There are occasions when traditional orthodontic programs cannot effectively treat a malocclusion. A severe bite problem may need surgical treatment especially if it is triggering functional difficulties like inability to chew food well, speech problems, and facial dysfunction in the form of gum problems, joint pain, or headaches.
Surgical orthodontics is intended for extremely severe conditions and used to fix jaw abnormalities. Oral and maxillofacial surgery is one of the known dental practices, and it is concerned with procedures that treat diseases and trauma that include the face, head, neck, jaw, and sinuses.
It can help patients chew, breathe, and speak well, while likewise enhancing their looks. The surgical process comprises a fusion of orthognathic surgery or jaw surgery and orthodontic procedure. When the jaws move, the teeth move as well – because of that, we straighten the teeth with aligners or braces alongside the jaw repair. Sometimes, it’s the most suitable option to deliver vivid and firm results.
Surgical orthodontics may be compulsory for someone whose upper and lower jaws, which support the teeth, are misaligned. Hence, the upper and lower teeth don’t meet, hindering the ability to bite, chew or speak. Our orthodontist, Dr.Hanoun, will work alongside an oral and maxillofacial surgeon to correct your teeth and jaws to redeem its maximum function.
In many instances, an orthodontist puts braces on your teeth prior to surgery. You will normally wear braces for 12 to18 months before surgery to adjust and straighten your teeth preparatory to surgery.
Our orthodontist and oral and maxillofacial surgeon join forces to execute your treatment program. X-rays, images, and casts of your teeth are part of the preparation for your jaw surgery. Sometimes, the variation in the way teeth fit together will need either covering the teeth with crowns or teeth reshaping, or both to complete improvement.
Three-dimensional CT scanning, computer-guided treatment planning, and transient orthodontic anchoring tools may be utilized to help in the shifting of teeth and reduce your time wearing braces. In some cases, these exercises eliminate the need for jaw surgery. Sometimes virtual surgical planning (VSP) will be used to direct your surgeon to adjust and fix the jaw segment alignment throughout the surgery for the most desirable result.
As mentioned above, during your orthodontic treatment, you wear braces for 12 to 18 months and visit your orthodontist from time to time for adjustments. When your jaws are fixed within their appropriate placement during orthognathic surgery, the teeth will then click toward their proper positions.
Orthodontic surgery can only be done by an accredited oral & maxillofacial surgeon, and the surgery is usually performed in a clinical setting. In upper jaw surgery, the jaw can be lowered or raised, or the jaw can be repositioned backward or forward. In lower jaw surgery, the jawbone at the back of the teeth is separated, and the tooth-bearing part shifted backward or forward, as required. Other facial bones that contribute to alignment may also be amended or repositioned.
Because this is a major procedure, you will be instructed not to go to school or return to work during this period. Once the jaw has recovered, the orthodontist will make some necessary tweaks to your bite. You may be subjected to Invisalign clear aligners or braces, which you’ll have to wear for 6-12 months. Then you’ll wear retainers to maintain the good position of your teeth.
During surgical orthodontics, your child’s surgeon relocates the jawbone to its correct position. Rubber bands, wires, plates, or screws are then utilized to keep the bone in its proper place. When the jaw has to be built up, bone is sometimes obtained from other parts of the body and relocated to the jaw. Surgery usually requires hospitalization for a couple of nights.
The duration of surgery depends upon which restorative jaw procedure is being conducted.
If just a lower or upper jaw needs a surgical procedure, your surgery will normally last between 1.5 to 2 hours. If both lower and upper jaws require orthognathic surgery, then the operation will take between 3 and 4 hours to complete.
As with other dental surgeries, surgical orthodontics procedures are absolutely safe. This surgery is normally performed to correct the position and alignment of the jaws to recover the function of jaws. Surgical orthodontics’ patients are placed under a general anesthetic for the surgery, so they don’t feel anything throughout the operation.
The typical complaint following restorative surgery is facial swelling. Patients can expect that their sore will build over the first 2-3 days after the surgical procedure. Usually, within the last 3 days of the week, the swelling area would reach its peak and then start to disappear gradually.
You can expect roughly 80-90% of bulging to be gone by the end of the first month, in which around 40-50% of the lump has disappeared by the end of the first week.
It is due to this swelling that patients will appear stuffed after surgery. Our team will supply you with medications and directions on how to reduce any swelling and expedite its result.
After your surgery, you need enough rest from work or school to give your jaw time to recover. You will be provided with steps to follow after you have been discharged from the hospital.
You will have to:
For patients not covered by health insurance, the average cost of surgical orthodontics is around $20,000- $40,000, including first consultations, the surgeon’s charge, facility fee, and tools and follow-up treatment.
A surgeon’s fee for this surgery may vary based on his or her expertise, the type of procedure done, plus the location of the office. Most surgeons offer patient financing plans to help cover costs.
Most health insurances have prohibitions for coverage of surgical orthodontics. When orthognathic surgery is performed to treat a functional problem like severe malocclusion, it may be covered by insurance. Thoroughly review your plan.
Our team is highly skilled in orthognathic surgery and dental technology, and processes are on point that the benefits overshadow the risks of surgical orthodontics. We can help you shape your jaws, mouth, and face into an ideal and healthy condition that brings you the function you need for a competent and comfortable life.
If you want to learn more about surgical orthodontics in Dallas, TX, and to schedule an appointment with our expert orthodontists, please call Infinite Orthodontics now at (972) 931-9998.