Corrective Jaw Surgery
Corrective jaw, or orthognathic, surgery is performed by Oral and Maxillofacial Surgeons to correct a wide range of minor and major skeletal and dental irregularities, including the misalignment of jaws and teeth, which, in turn, can improve chewing, speaking and breathing. While the patient’s appearance may be dramatically enhanced as a result of their surgery, orthognathic surgery is performed to correct functional problems.
Following are some of the conditions that may indicate the need for corrective jaw surgery:
difficulty chewing, or biting food
chronic jaw or jaw joint (TMJ) pain and headache
excessive wear of the teeth
open bite (space between the upper and lower teeth when the mouth is closed)
unbalanced facial appearance from the front, or side
facial injury or birth defects
inability to make the lips meet without straining
chronic mouth breathing and dry mouth
sleep apnea (breathing problems when sleeping, including snoring)
Who Needs Corrective Jaw Surgery?
People who may benefit from corrective jaw surgery include those with an improper bite resulting from misaligned teeth and/or jaws. In some cases, the upper and lower jaws may grow at different rates. Injuries and birth defects may also affect jaw alignment. While orthodontics can usually correct bite, or «occlusion,» problems when only the teeth are misaligned, corrective jaw surgery may be necessary to correct misalignment of the jaws.
Evaluating Your Need for Corrective Jaw Surgery
Your dentist, orthodontist and Oral and Maxillofacial Surgeon will work together to determine whether you are a candidate for corrective jaw, or orthognathic, surgery. The Oral and Maxillofacial Surgeon determines which corrective jaw surgical procedure is appropriate and performs the actual surgery. It is important to understand that your treatment, which will probably include orthodontics before and after surgery, may take several years to complete. Your Oral and Maxillofacial Surgeon and orthodontist understand that this is a long-term commitment for you and your family.They will try to realistically estimate the time required for your treatment.
Corrective jaw surgery may reposition all or part of the upper jaw, lower jaw and chin. When you are fully informed about your case and your treatment options, you and your dental team will determine the course of treatment that is best for you.
Correction of Common Dentofacial Deformities
Correcting an Open Bite:
Some of the bone in the upper tooth-bearing portion of the jaw is removed. The upper jaw is then secured in position with plates and screws.
Correcting a Protruding Lower Jaw:
The bone in the rear portion of the jaw is separated from the front portion and modified so that the tooth-bearing portion of the lower jaw can be moved back for proper alignment.
Correcting a Receding Lower Jaw or «Weak Chin»:
The bone in the lower portion of the jaw is separated from its base and modified. The tooth-bearing portion of the lower jaw and a portion of the chin are repositioned forward.