Our Summary

This research paper discusses the relationship between Temporo-Mandibular Joints (TMJ) and orthognathic surgery. The TMJ is a joint that connects your jaw to the temporal bones of your skull while orthognathic surgery is a procedure to correct conditions related to the structure of your jaw. The paper details three ways in which TMJ and orthognathic surgery interact, which includes TMJ disorders that may lead to jaw deformities, the impact of orthognathic surgery on the TMJ, and the methods used to position the jawbone during the surgery. The authors explore these topics to highlight the intricate relationship between TMJ and orthognathic surgery. The paper concludes with a discussion of future prospects in this field.

FAQs

  1. What is the relationship between Temporo-Mandibular Joints (TMJ) and orthognathic surgery?
  2. How does orthognathic surgery affect the TMJ?
  3. What are condylar positioning methods in orthognathic surgery?

Doctor’s Tip

One helpful tip a doctor might tell a patient about jaw surgery is to follow post-operative instructions carefully to ensure proper healing and minimize complications. This may include avoiding hard or chewy foods, practicing good oral hygiene, taking prescribed medications as directed, and attending follow-up appointments with your surgeon. It’s also important to communicate any concerns or changes in symptoms to your doctor promptly. By following these guidelines, you can optimize your recovery and achieve the best possible outcomes from your jaw surgery.

Suitable For

Patients who are typically recommended for jaw surgery include those with severe malocclusion or misalignment of the jaw, facial asymmetry, difficulty chewing or speaking, obstructive sleep apnea, temporomandibular joint disorders, or congenital deformities. Orthodontists and oral surgeons may work together to determine if jaw surgery is necessary to correct these issues and improve the patient’s overall oral health and function.

Timeline

Before Jaw Surgery:

  • Patient consults with an oral and maxillofacial surgeon to discuss concerns with jaw alignment, bite issues, and facial aesthetics
  • Orthodontic treatment may be recommended to align teeth and prepare for surgery
  • Pre-surgical planning involves imaging studies such as X-rays, CT scans, and possibly a 3D virtual simulation of the surgery
  • Patient undergoes pre-operative evaluations and tests to ensure they are healthy enough for surgery
  • Surgical plan is finalized, including the extent of jaw movement and any additional procedures that may be necessary

After Jaw Surgery:

  • Patient undergoes surgery under general anesthesia, which may involve repositioning the upper and lower jaws, chin, or other facial structures
  • Recovery period typically involves swelling, bruising, and discomfort, which can be managed with pain medication and a soft diet
  • Patient may need to wear braces or other orthodontic devices post-surgery to maintain the new jaw position
  • Follow-up appointments with the oral and maxillofacial surgeon and orthodontist are necessary to monitor healing and adjust treatment as needed
  • Over time, patient will experience improved facial aesthetics, bite function, and overall quality of life as a result of the jaw surgery.

What to Ask Your Doctor

  1. What specific jaw issues am I experiencing that make me a candidate for jaw surgery?
  2. What are the potential risks and complications associated with jaw surgery?
  3. How will jaw surgery improve my overall quality of life and functionality?
  4. What is the expected recovery time and what can I do to facilitate a smooth recovery process?
  5. How will my bite and facial appearance be affected by the surgery?
  6. Will I need to follow any specific dietary restrictions or oral hygiene practices after the surgery?
  7. How long will the results of the surgery last and will I need any additional procedures in the future?
  8. Are there any alternative treatment options to consider before proceeding with jaw surgery?
  9. How many times have you performed this type of surgery and what is your success rate?
  10. Can you provide me with before and after photos of previous patients who have undergone similar jaw surgeries?

Reference

Authors: Bouletreau P. Journal: Rev Stomatol Chir Maxillofac Chir Orale. 2016 Sep;117(4):212-6. doi: 10.1016/j.revsto.2016.07.002. PMID: 27481674