Orthognathic surgery has two basic objectives: to improve facial harmony and aesthetics, and get a good aesthetic and functional dental occlusion. In addition, a widening of the upper airway is also generated and can eliminate apnea / hypopnea, to improve air flow. The results are very favorable, combining orthognathic surgery before and after orthodontics.
Orthognathic surgery: what is
Orthognathic surgery may be considered orthopedic surgery of the jaw. Is a point of teamwork between the maxillofacial surgeon and orthodontist. This type of intervention has two basic objectives: first, to improve facial harmony and aesthetics, and the second and not least, get a good aesthetic and functional dental occlusion. It is also capable of generating a widening of the light of the above pharynx and hypopharynx level airway, can eliminate episodes of apnea / hypopnea occurring during sleep of habitual snorer patient.
Who can undergo orthognathic surgery
This procedure is aimed at all those with abnormalities of growth and development maxillo-mandibular complex craniofacial syndromes, certain sequelae of facial trauma syndrome and patients with Obstructive Sleep Apnea (OSA) refractory to conservative measures.
Contraindications of orthognathic surgery
There are few absolute contraindications that would prevent a patient undergoing this type of procedure, being the age and associated comorbidities (conditions that increase anesthetic risk and complications intra / post-operative) the main reasons why your maxillofacial surgeon will advise against intervention. In all cases it will be verified that there are no conditions that contraindicate surgery under general anesthesia, periodontal treatments and relevant dental Conservatives made, and the wisdom teeth are exodonciarán, if necessary, at least six months before surgery.
Pretreatment to orthognathic surgery
The treatment sequence "Orthodontic-surgery orthognathic-orthodontic" will take place in the vast majority of cases. If you are interested in this type of intervention should know that it is very likely have to follow a pre- and post-surgery orthodontic treatment, in order to get a correct arrangement of the teeth relative to their skeletal base jaws, thereby increasing the effectiveness intervention to aesthetic and functional level.
Results of orthognathic surgery
It is important to note that the end result of orthognathic surgery in the hands of teams Maxillofacial Surgeons and specialized Orthodontists in this field is very favorable, significantly improving facial aesthetics, bite , and the airflow of the upper airway after surgery. Recurrence and poor outcomes often result from errors in planning and / or execution of treatment, decreasing drastically this situation by resorting to expert hands.
In the following images you can see examples of preoperative and postoperative. Orthodontics was conducted by Dr.. Carmen Fenollar as a partner because, as mentioned, orthognathic surgery requires pre- and post orthodontics.
Edited by Patricia Crespo Pujante