Our Summary

This research paper delves into a less invasive method of orthognathic surgery, which is a type of surgery that corrects conditions of the jaw and face related to structure, growth, sleep apnea, TMJ disorders, malocclusion problems owing to skeletal disharmonies, or other orthodontic problems that cannot be easily treated with braces.

The paper discusses using three-dimensional virtual planning for this surgery. This means using computer technology to create a 3D model of the patient’s face and jaw, which can help surgeons plan the procedure more accurately and predict the outcomes, making the surgery safer and more effective.

The research also touches on patient morbidity, which in this context means the negative side effects or complications that patients may experience after the surgery. The goal of this new method is to reduce these side effects and make recovery easier and faster for patients.

In simple terms, this paper is about using advanced technology to plan jaw and facial surgeries in a way that is less invasive, more accurate, and easier on the patient.

FAQs

  1. What is orthognathic surgery?
  2. What is the meaning of minimally invasive in the context of orthognathic surgery?
  3. What is three-dimensional virtual treatment planning in orthognathic surgery?

Doctor’s Tip

One helpful tip a doctor might tell a patient about orthognathic surgery is to follow all pre-operative and post-operative instructions carefully to ensure a successful outcome. This may include maintaining good oral hygiene, avoiding certain foods that could irritate the surgical site, and attending all follow-up appointments to monitor healing progress. It is also important to communicate any concerns or changes in symptoms to your healthcare provider promptly.

Suitable For

Orthognathic surgery is typically recommended for patients who have severe misalignment of the jaws, leading to functional issues such as difficulty chewing, speaking, or breathing. This procedure may also be recommended for patients with aesthetic concerns related to facial symmetry or protrusion of the jaw. Patients with conditions such as temporomandibular joint (TMJ) disorders or obstructive sleep apnea may also benefit from orthognathic surgery. It is important for patients to undergo a thorough evaluation by an oral and maxillofacial surgeon to determine if they are suitable candidates for this type of surgery.

Timeline

Before orthognathic surgery:

  1. Consultation with an orthodontist or oral and maxillofacial surgeon to discuss treatment options and determine the need for surgery.
  2. Comprehensive orthodontic evaluation and treatment planning, including X-rays, photographs, and dental impressions.
  3. Pre-surgical orthodontic treatment to align the teeth and prepare the jaw for surgery.
  4. Three-dimensional virtual treatment planning to help visualize the surgical outcome and plan the precise movements of the jaw.
  5. Pre-operative medical evaluation to ensure the patient is healthy enough for surgery.

After orthognathic surgery:

  1. Hospitalization for a few days following the surgery to monitor recovery and manage pain.
  2. Gradual reintroduction of soft foods and liquids as the jaw heals.
  3. Post-operative orthodontic treatment to fine-tune the bite and alignment of the teeth.
  4. Regular follow-up appointments with the surgical and orthodontic team to monitor healing and progress.
  5. Gradual return to normal activities and a full recovery within a few months, with continued monitoring of the surgical outcome over time.

What to Ask Your Doctor

  1. What are the potential risks and complications of orthognathic surgery?
  2. How long is the recovery period after orthognathic surgery?
  3. Will I need to wear braces before or after the surgery?
  4. How will my bite and facial appearance be affected by the surgery?
  5. What are the alternatives to orthognathic surgery for my condition?
  6. How experienced are you in performing orthognathic surgery?
  7. Will I need to stay in the hospital after the surgery?
  8. What type of anesthesia will be used during the surgery?
  9. How long will the results of the surgery last?
  10. What can I do to prepare for the surgery and optimize my recovery?

Reference

Authors: Swennen GRJ. Journal: Atlas Oral Maxillofac Surg Clin North Am. 2020 Sep;28(2):95-109. doi: 10.1016/j.cxom.2020.05.009. Epub 2020 Jul 10. PMID: 32741518