aims to correct in a three-dimensional way some dento-facial anomalies characterized by an alteration of the growth of the jaws, bringing the arches of the mouth perfectly in axis.
Dental occlusion, chewing defects, protrusion of the jaw with respect to the upper arch (reverse bite), retrogression of the jaw with an excessively elusive chin: in all these cases, intervening with an orthognathic surgery treatment is essential to achieve satisfactory results both from the point functional (chewing, breathing) and aesthetic.
The therapeutic solutions to correct this type of anomalies are multiple but mainly they can be summarized in three groups:
1) traditional treatment with pre-surgical orthodontics (6-8 months) to align the teeth and subsequent Surgery of the jaws, usually with a double jaw but in particular cases with a single jaw, and after the Surgery the finishing orthodontics is performed (approximately 2-4 months);
2) Early surgery, which includes early surgical treatment and therefore short orthodontics (2-3 months) Orthognathic maxillary surgery and subsequent longer post-surgical orthodontics (3-5 months);
3) Surgery First, che prevede di effettuare per primo l’intervento chirurgico ,con miglioramenti estetici immediati ,e successivamente L’ortodonzia con durata di 6-8 mesi.
With the intervention of
a resolutive improvement is obtained both from the functional point of view, with the correction in the dental occlusion, and from the aesthetic point of view, with the correction of the alterations of the aesthetic ratios of the face.
A treatment of this type is indicated to the final completion of the skeletal development of the person, that is after 17-18 years for women and 18-21 for men; however, in more complex cases, it is possible for the surgeon to recommend an early surgery and choose to intervene even from the age of 16.
Through intraoral incisions precise osteotomy techniques of the jaws are made that allow their mobilization and subsequent fixation in the programmed position in order to gain a physiological occlusal relationship and normalization in beauty relations of the face.
The bone segments are stabilized by titanium plates and screws that do not require a following removal. The orthognathic surgery ends with a completely intraoral suture, in fact skin incisions are not been made.
Following an orthognathic surgery you have face swelling and edema of the for the first two weeks. It will take about 20 days to get a normal appearance.
Following the orthognathic surgery to the intermaxillary elastics are applied that favor the new occlusion and allow a slight opening, rigid blocks are not applied as in the past. The diet should have a liquid consistency for the first week and then move progressively to a soft diet for another 4 weeks.