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Using orthosurgery (jaw surgery combined with orthodontics): steps, risks and recovery process

• Hamed
• November 21, 1404
• 6:02 p.m
• no comment

Table of Contents

An introduction to orthodontic treatments and jaw surgery

Orthodontic treatment is one of the most well-known methods of correcting misalignment of teeth. But when the problem originates from the jaw bone or the shape of the facial skeleton, orthodontics alone cannot produce the desired result. In such cases, the doctor uses orthognathic surgery to return the jaw shape, facial fit, and mouth function to normal. This type of treatment is considered one of the most advanced approaches in modern dentistry and plays a decisive role in restoring the beauty and harmony of the face.

What is orthosurgery?

The word orthosurgery is composed of two Greek parts "Orthos" which means correct and "Gnatus" which means jaw; Therefore, its concept is "jaw correction surgery". This type of operation is usually performed in adults whose bone growth is complete and the position of the jaw can no longer be moved with orthodontics alone. The maxillofacial surgeon, in full cooperation with the orthodontist, moves the bones of the upper or lower jaw to their correct place to establish a natural relationship between the teeth and jaws.

Who needs orthosurgery together with orthodontics?

For some patients, the changes that need to be made in the position of the bone are beyond the power of brackets and conventional orthodontic treatment. The need for orthosurgery is seen more often in these conditions: severe forward or backward lower jaw, maxillary retraction, jaw deviation to one side, opening of the front of the mouth when the jaw is closed, temporomandibular joint pain (TMJ), breathing problems in sleep, and even speech disorders. In fact, when the face or oral function is affected by the bone structure, the combination of orthosurgery and orthodontics is the only definitive treatment.

Steps of orthosurgery treatment

The treatment process is carried out step by step and it usually takes between 18 and 30 months for the jaws and teeth to reach their final state.

The first stage - examination and diagnosis: At this stage, the orthodontist and the jaw surgeon jointly examine the general condition of the teeth, jaw bone and facial shape. Cephalometric radiographs, CBCT, profile and full-face photographs and analysis of jaw measurements are performed. Then the treatment plan is designed and the patient is informed about the details of the steps, cost, treatment duration and possible results.

The second stage - orthodontics before surgery: This part takes about 6 to 12 months and its purpose is not cosmetic, but to straighten the teeth in the correct position of the bone so that the jaw surgery can be done more precisely. Sometimes at this stage, the appearance of the teeth looks more heterogeneous than before, but it is important for the surgeon, because the position of the teeth must be completely realistic and predictable. The brackets remain on the teeth during the operation so that the cutting path and bone fixation can be done correctly.

The third stage - jaw surgery: It is performed in a hospital under general anesthesia. Depending on the patient's needs, the maxillofacial surgeon may correct the upper jaw, the lower jaw, or both. Bones are moved with precise incisions and then fixed with fine titanium screws or plates. Usually, the duration of the operation is between two and four hours, and the patient is discharged one to several days later.

The fourth stage - orthodontics after surgery: A few weeks after the surgery, the final reconstruction is continued with orthodontics to maintain the harmony of the teeth with the new jawbone. This stage lasts between four and twelve months, and at the end, the patient's smile becomes completely natural and balanced.

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The difference between orthosurgery and normal orthodontics

Normal orthodontic treatment is mostly done to correct misalignment of teeth. But in adults who have stopped growing, if the problem is from the bone structure, only orthosurgery can provide real correction. The length of simple orthodontic treatment is about one and a half years, while combined orthosurgery treatment may last up to two and a half years. In simple treatment, only the orthodontist is involved, but in orthosurgery, the orthodontist and the jaw surgeon must work together to align the teeth and bones.

Psychological and physical effect after treatment

The result of orthosurgery is more than correcting the function of the jaw; The overall shape of the face changes and the face becomes more harmonious. The lips are placed in a natural position, the profile is balanced and the proportion between the nose, chin and cheeks is restored. Many patients feel more confident after seeing their new face, because they no longer have mismatched features. This positive psychological effect is one of the important achievements of orthosurgery treatment.

New technologies in orthosurgery

Advances in digital design have made orthosurgery much more precise than in the past. Today, specialists use 3D simulation to plan surgery so that the position of the bones can be seen in the virtual environment even before the operation. Digital surgical guides, which are based on CBCT scans, play a key role in determining the exact location of the incision. Also, the new titanium plates and screws are lighter and stronger, allowing the bone to fuse more quickly. These technologies have made jaw surgery not only safer but also more predictable in terms of aesthetics.

Scientific and biomechanical importance of combined treatment

Scientifically, when the jaw deformity is related to the bone, if only orthodontics is done, the teeth will be in an unnatural position and improper pressure will be applied to the bone. This condition not only makes the appearance uncoordinated, but also disturbs chewing and breathing. Jaw surgery corrects the bone base so that the teeth can fit in a natural way. The joint approach of orthosurgery is known in modern dentistry as the most accurate way to treat skeletal abnormalities.

The total duration of orthosurgery treatment and the complete recovery path

It takes about 18 to 30 months from the first visit to the end of the stabilization period. In the first month, the treatment plan is designed; Then, six to twelve months of pre-surgical orthodontics are performed. After that, jaw surgery takes place in the hospital, which usually has a short stay. After the operation, the final orthodontic period lasts between four and twelve months, and in the last two to three months, stabilization and finalization of the occlusion is done. In the end, the shape of the jaws becomes completely stable and the teeth take on a harmonious beauty.

Final result of orthosurgery treatment

After completing all the steps, the patient reaches an ideal state not only in terms of beauty but also in terms of physiological function. The face becomes more symmetrical, the smile looks more natural, chewing and speech improve, and jaw joint pain disappears. After the treatment, most people feel that they have achieved real health and a harmonious face.

Common questions of patients about orthosurgery

Does orthosurgery hurt? During the operation, no pain is felt because the patient is under general anesthesia. After the operation, there is only slight swelling and pain, and it is controlled with prescribed drugs.

Does the stitch remain on the face? No, all incisions are made inside the mouth. There are no external scars on the skin.

Can the jaw return to its previous state? If orthodontics is performed after a complete operation and careful care, the possibility of return is almost zero.

How much is the cost of orthosurgery treatment? It varies depending on the type of surgery, the hospital, the complexity of the abnormality and the expertise of the doctors. summary Combined orthosurgery treatment is a deep and multi-stage process designed to correct bone abnormalities of the upper and lower jaw. The success of this procedure depends on the careful cooperation of the orthodontist and the maxillofacial surgeon, following the post-operative instructions and using modern imaging and bone stabilization equipment. Compliance with these principles will make the patient not only look more beautiful, but also achieve the normal functioning of the mouth and jaw system.

At the end, it is necessary to emphasize that the success of orthosurgery treatment depends on the selection of an experienced treatment team. One of the reputable and well-known centers in this field is Dr. Foroughi's Orthodontic Clinic, which uses modern knowledge, 3D digital equipment and close cooperation with maxillofacial surgeons to perform orthosurgery treatments with the highest precision and the least complications. In this clinic, patients are closely monitored from the diagnosis stage to orthodontics after surgery, so that the result of the treatment is completely normal in terms of functionality in addition to lasting beauty. The high experience of Dr. Foroughi's team in combined orthosurgery and orthodontics has made this center one of the first choices for jaw and face correction treatments in Iran.

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Using orthosurgery (jaw surgery with orthodontics): steps, risks and recovery process