that teeth meet correctly and function properly.
Who Needs Orthognathic Surgery?
There are many people who can benefit from orthognathic surgery. Jaw growth is a
gradual process and in many instances the upper and lower jaws will grow a different
rates. This will result in retruding, protruding or narrow jaws. This disharmonious
alignment will cause improper bite that will affect chewing, speech, and aesthetics.
At times these problems can be evident at birth while at other times they develop
during growth. Trauma at any age can also alter jaw relationships. While orthodontics
(braces) can correct bite problems, only if the teeth are involved, surgery is required
if the jaw bones need to be realigned. This will not only increase proper function,
but enhance aesthetics as well. Surgery can be done at almost any age and can be
combined with cosmetic procedures if required or desired.
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 can exist at birth or may be acquired after birth as a result of hereditary
or environmental influences or, trauma to the face. Before treatment begins, preliminary
records such as dental models, x-rays and pictures are obtained. Tracings and measurements
of the above in conjunction with the clinical examination will enable the doctor
to arrive at a diagnosis. This diagnosis will determine which areas will need surgery
and how this will take place. It is during the preoperative phase where you are
encouraged to ask questions and become fully involved with the treatment planning.
Patient understanding is a very important and vital part of this process.
Technology and Orthognathic Surgery
During this phase, your surgeon will work closely with your dentist and orthodontist
to coordinate treatment. Mock surgery will be performed on the models and x-ray
tracings to educate you about the procedure and give you an approximate idea of
the final results. When you are comfortable with the aspects of your care, you and
your dental team will make the decision to proceed with treatment.
