ORTHOGNATHIC SURGERY
Orthognathic surgery is needed when jaws don’t meet correctly and for teeth that don’t seem to fit with in the jaws. Teeth are straightened with Orthodontics, corrective jaw surgery repositions misaligned jaws. This not only improves facial appearance, but also ensures that teeth meet correctly and function properly.
The disparity in jaws could be of 2 types
Deficient & excessive upper jaw
Deficient & excessive lower jaw
Combination of both.
» Who Needs Orthognathic Surgery
People who can benefit from Orthognathic surgery include those with an improper bite or jaws that are positioned incorrectly, jaw growth is a gradual process and in some instances, the upper and lower may grow at different rates. The result can be host of problems that can affect chewing function, speech long term oral health and appearance, injury to the jaw and birth defects can also affect jaw alignment. Orthodonathics alone can correct bite problems when only the teeth are involved. Orthographic surgery may be required for the jaws when repositioning is necessary.
» Difficulty in following areas should be evaluated:-
· Protruding jaws – excessive upper or lower jaw
· Retruded jaw – deficient upper or lower jaw
· Open bite
· Speech Problems
· Difficulty in chewing & biting
Any of there symptoms can exist at birth, be acquired after birth as a result of herediatry or environmental influences or as a result of trauma to the face. Before any its begins, a consultaion will be held to perform a complete examination with X Rays. During the pretreatment consultation process, feel free to ask any questions that you have regarding your teeth. When you are fully informed about the aspects of your case, you & your dental team will make the decision to proceed to its together. Our goal is to help you understand the benefits of Orthognathic surgery. If you are candidate for corrective jaw surgery, we will work closely with your dentist and orthodontist during your reatment, the actual surgery can move you teeth & jaws into a new position that results in more attractive, functional and healthy dental facial relationship.
How is Orthognathic Surgery done?
Orthognathic Surgery involves moving your jaws into a new acceptable position. The surgery is done through the patients mouth under General Anesthesia. The jaw is seperated from its attachment and moved to a new predecided position and is held there by plates and screws. The patient may require hospitalization for three to four days and can resume normal activites in two weeks time.
This includes various surgical procedures to improve your aesthetic appearance.
FACIAL AUGMENTATION -
Augmentation of deficient areas of face like cheek bone, jaw line and chin by alloplastic material like porous polyethylene (MEDPOR). This is available in various shapes to suit individuals need. It is totally biocompatible and is well accepted by human body. It is fixed onto the deficient areas by a screw. The surgery is done through the mouth.
SCAR REVISION -
Management of old unesthetic scar by various facial plastic surgical procedures.
GENIOPLASTY -
It is a procedure where a small and deficient chin on patients face is surgically moved forward to a new position which is more aesthetically acceptable. The chin is fixed to its new position by wires or plates. The surgery is done under general anesthesia and is a day care procedure. It can also be done to reduce over sized chin where it is pushed back. In selective cases GENIOPLASTY yields very good results.
Dental implant in a novel technique to replace lost tooth. Traditionally a lost tooth or teeth were replaced by a removable denture or a fixed partial denture (Commonly known as crown and bridge). Nowadays dental implant offers a new technique where in by a small surgical procedure a titanium screw is screwed into your jaw bone which remains there for 3 months, which is the time required to consolidate that screw with your jaw bone. Thereafter is a tooth is fixed to that screw.
» Who needs Dental Implants
Any body who has lost a tooth can replace it with dental implants. Age is no barrier, but a successful implants placement requires a preoperative clinical examination and a radiograph to measure the actual bone and size of implant. There are few medical contraindications like uncontrolled diabetes, immuno compromised diseases, irradiated bone which do not allow implant placement.
» What are the risks Associated with Surgery
The magnitude of surgical insult is minor in the cases of implant placement and except slight swelling and pain at the surgical site; there are no major risks involved. This too can be minimized by gentle soft tissue handling. May require usage of antibiotic and analgesics to counter the pain and swelling.
» Advanced Dental Implant Procedures
In many cases the bone present in the jaw is insufficient to hold the implant and an additional advanced surgery may be required to augment the bone in your jaw.
Bone Grafting - In cases where there is insufficient bone, bone grafting may be needed. A graft may be take from some other site of patients body or may be artificial bone. The purpose is to place the graft at site of dental implant and depending upon individual cases an implant may be placed at the same time or at a later date when sufficient bone forms.
Maxillary Sinus Lift - Maxillary Sinus is an open cavity present in the upper jaw and it humidifies the inspired air. Some times there is lack of bone volume beneath the maxillary sinus cavity and height of jaw bone insufficient to hold the implant and placement of implant may perforate the sinus. In such cases maxillofacial surgeon can perform maxillary sinus lift where in a window is made in the jaw bone to lift the sinus membrane and bone graft is deposited in the area from where sinus lining has been elevated. The implant can be placed at the same time or at later date. It is a minor surgical procedure and complication include pain, swelling and perforation of maxillary sinus lining. With gentle handling complication can be minimised. The procedure is done on out patient basis under local anesthesia.
