Orthodontic Surgery

Orthodontic surgery or orthognathic treatment

orthodontic surgery orthognatic treatmen

Orthodontic surgery is frightening for some patients, which usually arises from their insufficient information in this regard. The most important issue to inform the patients of advantages and disadvantages of each treatment. The term “orthognathic treatment” refers to orthodontics along with jaw surgery.


If patients with jaw deformities refer an orthodontist before puberty, they can be treated with orthodontics alone without the need for surgery, but surgery will be required in the case of late visit. Orthosurgery or orthognathic patients are those with a jaw problem visiting an orthodontist after puberty. These patients first undergo presurgical orthodontics, then are referred to a maxillofacial surgeon, and finally undergo postsurgical orthodontics.


Types of orthognathic surgery

Presurgical orthodontics is performed to arrange the misaligned and crowded teeth because the maxillofPresurgical orthodontics is performed to arrange the misaligned and crowded teeth because the maxillofacial acial surgeon cannot operate the jaws until the teeth are regular. Therefore, orthodontics is the prerequisite for surgery. Postsurgical orthodontics is used to further coordinate the operated jaws, improve dental order, correct any tooth rotation and stabilize surgical treatment.

The surgery is performed in a hospital under complete anesthesia. If the maxilla is retruded, which is called maxillary deficiency, it should be extended through a procedure known as maxillary advancement surgery. If the maxilla is protruded, which is called maxillary protrusion, it should be retracted through a procedure known as maxillary set back surgery. If the mandible is retruded, which is called mandibular deficiency, it should be extended through a procedure known as mandibular advancement surgery.

Patients with a protruded mandible or mandibular prognathism undergo mandibular set back surgery, and those with deep bite or open bite undergo Lefort surgery. It should be noted that this is a team treatment performed by an orthodontist and a maxillofacial surgeon. The treatment process must be done correctly; otherwise it will be difficult to achieve the intended results. Maxillofacial surgeries are among simple surgical treatments that often require only one day of hospitalization.

Surgical treatment or orthodontic treatment

Dr Abdolreza Jamilian Orthodontist
About Dr Abdolreza Jamilian Orthodontist

Dr. Jamilian, an orthodontist, has a specialized fellowship in orthodontic surgery and maxillofacial abnormalities and is a full-time professor in the orthodontics department of the Dentistry School of the Islamic Azad University. He is member of Iranian and European Board of Orthodontics (EBO) and is a member of the Iranian, American and European Orthodontists Association.

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