The irregular position of the jaws and their underdevelopment often lead to an irregular bite. Orthognathic treatment is a method of treatment in which the combination of orthodontic and surgical treatment corrects the irregular position of the jaws or the underdevelopment of one or both jaws.
During orthognathic treatment, orthodontic preparatory treatment before and after jaw surgery is necessary. Orthodontic preparatory treatment is the straightening of the teeth by wearing braces or teeth straightening grafts until the position of the jaws is corrected, and surgical treatment is surgery on one or both jaws, in which the jaws are placed in a new and correct position.
When a patient experiences problems with chewing function
Orthodontic treatment alone is not enough to achieve a proper, functional bite if there is a mismatch in the relationship between the jaws.
When a patient is unhappy with their facial features
This can result from an incorrect jaw position or underdevelopment of one or both jaws. Such conditions may lead to psychological issues and low self-esteem.
This treatment is also recommended in cases of diagnosed obstructive sleep apnea
A chronic condition characterized by repeated breathing interruptions during sleep. Improper jaw positioning can be one of the contributing factors in its development.
Malocclusion (improper bite) should be treated for the following reasons:
An improper bite can lead to inefficient chewing, making it difficult to bite and/or swallow food. Poorly chewed food may also contribute to digestive problems.
Bone loss can lead to tooth mobility.
When teeth are misaligned, plaque accumulates more quickly, leading to inflammation of the surrounding gum tissues. Because misaligned teeth are harder to clean, they are also more susceptible to cavities.
Chewing forces are distributed unevenly, causing certain teeth to wear down faster due to excessive load. This increases the risk of developing periodontal disease and makes restoration of these teeth more difficult.
Temporomandibular joint dysfunction (TMJ disorder) may occur, manifesting as pain, clicking sounds, or limited mouth opening.
Bite anomalies can also affect breathing. The person may begin to snore and could be diagnosed with sleep apnea. Due to insufficient oxygen supply during the night, the individual may constantly feel tired and unrested. This impacts other systems in the body as well.
Unfavorable facial features resulting from jaw misalignment can negatively affect a patient’s emotional and psychological well-being.
Following a consultation with an orthodontist and a referral to an oral and maxillofacial surgeon, orthognathic diagnostics are performed. These include a CT scan, lateral cephalogram, standardized photos following the orthognathic protocol, a digital dental assessment, and diagnostic dental models.
Before the consultation with the oral and maxillofacial surgeon, all examination results are reviewed, and the patient is offered either a remote or in-person consultation. The doctor evaluates the bite, jaw alignment, joint function, and facial features. Health issues are discussed, and the patient receives general information about orthognathic treatment. A follow-up consultation with an orthodontist may also be required.
The oral and maxillofacial surgeon prepares a detailed treatment plan. This includes the course of treatment, duration, number of visits, and estimated cost. The plan also outlines preparatory work that may need to be completed by other specialists involved in the orthognathic treatment.
Preparatory orthodontic treatment using braces or clear aligners typically lasts around 1.5 to 2 years.
A 3D surgical plan is created along with all necessary preparatory tests and procedures to ensure precision. The patient is advised on how to prepare for surgery. The duration of the procedure depends on its type and complexity.
Once the jaws have fully healed, the final phase of orthodontic treatment begins and typically lasts between 6 to 12 months. The frequency of follow-up visits is assessed. Regular check-ups with a dentist and proper oral hygiene are essential. Long-term retention is crucial to maintain treatment results and involves both fixed (retention wires) and removable (night-time retainers or plates) retention devices.
Jūsų patogumui bendradarbiaujame su privačiomis sveikatos draudimo kompanijomis, todėl viskas bus dar greičiau ir patogiau, o jei tiesioginio bendradarbiavimo su jūsų draudimo kompanija neturime, po paslaugos suteikimo galėsime pateikti medicininį išrašą ir sąskaitą faktūrą.
Orthognathic treatment typically lasts around 2 to 3 years.
Yes, treatment with clear aligners is possible, but an individual assessment is required. Otherwise, treatment with braces is generally recommended for orthognathic cases.
Jaw correction surgery is possible from the age of 18. However, the overall orthognathic treatment process may begin earlier in some cases.
Yes, it is possible. However, it’s important to note that the orthodontic approach differs depending on whether surgery is included or not.
It is theoretically possible, but such cases are extremely rare and almost never encountered in practice.
Yes, they can—and in many cases, they are found to be linked. This may indicate the presence of sleep apnea. Detailed information and assessment will be provided during your consultation, based on your individual case.
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