Orthognathic (Corrective Jaw) Surgery is sometimes necessary when the upper (Maxilla) and lower (Mandible) jaws don’t align properly. A patient is typically referred to an Oral and Maxillofacial Surgeon if their Orthodontist notices a jaw size discrepancy. The upper and lower jaws and teeth typically align in a specific way in order for teeth to fit properly. In most occasions, that Orthodontist can align the teeth properly within the jaws in order to achieve the proper bite and alignment. On the other hand, certain patients have a skeletal discrepancy that cannot be corrected with the movement of teeth alone. An Oral and Maxillofacial Surgeon will typically coordinate with your Orthodontist to achieve the ideal alignment. This is done by repositioning the maxilla, mandible or both in order to achieve the proper height, width and projection. By performing this surgery the goal would be to achieve a harmonious and well-aligned face and bite. The orthodontist will be involved before and after surgery by repositioning the teeth to improve the bite.
Many things may lead to these discrepancies in size between the maxilla and the mandible including history of surgery or trauma in the area. These issues may lead to malocclusions like overbite, underbite, open bite and crossbite. Using careful planning and specific surgeries, Dr. Duraini can correct these discrepancies to improve function and aesthetics. Some patients with TMJ problems can have a discrepancy, which may lead to jaw disharmony. Treatment of the TMJ condition, using surgical or non-surgical techniques, along with Orthognathic surgery may be necessary. At Texas Maxillofacial Surgery, Dr. Duraini uses the latest technology to diagnose and treat our patients. In our office we can obtain a 3-D scan, allowing Dr. Duraini to plan these surgeries with precision and accuracy. This reduces the complexity of the surgery and the time under anesthesia.
Orthognathic surgery can improve a number of problems resulting from malocclusions, such as:
One of the great benefits of Orthognathic surgery is the improvement of facial esthetics. The facial balance and symmetry is improved after the surgery. For some patients, the overall improvement in appearance is the main motivating factor for undergoing orthognathic surgery.