The opportunity to smile heartily, laugh joyfully is not perceived by most people as something special, because it does not require effort, and for others it looks like a sign of affection. However, with congenital or post-traumatic defects of the upper and lower jaws, a person often tries not to smile at all, since this simple action causes embarrassment and sympathy among others. Orthognathic surgery to correct the jaws is designed to correct this defect and, according to estet-portal.com, significantly improves the quality of life of patients.
Who and in what cases requires surgical correction of the jaw
Orthognathic surgery is in many cases medically indicated. It is usually recommended:
• in case of unsuccessful consequences of surgical correction of a congenital palatine cleft;
• with underdevelopment of the lower jaw or, conversely, its too massive shape;
• with excessive growth of the lower jaw;
• with disproportionate development of the jaws with anomalies of the dentition.
Orthognathic surgery can be performed on both the lower and upper jaw. It allows you to correct the shape and ratio of the jaws, their size and location.
Surgical correction of the jaw makes it possible to correct the bite and restore harmonious facial proportions, affect breathing and diction, and significantly improve the patient's appearance.
Orthognathic surgery can be combined with cheiloplasty, mentoplasty and rhinoplasty – operations to correct breathing and chewing functions, improve the condition and appearance of the lower third of the face.
Peculiarities of preparing a patient for surgical correction of the jaw
Orthognathic surgery is usually performed in close cooperation between the surgeon and the orthodontist. A patient wishing to correct the jaws must clearly understand that surgery will only correct skeletal deformities, improve the bite, but will not be able to change the misalignment of the teeth.
Before performing orthognathic surgery, it is necessary to properly prepare the dentition so that after the displacement of the jaws, it is not necessary to correct the inclination of the teeth and align them.
Bracket systems are used to prepare the dentition, if necessary, prosthetics, tooth extraction, crown exposure, correction of the frenulum and lateral strands are carried out.
When planning an operation to correct the jaws, they make casts, x-rays, computed tomography with three-dimensional modeling.
Difficulties of surgical correction of the jaw and the rehabilitation period
The level of complexity and, accordingly, the duration of the operation to correct the jaws depends on the planned volume of intervention.
Correction of the upper jaw can be complete and fragmentary. In the first case, through the incisions above the teeth and in the area below the eye sockets, the entire jaw, together with the palate and teeth, moves in the right direction. With fragmentary correction, only separate parts of the – bones of the cheekbones or upper jaw, upper dental arch. All moved segments are fixed with titanium plates or screws. The lower jaw is corrected through bone incisions behind the molars, osteotomy can also be complete and fragmentary.
Recovery after orthognathic surgery is long and quite difficult. It requires constant monitoring by the doctor and scrupulous adherence to the recommendations of the patient.
Immediately after the operation, a pressure bandage is applied to the face, fixing the forehead, cheeks and chin. It is worn during the day, the stitches are removed after 10-14 days, and the screws from the jaws are removed after 3-4 months.
Read also: The third point of facial harmony: the aesthetic value of chin shape correction
Share:
Add a comment