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Orthognatic Surgery
Orthognathic surgery
is surgery performed on the bones of the jaws
to change their positions. Orthognathic surgery
is corrective facial surgery where deformities
of the jaw exist. It may be indicated for functional,
cosmetic, or health reasons. It is surgery commonly
done on the jaws in conjunction with orthodontic
treatment, which straightens the teeth.
Pre-operative planning is crucial
to the success of the procedure and evaluates
the surgical and orthodontic options. The surgeon
chooses the type of mandibular surgery based on
his experience, evaluation of the photographic
and cephalometric analysis, and model surgery.
Orthognathic surgery is often delayed
until after all of the permanent teeth have erupted
unless medical conditions necessitate that the
surgery be performed earlier. In adult patients,
orthognathic surgery can be combined with soft
tissue contouring to improve the aesthetic results.
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Benefits of Orthognatic Treatment
- Corrects and balances facial and
dentation
- Improves function, health, and appearance
- Enables better biting and chewing
on food
- Close your lips together in certain
caes
- May improve speech
- Prevents jaw joint disorder (TMJ)
issues
- improves quality of life
Procedure for Orthognatic Treatment
- Preoperative diagnosis and
planning
- The pedodontist, orthodontist
plans and diagnosis in coordination with the oral
surgeon
- All findings are analyzed and
pre-surgical model surgery performed to ascertain
the feasibility of various treatment options
- Pre-surgical orthodontics
- Pre-surgical orthodontics may
be necessary to straighten the teeth and align the
arches so that a stable occlusion can be obtained
post-operatively
- The maxillary surgery is done
- Post-surgical orthodontics
- Orthodontics following surgery
are frequently required to revise minor occlusal
discrepancies
Recovery Expectations
The length of recovery in the hospital
may vary from one to three days following surgery. During
the week following surgery, activities should be limited.
All strenuous activities and heavy exercise should be
avoided the first month after surgery. Swelling is common,
and a brief period of facial discoloration is possible.

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