Jaw Surgery: Correcting Misalignment and Improving Oral Function
Orthognathic or corrective jaw surgery is a highly complex, specialized procedure. At 47 North Oral Surgery, our team of expert surgeons performs this procedure with precision and care, addressing functional or aesthetic issues related to the jaw. There are a variety of reasons an individual might need jaw surgery, each with unique concerns:
- Jaw Misalignment: When the upper and lower jaws don’t align properly, biting, chewing, and speaking can be difficult. Orthognathic surgery can reposition the jaws to improve functionality and comfort.
- Misaligned Teeth: Orthodontics alone may not fully correct severe cases of misaligned teeth. Surgery ensures the jaw alignment necessary for proper bite and long-term dental health.
- Facial Asymmetry: Uneven jaw development can lead to noticeable facial asymmetry, leading to self-consciousness and esteem issues. Corrective jaw surgery helps restore balance and symmetry to the face.
- Traumatic Injuries: Accidents or trauma to the jaw can lead to fractures or other damage that affects jaw alignment and function. Surgery repairs these injuries, restoring appearance and function.
- Congenital Defects: Certain birth conditions, such as a severe cleft palate or underdeveloped upper or lower jaw, may require jaw surgery to correct functional issues and improve appearance.
- TMJ Disorder and Related Jaw Pain: Chronic pain caused by temporomandibular joint (TMJ) disorders can sometimes be resolved with jaw surgery, which addresses structural issues contributing to TMJ dysfunction and the associated pain.
- Sleep Apnea: Orthognathic surgery is sometimes recommended for patients with sleep apnea when less invasive treatments are ineffective. Although this is usually a last resort, repositioning the jaw can improve airflow and reduce breathing obstructions.
Jaw Surgery Process
Patients who need jaw surgery begin with a comprehensive evaluation by one of our surgeons and an orthodontist. This includes X-rays, 3D imaging, and detailed treatment planning to determine the surgical approach. Patients may undergo orthodontic treatment before surgery to align their teeth in preparation. In most cases, patients must wear braces for 12-18 months before surgery. These procedures are reviewed with the patient before any treatment plan is begun.
On the day of surgery, we place the patient under general anesthesia. The surgeon makes incisions inside the mouth to access the jawbone to reduce or eliminate any visible scarring. The jaw is then repositioned and secured using plates, screws, or wires. In some cases, we may use bone grafts to fill gaps or support the jaw. The procedure can last several hours, depending on its complexity. While orthognathic surgery is generally safe, like any surgical procedure, it carries some risks, including infection, bleeding, and nerve damage. The surgeons at 47 North Oral Surgery perform all orthognathic surgery in a hospital setting for the safety and comfort of our patients.
Recovery Following Orthognathic Surgery
Recovery is a gradual process that requires patience and adherence to post-operative instructions. Patients experience swelling, bruising, and discomfort in the first few days, manageable with medication and cold compresses. A liquid or soft food diet is necessary during the initial healing phase to avoid stress on the jaw.
Over several weeks, swelling subsides, and patients gradually transition to regular foods. Orthodontic adjustments may continue to fine-tune the bite. Full recovery and stabilization of the jaw typically occur within 6-12 months, though most patients resume normal activities within 4-6 weeks.
Follow-up appointments are crucial to monitor healing and address any concerns. Throughout recovery, our oral surgeons collaborate with the patient’s orthodontist to make sure the jaw and teeth are healing properly and the bite is properly aligned. With proper care, orthognathic surgery can significantly improve jaw function, facial aesthetics, and quality of life.
To learn more about how orthognathic surgery can help you or to schedule a consultation with one of our oral surgeons, contact us.