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What Role Does Orthodontics Play in Orthognathic Surgery Preparation?

Orthognathic surgery, commonly known as corrective jaw surgery, is a profound procedure that reshapes the jaw to correct severe malocclusions and deformities, enhancing the functional harmony between the upper and lower jaws. This transformative journey, often pivotal in one’s life, necessitates meticulous planning, thoughtful consideration, and comprehensive pre-orthodontic treatment.

The path to undergoing orthognathic surgery is extensive, underscored by the critical role pre- and post-surgical treatments play in ensuring optimal outcomes. This article aims to illuminate the intricacies of orthognathic surgery, empowering you with the knowledge to make an informed decision about this significant procedure.

The Imperative Role of Orthognathic Surgery

Orthognathic surgery emerges as a transformative solution for individuals facing significant bite problems and facial asymmetries, hindering basic yet vital functions including chewing, speaking, and even breathing comfortably. This intricate procedure, masterfully executed by experienced oral and maxillofacial surgeons, goes beyond mere aesthetic enhancement. It fundamentally alters the jaw’s structure, meticulously moving the bones to their correct positions. These adjustments are then securely fastened using small screws and plates, ingeniously hidden beneath the gum line to maintain the mouth’s natural appearance. 

Administered under general anaesthesia, orthognathic surgery aims to bring harmony between the upper and lower jaws, thereby rectifying prevalent dental issues such as overbites, underbites, crossbites, and uneven facial contours. The result is not just an improved aesthetic but also a significant boost in the patient’s quality of life. By aligning the teeth and jaws, the surgery provides relief from the discomfort and difficulties associated with misaligned dental structures, opening up a new realm of confidence and functionality for the patient.

cosmetic dentist wimbledon
Image Source: The Dental Lounges Wimbledon

Preparing with Orthodontic Treatment

The path to orthognathic surgery is intricately linked with an essential phase of orthodontic treatment, setting the stage for a successful surgical outcome. Here’s a deeper dive into this critical preparatory process:

  1. Duration and Purpose: Typically extending over a period of 2½ to 3 years, pre-surgical orthodontic treatment is foundational, focusing on realigning the teeth through the application of braces. This step is pivotal in correcting misaligned teeth positions due to jaw discrepancies.
  2. Addressing Misalignments: The orthodontic phase tackles the natural compensatory adjustments teeth make in response to jaw imbalances. For example, in cases where the lower jaw is shorter, the lower incisors may tilt forward to create contact with the upper teeth. This preparatory treatment corrects such alignments, ensuring that the teeth will properly interlock after the surgical adjustments are made.
  3. Corrective Bracing: The use of braces during this phase is tailored to individual needs, gradually moving the teeth into positions that will be compatible with the corrected jaw alignment post-surgery. This process not only focuses on aesthetic improvement but also on functional correction, ensuring the bite will be effective and comfortable after surgery.
  4. Foundation for Surgery: Once the orthodontic treatment phase concludes, and teeth are correctly aligned, the groundwork for the orthognathic surgery is laid. This ensures that the surgical alterations to the jaw structure will be supported by well-positioned teeth, facilitating a seamless transition to an improved bite and jaw alignment.
  5. Ready for Surgery: With teeth alignment addressed, patients are deemed ready for the orthognathic procedure. The successful completion of the orthodontic phase is crucial, providing a stable foundation that maximises the likelihood of achieving the desired surgical outcomes, significantly enhancing both the functional and aesthetic aspects of the patient’s smile. 

This meticulous preparation underscores the symbiotic relationship between orthodontic treatment and orthognathic surgery, highlighting the importance of each step in achieving a successful transformation.

Revealing the Steps of Orthognathic Surgery

Orthognathic surgery, a complex and transformative procedure, meticulously alters the structure of the upper and lower jaws and chin to resolve significant dental and skeletal discrepancies. This surgical journey begins with a detailed planning phase, often utilising advanced computer simulations. These simulations enable surgeons to visualise the expected outcomes, assess the necessity for further orthodontic adjustments post-surgery, and ensure precise bite alignment.

The procedure is primarily conducted through incisions made inside the mouth, a technique chosen to significantly reduce any visible scarring on the face. On rare occasions, external incisions may be required, but these are kept to a minimum to maintain aesthetic integrity.

  1. Maxillary Osteotomy: Focused on the upper jaw, this surgery addresses issues such as crossbite, open bite, or discrepancies in jaw protrusion or recession. By repositioning the upper jaw, the surgeon can correct these malocclusions, ensuring better functionality and aesthetic appeal.
  2. Mandibular Osteotomy: Targeting the lower jaw, this procedure corrects conditions like a receding or protruding lower jaw. Surgeons carefully cut and realign the mandible to improve the jaw’s position, enhancing the patient’s bite and facial profile.
  3. Genioplasty: This chin surgery is performed to rectify chin anomalies, often accompanying a severely receding lower jaw. By adjusting the bone in the chin area, genioplasty can provide a more balanced and harmonious facial appearance.

Each of these surgeries is meticulously planned and executed with the aim of achieving optimal functional and aesthetic outcomes. Tiny screws and plates, placed beneath the gum line, secure the newly positioned bones, ensuring stability and promoting healing. The result is a more balanced jaw alignment and bite, significantly improving the patient’s quality of life.

wimbledon orthodontist
Image Source: The Dental Lounges Wimbledon

Recovery and Post-Surgical Orthodontics

Following the completion of orthognathic surgery, the journey towards achieving the perfect smile continues with a crucial post-surgical orthodontic phase. Typically spanning at least six months, this period is essential for fine-tuning the alignment of the teeth with the newly adjusted jaw structure. The exact duration of this phase can extend beyond the initial six months, heavily influenced by the complexity and severity of the individual case.

During this time, patients may be required to wear braces or retainers, tools that play a pivotal role in stabilising the teeth’s new positions. These orthodontic appliances ensure that any minor discrepancies in alignment are corrected, securing the long-term success of the surgical intervention. Additionally, elastic bands are often employed to further aid in adjusting and maintaining the correct bite relationship between the upper and lower teeth.

This post-surgical orthodontic treatment is not merely about achieving aesthetic goals; it’s fundamentally about ensuring the functionality of the bite. A well-aligned bite is crucial for efficient chewing, speaking, and overall oral health. By diligently following their Wimbledon orthodontist guidance during this phase, patients can look forward to the lasting benefits of their corrective surgery, enjoying a harmonious bite and a beautifully aligned smile.

Wrapping Up

For those in Wimbledon considering this life-altering surgery, Wimbledon Orthodontist and Cosmetic Dentist Wimbledon stand as beacons of excellence. Our experienced team at The Dental Lounges is adept at navigating the complexities of pre- and post-orthodontic care integral to orthognathic surgery. We pride ourselves on providing a seamless process from initial consultation through surgery and beyond, ensuring each patient receives personalised, interdisciplinary care. At The Dental Lounges, we are committed to transforming smiles and lives through expert orthognathic surgery and orthodontic care. Contact us today to embark on your journey toward a more functional and aesthetically pleasing smile.

Ankita Patel
Ankita Patelhttps://www.thedentallounges.com/
Ankita Patel is a dedicated Dentist at The Dental Lounges, located in the heart of Cardiff, UK. With an extensive background in comprehensive patient care and a keen eye for the latest trends in dental health, Ankita serves as a vital resource for both her patients and the broader community. Outside the clinic, she dedicates her time to creating insightful and reader-friendly content for numerous esteemed online platforms.
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