What Is Orthognathic Surgery?
Orthognathic surgery is a general term describing operations related to the correction of skeletal and dental disorders in the facial bones. The duration of orthodontic treatment depends on many factors. However, the most important factor affecting the duration of orthodontic treatment is the severity of the orthodontic problem. Although the average treatment period is 18 months, the duration of treatment can vary between 8-30 months depending on the severity of the problem.
What is Orthognathic Surgery Surgical Planning?
It is the planning made by specialist doctors for wire treatment before orthognathic surgery. In planning, measurements are taken from the patient, photographs of the patient are taken, necessary films (panoramic, cephalometric and tomography according to need) are taken and analyzes are made. Before the orthognathic surgery, a re-study is made on the measurements taken from the patient and the guide splints to be used during the surgery are prepared. During the operation, the orthodontist is also present in the operating room.
In Which Situations Can Orthognathic Surgery Be Applied?
- In cases where the lower jaw is in front, behind, on the right side or on the left side,
- In cases where one side or all of the lower jaw is underdeveloped
- In cases where the upper jaw is in front, behind, on the right side or on the left side,
- In the underdevelopment of the upper jaw,
- The teeth in the lower jaw and upper jaw do not touch each other (open bite),
- In cases where the jaw tip is forward or backward and small or large,
- If the cheekbones are larger, smaller, anterior or posterior than they should be,
- Changes in the shape and structure of the jaws due to accidents and tumors,
- In cases where the relationship between the lower jaw and the upper jaw is not normal, biting disorder - Malocclusion occurs. These problems in teeth and skeletal structure also show reflections on facial aesthetics to different extents. So, the problem here is both functional and aesthetic.
Surgical Treatments of Cleft Lip and Palate
Cleft lip and palate occur due to various reasons (congenital or accidental aesthetic defects) in the embryological period due to the fusion defect of the structures in the face area. Although the exact cause of cleft lip and palate is not known, genetic factors, environmental factors, some drugs used during pregnancy, the mother's smoking and alcohol use during pregnancy, various infectious diseases, folic acid and B vitamin deficiency may cause this condition. Cleft lip repair is done when the baby is 3 months old. The aim of cleft lip repair is to provide an aesthetically close to normal appearance. In the treatment of cleft palate, the baby is brought to an aesthetically smooth lip shape. The main goal in cleft palate repair is to restore normal physiology by restoring the muscle function in the palate, and as a result, to provide normal speech and appearance.
How is the Orthognathic Surgery Procedure? Made by Who?
In such cases, the orthodontist and the Maxillofacial surgeon work together. Orthognathic surgery operations are performed in a full-fledged hospital and under general anesthesia. The person performing the surgery is a Maxillofacial maxillofacial surgeon. These types of surgeries are performed especially to gain chewing function as well as aesthetic change. Therefore, it is recommended to be performed by a maxillofacial surgeon and a maxillofacial surgeon who has training in dentistry with jaw closure and functional knowledge.
Forward Removal Operation of the Lower Jaw with Orthognathic Surgery
Chin lengthening is the process of extending the chin length in a balanced way. The need to move the lower jaw forward may vary. This chin aesthetic operation can be performed in patients who are congenital or have not fully completed their development. Apart from these, a jaw structure that is not suitable for facial asymmetry can be intervened with aesthetic operations. The method is the same in both operations called lower jaw aesthetics or upper jaw aesthetics. The length of the jawbone can be shortened or lengthened by intervening in the jawbones. Forward or reverse operations on the lower jaw or upper jaw may be possible in healthy adult patients over the age of 18.
Surgical Treatment of Jaw Fractures
A full and complete examination is performed before this operation. With this examination, the surgical technique to be performed afterwards is determined. Soft-tipped brushes are recommended for brushing the teeth without straining after jaw fracture surgery. Likewise, nutrition should be made with soft foods. After the operation, the lower and upper jaws do not need to be connected to each other. It is sufficient to give painkillers and antibiotics to the patient.
Treatment of Jaw Tumors with Orthognathic Surgery
Benign or malignant tumors can occur in the mouth and jaws, as in other parts of the body. These are either smoking in the soft tissues in the mouth and so on. Tumors of the mouth and jaws occur as a result of changes in the irritative effects or deterioration of the teeth and the structures forming the teeth. Treatment planning is made according to the type of tumor.
What is Orthognathic Surgery Planning?
It is the planning made by specialist doctors for wire treatment before orthognathic surgery. In planning, measurements are taken from the patient, photographs of the patient are taken, necessary films (panoramic, cephalometric and tomography according to need) are taken and analyzes are made. Before orthognathic surgery, a re-study is made on the measurements taken from the patient and guide sprints to be used during the surgery are prepared. During the operation, the orthodontist is also present in the operating room.
What is Chin Tip Aesthetics (Genioplasty)?
Chin tip aesthetics is the intervention made at the tip of the chin. It is also called genioplasty. Genioplasty operations are operations aimed at changing the aesthetic appearance of the chin tip. With these aesthetic surgeries, the size and length of the chin tip can be increased or decreased. That is, the chin tip can be reshaped in accordance with aesthetic norms.
What Can Await Me After Jaw Surgery?
The jaws will remain attached with elastics for up to 1 week for the bones to fuse. During this period, liquid nutrition is given. One week after the operation, it is checked again. In this control, your mouth is opened and opening-closing exercises are taught. Orthodontic treatment continues (average 4 months) and then your braces come out.