Maxillofacial Surgery Effect of Oral Dentistry

Oral and maxillofacial surgery to correct a wide spectrum of injuries and defects in the head, neck, face, jaws and the hard & soft tissues. A maxillofacial surgeon can remove severely impacted wisdom teeth, facial pain, Correction of Reduced Mouth Opening, fix overbites and jaw deformities. Maxillofacial surgery includes reconstructive surgery, the surgeon can rebuild areas of the face which are in need of it.Maxillofacial surgeons are usually initially qualified in dentistry and have undergone further surgical training.

Orthognathic surgery

Surgery to correct conditions of the jaw and face related to structure, growth, sleep apnea, TMJ disorders, malocclusion problems owing to skeletal disharmonies and  other orthodontic problems that cannot be easily treated with braces.Bones can be cut and re-aligned, then held in place with either screws or plates and screws.

The modification is done by making cuts in the bones of the mandible and maxilla, repositioning the cut pieces in the desired alignment. Usually surgery is performed under general anaesthetic and usg nasal tube this is to allow wiring the teeth together during surgery.

Cutting the bone is called osteotomy and in case of performing the surgery on the two jaws at the same time it is called a bi-maxillary osteotomy. The bone cutting is traditionally done using special electrical saws and burs, and manual chisels.

Ultra-Sound Waves has been introduced to cut the bones. The maxilla can be adjusted using a "Lefort I" level osteotomy. Sometimes the midface can be mobilised as well by using a Lefort II, or Lefort III osteotomy. These techniques are utilized extensively for children suffering from certain craniofacial abnormalities such as Crouzon syndrome.

The jaws will be wired together inter-maxillary fixation using stainless steel wires during the surgery to insure the correct re-positioning of the bones.

Who Needs Orthognathic Surgery ?

1. Difficulty in chewing, biting or swallowing.

2. Speech problems.

3. Chronic jaw or TMJ pain.

4. Open bite.

5. Protruding jaw.

6. Breathing problems.

After orthognathic surgery

1. Patients are often required to adhere to an all-liquid diet.
2. Diet is very important after the surgery to accelerate the healing process.
3. Normal recovery time can range from a few weeks for minor surgery and year for more complicated surgery.
4. Doctors will prescribe pain medication and prophylactic antibiotics to the patient.
5. Most of the swelling will disappear in the first few weeks but some may remain for a few months.
6. Patient must Visit the Surgeons for check-ups frequently.
7. It is very important to avoid any chewing until the surgeon is satisfied with the healing.

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