What is Jaw Surgery?
Jaw surgery which is also known as orthognathic surgery primarily used to correct irregularities of the jaw bones and realigns the jaws and teeth to improve their functions. Making these modifications may also improve your facial look.
Jaw surgery may be a curative option if you have jaw problems that can’t be fixed with orthodontics only. Your orthodontist can work with your Maxillofacial (oral and jaw and face) surgeon to chalk out your treatment plan.
Jaw surgery in Islamabad is normally done around ages 14 to 16 years for females and ages 17 to 21 years for males.
Why it’s done?
Jaw surgery is done due to the following reasons:
- To improve biting and chewing overall
- To correct difficulties with swallowing or speech
- To reduce unnecessary wear and breakdown of the teeth
- To correct Open Bite (space between the upper and lower teeth)
- Correct facial unevenness, such as small chins, underbites, overbites and crossbites
- To cure the Inability to make the lips meet
- To repair facial injury or birth defects
- Provide relief for awkward sleep apnea
Jaw surgery in Islamabad, Rawalpindi & Pakistan is usually safe when done by an experienced oral and maxillofacial surgeon.
Risks of surgery may include:
- Blood loss
- Nerve injury
- Jaw fracture
- Degeneration of the jaw to the original position
- Problems with jaw joint pain
- Need for root canal therapy
- Loss of a portion of the jaw
After surgery, you may experience:
- Pain and swelling
- Problems with eating that can be addressed with a consultation with a dietitian
- A brief time of modification to a new facial appearance
How to prepare for Jaw Surgery?
Most commonly, an orthodontist places braces on your teeth prior to the surgery and are usually on for 12 to18 months before surgery to align your teeth in preparation for surgery. Your orthodontist and oral and maxillofacial surgeon work together to develop a treatment plan. Your surgeon will use X-rays, pictures and models of your teeth are part of the planning for surgery. Sometimes, the dissimilarity in the way teeth fit together will call for either reshaping of the teeth by covering the teeth with crowns or both to complete correction.
CT scanning, computerized treatment planning, and provisional orthodontic devices may be used to assist in the movement of teeth and decrease the time in braces. Sometimes these efforts might completely eliminate the need for jaw surgery.
Sometimes virtual surgical planning (VSP) will be used to guide your surgeon to fit and correct the jaw segment position during the process for the most prime outcome.
Before the procedure
Surgery is usually done under general anesthesia and it takes place in the hospital and requires a 2 to 4-day stay.
Surgery is typically performed inside the mouth, so there will be no facial scars show on your chin, jaw or around the mouth. However, occasionally small cuts may be necessary outside your mouth. The surgeon makes cuts in the jawbones and moves them into an accurate position. Once the jaw movement is done, small bone plates, screws, wires, and rubber bands may be used to protect the bones into their new position. In some instances, an additional bone may be added to the jaw. Surgeon transfers the bone from the hip, leg or rib and locks it with plates and screws. In other cases, the bone may be restructured to provide a better look. Jaw surgery can be performed on the upper jaw, lower jaw, chin or any combination of these.
Upper jaw (maxillary osteotomy)
Surgery on the upper jaw is performed to correct:
- Significantly receded or swollen upper jaw
- Too much or too little teeth showing
- Open bite
- Midfacial hypoplasia
The surgeon cuts the bone above your teeth so that the entire top jaw including the roof of the mouth and upper teeth can move as one component. Then jaw and upper teeth are moved forward until they fit appropriately with the lower teeth. The whole procedure can be planned on a computer to ascertain if additional work, such as orthodontics, will be required to help correct any leftover fit modification.
An open bite takes place when excess bone grows above the molars, causing a flat, even surface to become angled. To repair this, your surgeon removes the excess bone.
Once the jaw is straightened, plates and screws grasp the bone in its new position.
Lower jaw surgery (mandibular osteotomy)
A mandibular osteotomy can be used for:
- Receding lower jaw
- Swollen lower jaw
In this procedure, the surgeon makes cuts behind the molars and along the jawbone so the front of the jaw can move as one component. The jaw can then be relocated to its new position either forward or backward. Plates and screws grasp the jawbone together as it settles.
Chin surgery (Genioplasty)
A genioplasty is used to correct a small chin (deficient chin). Typically, surgeons adjust the jawline in Islamabad and rearrange the chin during the same procedure. The surgeon cuts a piece of the chin bone on the front of the jaw, moves it forward, and locks it up in a new position with plates and screws.
After the procedure
After the procedure, your surgeon will give you the following instructions:
- Oral sanitation
- Avoiding smoking
- Avoiding vigorous activity
- Medications to control pain
- When to return to work, (which is usually in one to three weeks)
Complete healing after Jawline Treatment in Islamabad might take up to 12 weeks. After initial jaw healing normally at about six weeks, your orthodontist finishes aligning your teeth with braces. The entire orthodontic process, including surgery and braces, may take some years. Once the braces are detached, retainers to hold tooth position can be used.
Amending alignment of your jaws and teeth with jaw surgery can result in:
- Composedlook of your lower face
- Enhanced function of your teeth
- Health benefits from improved, breathing, chewing and swallowing
- Improvement in speech deficiencies
- Upgraded appearance
- Enhanced self-esteem
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