Our Summary

This research paper discusses a combined surgical and orthodontic method for adjusting the middle and lower parts of the face for better stability and results. The process involves careful planning of the direction and manner of adjustment, using the right tools, and thorough monitoring after the surgery. It’s also important to manage the alignment of the teeth during treatment to get the best possible outcome.

FAQs

  1. What are the orthodontic considerations for midface and mandibular distraction?
  2. How does the combined surgical and orthodontic approach optimize outcomes in jaw surgery?
  3. Why is managing dental occlusion important throughout the treatment?

Doctor’s Tip

One helpful tip a doctor might tell a patient about jaw surgery is to follow post-operative guidelines carefully, including maintaining a soft diet, avoiding strenuous physical activity, and attending all follow-up appointments with both the surgeon and orthodontist. This will help ensure proper healing and optimal results from the surgery.

Suitable For

Patients who may be recommended for jaw surgery typically include those with:

  1. Severe malocclusion or misalignment of the teeth and jaws
  2. Facial asymmetry or disproportionate facial features
  3. Difficulty with chewing, biting, or speaking due to jaw misalignment
  4. Obstructive sleep apnea or other breathing difficulties related to jaw structure
  5. Temporomandibular joint (TMJ) disorders or chronic jaw pain
  6. Cleft lip and palate or other craniofacial abnormalities requiring surgical correction

Overall, patients who have significant functional or aesthetic concerns related to their jaw structure may benefit from jaw surgery to improve their quality of life and overall oral health.

Timeline

Before jaw surgery:

  1. Consultation with a maxillofacial surgeon and orthodontist to discuss treatment options and plan the surgery.
  2. Preoperative orthodontic treatment to align teeth and prepare the jaw for surgery.
  3. Imaging studies such as X-rays and CT scans to assess the structure of the jaw and plan the surgical procedure.
  4. Preoperative appointments to discuss the surgery, postoperative care, and recovery process.

After jaw surgery:

  1. Immediate postoperative care in the hospital or surgical center, including pain management and monitoring for complications.
  2. Follow-up appointments with the surgeon and orthodontist to monitor healing and adjust the treatment plan as needed.
  3. Orthodontic treatment to fine-tune the alignment of the teeth and jaw after the surgery.
  4. Ongoing follow-up appointments to monitor the stability of the jaw and ensure optimal long-term outcomes.
  5. Regular dental check-ups and maintenance to maintain the results of the surgery and prevent future issues.

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?
  3. Will I need orthodontic treatment before or after the surgery?
  4. How will the surgery impact my dental occlusion and bite?
  5. What type of anesthesia will be used during the surgery?
  6. What can I expect in terms of pain management after the surgery?
  7. How long will I need to stay in the hospital after the surgery?
  8. What is the expected outcome of the surgery in terms of facial appearance and function?
  9. Will I need to follow a special diet or restrictions after the surgery?
  10. What are the long-term implications of the surgery on my oral health and function?

Reference

Authors: Avinoam S, Shetye PR. Journal: Clin Plast Surg. 2021 Jul;48(3):531-541. doi: 10.1016/j.cps.2021.02.009. Epub 2021 May 8. PMID: 34051904