Orthognathic surgery is one of the surgical processes behind corrections of anomalies that affect the jaw bones, and thus the alignment of the dentition.
When the jaw, jaw and turbinates are not properly positioned, there is the negative impact not only of facial aesthetics, but also on the essential functions of their movements.
What is orthognathic surgery?
As stated, orthognathic surgery is the solution to abnormalities as to the position of teeth and bones that form the jaw. These anomalies can assume different degrees of asymmetry, affecting the approach to be made.
Since this positioning is not correct, the proper functioning of the joints that act on the bite, breathing and good condition of periodontal tissues.
The variations that are departing from this placement are called dentofacial anomalies and are commonly related to the growth of the jaws, and can lead to disorders of bite, joints and breathing.
Orthognathic surgery is capable of providing safety and satisfactory results, and thus, in the best quality of life of the patient, taking into account the significant improvement of self-esteem.
Finally, this procedure provides a more harmonic face, in addition to softening the scar marks, since the approach is performed on the inside of the mouth.
When is orthognathic surgery indicated?
Considering that this surgical procedure has not only aesthetic purpose, it is also indicated in cases of weaknesses involving the structures involved. Weakness that has genetic causes.
Thus, orthognathic surgery is indicated in cases of exaggerated growth and in the face of an abnormal disposition, besides being a treatment option for temporomandibular joint dysfunctions (TMT).
For its realization, it is necessary to carry out a series of evaluations of the dentist in advance, soon after the diagnosis of the condition in which the patient is established.
Generally, in children there is the correction of the problem by the use of orthodontic and orthopedic appliances, which are also able to act in the control of bone growth. However, if the patient is an adult, the orthodontic approach is not enough, since the process of stretching the structures of the face has already been completed.
Moreover, in the face of more severe cases, surgery can be performed at the end of bone growth, when the patient is a child. However, this form of action is considered when the identified malformations are more serious and result in aesthetic deformations that lead to loss of self-esteem and psychological problems.
For the treatment of these more severe conditions, a second corrective session may be required, shortly after ending the growth of the individual.
How is orthognathic surgery done?
Preparation for orthognathic surgery usually begins through orthodontic treatment, since the use of the device contributes to the correct repositioning of the bones of the inner part of the face and thus the dental arches.
In this part of the treatment, the joint of the teeth of the upper arch and those belonging to the lower arch are aimed primarily at the junction of the teeth of the upper arch and those belonging to the lower arch, thus solving the problem of dental occlusion. Thus, the orthodontist prepares the dental arches so that the surgeon solves occlusion once and for all in the surgical process. That’s for the locomotion of the support bones.
Soon, after the preparation of the arch, the surgery can be simulated by means of an approach technology in a computer. Therefore, the patient can align his expectations with his dentist, such as being able to visualize the final result of the procedure.
Finally, in the postoperative period some care should be taken for the success of the procedure and the patient’s quiet recovery. This care in turn should be aligned according to the professional’s guidelines and are related to phonation, diet, and oral hygiene.
How is the recovery from orthognathic surgery?
Recovery from orthognathic surgery requires some specific care to avoid the incidence of complications. Food should be based on liquid foods that do not require much chewing. It is therefore necessary, a balanced and healthier diet.
It is common during the first weeks of adaptation to generate a certain discomfort, but with the passage of 1 month the patient will already be able to gradually return to their daily activities.
The improvement and the definitive result of the procedure is achieved in the sixth month after surgery and contact with your dentist is decisive throughout the postoperative process.
After this period the patient is submitted to the realization of treatment with the orthodontic appliance, and thus, the repair of the smile bite, a process that can last from 3 to 6 months. It is only after the noticeable improvement of the treatment that will have the removal of the device.
Orthognathic surgery, before and after
The orthonotic surgery before and after has as final result a more harmonic face with better positioning of the jaw and chin, in addition to a more harmonic smile provided by the alignment of the teeth.
In addition to the aesthetic result, the performance of orthognathic surgery renews the self-esteem of the person, giving more confidence and thus improving their relationships.
If you suffer from this type of anomaly and are interested in this renovation, look for a specialist dentist and resolve the abnormalities that involve your facial skeleton and smile.
It is worth mentioning that right after treatment it is already possible to perceive changes in contour and facial symmetry, such as tape functions and dental occlusion. Keep in mind that performing the surgery goes beyond aesthetics, but also aims at a better quality of life.
What are the risks of orthognathic surgery?
Among the risks of implementing this procedure are:
- Excessive edema;
- Sensitivity in nerves;
- Dental fractures;
- Mandibular movement and impaired recurrence;
However, these complications only develop in cases where postoperative care is not followed.
In addition, the postoperative period can last up to three months to ensure the definitive result. Among the difficulties to be observed are the limitation in mouth opening. The adhering of physical therapy exercises may contribute to the return of jaw function and to the control of swelling (edema).
What are the risks of the lack of this procedure?
Finally, those who suffer from these problems and do not seek treatment can further compromise the execution of routine activities, bringing a series of complications.
Among these more recurrent complications in whom treatment neglect are aesthetic changes, in addition to functional and respiratory problems. This in view of the direct relationship of the surgery and the quality of life of the patient.
In addition, pain and problems regarding chewing can be perceived in the absence of the procedure, since the facial musculature and jaw are equally compromised.
Even with the surgery, since postoperative care is not taken into account, the patient is susceptible to the same problems, and it is important to consider the dentist’s guidelines throughout the recovery period. As well as the balanced diet and the adhering to physiotherapy sessions.
In a sense, as occurs before the surgical process, the orthodontic treatment approach can be performed at the end of the process, such as the application of dental implants and other types of procedures that seek a better aesthetic effect and the optimization of the final result of orthognathic surgery.