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Orthognathic Surgery

Orthognathic Surgery is required when the upper and lower jaw and/or teeth are not properly aligned or do not close correctly according to the jaw. In most cases there is some distortion of the face, so that the patient looks different. The problem is usually particularly noticeable when looking at the profile, which shows that either the upper or lower jaw is abnormally jutting or receding. Corrective surgery is done in those cases where standard orthodontic treatment cannot solve the problem. The procedure is carried out in two stages. First the teeth undergo orthodontic straightening with the help of “braces”. The second stage is the actual surgery. Orthognathic Surgery not only considerably improves the appearance of the face, it also means that the teeth close properly, ensuring more effective chewing.

Orthognathic Surgery is effective for people whose jaws do not close properly or are not correctly aligned. The jaws grow gradually and in some cases the development of the upper jaw does not match that of the lower jaw. The result could be problems with chewing, speaking, oral health and appearance. Injury to the jaws as well as congenital defects can affect their positioning and shape. While orthodontic treatment alone can treat problems of closure and overbite when it is just a matter of moving the teeth, Orthognathic Surgery is required when orthodontic treatment is not sufficient.

– Difficulties with chewing, biting or swallowing
– Speech problems
– Chronic pain in the jaw or jaw joint
– “Overbite” – the upper and lower teeth are not in contact when the mouth is closed
– The lower jaw is protruding or receding
– Breathing problems
– Active effort is required to close the upper and lower lips (“lip incompetence”)
– Lack of facial symmetry
Any of these conditions may appear at birth or be acquired as a genetic trait, due to environmental influence or as the result of trauma/injury. Before starting any treatment, suitable X-ray photos must be taken, followed by a consultation and comprehensive examination by an orthodontist, surgeon and general dentist. During the consultation, you must ask all the questions that come into your head. Once you have all the information about all the aspects of the treatment and rehabilitation, you can sit down with the professional team to make a final decision.

Dr. Schwartz-Arad uses the latest computerized methods and models to illustrate the exact surgical approach to your specific case. The comprehensive use of facial X-rays, together with imaging software, shows you the expected improvement in your bite and jaw alignment following the surgery. All this helps you to understand the surgical process, its scope and the expected benefits, before surgery even begins. Other treatment options, depending on the case, will be discussed when deciding the treatment plan.

The sinuses are air spaces located over the upper jaw and the back teeth (to right and left). After the extraction of teeth from the upper jaw, there is a process of bone absorption, which causes the floor of the sinus to “approach” the oral cavity. This makes the insertion of dental implants more difficult because there is insufficient bone to anchor the implants. (If we try to insert an implant in this situation, it will break through the sinus floor directly into the sinus.) In order to overcome this problem, the sinus floor must be pushed upwards (further away from the oral cavity), so that bone replacement can be implanted in the extra space, giving us sufficient bone height to insert the dental implants. Dr. Schwartz-Arad has been performing this procedure successfully for many years. The results are relatively pain-free, can be successfully predicted, and permit the insertion of dental implants in the upper mandible where previously there was insufficient bone.

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