Orthognathic surgery is a type of surgical procedure that is performed to correct the positioning of the jaws. It is often used to treat patients who have misaligned jaws that are causing a range of functional and aesthetic issues.
The Esthetic Clinic is one of the best facilities in India with the best surgeon like Dr. Debraj Shome whom patients can trust to fulfill their needs, goals, and purpose for wanting to undergo orthognathic surgery.
Purpose of Orthognathic Surgery
Orthognathic surgery is typically recommended for individuals who have a misaligned jaw or an abnormal bite that can cause potential issues, such as difficulty chewing, speaking, and even breathing.
Some of the common conditions that orthognathic surgery can treat include:
An overbite also called a deep bite or a Class II malocclusion, is when the upper front teeth significantly overlap with the lower front teeth. This can be caused by issues such as a misaligned jaw.
Orthognathic surgery can address an overbite by repositioning the jawbones to achieve better dental alignment and facial symmetry.
During the surgery, the surgeon makes incisions in the gums and moves the upper and/or lower jawbones into a more favorable position. This may include advancing the lower jaw forward, moving the upper jaw backward, or a combination of both.
After he repositions the jawbones, he uses screws, plates, or wires, to stabilize them and close the incision. The goal of orthodontic treatment is typically to optimize the bite and improve dental alignment. It is usually used in conjunction with orthognathic surgery and may involve wearing braces before and/or after the surgery to move and keep the teeth in their ideal positions.
Recovery time varies from one patient to another but generally, patients are asked to stick to a soft-food diet for a couple of weeks while their jaw heals.
Orthognathic surgery may be an effective way to address an overbite, but it is a complex procedure that requires careful planning and coordination between the surgeon and the orthodontist.
Only qualified surgeons and orthodontists like Dr. Debraj Shome can determine if the treatment is suitable for different individuals’ needs.
Underbite can be said to be the opposite of overbite and even uses almost the same procedure to correct it. This occurs when the lower jaw protrudes further than the upper jaw causing it to overlap the upper jaw and resulting in a misaligned bite and facial asymmetry.
The surgeon makes an incision in the gum during the surgery and moves the upper and/or lower jawbones into their respective position. In this procedure, the practitioner may need to move the lower jaw backward, and the upper jaw forward, or do both.
He then stabilizes the jawbones with screws, plates, or wires, and closes the incisions. This is also used with orthodontic treatment to optimize the bite and improve dental alignment. Braces may be prescribed before or after the surgery to move the teeth to a favorable position.
After the surgery, patients are advised to stick to a soft-food diet for a few weeks while their jaw heals. Note that recovery is different from one patient to another. Some patients heal early, while others require more time.
- Open bite
When an individual has an open bite, their teeth do not meet properly. They leave a gap between the upper and lower teeth. This results in problems such as jaw pain, TMJ disorders, and difficulties with biting, chewing, and speaking.
Orthognathic surgery is also an effective way to address this condition. Incisions are made in the gum during the procedure, and the surgeon moves the upper and/or lower jawbones into a more favorable position. The jawbones are repositioned vertically, horizontally, or a combination of both.
After he moves them, the doctor then stabilizes them with screws, plates, or wires, and closes the incisions. Different patients take different times for recovery but generally, they may be asked to stick to a soft-food diet for a period of time as their jaws heal.
As with the other-discussed procedures, orthodontic treatment for an open bite is also used in conjunction with orthognathic surgery to optimize the effects of the surgery and improve dental alignment. Patients may wear braces to move and keep their teeth in position.
- Facial asymmetry
When one side of the face is larger or more prominent than the other, causing symptoms such as a crooked smile, an uneven jawline, and a lopsided face, it is considered facial asymmetry. Correcting the jaw and teeth misalignment with orthognathic surgery can improve the symmetry of the face, and make it look more appealing.
The procedure involves making precise incisions in the bones of the jaws to move them into the correct position. Depending on what the patient needs, the surgeon may move one or both jaws forward or backward, up or down, or a combination of these movements. Repositioning the jaws will improve the overall balance and symmetry of the face.
In addition to repositioning the jaws, orthognathic surgery may also involve adjusting the position of the teeth with orthodontic treatment, such as braces or clear aligners.
Process of Orthognathic Surgery
Orthognathic surgery is typically performed by an oral and maxillofacial surgeon, who is trained to perform surgical procedures on the jaws, face, and mouth.
There are several steps involved in the procedure from diagnosis and planning, to aftercare and recovery as follows;
Consultation: This is when a patient visits an orthognathic surgery clinic for a consultation about their problem. He/ she will discuss with the surgeon about their concerns, goals, and conditions, as well as the available treatment options, and if orthognathic surgery is most suitable.
Diagnosis and planning: The first step after consultation is to diagnose the issue, find out what the problem is, and develop a treatment plan. In this stage, the surgeon may carry out X-rays, photographs, and impressions of the teeth to create a 3D model of the jaw.
Preparatory procedures: After the planning, patients may need to undergo an orthodontic treatment before the surgery, to move the teeth into the correct position. This may involve wearing braces and aligners.
Surgery: The surgery itself typically involves making incisions in the jawbones and repositioning them using plates, screws, or wires. The whole procedure may take several hours depending on how complex it is.
Recovery: Patients remain at the hospital under the doctor’s care and watch after the surgery for a few days. This is to monitor their condition, and how they are responding to the treatment. They will also need to follow a strict diet and oral hygiene regimen to support optimal healing.
Benefits of Orthognathic Surgery
Some benefits of orthognathic surgery are:
- Improved function
By correcting the positioning of the jaws, orthognathic surgery can improve a patient’s ability to chew, speak, and even breathe. The jaws play a crucial role in these functions, and when they are misaligned, they can cause a variety of problems.
For example, when the jaws are misaligned, patients may find it difficult to bite and chew food properly, which may lead to digestive problems and malnutrition. Misaligned jaws can also cause speech problems, such as lisps or difficulty pronouncing certain sounds.
Some patients who have been diagnosed with health issues like breathing problems and sleep apnea have been shown to be caused by misaligned jaws.
Orthognathic surgery can address these issues by correcting the positioning of the jaws. The technique used will depend on individual patient cases. The surgeon may need to reposition the upper jaw, the lower jaw, or both.
By doing so, the bite will improve, which can then make it easier to chew and speak properly. And if the misaligned jaws were causing breathing problems, correcting them through surgery will also help alleviate this issue.
The jaws and jawlines play a big role in how the face looks. If there is a misalignment, it may cause facial asymmetry, which doesn’t really have an appealing look.
For example, an overbite or underbite can cause the chin to appear too prominent or too recessed, while a crossbite can cause the face to appear lopsided. Orthognathic surgery can address these issues by repositioning the jaws into their proper alignment, which can improve the overall symmetry and proportion of the face.
By correcting functional problems, and improving aesthetics, orthognathic surgery can have a significant impact on a patient’s self-esteem and confidence. Many patients who undergo orthognathic surgery report feeling more confident and comfortable with their appearance after a successful surgery.
On a side note, the primary goal of orthognathic surgery was to correct functional problems. However, more people in India and all around the world are now doing it to improve the appearance of the face.
Experienced cosmetic surgeons like Dr. Debraj Shome from reputable clinics such as The Esthetic Clinics have a long list of happy clients who have done cosmetic procedures and had their aesthetics improved. Any patients considering orthognathic surgery should work closely with a qualified oral and maxillofacial surgeon who can evaluate their case and help them determine if surgery is the right choice for them.
- Sleep apnea treatment
In cases where sleep apnea is caused by a misaligned jaw, orthognathic surgery can be an effective treatment option.
Sleep apnea is a sleep disorder in which breathing repeatedly stops and starts during sleep. This is often caused by the relaxation of soft tissues in the throat, which blocks the airway. In some cases, a misaligned jaw can cause the airway to become blocked or constricted during sleep, hence contributing to this problem.
Through orthognathic surgery, this problem can be addressed by repositioning the jaws to open up the airway and reduce the risk of airway obstruction during sleep. The procedure helps increase the size of the airway, hence alleviating sleep apnea symptoms.
- Increased self-confidence
By improving function and facial aesthetics, orthognathic surgery can significantly improve a patient’s self-esteem and confidence.
Many patients with jaw misalignment feel self-conscious about how they look, which can affect their social interactions and overall quality of life. Orthognathic surgery can address functional problems such as difficulty chewing, speaking, and breathing, while also improving the appearance of the face.
This can also result in a more symmetrical and proportionate appearance, which can help to boost a patient’s self-confidence.
Patients should note that orthognathic surgery is a major surgical procedure and may not be for everyone. The decision to undergo orthognathic surgery should be made in consultation with a qualified surgeon from a reputable clinic.
Risks of Orthognathic Surgery
Orthognathic surgery has many benefits including both functional and aesthetic benefits. However, just like all surgical procedures and other medical treatments alike, it also comes with a risk of complications such as;
Infection: Any surgical procedure poses a risk of infection at the surgical site. This is because once that cut is made, it provides an entry point for infection-causing bacteria and germs. Other factors that can cause infections to include poor oral hygiene, compromised immune system, or contamination during the surgical procedure.
Symptoms of infection may include pain, swelling, redness, fever, and drainage from the surgical site. Typically, these are treated with antibiotics, but in severe cases, additional surgical intervention may be required to drain the infected area.
Nerve damage: Nerve damage is another potential risk of orthognathic surgery. The procedure can damage the nerves that control sensation and movement in the face and mouth, as they are located in close proximity to the surgical site.
Symptoms of nerve damage include numbness, tingling, or loss of sensation or movement in the affected area. In extreme cases, nerve damage may be permanent, and may need corrective surgery.
Bleeding: Like infections, there is always a risk of bleeding complications during any surgical procedure and orthognathic surgery is no different. This may occur during or after the procedure because of the incisions and cuts made on the skin and/ or tissues.
Surgeons usually know what to do to control the bleeding. However, in severe cases, it may require extreme medical attention, such as transfusion or surgical intervention.
Pain and swelling: The surgery can cause pain, swelling, and discomfort, which can last for several weeks after the surgery. The patient may use remedies such as cold compressions and medication to alleviate pain and swelling.
The extent of pain and swelling can vary depending on the specific surgical technique used and the patient’s pain threshold. If they persist, the surgeon can prescribe stronger medication to help manage the patient’s discomfort during throughout the recovery period.
Changes in sensation: The surgery can cause changes in sensation in the face, mouth, and lips, which can be temporary or permanent. This may occur due to nerve damage or compression during the surgical procedure.
Usually, the sensation returns gradually as time passes and healing continues. However, in some cases, the sensation changes may be permanent.
Bite changes: Bite changes are a rare complication of orthognathic surgery. In some cases, the surgical procedure may cause changes in the bite that require additional treatment to correct, such as additional orthodontic treatment, further surgery, or other interventions.
Complications with anesthesia: Complications related to anesthesia are relatively rare, but they may occur. These may be caused by an allergic reaction or adverse side effects. When they happen, the surgeon and anesthesia team will carefully evaluate the patient’s medical history and current health status to determine the safest and most effective anesthesia approach for your surgery.
This is also another reason why patients should be open and honest with their surgeons about their medical history and health records. If they have any allergies, they should let the surgical team know to prevent the risk of complications.
It is hence important that a patient find a surgeon they can trust and be open with. At The Esthetic Clinics, the surgeon schedules consultation appointments before the surgery, where they provide a conducive environment for patients to discuss their concerns and goals.
The surgeon also discusses the potential risks and benefits of orthognathic surgery as well as what it can and cannot do, so the patients can have realistic expectations. It will also help make an informed decision about whether orthognathic surgery is the right choice.
Orthognathic Surgery Cost in India
Orthognathic surgery costs vary depending on a lot of factors. Patients will notice that how much it costs in Mumbai is not the same cost in other towns and cities in India. They may also find out that different clinics in the same town or city may be charging differently.
They are no one price fits all when it comes to orthognathic surgeries and other similar procedures. Some factors that may cause the difference in cost include;
- The geographical location of the clinic
- The type and technique used in the procedure
- Individual needs, preferences, and goals
- The level of services in the clinic (Some clinics may charge more because they are popular, have great reviews and high ratings, and offer premium services than others)
- The level of services of the surgeon (similarly to clinics, surgeons may charge more because of their status in their respective specialties)
The Esthetic Clinics offer multiple services and fair orthognathic surgery costs, and similar procedures. Patients can schedule an appointment with the surgeon for consultation and to discuss their goals so as to create a customized plan that addresses their individual concerns.
Orthognathic surgery is a complex surgical procedure that can have significant benefits for patients with misaligned jaws and abnormal bites. The surgery can improve function, aesthetics, and self-confidence, as well as treat sleep apnea in some cases.
Even with all these benefits, patients should be aware of the potential risk of complications that may occur following the surgery. It is important for them to work with a qualified surgeon and carefully weigh the benefits and risks before going through with the surgery.