Our Summary

This research review looked into whether using 3D planning before orthognathic (jaw) surgery is faster than traditional methods. They checked various databases and found eight studies that met their criteria. Though the evidence wasn’t very strong, it did suggest that 3D planning might be quicker. But the authors say we need more well-conducted studies to be sure.

FAQs

  1. What was the main focus of the research review on orthognathic surgery?
  2. How many studies were analyzed in the research review about 3D planning for jaw surgery?
  3. Was there a conclusion regarding the efficiency of 3D planning before jaw surgery versus traditional methods according to the review?

Doctor’s Tip

A doctor might tell a patient considering jaw surgery to discuss the possibility of using 3D planning with their surgeon. This technology may potentially help make the surgery faster and more precise, leading to better outcomes. However, more research is needed to fully understand the benefits of 3D planning for jaw surgery.

Suitable For

Typically, patients who are recommended for jaw surgery are those with severe malocclusion (misalignment of the teeth and jaws), facial asymmetry, obstructive sleep apnea, temporomandibular joint (TMJ) disorders, or other conditions that cannot be corrected with orthodontics alone. These patients may experience difficulty with chewing, speaking, breathing, or have aesthetic concerns related to the positioning of their jaws. Orthognathic surgery can help to correct these issues and improve the function and appearance of the jaw and face.

Timeline

Before jaw surgery:

  1. Initial consultation with an orthodontist and oral surgeon to discuss treatment options and determine if jaw surgery is necessary.
  2. Pre-surgical orthodontic treatment to align the teeth and prepare the jaw for surgery.
  3. 3D imaging and planning to create a detailed surgical plan.
  4. Pre-surgical appointments to discuss the procedure, risks, and recovery process.

After jaw surgery:

  1. Surgery to reposition the jaw and correct any alignment issues.
  2. Post-surgical recovery period, which may include swelling, pain, and difficulty eating and speaking.
  3. Follow-up appointments with the oral surgeon and orthodontist to monitor healing and adjust orthodontic treatment as needed.
  4. Long-term follow-up to ensure the results of the surgery are stable and satisfactory.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with jaw surgery?
  2. How long is the recovery period after jaw surgery and what can I expect during this time?
  3. Will I need to follow a specific diet or avoid certain activities after the surgery?
  4. How will my bite and facial appearance be affected by the surgery?
  5. Are there alternative treatment options to jaw surgery that I should consider?
  6. What type of anesthesia will be used during the surgery and what are the potential side effects?
  7. How many surgeries of this type have you performed and what is your success rate?
  8. Will I need to follow up with a speech therapist or other specialists after the surgery?
  9. How will my insurance coverage be affected by the jaw surgery and what costs can I expect to incur?
  10. Are there any specific post-operative instructions or precautions I should be aware of?

Reference

Authors: Neo B, Lim LC, Mohammed-Ali R. Journal: Br J Oral Maxillofac Surg. 2022 Feb;60(2):120-127. doi: 10.1016/j.bjoms.2021.02.005. Epub 2021 Feb 22. PMID: 35065835