Investigation of mandibular surgery and the reasons for doing it

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Unlike some cosmetic procedures that only focus on appearance, this surgery is a combination of cosmetic and functional interventions that can significantly improve the quality of life of patients. If you are also looking for detailed information about this surgery, Setar Shargh Dental Clinic can be your best guide in this direction. When is mandibular surgery needed? Lower jaw surgery is necessary when jaw abnormalities cause functional or aesthetic problems. These problems can be congenital or caused by an accident, abnormal jaw development, or other medical conditions. In the following, we will introduce some of these problems. - **Severe bite problems and jaw abnormalities:** People with severe bite abnormalities (Malocclusion) often need this surgery to improve chewing and speech function. Some common problems include: - **Overbite (excessive upper jaw):** In this case, the upper jaw is too far ahead of the lower jaw, which causes chewing problems and an unbalanced facial appearance. - **Underbite:** This condition occurs when the lower jaw is in front of the upper jaw. Severe underbite may lead to speech and functional problems. - **Crossbite:** In a crossbite, some of the upper teeth fit into the lower teeth, which can cause problems in chewing and adjusting the teeth. - **Open Bite:** In this situation, when the mouth is closed, a gap is created between the upper and lower teeth, which can negatively affect speech and chewing. ### functional and medical problems Mandibular surgery not only solves appearance problems, but also is very effective for solving functional problems. In the following, we will examine some common functional problems: - **Problems of chewing and swallowing:** People who have jaw abnormalities usually face problems in chewing and swallowing. This may cause pain, tiredness of the jaw and not properly digesting food. - **Speech disorders:** Jaw problems can affect the pronunciation of some sounds. This surgery can help improve speech clarity - Temporomandibular joint disorders (TMJ): This disorder causes pain and limitation of jaw movement. In some cases, surgery is necessary to reduce its symptoms. - **Improper breathing and sleep apnea:** People who have breathing problems such as sleep apnea may need jaw surgery to improve the airway. ### beauty problems and facial asymmetry Jaw asymmetry can affect the overall appearance of the face and decrease people's self-confidence. Asymmetry generally includes the following: - **Big or small mandible:** The mandible is too big or small, which disturbs the balance of the face. - **Asymmetry of the lower jaw:** In some people, one side of the lower jaw is larger than the other side, which causes abnormalities in facial symmetry. Types of mandibular surgery Depending on the type of problem and its severity, mandibular surgery is divided into two categories: correction of mandibular abnormalities and treatment of jaw injuries. In cases where the lower jaw is further or further back than normal, corrective surgery is performed; But in case of injuries caused by accidents, reconstructive surgery methods are used to restore the normal function of the jaw. ### Correction of mandibular abnormalities In this method, the jawbone is moved to a new position and fixed with screws and special plates. This surgery helps to improve chewing function, speech and facial appearance. ### Treatment of jaw injuries with surgery If the lower jaw is damaged due to trauma or fracture, surgery is performed to repair the bone and restore its function. This surgery involves fixing fractures using metal screws and plates. In severe cases, a bone graft may be needed to reconstruct the damaged area. Steps of performing mandibular surgery Mandibular surgery includes several steps, each of which has an important role in the success of the operation. In the following, we will fully review these steps. ### Initial examination and diagnosis by a specialist The first step of mandibular surgery is a detailed examination by a maxillofacial surgeon. The doctor examines the condition of the jaw, teeth and how they are closed and diagnoses possible problems. At this stage, tests such as taking pictures and taking impressions of the teeth may be done for a more accurate evaluation. ### Imaging and treatment plan design After the examination, the doctor uses imaging methods such as panoramic radiography and CT scan to observe the jaw structure in detail. These images help the specialist to evaluate the position of the jaw bones and determine the best surgical method. Based on this data, a treatment plan is prepared, which includes the details of the surgical procedures and required changes. ### How to perform surgery and its duration Mandibular surgery is usually performed under general anesthesia and takes between 2 and 4 hours, depending on the amount of correction required. In this procedure, the doctor makes incisions inside the mouth to access the jawbone and move it to its new position. After surgery, metal screws and plates are used to hold the bones in place so that the jaw can fuse properly in its new position. Mandibular surgery complications and recovery period After surgery, complications such as pain, swelling, numbness, bruising and difficulty opening the mouth are common. These side effects usually improve within a few weeks, but to control them, you need to take medicines prescribed by the doctor. Some patients may experience permanent changes such as permanent numbness, temporomandibular joint (TMJ) problems, or jaw misalignment after surgery. The recovery period for mandibular surgery is usually between 4 and 6 weeks, but full recovery may take several months. **Comparison of recovery time** ### Methods to reduce complications and manage pain after surgery Using ice compresses in the early days helps to reduce swelling and accelerates the healing process. Taking painkillers as prescribed by the doctor is one of the main methods of pain control after surgery. Rinsing the mouth with water and salt or special mouthwashes helps to prevent infection. How much does mandibular corrective surgery cost? Costs in public hospitals are usually lower than in private clinics. Some clinics also charge more due to the use of advanced equipment. Some insurances cover part of the cost if the surgery is therapeutic (not cosmetic). It is better to consult with your insurance company before surgery. The cost of mandibular surgery depends on various factors, but includes the following: - Fee of surgeon and medical team - hospital or clinic fee - Cost of drugs and surgical equipment - Cost of examination sessions before and after surgery How to find the best mandibular surgeon in East Tehran? In the first place, it is very important to check the scientific and experimental records of the surgeon. Doctors who have completed specialized orthognathic courses and have successful examples of surgery are suitable options to perform this procedure. Visiting patients who have already been operated by this doctor and observing their level of satisfaction can provide valuable information. In addition to the doctor's expertise, reliable medical centers with advanced equipment can provide safer and better conditions for performing the operation and the recovery process afterwards. To choose the best jaw surgeon in East Tehran, you should check the opinions of other patients on related websites and social networks. Applicants for this surgery should consult with several doctors before making a final decision and make the most suitable choice after comparing the options. Care after mandibular surgery The patient should use soft foods such as soup, puree and natural juices. Until complete recovery, avoid eating hard, hot and spicy foods. Strenuous sports activities and heavy lifting should be limited for several weeks after surgery. Light walking is good for improving blood circulation. Anti-inflammatory drugs and antibiotics should be taken as prescribed by the doctor. Avoid arbitrarily taking illegal drugs. Mandibular surgery without orthodontics: is it possible? It is possible in some cases, but surgery is usually performed along with orthodontics to align the jaw and teeth properly. Surgery combined with orthodontics causes more coordination of teeth and improves jaw function. On the other hand, surgery without orthodontics is usually performed for cases where there is no need to change the position of the teeth. People who have skeletal jaw problems, but their teeth are in the right position, can perform jaw correction surgery without the need for orthodontics. Summary In addition to improving chewing and speech function, mandibular surgery can have a positive effect on facial beauty. The cost of this surgery depends on factors such as the skill of the surgeon, the type of operation and the condition of the patient. In this article, we explained the steps of surgery and after care. If you intend to perform this procedure, we suggest you contact Setareh Shargh Dental Clinic for more information.