Orthognathic surgery is a type of maxillodental surgery used to correct jaw and facial defects caused by genetics or by trauma (accidents). These various defects might cause apnea, breathing problems, severe jaw discrepancies (the excessive protuberance of one jaw forward or sideways), malocclusions (biting problems), misaligned teeth, and other problems. In cases of misaligned teeth, orthognathic surgery is used when braces are not an appropriate solution.
Like any surgery, the patient will need to go through a series of tests and answer questions to establish viability. These include consideration of your general health as well as images of your dental and jaw structure in order for the dentist to plan the surgery.
A maxillofacial surgeon performs the surgery, sometimes with the assistance of an orthodontist. The patient is placed under general anesthesia to prevent them from feeling any pain or discomfort. The surgery takes place at the dentist’s office and typically lasts for about one hour.
During the surgery, the skin is not opened, rather, the surgeon works through the inside of the mouth, avoiding scarring or alterations of the patient’s skin. The bone may be cut, modified, or moved in order to improve the condition of the dental structure to establish a more regular position and form.
After the procedure, the patient will be on a soft or liquid diet and need to stay in bed for a day or two. The stitches will have to be left in place for a week and strenuous activity, like exercise will be limited for a couple of weeks. Typically, a patient will take antibiotics and painkillers for a week.
In iSmile Costa Rica each of our operated patients are digitally planned using tip tomography.