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In moderate and severe cases, as the patient ages, they realize that “something is off” with their profile. This is only OK in cases of mild dentofacial deformities. Orthodontists worldwide often mask skeletal issues by correcting the bite. Most of our patients have had some sort of orthodontic treatment already in their past. There may be other circumstances involving children who have birth conditions or severe orthodontic problems where surgery is needed at an earlier age. The typical age that females stop growing is 15, and males typically stop growing at the age of 18. Usually, the surgery is only appropriate after an individual has stopped growing and the jaw and skeletal features are fully grown. Jaw surgery is usually not a procedure that is completed on children. Then, there is the post-surgical orthodontic treatment which should take anywhere between 4-6 months. The duration of the surgery depends on the procedure being done and the complexity of the case. Patients are typically given a general anesthesia prior to surgery. Once your surgeon feels that the teeth are properly aligned, the surgery would take place. It is important that the patient’s bite is aligned and when the jaw is being repositioned. Orthodontic treatment assists in straightening the teeth prior to and after the surgery is completed. This may take anywhere from 6-24 months depending on the case. The next phase is to start your presurgical orthodontic treatment. You will be informed about all the details. At this point, it will be decided if you would need to remove your wisdom teeth or bicuspids. Jamali will then discuss your case with the orthodontist and plan the surgery. In our office, we do many cases with Invisalign. You will discuss the options of different types, length and cost of orthodontic treatment with your orthodontist. Jamali will assist you in choosing a qualified orthodontist to start the presurgical orthodontic treatment. Jamali suggests seeing a surgeon first to determine if you are a good candidate for surgery. Upper jaw surgery recovery may involve a bite guide so that the bite alignment remains correct during recovery.ĭr. Some patients may need bone to be added to or removed from the jaw. As in lower jaw surgery, screws and surgical plates are utilized to fasten the jaw to the new position that it was moved to. The jawbones are able to be moved specifically where the patient needs them to be. Upper jaw surgery differs from lower jaw surgery in that the surgeon will separate the tooth-bearing area of the jaw so that the base of it can be moved down, up, forward, and backward.
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The surgeon will then insert screws and surgical plates to reposition the bone segments.
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The front area is actually supports the teeth and will allow for the lower portion of the jaw to be moved forward or backwards. Therefore, there is never a gap in between. This is in the sagittal plane, therefore, called bilateral Sagittal split osteotomy. If surgery is completed on the lower jaw, the rear part of the jaw is usually separated from the front part of the jaw.
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Lower and upper jaw surgeries vary based on each individual.