Orthodontic Surgery

What is orthosurgery?

what is orthosurgery

Orthosurgery is one of the most up-to-date methods for treating oral and dental anomalies. In this method, surgery and orthodontics are done together. Orthosurgery is also called orthognathic. The order and beauty of human teeth and jaws have a great influence on their beauty. Imagine you have irregular teeth and your jaw is in bad shape. In such a situation, you are certainly embarrassed to laugh. Irregular teeth isolate you mentally because you constantly get the impression that you are under others’ microscope. However, do not worry, thanks to orthosurgical treatment, you can resolve the worst complications of the teeth and jaw.

What is orthosurgical treatment?

The combination of orthodontics and maxillofacial surgery is called orthosurgery. When you visit an orthodontist for orthodontics of your teeth, the condition of your teeth and jaw should be checked first through various tests and images. Most people undergoing orthodontic treatment also have jaw anomalies. Now, if this anomaly is mild to moderate, the orthodontist uses the same orthodontic procedure to arrange the irregular teeth and shape the patient’s jaw. However, sometimes the jaw anomaly is so severe that requires maxillofacial surgery during orthodontics. The patient’s age is an important factor in choosing orthosurgery treatment, which is considered by an experienced orthodontist prior to any other action.

before and after of orthosurgery treatment

Stages of orthosurgical treatment:

Orthosurgical treatment includes the following steps:

  • Given that both orthodontics and maxillofacial surgery are done in orthosurgery, the patient should be under the supervision of both orthodontists and maxillofacial surgeons during the examination sessions. Finally, the specialists design the treatment method and plan and the treatment begins. I also suggest that you see an orthodontist with a surgical fellowship so that you do not have to see several physicians at the same time for a complete and perfect treatment.
  • In most cases, for orthosurgical surgery, orthodontics is performed first. Orthodontics must be performed before surgery to achieve the desired result at the end of treatment. Otherwise, the treatment will be unsuccessful.
  • Maxillofacial surgery in orthosurgical treatment begins when the orthodontist considers the patient’s teeth are at their best order.
  • For maxillofacial surgery, orthodontic equipment does not need to be removed from the patient’s mouth. The patient undergoes maxillofacial surgery with the very orthodontic wires.

Appropriate time for orthosurgery

The question of when to start orthosurgical treatment always arises. As you know, most of the skeletal growth is up to the age of 18, which means that after that, fewer changes occur in the bones, so the orthodontist believes that the best time for orthosurgery is between 17 to18 years of age; at this time, the ideal result is obtained from orthosurgical treatment.

Applications of orthosurgical surgery

Orthosurgical treatment helps patients to regain their health and beauty even if they are in the worst case of dental and jaw anomalies. The following options can be mentioned about the use of orthosurgery:

  • In people with genetic disorders of the teeth and jaw and patients with the syndrome.
  • Patients may develop severe jaw anomalies as a result of injuries such as accidents, falls from height, objects hitting the jaw, and so on. Orthosurgery is also very helpful in this situation.
  • Some patients have a large protruded maxilla or a small mandible, or vice versa, their maxilla is small or their mandible is large and protruded. These patients need maxillofacial surgery.
  • Some patients have congenital anomalies, but this article does not deal with genetic issues. Sometimes, when the newborn is passing through the birth canal during vaginal delivery, the pressure on the neonate’s face can lead to jaw anomalies and therefore the need for orthosurgery.

Symptoms of needing orthosurgery

If you have irregular teeth but you are hesitant to choose orthodontic and orthosurgery, you can reach some general conclusion before visiting an orthodontist and maxillofacial surgeon based on the following symptoms:

  • Stand in front of a mirror and place the maxillary and mandibular teeth on one another. Do they match?
  • Excessive protrusion of the maxilla and retrusion of the mandible are other signs of the need for orthosurgery.
  • Excessive protrusion of the mandible and retrusion of the maxilla are other signs of the need for orthosurgery.
  • Jaw deviation on both sides can also be a sign of the jaw anomaly, and if the teeth are irregular, the best treatment is to seek orthosurgical help.

FAQ about orthosurgery

1- How long should orthodontic brackets remain on the teeth before maxillofacial surgery?

Brackets are placed 12-18 months before surgery to prepare your teeth for surgery.

2- Is maxillofacial surgery difficult?

Jaw surgery is uncomfortable for the first few days after surgery, but because the results of the treatment are very satisfactory, the advantage of surgery worth the trouble.

3- Can I receive corrective jaw surgery without orthodontics?

Orthodontic treatment is almost always needed. When the jaws are in the wrong position, the teeth naturally compensate for the skeletal problem. The teeth are tilted to reduce the position of the defective skeleton. Prior to surgery, the orthodontist should move the teeth to a position where the jaws are properly aligned.

4- What foods should the patient avoid after jaw surgery?

Hard foods or foods that require a lot of chewing, such as pizza, apples, popcorn, peanuts and nuts, and hard meats, should be avoided for the first three months after surgery and liquid foods should be used for the first week after surgery.

5-Can I brush my teeth after maxillofacial surgery?

The patient can brush about two weeks after the operation when the incision is completely healed. A small soft toothbrush should be used.

6- Is maxillofacial surgery necessary?

Jaw surgery is needed to correct a variety of anomalies such as severe maxillary or mandibular protrusion as well as severe maxillary or mandibular retrusion. Jaw deviation in adulthood must also be resolved through surgery.

7- What foods should be used after maxillofacial surgery?

You should use very soft foods such as mashed potatoes or a variety of soups. Liquid supplements help ensure you get protein, vitamins, and minerals.

8- How long does maxillofacial surgery take?

The length of surgery depends on the type of jaw anomaly. Routine surgery on a jaw usually takes 1-2 hours. A surgery that involves several operations may take 4-5 hours.

9- Is maxillofacial surgery dangerous?

When performed by a maxillofacial surgeon, maxillofacial surgery is safe, and is often performed in collaboration with an orthodontist.

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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