Orthognathic Surgery

Orthognathic surgery is done for patients with significant skeletal abnormalities in addition to dental malocclusion. This surgery is otherwise known as corrective jaw surgery. Orthognathic surgery is performed under general anesthesia, so no pain will be felt during the surgery.

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I have a broad flat face and an underdeveloped maxilla and jaw. Please help.

Query: Hi doctor,I have a broad flat face and an underdeveloped maxilla and jaw. I want to ask what treatment and surgery are possible.Thanks.  Read Full »

Dr. Achanta Krishna Swaroop

Answer: Hi, Welcome to icliniq.com. I understand your concern. I have reviewed your attached images (attachments removed to protect the patient's identity). The problem is not just the maxillary arch but a retruded mandible or lower jaw. Mandibular retrusion would be due to various causes. It is usually see...  Read Full »

I have attached my teeth X-rays. Is orthognathic surgery possible in my case, and how long does orthodontic treatment take to complete?

Query: Hello doctor,I am attaching the X-rays of my teeth. Is orthognathic surgery possible in my case? If not, why? How long does it take for orthodontic treatment to be done? Thank you.  Read Full »

Dr. Mayank Khandelwal

Answer: Hello, Welcome to icliniq.com. Hope you are doing well. Based on the photos attached (attachments removed to protect the patient's identity), there is a deficiency in your lower and middle face compared to the forehead area. However, these are X-ray images, and I would like to see the clinical ph...  Read Full »

My front teeth are flaring outside and it is looking ugly. Please suggest treatment.

Query: Hello doctor,I hope you are safe and sound. I am 20, and I am wearing braces for the past eight months. I got my two teeth removed and both of them from the bottom. One from the front bottom teeth, and one from the back of the bottom right canine. My orthodontist now uses rubber bands on my teeth wh...  Read Full »

Dr. Prerna Jain

Answer: Hello, Welcome to icliniq.com. From the history and picture of the side of teeth (attachment removed to protect patient identity), I can tell you that your upper and lower teeth are flared. Also, there is an increased gap (overjet) between your upper and lower teeth. As you said, only your lower t...  Read Full »

Are symptoms like pain and lisping linked to small jaw curable with surgery?

Query: Hi doctor, I have a few questions about my potential jaw surgery. My upper jaw is smaller than usual as I was born prematurely and it gives my face a caved-in look along with some joint pain on the right side of my face. I get pain randomly on the right jaw and the jaw gets fatigued while chewing fo...  Read Full »

Dr. Achanta Krishna Swaroop

Answer: Hello, Welcome to icliniq.com. I can understand your concern about the caved-in look of the upper jaw. Orthognathic surgery is a totally safe option and you can go ahead with it. I suggest you get a cephalometric analysis in detail so that your maxillofacial surgeon and orthodontist (braces specia...  Read Full »

How can I enhance my looks and make my face look symmetrical?

Query: Hello doctor, I want to enhance my looks and make my face look symmetrical. I underwent orthognathic surgery in the past and got chin fillers and jawline fillers. I am very consious about my looks. Is there anything else that I can go for for better facial appearance? Kindly advise.   Read Full »

Dr. Achanta Krishna Swaroop

Answer: Hello, Welcome to icliniq.com. I empathize with your aesthetic concerns regarding the facial contour. I hope you asked your dentist about presurgical orthodontic treatment before orthognathic surgery, as there will be limitations in correcting skeletal deformity without presurgical orthodontic tr...  Read Full »

My lower jaw still reclines way too much after the orthodontic treatment. What are my options?

Query: Hello doctor, I had braces where my upper premolars were removed to bring my upper teeth backwards. My lower jaw still reclines way too much when I bite. I have aligned teeth but still want my lower jaw to be brought forward. Doing so, will it cause my teeth to collide, what are my options?  Read Full »

Dr. Achanta Krishna Swaroop

Answer: Hello, Welcome to icliniq.com. The MARA appliance (mandibular anterior repositioning appliance) or the orthognathic surgery may be needed depending on your bite for repositioning of your lower teeth to upper jaw alignment. Most of the time, orthodontic treatment is not sufficient alone. You will n...  Read Full »

Is dental treatment required for all cleft palate surgeries?

Query: Hi doctor, My daughter is 2 years old and was detected with a soft cleft palate. We had performed soft cleft palate surgery for her. I read a few articles and it recommended ortho surgery as for cleft palate. But, I am confused as it is mentioned only cleft palate. I wanted to know whether children...  Read Full »

Dr. Prerna Jain

Answer: Hi, Welcome to icliniq.com. Soft cleft palate means a submucus cleft of the soft palate. That means a midline defect of the muscles, which failed to completely join at the correct positions during development. But, the bony structure is sound. Many times speech problems are associated with the same....  Read Full »

Is there any surgery to correct the facial profile and forwardly placed mouth?

Query: Hello doctor, From my late teens to now (I am thirty), I started becoming very insecure about my face, especially my side profile. It is heavy, thick and my mouth is more forward. I was prettier as a child. I want to inquire about surgeries that can be done to adjust my jaw. Also, I seem to have so...  Read Full »

Dr. Mohammad Emranul Islam

Answer: Hello, Welcome to icliniq.com. I am sorry for your suffering. But the picture you sent me is not clear (attachment removed to protect patient identity). Please send close-up pictures of your front face and side face with the mouth in resting position. There is a surgical treatment for this proble...  Read Full »

Can jaw surgery for lack of bone cause any change in the face?

Query: Hi doctor, My daughter had braces for four years but her midline is off and she has a gummy smile. Her bite is fine but her teeth are not properly aligned and she does not have bone on her left side. Her orthodontist referred her to a maxillofacial surgeon who says she needs her upper jaw broken an...  Read Full »

Dr. Gagan Khanna

Answer: Hi, Welcome to icliniq.com. The procedure which you mentioned is called as orthognathic surgery which is done if there is a skeletal malrelation between the two jaws which cannot be corrected by orthodontics alone. The procedure usually improves the aesthetics of the face and is predictable. The e...  Read Full »

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