Our Summary

This research paper discusses how to prepare for a type of jaw surgery, known as orthognathic surgery, in adults who were born with a cleft lip and palate. The planning for this surgery can be different depending on the severity of the individual’s issues. The paper suggests different surgical and orthodontic treatments to correct a specific type of misalignment of the teeth and jaw, known as Class III malocclusion, in these individuals. The researchers stress that for complex cases, the main factors to consider when planning for the surgery should be the feasibility of the surgery, its likelihood of long-term success, and the aesthetic outcome for the patient.

FAQs

  1. What factors influence the preparation and planning for orthognathic surgery in late adolescence?
  2. What are the different strategies to address unresolved issues in adult patients with cleft lip and palate?
  3. How are the principles of achievability, stability, and esthetics applied in planning for complex orthognathic surgery cases?

Doctor’s Tip

One helpful tip a doctor might give a patient about oral surgery is to follow all pre-operative instructions carefully. This may include fasting before surgery, avoiding certain medications, and following any specific guidelines provided by the surgeon. By following these instructions, the patient can help ensure a successful surgery and smooth recovery process.

Suitable For

Patients who may be recommended for oral surgery include those with:

  • Severe malocclusion, such as class III malocclusion, that cannot be corrected with orthodontic treatment alone
  • Cleft lip and palate, which may require surgical correction to improve function and esthetics
  • Impacted teeth that cannot erupt properly and may be causing pain or other issues
  • Temporomandibular joint (TMJ) disorders that require surgical intervention
  • Wisdom teeth that are causing pain, infection, or crowding in the mouth

Overall, oral surgery may be recommended for patients with complex dental and facial issues that cannot be effectively treated with non-surgical methods.

Timeline

Before oral surgery:

  • Consultation with a dental or oral surgeon to discuss the procedure and address any concerns or questions
  • Pre-operative assessment including medical history, physical examination, and possibly imaging studies
  • Preparing for the surgery by following any pre-operative instructions such as fasting before the procedure
  • Anesthesia administration before the surgery begins
  • The actual surgical procedure, which can vary depending on the specific oral surgery being performed

After oral surgery:

  • Recovery period immediately following the surgery, which may involve pain management and monitoring for any complications
  • Follow-up appointments with the oral surgeon to monitor healing and address any post-operative issues
  • Adjustment to any changes in diet or oral hygiene routine post-surgery
  • Physical therapy or rehabilitation as needed to aid in recovery and restoration of oral function
  • Long-term follow-up to ensure the success of the surgery and monitor for any potential complications or changes in oral health.

What to Ask Your Doctor

  1. What specific oral surgery procedure do I need?
  2. What are the potential risks and complications associated with the surgery?
  3. What is the expected recovery time and post-operative care required?
  4. Will I need to follow a special diet or make any lifestyle changes before or after the surgery?
  5. What are the expected results of the surgery and what are the chances of needing additional procedures in the future?
  6. How experienced are you in performing this type of surgery?
  7. Will I need to undergo any additional tests or evaluations before the surgery?
  8. Are there any alternative treatment options available for my condition?
  9. What type of anesthesia will be used during the surgery and what are the potential side effects?
  10. How much will the surgery cost and will it be covered by my insurance?

Reference

Authors: Yen S, Hammoudeh J, Edwards SP, Urata M. Journal: Oral Maxillofac Surg Clin North Am. 2020 May;32(2):249-267. doi: 10.1016/j.coms.2020.01.013. PMID: 32247439