Orthognathic Surgery (Jaw Surgery)
Orthognathic surgery refers to the surgical correction needed to fix abnormalities of the maxilla (upper jaw), the mandible (lower jaw), or the chin. People who can benefit from orthognathic surgery include those with an improper bite or with jaws that are positioned incorrectly. Jaw discrepancies can disrupt normal chewing function, cause speech problems, cause facial pain, contribute to long-term oral health problems, and alter ones facial appearance. While orthodontics alone can correct bite problems if only the teeth are involved, orthognathic surgery may be required if the jaws also need repositioning.
There are several classifications of malocclusion (the improper alignment of teeth and jaws) which may require orthognathic surgery:
Class II Malocclusion – This is identified when the lower front teeth (incisors) lay significantly behind the upper front teeth (incisors) during the biting process. This makes the lower jaw less prominent as compared to the upper jaw.
Class III Malocclusion – This is commonly known as an underbite and occurs when the lower anterior incisors and lower jaw are positioned beyond the upper teeth, making the lower jaw much more prominent than the upper jaw.
Before any treatment begins, a consultation will be held to perform a complete examination with x-rays. If you are a candidate for corrective jaw surgery, Dr. Wolfrom will work closely with your dentist and orthodontist during your treatment. Generally, orthodontic braces are necessary to align the arches and straighten the teeth prior to the surgery, and additionally, retainers may be used after the surgery. During orthognathic surgery, the jaws are moved and secured into a new position using tiny plates and screws. This procedure is performed in the hospital with general anesthesia. Normally, patients remain in the hospital for 1 to 2 days to receive postoperative care.
Orthognathic surgery will move your teeth and jaws into a new position that will result in a more attractive, functional and healthy dental-facial relationship.