Surgical orthodontics refers to the surgical repositioning in order to correct jaw deformities of the upper jaw, lower jaw or both the jaws.
Indications :
- Smokers.
- Small upper jaw or large lower jaw ( Skeletal Class III)
- Large or normal upper jaw with small lower jaw (Skeletal Class II)
- Deep bite in non-growing patients
- Extremely vertical excess or deficiency in upper jaw or lower jaw
- Skeletal asymmetry
Three possibilities of correction in case of severe malocclusion :
- Growth modification
- Orthodontic treatment or orthognathic surgery
- In conjunction with orthodontics to establish proper jaw relationship.
Planning of orthognathic surgery :
- Clinical examination
- Socio- psychological evaluation
- X-rays , Photographs, Cephalometric evaluation, Study model, Prediction tracing , Model surgery Procedure.
Various types of surgical procedures available at Smiline :
-
Anterio- posterior (back and forth) correction
Maxillary surgery (upper jaw) – advanced & retraction
Mandibular surgery (lower jaw) – Advanced & set back
-
Vertical correction
Maxillary surgery & Mandibular surgery
-
Transverse correction
Maxillary surgery & Mandibular surgery
- Skeletal open bite correction
- Genioplasty
Why to use a combined orthodontic and surgical approach?
Although larger proportion of the population will have a bite problem, the correction is required for only smaller fraction of the population with these problems using surgical procedures. Surgery is often necessary
to correct the problems associated with size, shape and postion of a jaw bone. As surgeon alone can’t straighten or align the teeth, an orthodontic treatment is usually mixed with surgery while placing the teeth
in the right positions within the jaws. Therefore an orthodontist and a surgeon always work closely together to achieve the best possible functional as well as aesthetic results.
Duration of the treatment
Type and severity of the problem will decide total duration of the treatment. The necessary dental treatment has to be undergone before the starting of pre-surgical orthodontics. This pre-surgical treatment, which may
vary between nine and eighteen months, is often required. Factors such as age of the patient, severity of the problem, teeth movement and cooperation by the patient will have a final say on the actual duration for
the treatment.
Once the surgery is done, to adjust the final position of the teeth as well as to retain the teeth in the desired final positions, a post-surgical treatment is also often recommended and practiced. This takes a time
normally between six and twelve months. After this, there will be a retention and observation for duration of nearly three years to maintain the corrections performed.
What are the future implications if the surgical treatment is not done?
The existing problems could remain the same. But in some cases, these problems could become worse, resulting in abnormal wear of teeth as well as loss of bone support to the teeth. With time, as the stress is continued
on the jaw joint and related muscles, facial pain and jaw-joint symptoms may be developed.
Facial appearance after surgery
It depends on the severity of the problems before surgery
Surgical Correction of Lower Jaw along with Genioplasty
Before
After
Surgical Correction of Upper Jaw along with Genioplasty
Before
After