What Is Orthognathic Surgery?

Orthognathic surgery, "straight" and gnathos, "jaw" from the Greek orthos, is a surgical technique that is held responsible for fixing dento-cranio-maxillofacial malformations by mandibular and maxillary bone movements to get the patient's facial features balanced.

In the growth process of patients, this form of facial alterations occur, stabilize at the end of the patient and may cause problems such as sleep apnea, TMJ disorders, problems with malocclusion or lack of skeletal harmony, among others.

Orthognathic Surgery

A maxillofacial surgeon is recommended for the treatment of facial bone and soft tissue, should perform orthognathic surgery. Three forms of orthognathic surgery are available:
  • Maxillary Surgery
  • Mandibular surgery
  • Maxillomandibular operation, also referred to as bimaxillary surgery

ORTHOGNATHIC MAXILLARY SURGERY

Maxillary surgery is performed to place the upper jaw (maxilla) in the right position so that it is possible to achieve facial balance and most importantly, to restore the functionality of this bone, the key to chewing, breathing and speaking.

ORTHOGNATHIC MANDIBULAR SURGERY

Orthognathic mandibular advancement surgery is required with respect to the maxilla, a condition known as retrognathia or class 2 when individuals have a small and retracted jaw.

The harmony of the lower part of the face is particularly affected by this type of malformation and causes multiple functional issues, such as sleep apnea.

MAXILLO-ORTHONATHIC MANDIBULAR SURGERY

In most patients with orthognathic surgery, both jaws (maxilla and lower jaw) need to be repositioned to achieve optimal occlusion and facial harmony. This operation is known as maxillomandibular or bimaxillary orthognathic surgery.

What to expect After Orthognathic Surgery in the First Week

Patients will feel the most severe levels of pain and discomfort in the first days of post-orthognathic recovery. Similarly, swelling, drooling, and problems with numbness will be more pronounced during this period, as will sleeping problems due to jaw pain. Your surgeon can offer Elastics to limit the amount of jaw movement and ensure proper and rapid healing.



Patients are asked to concentrate on rest and well-being, using cold compresses/ice packs to treat swelling, bleeding, and pain as recommended. In order to help around the home and have other means of encouragement while you recover, it's a good idea to have a loved one present with you during the first week of recovery.

The end of the first month, what to expect

Emotion should return to the face of a patient by the end of the first two weeks and he or she should experience a significant change in terms of overall side effects. There might still be soreness, but it won't be anywhere near as pronounced as it was in the first week.

Soft foods like mashed potatoes or applesauce will be able to be consumed by the end of the first month.

What to expect by the second month's end

Most of the swelling encountered during the first month of the operation should be gone, and soft foods will be used by patients. Again, because they are still recovering, patients should take it slow and not force themselves. Talking should not prove a struggle any longer, and by this time there should be few if any problems with drooling.

At the end of the three months, what to expect

Patients should be back on solid foods by the third month (although those that do not cause too much pain or strain) and experience considerable improvements in terms of jaw mobility and general feelings of well-being. The orthodontic portion of this surgical procedure will begin with the oral surgery completed and patients cured, enhancing dental alignment and the overall appearance of your smile in the process.

See us at Oral and Facial Surgery of Oklahoma for this treatment. Our maxillofacial surgeons are always at your service to help you correct your oral deformities and more.

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