Our Summary

This research paper discusses how to improve a person’s smile through a combination of surgical procedures, orthodontics, and cosmetic dentistry. Before the surgery, a thorough examination is done to understand the patient’s goals and to identify any reasons why the surgery might not be a good option. Two specific surgical procedures (LeFort I and bilateral sagittal split osteotomy) are performed to limit potential problems. The most common issue after surgery is damage to a specific nerve, which results in temporary sensation loss in the lower lip for 90% of patients.

FAQs

  1. What is the purpose of the initial examination before orthognathic surgery?
  2. What are the two specific surgical procedures mentioned and why are they performed?
  3. What is the most common issue after surgery and what are its effects?

Doctor’s Tip

A helpful tip a doctor might tell a patient about orthognathic surgery is to follow post-operative care instructions carefully to ensure a smooth recovery. This may include sticking to a soft food diet, avoiding strenuous activities, and attending follow-up appointments as scheduled. It is also important to communicate any concerns or complications promptly to your healthcare provider. Overall, patience and adherence to the recommended guidelines will help achieve the best results from the surgery.

Suitable For

Patients who are typically recommended for orthognathic surgery include those with severe malocclusions (misalignment of the teeth and jaws), facial asymmetry, and breathing problems due to a narrow airway. These conditions can cause difficulties with chewing, speaking, and breathing, as well as aesthetic concerns. Orthognathic surgery can help to correct these issues by repositioning the jaws to improve function and appearance.

Additionally, patients with temporomandibular joint (TMJ) disorders, sleep apnea, and other craniofacial abnormalities may also benefit from orthognathic surgery. It is important for patients to have realistic expectations and to be committed to following post-operative care instructions in order to achieve the best results.

Overall, orthognathic surgery is typically recommended for patients who have significant jaw and facial concerns that cannot be adequately addressed with orthodontics alone. A comprehensive evaluation by a team of oral and maxillofacial surgeons, orthodontists, and other specialists is essential to determine if orthognathic surgery is the best treatment option for each individual patient.

Timeline

Before orthognathic surgery:

  1. Initial consultation with a maxillofacial surgeon to discuss treatment options and goals.
  2. Comprehensive evaluation including dental impressions, X-rays, and CT scans to assess the extent of jaw misalignment.
  3. Pre-surgical orthodontic treatment to align the teeth and create a proper bite for surgery.
  4. Pre-operative counseling to discuss the risks, benefits, and expectations of the surgery.
  5. Final surgical planning and coordination with the surgical team.

After orthognathic surgery:

  1. Immediate recovery in the hospital with monitoring and pain management.
  2. Swelling and discomfort in the facial area for the first few days post-surgery.
  3. Gradual transition to a soft diet to allow for healing of the jaw.
  4. Follow-up appointments with the surgical team to monitor progress and adjust treatment as needed.
  5. Post-operative orthodontic treatment to finalize the bite and alignment of the teeth.
  6. Long-term follow-up to ensure stability of the surgical results and address any complications that may arise.

What to Ask Your Doctor

  1. What is the purpose of orthognathic surgery and how will it benefit me?
  2. What specific surgical procedures will be performed during the surgery?
  3. What are the potential risks and complications associated with orthognathic surgery?
  4. How long is the recovery process and what can I expect in terms of pain and discomfort?
  5. Will I need to follow a specific diet or make any lifestyle changes before or after the surgery?
  6. How long will the results of the surgery last and will I need any additional follow-up procedures?
  7. What are the alternatives to orthognathic surgery and why is it recommended for my specific case?
  8. How experienced are you in performing orthognathic surgery and what is your success rate?
  9. Can you provide me with before and after photos of patients who have undergone orthognathic surgery?
  10. What is the cost of the surgery and will it be covered by insurance?

Reference

Authors: Yan A, Chen YR. Journal: Clin Plast Surg. 2023 Jan;50(1):81-89. doi: 10.1016/j.cps.2022.07.001. Epub 2022 Oct 1. PMID: 36396264