[gem_icon_with_title icon_pack=”material” level=”h2″ icon_material=”f526″ icon_color=”#000000″ title=”Orthognathic surgery”]Orthognathic surgery is performed on the jaws to put them into the correct position. Orthognathic (pronounced or-tho-na-thik) means literally “straight jaws”. this will improve a person’s ability to chew and speak. Breathing may become easier for some people. The surgery may also improve facial appearance.Jaw problems that may be corrected  by orthognathic surgery include jaws that are too large, too small, too far forward, too far back, or crooked. There may be a significant gap between the upper and lower front teeth.The causes can vary. For example, the problem may have :[gem_list type=”snowflake-style-1″ color=”2″]

When a person needs orthognathic surgery, it is usually performed in conjunction with orthodontic treatment to correct problems with the occlusion, commonly called “bite” (that is, the contact of the teeth between the upper and lower jaws as they meet during chewing when the jaws are closed).[vc_custom_heading text=”Symptoms and signs :” font_container=”tag:h4|font_size:18|text_align:left” use_theme_fonts=”yes”]Symptoms and signs that may indicate a need for orthognathic surgery include problems with the following :[gem_list type=”snowflake-style-1″ color=”2″]

[vc_custom_heading text=”Diagnosis :” font_container=”tag:h4|font_size:18|text_align:left” use_theme_fonts=”yes”]Your surgeon will inspect your face and jaws, and may make facial measurements, take photographs or use video imaging, or recommend X-ray examinations of your jaws and jaw joints.Your surgeon may assess tooth wear and tooth mobility to determine whether your teeth fit together correctly. Your surgeon may make plaster models of your teeth and jaws to assist treatment planning.Realistic expectations : when you are making the decision whether to have surgery, you must keep in mind that your surgeon cannot guarantee that the surgery will always be successful or that the surgery bears no risk.The operation and it’s outcome might not meet your expectations.You are encouraged to discuss fully with your surgeon the treatment to be done and the likely outcome you should expect.[vc_single_image image=”32133″ img_size=”full” alignment=”center”][vc_single_image image=”32134″ img_size=”full” alignment=”center”][vc_single_image image=”32135″ img_size=”full” alignment=”center”][gem_icon_with_title icon_pack=”material” level=”h2″ icon_material=”f526″ icon_color=”#000000″ title=”The decision to have surgery :”]Your surgeon may recommend surgery if your jaw problem cannot be treated effectively by orthodontics alone. The recommended treatment will depend largely on the diagnosis.Surgery is often combined with orthodontic treatment and may take from several months to two years or more to complete. You must be prepared for the overall treatment to take a long time. In some patients, psychological counseling may be an important part of the treatment.Decide whether to have surgery after discussing the details with your surgeon. Your surgeon will be pleased to discuss the benefits, risks and limitations of treatment, and of not having treatment. Not treating a functional problem may :[gem_list type=”snowflake-style-1″ color=”2″]

The decision to have surgery is yours. Make the decision when you are satisfied with the information you have received and believe you have been well informed.[gem_icon_with_title icon_pack=”material” level=”h2″ icon_material=”f526″ icon_color=”#000000″ title=”Medical and dental history : “]Your surgeon will record your symptoms, previous treatment (if any), medical and dental history, and social and lifestyle factors. Your surgeon needs to know your complete medical and dental history to help plan the best possible treatment. You may be asked to complete a questionnaire.Give your surgeon a list of ALL medicines you are taking now or have been taking recently. This includes aspirin, cough medicines, hormone replacement medicines, and the contraceptive pill. Tell your surgeon if you have ever had an allergy or bad reaction to anitibiotics, any medicine or general anaesthetic.Tell your surgeon if you bleed heavily when you are injured or have surgery, or if you have any blood disorders, such as haemophilia. Surgery is usually not done during pregnancy. Advise your surgeon if you are, could be, or plan to become pregnant.[gem_icon_with_title icon_pack=”material” level=”h2″ icon_material=”f526″ icon_color=”#000000″ title=”Cost of treatment :”]Your surgeon can advise you about coverage by public health insurance, private health insurance and out-of-pocket costs. you may want to ask for an estimate which lists the likely costs. This includes the anaesthetist, medical and hospital fees, and other items. As the actual treatment may differ from the proposed treatment, the final account may vary from the estimate. It is better to discuss costs before and during treatment rather than afterwards.[gem_icon_with_title icon_pack=”material” level=”h2″ icon_material=”f526″ icon_color=”#000000″ title=”Principles of treatment :”][gem_icon_with_title icon_pack=”material” level=”h2″ icon_material=”f526″ icon_color=”#000000″ title=”Orthodontic treatment :”]You may need to have teeth removed before orthodontic treatment to make space for movement of remaining teeth.The orthodontist will straighten the teeth before surgery to make the surgery simpler and to ensure a stable result. Orthodontic treatment usually lasts about 12 to 24 months, and surgery will be undertaken at some interim point. During this time you will be wearing braces and may need to have them adjusted regularly.You may think that your bite is getting worse during orthodontic treatment. However when the surgeon moves your jaws into proper alignment during orthognathic surgery, the teeth will be in their proper position. Orthodontics in conjunction with orthognathic surgery can optimize your outcome.[gem_icon_with_title icon_pack=”material” level=”h2″ icon_material=”f526″ icon_color=”#000000″ title=”Clinical examination and records : “]Before your orthodontic treatment is complete, the surgeon makes final preparation for the surgical procedure. Further records are taken.The surgeon and orthodontist will arrange surgery when they determine that your teeth are in the correct position.Your surgeon may use X-ray examinations and models of your teeth and jaws to decide on the surgical procedure (to be performed on your jaws) and to anticipate the results.A plastic dental splint can be made from the models of your teeth and jaws to act as a guide for proper tooth and jaw alignment during the surgery.Other surgical procedures : your surgeon may suggest other procedures to maximize the outcome of the surgery, such as grafting or cosmetic procedures.[gem_icon_with_title icon_pack=”material” level=”h2″ icon_material=”f526″ icon_color=”#000000″ title=”Anaesthesia :”]Orthognathic surgery is performed in hospital under general anaesthesia, which puts you in a sleep-like state so there is no pain during surgery.In some cases, you will be admitted to hospital on the day of your surgery.Do not eat or drink anything for six hours before surgery. If your surgery will be performed in the morning, do not eat or drink after midnight the night before. Your surgeon will give you more instructions.Rarely, some select patients may need to donate their own blood before surgery. This is usually done two to four weeks before surgery. If there is significant blood loss during surgery, these patients can be transfused with their own blood. In some areas. A fee may be charged.[gem_icon_with_title icon_pack=”material” level=”h2″ icon_material=”f526″ icon_color=”#000000″ title=”Orthognathic surgery :”]The surgeon carefully cuts the bone and moves the jaw as required, for example, a small jaw may be lengthened, or a large jaw may be reduced in size. Incisions are usually made inside the mouth, so no scars appear on the face. If the surgeon has to make an external incision, care is taken to make it natural skin creases.Once the jaws are placed in the desired position, they are fixed permanently with small bone plates and screws.Depending on the complexity of the case, the surgery may take from one hour (for a single jaw procedure) to four hours (or more in some cases) for combined upper and lower jaw surgery.[gem_icon_with_title icon_pack=”material” level=”h2″ icon_material=”f526″ icon_color=”#000000″ title=”Hospital stay”]Your stay in hospital will typically vary from one to three nights depending on the complexity of the surgery and your rate of recovery. You will receive intravenous fluids and medications to prevent dehydration and infection, and to minimize swelling and pain.The intravenous line and drip will remain attached to your arm after surgery until you are able to drink properly and take all your medications by mouth. The quicker you begin eating, drinking and moving about, the quicker you will be discharged from hospital.[vc_single_image image=”32138″ img_size=”full” alignment=”center”][vc_single_image image=”32137″ img_size=”full” alignment=”center”][vc_single_image image=”32136″ img_size=”full” alignment=”center”][gem_icon_with_title icon_pack=”material” level=”h2″ icon_material=”f526″ icon_color=”#000000″ title=”Recovery after surgery “][gem_list type=”snowflake-style-1″ color=”2”]

Dissolving stitches are used in most cases. These dissolve gradually over three to four weeks. If they fall out earlier, do not worry, as long as there is no persistent bleeding

In some patients the jaws may be held together with orthodontic devices during healing.

Meticulous cleanliness and care of the mouth is essential for rapid healing and prevention of infection. Brushing is difficult during the first week after surgery. At least four times daily, rinse your mouth with warm salt water and chlorhexidine mouthwash as prescribed, especially after meals.

Eat only soft foods for four to six weeks until swelling and discomfort subside. Adequate nutrition is essential for healing. In the early stages, eat small portions five to six times a day, which will be difficult due to discomfort. Your surgeon can arrange dietary advice for you. In the later stages of healing, you can gradually return to a normal schedule of meals. Rinse your mouth immediately after each meal.

Take at least two weeks off work or school. A medical certificate can be supplied to cover you for 14 days or longer as required.

Your appearance may have changed somewhat, so you should be prepared for signs of surprise from your family and friends. It will not take long for them to adjust.

Your surgeon will inform you when you are ready to return to your orthodontist to adjust your bands. This is often two to three weeks after surgery. The braces will remain on your teeth for a further six to 12 months, so your bite may be adjusted by the orthodontist to give the best result.

After your orthognathic surgery, you may require a further six to 12 months of orthodontic treatment to help “fine tune” the position of the teeth and the bite. Your surgeon and orthodontist will want to see you periodically to be sure your teeth and jaws are staying properly aligned. Maintain good oral hygiene, and visit your family dentist regularly.[gem_icon_with_title icon_pack=”material” level=”h2″ icon_material=”f526″ icon_color=”#000000″ title=”Possible complications of orthognathic surgery :”]All surgical procedures have some risk. Despite the highest standards of surgical practice, complications are possible. While the surgeon makes every attempt to minimize risks, complications can occur that may have permanent effects.It is not usual for a doctor to dwell at length on every possible side effect or rare, serious complications. However, it is important that you have enough information to weigh up the benefits and risks of surgery. Most people having orthognathic surgery will not have complications, but if you have concerns about possible complications, discuss them with your surgeon.The following possible complications are intended to inform you, not to alarm you. There may be others that are not listed.[gem_icon_with_title icon_pack=”material” level=”h2″ icon_material=”f526″ icon_color=”#000000″ title=”General risks of surgery :”][gem_list type=”snowflake-style-1″ color=”2″]

[gem_icon_with_title icon_pack=”material” level=”h2″ icon_material=”f526″ icon_color=”#000000″ title=”Specific risk of orthognathic surgery :”][gem_list type=”snowflake-style-1″ color=”2″]

Report to your surgeon :Tell your surgeon at once if you develop any of the following :[gem_list type=”snowflake-style-1″ color=”2″]

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