What is Orthognathic Surgery?
Orthognathic surgery is also known as corrective jaw surgery. It is used to treat a variety of facial and jaw abnormalities in which the facial bones and teeth are not correctly developed. This results in difficulty with chewing, speech, and jaw function. In many cases, the facial appearance is affected by this problem.
Orthognathic means "straight jaws", and orthognathic surgery corrects these jaw and facial deformities, usually in conjunction with an orthodontist, however, in certain cases braces are not required. Therefore, after the jaws are corrected, the teeth will come together properly.
How do I Correct a Malpositioned Jaw?
Braces alone will not correct malpositioned jaws which cause an abnormal bite, therefore, orthognathic surgery is required. Abnormal jaw and facial development can be genetic or acquired due to disease or injury. When the jaws are not properly developed or proportioned, problems such as difficulty chewing, jaw and facial pain, speech abnormalities and dental problems can result. Using advanced surgical techniques, the facial bones can be repositioned in order to restore proper function and facial appearance.
In the past, thin wires were used to support the bones in the new positions, but because this was not stable, the patient also had to endure periods of 6 to 12 weeks of "intermaxillary fixation," or having their teeth and jaws wired together. Not only was this uncomfortable, but oral hygiene was difficult and post-operative weight loss was a problem.
Today, miniature titanium plates and screws are used to fixate the facial bones in their new relationship. This is much more comfortable for the patient, more stable and does not require ‘restriction’ of the jaws. Therefore, you are able to freely open and close your mouth immediately after surgery, and during the entire healing process. Dr. Provenzano has not restricted any orthognathic surgeries for nearly 20 years.
This, in combination with new instruments and anesthetic techniques, has allowed orthognathic surgery to be safer and more effective, and is much easier for the patient to undergo.New advances in orthodontics have also allowed the total treatment times to be shortened.
