Orthognathic Surgery

​What is the Sequence of Treatment?

Treatment is carried out in 4 phases:

• Phase 1: Treatment Planning
  Treatment planning is carried out jointly by an orthodontist and an oral and maxillofacial surgeon. The orthodontist determines how braces will align your teeth in preparation for surgery. The oral and maxillofacial surgeon studies your jaw deformity and decides on the type of surgery most appropriate for your case. This initial phase of treatment will include consultation, records-taking and discussion of the treatment plan with you.
  
• Phase 2: Pre-surgical Orthodontic Phase
  Many patients undergo an initial period of pre-surgical orthodontic treatment which may take 9 to 18 months. The actual time taken depends on the condition, the patient's age, cooperation and other factors. During this time, patients are seen at intervals of 4 to 6 weekly intervals.
  At the end of this phase, the teeth are aligned so that they will fit into a good bite after surgery.
  
• Phase 3: Surgical Phase
  Surgery is scheduled when the pre-surgical orthodontic phase is completed. Inpatient surgery is needed to correct the malalignment in the jaws and face by making cuts in the jaw bones and repositioning them in their desired alignment. Most patients can be discharged from the hospital after 1-3 days.
  
• Phase 4: Post-surgical Orthodontic Phase
  After surgery, post-surgical orthodontics is continued to achieve final alignment of the teeth and to retain them in their new position.
  

Can Surgery Be Avoided?

In growing patients, timely orthodontic intervention can sometimes correct jaw disharmonies. Special braces can then be used to modify bone growth, eliminating the need for surgery. However, for patients whose facial bones are no longer growing, certain corrections cannot be achieved with braces alone. A combined approach of braces and surgery is the appropriate form of treatment for such cases.

What are the Benefits?

Oral hygiene is easier to maintain without poor bites and crooked teeth. Speech or chewing problems due to jaw disharmonies may be resolved. It may minimize excessive wear of the teeth over years of use in severe malocclusion associated with jaw discrepancies. The relationship of the jaw bones is harmonised, restoring balance to the middle and lower face, thus improving facial appearance. The lasting reward is a healthier and happier you.

Orthognathic surgery is a predictable treatment option to complex dental/facial problems. It ensures the best possible results, both functionally and aesthetically.