What Does Orthognathic Surgery Entail?

Read More to Learn About Corrective Jaw Surgery

Orthognathic Surgery (Corrective Jaw Surgery) involves moving the bones of the upper or lower jaw or both. The jaws are lengthened or shortened, moved up or down, in or out, resulting in a more harmonious bite and facial appearance.

Because corrective jaw surgery is a complex, intricate procedure, it must be carefully planned and implemented. At Reynolds Oral and Facial Surgery, we use a team approach to your surgery, including your general dentist, orthodontist and, if necessary, other dental specialists including periodontists and endodontists. 

WHO NEEDS ORTHOGNATHIC SURGERY?

People who can benefit from orthognathic surgery include those with an improper bite or jaws that are positioned incorrectly. Jaw growth is a gradual process and in some instances, the upper and lower jaws may not match at the end of growth. Injury to the jaw during growth may be a cause for the incongruent growth of the jaws. The result can cause a host of problems that can affect chewing function, speech, long-term oral health, and appearance. Some bite problems can be corrected by orthodontics alone.

Orthodontics alone can correct bite problems when only the teeth are involved. If the jaw bones (maxilla and mandible) are not aligned then orthognathic surgery should be considered.

Moving just the teeth, without compensating for mismatched jaws, can lead to periodontal problems, relapse of orthodontic movements, mandibular joint problems, and poor facial aesthetics.

Our practice uses modern computer techniques and three-dimensional models to show you exactly how your surgery will be approached. Using comprehensive facial X-rays and computer video imaging, we can show you how your bite will be improved and even give you an idea of how you’ll look after surgery. This helps you understand the surgical process and the extent of the treatment prescribed. Our goal is to help you understand the benefits of orthognathic surgery.

In some cases, our doctors use medical modeling to help plan your surgery. Medical modeling produces highly accurate physical models derived from medical imaging modalities such as CT and MRI. Sophisticated software is used to view and extract information to create a 3D model of a patient’s bone structure (anatomical model fabricated by Materialise). Dr. Reynolds uses these models along with advanced computer programs (Dolphin Cephalometrics) to plan the exact movement of the jaws.

Orthognathic Surgery Pictures and Case Studies

All cases are patients at Reynolds Oral & Facial Surgery and have given the express consent to present their cosmetic and/or orthognathic procedures. 


 

 Jaw Surgery Case Study Before & After Photos
 Jaw Surgery Case Study Before & After Photos

Diagnosis: Class III Malocclusion, maxillary anterior-posterior hypoplasia, mandibular hyperplasia
Comments: Note lip incompetence (lips don’t touch in a relaxed position)
Surgical Plan: Maxillary advancement (3 piece LeFort I), mandibular setback (BSSO)

 


Jaw Surgery Case Study Before & After Photos

Jaw Surgery Case Study Before & After Photos

Diagnosis: Class II malocclusion, maxillary vertical hyperplasia (maxillary vertical excess VME), maxillary transverse hypoplasia, mandibular hypoplasia, nasal dorsal hump
Comments: Note lip incompetence (lips don’t touch in a relaxed position)
Surgical Plan: Maxillary advancement (3 piece LeFort I vertical impaction), transverse widening of the maxilla, mandibular advancement (BSSO), rhinoplasty


Jaw Surgery Case Study Before & After Photos

Jaw Surgery Case Study Before & After Photos

Diagnosis: Class III malocclusion, maxillary vertical and transverse hypoplasia, mandibular hyperplasia, nasal dorsal hump
Comments: This patient also exhibited asymmetries in the vertical and transverse dimensions
Surgical Plan: Maxillary advancement (3 piece LeFort I), mandibular setback (BSSO), rhinoplasty

To see if you are a candidate for orthognathic surgery, schedule an appointment with our team for a comprehensive evaluation.