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Orthognathic Surgery

Jawbone development, along with the sequenced growth of primary and secondary teeth occurs over an extended period of time that begins early in life and typically ends and developmental growth patterns have stopped.

Developmental abnormalities can occur during the growth years that may cause one or both jaws to grow disproportionately in both width and length. Upper and lower arches will then tend to be mismatched in terms of of occlusal planes. Overbite, underbite and crossbite conditions will develop in varying degrees.

Orthognathic surgery is a popular treatment performed by oral maxillofacial surgeons that esssentially repositions the upper jaw, lower jaw, and dentoalveolar segments to create facial and occlusal balance.

Treatment time is protracted, may require multiple surgeries with sufficient time for thorough healing of bone tissue. Traditional orthodontics is usually provided to assure healthy alignment of tooth structures after the jaw have been repositioned.

Avoiding Surgery

Some adult patients, including young adults, seek alternatives to oral surgery. Many patients, have the unfortunate experience of having orthognathic surgery performed at a critical developmental period, only to have additional jawbone growth that recreates a disturbed occlusion. Understandably, it is not uncommon for these patients to seek a treatment alternative.

Patients with more minor issues that can be corrected after jawbone growth has stabilized may also seek a less invasive treatment. Finances, convalescence requirements, inconvenience of oral surgery and different aesthetic reasons serve to infuence treatment choices.

Case Studies in Orthognathic Alternatives

A young female, with a seemingly perfect smile, has minor occlusal problems that are nonetheless considered significant enoough for prolonged Orthognathic treatments. Her persistence in locating a skilled reconstructive dentist enables her to obtain the facial and occlusal harmony that she should have.

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