Our Summary
This research paper discusses the intersection of two types of oral and maxillofacial surgery: orthognathic surgery, which corrects conditions related to the structure of the jaw and face, and temporomandibular joint (TMJ) surgery, which addresses problems with the joint connecting the jawbone to the skull.
It’s not uncommon for a person to suffer from both facial deformities and TMJ disorders at the same time. Treating these conditions together can be quite complex, requiring a thorough understanding of both types of surgery.
The paper highlights the need for surgeons in this field to have a deep understanding of both procedures. It also shares insights based on the authors’ experiences treating these conditions.
FAQs
- What is the relationship between orthognathic surgery and temporomandibular joint (TMJ) surgery?
- What complexities are involved in the diagnosis and treatment of diseases with coexisting dentofacial deformities and TMJ disorders?
- Why is it important for oral and maxillofacial surgeons to have a comprehensive understanding of orthognathic and TMJ surgery?
Doctor’s Tip
A helpful tip a doctor might tell a patient about orthognathic surgery is to follow all post-operative instructions carefully, including taking prescribed medications, attending follow-up appointments, and following a soft diet to promote proper healing. It is important to communicate any concerns or complications with your surgeon to ensure the best possible outcome.
Suitable For
Orthognathic surgery is typically recommended for patients with severe malocclusion, facial asymmetry, or other dentofacial deformities that cannot be corrected with orthodontic treatment alone. Patients with problems such as difficulty chewing, speaking, or breathing due to their jaw alignment may also benefit from orthognathic surgery.
Patients with temporomandibular joint (TMJ) disorders, such as chronic pain, limited jaw movement, or clicking and popping sounds in the jaw joint, may be recommended for TMJ surgery. In some cases, patients with both dentofacial deformities and TMJ disorders may require a combination of orthognathic and TMJ surgery to address their issues comprehensively.
Overall, patients who are experiencing significant functional or aesthetic problems related to their jaw alignment or TMJ function may be candidates for orthognathic surgery or TMJ surgery. It is important for patients to undergo a thorough evaluation by an oral and maxillofacial surgeon to determine the most appropriate treatment plan for their individual needs.
Timeline
Before orthognathic surgery, a patient typically undergoes a comprehensive evaluation by an oral and maxillofacial surgeon, which may include X-rays, CT scans, and dental impressions. The surgeon will discuss the treatment plan with the patient, including the specific procedures that will be performed and the expected outcomes. The patient may also meet with other members of the surgical team, such as an orthodontist, to coordinate the orthodontic treatment that may be necessary before and after surgery.
During orthognathic surgery, the patient is placed under general anesthesia, and the surgeon makes incisions inside the mouth to access the jawbones. The surgeon then repositions the jawbones to correct the alignment and bite issues. After the bones are properly aligned, the surgeon may use screws, plates, or wires to secure them in place. The incisions are then closed, and the patient is taken to the recovery room to wake up from anesthesia.
After orthognathic surgery, the patient will experience some swelling, bruising, and discomfort in the days and weeks following the procedure. The surgeon will provide instructions on how to manage pain and swelling, as well as guidelines for eating and oral hygiene. The patient will also have follow-up appointments with the surgical team to monitor the healing process and make any necessary adjustments to the treatment plan. Orthodontic treatment may continue for several months to ensure that the teeth align properly with the new jaw position. Overall, the goal of orthognathic surgery is to improve the patient’s facial appearance, bite function, and overall quality of life.
What to Ask Your Doctor
Some questions a patient should ask their doctor about orthognathic surgery may include:
- What specific type of orthognathic surgery do I need?
- What are the potential risks and complications associated with the surgery?
- What is the expected recovery time and post-operative care plan?
- Will I need any additional procedures or treatments before or after the surgery?
- What are the expected outcomes and long-term results of the surgery?
- How experienced are you in performing orthognathic surgery?
- Can you provide me with before and after photos of previous patients who have undergone similar procedures?
- Will I need to follow a specific diet or make any lifestyle changes before or after the surgery?
- How much pain or discomfort can I expect during the recovery period?
- What are the alternatives to orthognathic surgery, and why is surgery recommended for my case?
Reference
Authors: Zhu SS. Journal: Zhonghua Kou Qiang Yi Xue Za Zhi. 2019 Aug 9;54(8):510-514. doi: 10.3760/cma.j.issn.1002-0098.2019.08.002. PMID: 31378027