What is orthognathic surgery?
There are disorders in which the lower and upper jaw are incompatible with each other and with other formations on the face (nose, eyes, cheeks), which cause problems in terms of both functional and aesthetic appearance. These incompatibilities and disorders may be developmental or occur as a result of illness and accidents. Such people; They face both aesthetic, speech and nutritional problems. The branch of surgery that treats appearance and bite problems that occur due to the incompatibility of the lower and upper jaw bones is called orthodontic surgery. it could be. For example, a patient who complains about nose size may also have problems with jaw size. Although reducing the size of the nose will contribute to the aesthetic appearance, a complete improvement may not be possible. We should not forget that it isaesthetic harmony! Our eyes perceive the face as a whole with its proportions. True beauty depends on the relationship and harmony of the parts rather than the structure of the individual parts. By correcting the harmony between the facial bones with orthognathic surgery, both functional and aesthetic improvement is achieved.
In Which Situations Can Orthognathic Surgery Be Applied?
Orthognathic surgery can be used in some cases that occur due to developmental or other reasons. If we look at these in general:
• Situations where the face is longer or shorter than normal
• Situations where the gums are extremely visible when smiling (gummy smile deformity)
• Situations where the upper jaw or lower jaw is backward
br /> • Situations where the upper jaw or lower jaw is forward
• Situations where the upper jaw or lower jaw are forward or backward compared to each other
• Situations with an anterior open-bite in the front teeth
• Situations in which the lower jaw has shifted to the side (laterognathia)
These are the disorders in which orthognathic surgery is performed.
What is the Relationship Between Orthognathic Surgery and Orthodontic Treatment (Braces Treatment)?
The aim of orthognathic surgery is to upper and ensuring that the lower jaw is compatible with each other and that the teeth close harmoniously. For this reason ORTHODONTICS K treatment and ORTHOGTATIC surgery are two inseparable treatment methods.
Orthodonticsis the department of dentistry that deals with tooth alignment disorders and crowding. It performs alignment-angle correction operations that last for months, with the common practice known as putting braces on the teeth. Restoring the teeth to a healthy anatomical order also provides a significant aesthetic gain for the patient. This treatment must be completed before orthognathic treatment so that the teeth can meet each other properly after surgery. In order to prevent the problem from recurring after the surgery, braces treatment continues for at least 6 months.
Can Other Additional Procedures Be Applied Along with Orthogtanic Surgery?
Even though the tooth alignment is normal, only jaw tip deformities occur. Disorders around the eyes and cheekbones may also accompany the event. In such cases, the shaping of the upper face area bones and the tip of the chin should be planned along with the jaw bones.
How is Orthognathic Jaw Surgery Performed?
Orthognathic jaw surgery is performed in the hospital and under general anesthesia. To prevent infections that may occur during such surgeries, these surgeries must be performed in a fully equipped hospital under sterile operating conditions. As long as these are taken into consideration, the risk of infection is extremely low.
The surgery is performed without removing the braces after the deformity of the teeth is corrected during orthodontic treatment. There are no external scars due to the incisions made inside the mouth. Incisions and fractures are made in appropriate areas of the bones and the positions of the bones are changed in accordance with the analyzes made with the dentist before the surgery. The bones are fixed in their appropriate places with titanium plates and/or screws. Bonding the teeth together may be necessary depending on the method used. There is no problem with nutrition. The resulting swelling disappears in a few weeks.
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