Corrective jaw (orthognathic) surgery is needed when jaws don't meet correctly and/or teeth don't seem to fit with jaws. Teeth are straightened with orthodontics and corrective jaw surgery repositions misaligned jaws. This not only improves facial appearance, but also ensures that teeth meet correctly and function properly.
Who Needs Orthognathic Surgery?
People who can benefit from orthognathic surgery include those with an improper bite or jaws that are positioned incorrectly. Jaw growth is a gradual process and in some instances, the upper and lower jaws may grow at different rates. The result can be a host of problems that can affect chewing function, speech, long-term oral health and appearance. Injury to the jaw and birth defects can also affect jaw alignment. Orthodontics alone can correct bite problems when only the teeth are involved. Orthognathic surgery may be required for the jaws when needing repositioning.
Difficulty in the following areas should be evaluated:
difficulty in chewing, biting or swallowing
speech problems
chronic jaw or TMJ pain
open bite
protruding jaw
breathing problems
Any of these can exist at birth or may be acquired after birth as a result of hereditary or environmental influences or the result of trauma to the face. Before any treatment begins, a consultation will be held to perform a complete examination with x-rays. During the pre-treatment consultation process, feel free to ask any questions that you have regarding your treatment. When you are fully informed about the aspects of your care, you and your dental team will make the decision to proceed with treatment together.
Before Surgery
After Surgery
Patient presented with a “long” lower jaw and a “small” upper jaw, giving her an underbite and a profile with a flat upper face and an excessive lower jaw projection. After orthognathic surgery her bite has been corrected and her profile is “normal”.
Before Surgery
After Surgery
Patient presented with a short lower jaw and an excessive upper jaw giving her a deep overbite. After orthognathic surgery and chin surgery she has adequate chin and lower jaw projection and her upper jaw is in its appropriate position. This produces a more “harmonious” profile.
Patient with short upper jaw and long lower jaw before surgery
After surgery, and after orthodontics was completed, the facial structures are in their appropriate positions and the face is more harmonious. Her bite is corrected and has better function.
Patient with short lower jaw and a deep bite
After surgery to advance the lower jaw and completion of orthodontics.
Technology and Orthognathic Surgery
Dr. Miremadi uses modern computer techniques and three-dimensional models to show you exactly how your surgery will be approached. Using comprehensive facial X-rays and computer video imaging, we can show you how your bite will be improved and even give you an idea of how you'll look after surgery. This helps you understand the surgical process and the extent of the treatment prescribed and to see the benefits of orthognathic surgery.
If you are a candidate for Corrective Jaw Surgery, Dr. Miremadi will work closely with your dentist and orthodontist during your treatment. The actual surgery can move your teeth and jaws into a new position that results in a more attractive, functional and healthy dental-facial relationship.
