Orthognathic Surgery

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Orthognathic Surgery
Orthognathic surgery is a treatment method performed jointly by the departments of Orthodontics and Maxillofacial Surgery. Today, it is a complicated treatment method applied for our patients who are not satisfied with their tooth structure but have passed the active growth phase.


What Does Orthognathic Surgery Mean?
Orthognathic surgery aims to treat advanced jaw skeletal defect. Besides that patients have functional chewing or speech disorders, it is quite disturbing as an aesthetically bad appearance. An Orthodontist is consulted to improve the aesthetic appearance and eliminate chewing and speech problems. It is very important that the jaw closures are compatible with each other. Orthognathic Surgery is required in cases where the lower jaw is more forward or backward than the upper jaw or being asymmetrical.

Orthognathic surgery is applied to adults. If the upper jaw and lower jaw are not equal to each other, this procedure is applied. It is ensured that the teeth and jaw structure come to the required position. Before starting the treatment, the patient's head radiographs are taken. A detailed consultation is then made. This procedure is performed by a specialist orthodontist, dentist and maxillofacial surgeon. The patient is informed about the treatment process.

Although it is less according to the patient's condition, surgery can be performed first. This approach is called Surgery First.


How Is Orthognathic Surgery Applied?
How is orthognathic surgery performed? We will give detailed information about the question. First of all, after computer-assisted panoramic, tomography and 3D imaging in the hospital or clinic preferred by the patient, jaw surgery starts the necessary treatment process for the patient. A treatment plan is made for orthognathic and the patient is informed about the plan. The patient can consult the dentist on any subject he/she is curious about. If the treatment to be applied is accepted by the patient, the next appointments are made and the treatment process begins.

The period of orthognathic treatment initially lasts for 1-2 years. Before starting the surgical process, the existing problem in the jaw structure is eliminated. It is extremely important that the teeth on the jaws close equally. By applying wire treatment, the teeth are brought to the position they should be. In this way, jaw closures occur as they should and the patient has a very aesthetic mouth and tooth structure.

After the orthodontic treatment is completed, the teeth on the jaw come into the correct position. After that, the orthognathic surgery process begins as a surgical process. With 3D imaging processing, the patient's tooth structure, jaw structure and mouth structure are checked. As a result of the surgical examinations, a planning is made for the patient.

Does the Patient Feel Pain in Orthognathic Surgery?
In orthognathic surgery, the procedure is performed under general anesthesia. Therefore, the patient does not feel pain during the surgical procedure. However, swelling, bruising or pain may occur in the procedure applied after anesthesia. After the procedure, numbness may also be felt in the area. In this process, the drugs recommended by the dentist should be used and their recommendations should be taken into account.

Orthognathic Surgery Stages

  • A planning is made for the orthognathic patient.
  • Correction of teeth by applying orthodontic treatment takes 1-2 years.
  • Surgical planning is made.
  • Recovery time is waited for with corrective surgery.
  • It takes 6-12 months between orthodontic treatment and final surgery.
  • The elements we mentioned above can be defined as the stages of orthognathic surgery.

Who Is Orthognathic Surgery Applied To?
Who Is Orthognathic Surgery Applied To? Orthognathic treatment is a treatment applied to people with severe jaw skeleton disorder. This procedure is applied to adult individuals who have completed their bone development. At the same time, it is a method that can be applied for lower and upper prominence if deemed necessary by the dentist. It is a method that offers a very aesthetic appearance that will positively affect the whole life of the patient. So, what are the advantages of jaw surgery? In orthognathic treatment, the patient's wishes are given importance. Basically, physical problems are handled. The person may want to have orthognathic treatment as a result of the aesthetic anxiety he/she experiences.

Thanks to this procedure, everyone with a severe jaw disorder can get the look they want. After the treatment, the jaw structure is equalized and the teeth are extremely smooth. In order for the teeth to come into their own position, first Orthodontic treatment, then Orthognathic treatment is required. However, the duration of orthognathic treatment varies from person to person. After orthognathic surgery, the jaw closes evenly. Eating or speech disorders disappear. The patient has a more aesthetic mouth structure. At the same time, after the orthognathic treatment, the patient begins to breathe comfortably.

What are the Difficulties That Experienced During Orthognathic Surgery Treatment?
As the teeth, jaw and joint are intervened at the same time during the treatment, some of our patients may experience the following complications. Most complications are temporary. However, in some cases, full recovery may take time.

  • Complications that may occur due to general anesthesia
  • Operational complications (Bleeding, Infection, etc.)
  • Loss of sensation in the operated areas
  • Numbness
  • Difficulty of chewing
  • Difficulty of opening mouth
  • Jaw joint problems
  • Need for second operation

Orthodontist Recommendation
It is very important for our patients to have knowledge of the process due to orthognathic surgery, the duration of the treatment and the difficulties of the procedure to be performed. It is important for success to fully accept the difficulties of treatment in the light of the knowledge they have acquired. From another point of view, it is necessary to comply with the recommendations and recommendations of the Orthodontist, since a monthly check will be made with the Orthodontist for a long time (three years on average).

Ortognatik Cerrahi

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