Orthognathic (Jaw) Surgery

Hi guys,

Has anyone here undergone ORTHOGNATHIC SURGERY or if any of you are planning to undergo this surgery to correct your jaw/bite. The procedure is usually performed by two specialist, the Oral and maxillofacial surgeon (jaw surgeon) and the orthodontic specialist (Orthodontists).

I'm planning to have this surgery done next year but I need to wear braces for about a year before undergoing surgery.

If anyone have professional knowledge, personal experience, or opinion on this type of surgery, please feel free to post. Thank You very much. :)



WHAT IS ORTHOGNATHIC SURGERY?
Orthognathic surgery is sometimes called "Surgical Orthodontics" because, just as an orthodontist repositions teeth, an oral and maxillofacial surgeon uses orthognathic surgery to reposition one or both jaws. Just as "orthodontics" means "straight teeth," "orthognathic" means "straight jaws." In fact, because moving the jaws also moves the teeth, orthognathic surgery is usually performed in conjunction with orthodontics so that the teeth are in proper position after surgery.

The objective of orthognathic surgery is the correction of a wide range of minor and major facial and jaw irregularities, and benefits include an improved ability to chew, speak and breathe. In many cases an enhanced appearance can also result.


WHO NEEDS ORTHOGNATHIC SURGERY?

People who can potentially benefit from orthognathic surgery include those with an improper bite and those with jaws that are positioned incorrectly. Jaw growth is a slow and gradual process, and in some instances, the upper and lower jaws may grow at different rates.

The result can be a host of problems that can affect chewing function, speech, long-term oral health, and appearance. Injury to the jaw and birth defects can also affect jaw alignment. While orthodontics alone can correct many "bite" problems if only the teeth are involved, orthognathic surgery may be required if the jaws also need repositioning.


CANDIDATES:

An "open bite" exists if there is space between the upper and lower teeth when the mouth is closed.

jaw1670.jpg

Candidates for orthognathic surgery can suffer from "retrognathia" or a receding lower jaw, often called a weak chin.
jaw2349.jpg

"Underbite" or protruding jaw (babalu)
jaw3907.jpg


3dor.gif

some videos of individuals who have undergone such surgery:

http://youtube.com/watch?v=NL-j9aAReO4
http://youtube.com/watch?v=tejZ3E53ly8
http://youtube.com/watch?v=VXve-fNVa00
http://youtube.com/watch?v=CXsuelA9j_k
http://youtube.com/watch?v=zSBqGLZoYyE
http://youtube.com/watch?v=onjWqEamXqA
http://youtube.com/watch?v=DvEuW3XM-f4
http://youtube.com/watch?v=-35b2YEGsy8
http://www.youtube.com/watch?v=xLTmCtwzF0M


video of the surgery (warning: don't view if you don't like gory clips)

http://youtube.com/watch?v=UmQTqX2o05M
http://youtube.com/watch?v=TwcwYWAkggY

best regards,
Jeff
«134567

Comments

  • sugar.salbahesugar.salbahe Member PExer
    can you please recommend any good orthodontist who does corrective crossbite surgery? thanks!
  • smilewarriorsmilewarrior Moderator ✭✭✭
    ^ Hello. Orthognathic surgery is performed by an Oral and Maxillofacial Surgeon. The Orthodontist ( who is different from an Oral and Maxillofacial Surgeon) performs "Decompensation" of the teeth in preparation for the surgery.

    Please send me a private message if you'd like referrals.
  • hayfeverhayfever Member PExer
    I am very interested in orthognatic surgery. My problem is that I have been wearing braces for ten years now. A few months after they installed my braces, some major events in our lives took place, making it impossible for me to continue my sessions with the orthodontist. I definitely want to take my braces off and correct my overbite.

    How much is the cost of orthognatic surgery? I have some money saved up but I fear it is not enough. What is the downtime?

    Thank you so much!
  • smilewarriorsmilewarrior Moderator ✭✭✭
    ^ Hello. Having had braces myself I can honestly tell you that braces were never meant to be placed in the mouth for as long as 10 years. Please return to your orthodontist immediately and have your teeth checked.

    For you to undergo orthognathic surgery , your teeth will still need braces. After the surgery, you'll still undergo several sessions of braces. It's not a one time thing.

    Right now, the important thing is to make sure your existing teeth are okay, so please visit your dentist soon.
  • errolwalker22errolwalker22 Member PExer
    braces before, during and after surgery. okie? wag kang papayag na walang braces at ooperahan ka na.

    see the risks and complications associated with with orthognathic surgery sa youtube.

    then kay dr. guevarra ka na lang sa st. luke's. dun nagpa-surgery yung friend ko. okay dun. 550 thou nagastos nya. at least talaga sandamakmak na ang experience nun sa pag-su-surgery ng orthognathic. grabe din ang credentials nun.
  • errolwalker22errolwalker22 Member PExer
    see also clarke's orthognathic surgery in youtube. amazing!
  • EeggeEEeggeE rm -rf ✭✭✭
    550 thousand?! OMFG. Presyong kotse na!

    I think I need this. Manny Pacquiao pengeng pera!
  • bobbyknightbobbyknight Member PExer
    EVERYONE WHO HAVE HAD ORTHOGNATHIC SURGERY OR A CANDIDATE WITHIN THE PHILIPPINES, SHARE YOUR EXPERIENCES AND ALL NECESSARY INFORMATION ABOUT IT. MUCH APPRECIATED*okay*
  • smilewarriorsmilewarrior Moderator ✭✭✭
    Hospitals which offer Orthognathic Surgery services include Asian Hospital, Capitol Medical Center, Makati Medical Center, and St. Jude Hospital.
  • bobbyknightbobbyknight Member PExer
    Hospitals which offer Orthognathic Surgery services include Asian Hospital, Capitol Medical Center, Makati Medical Center, and St. Jude Hospital.



    Only this hospitals?:confused:
    How about St. Lukes Medical Center? or any other hospitals?
    I think it's ok to choose a hospital and an oral maxilo-facial surgeon yourself whom you ever prefer to do your surgery.:)
    How much would be the minimum cost of this surgery in the Philippines?
    And can you please give me names of doctors who are very qualified and very good in doing this stuff? Thank you *okay*
  • smilewarriorsmilewarrior Moderator ✭✭✭
    ^ There are probably others, but those are the ones that I know for sure offer Orthognathic surgery.

    Usually the Oral and Maxillofacial Surgeon and the Orthodontist have their preferred tie-ups. For example if you are able to find an OMF Surgeon, the Surgeon will be the one to refer you to an Orthodontist with whom they have a working relationship with. It also works the other way around, If you are able to find an Orthodontist , the Orthodontist will refer you to a Surgeon with which they have a working relationship with.

    Regarding cost, it will depend on whether the surgery will involve 1 jaw or both the upper and lower jaw. Yes it will cost a lot, as in an arm and a leg. To know exactly how much you will spend you will need to be assessed first. There are several types of upper jaw surgeries and there are several types of lower jaw surgeries. You will be treated first by the Orthodontist, who will prepare your teeth for surgery by performing a procedure known as Decompensation. Once your teeth are ready, the Oral and Maxillofacial Surgeon will perform mock surgery first on x-rays and models in preparation for your surgery. A third specialist, a Prosthodontist, may be called in when needed to provide what is called as a Surgical Splint ( which is basically a hard template to which your teeth will be inserted after the jaw is cut ). Orthognathic surgery will then be performed by the Oral and Maxillofacial surgeon in the Operating Room of a hospital under general anesthesia. From what I know, the fastest surgery is about 4 hours long while complicated surgeries take 1 day to finish. After a specified recovery period the patient will go back to the Orthodontist for finishing and detailing the teeth. After a specified healing period , the braces will then be removed and the patient will wear a retainer.

    Please send me a private message if you'd like referrals. I can refer you to Orthodontists and they'll be the ones who'll refer you to an OMF surgeon with whom they have a tie-up with. You can also approach any of the hospitals I've mentioned above, ask for an Oral and Maxillofacial surgeon then work your way from there.
  • bobbyknightbobbyknight Member PExer
    ^ There are probably others, but those are the ones that I know for sure offer Orthognathic surgery.

    Usually the Oral and Maxillofacial Surgeon and the Orthodontist have their preferred tie-ups. For example if you are able to find an OMF Surgeon, the Surgeon will be the one to refer you to an Orthodontist with whom they have a working relationship with. It also works the other way around, If you are able to find an Orthodontist , the Orthodontist will refer you to a Surgeon with which they have a working relationship with.

    Regarding cost, it will depend on whether the surgery will involve 1 jaw or both the upper and lower jaw. Yes it will cost a lot, as in an arm and a leg. To know exactly how much you will spend you will need to be assessed first. There are several types of upper jaw surgeries and there are several types of lower jaw surgeries. You will be treated first by the Orthodontist, who will prepare your teeth for surgery by performing a procedure known as Decompensation. Once your teeth are ready, the Oral and Maxillofacial Surgeon will perform mock surgery first on x-rays and models in preparation for your surgery. A third specialist, a Prosthodontist, may be called in when needed to provide what is called as a Surgical Splint ( which is basically a hard template to which your teeth will be inserted after the jaw is cut ). Orthognathic surgery will then be performed by the Oral and Maxillofacial surgeon in the Operating Room of a hospital under general anesthesia. From what I know, the fastest surgery is about 4 hours long while complicated surgeries take 1 day to finish. After a specified recovery period the patient will go back to the Orthodontist for finishing and detailing the teeth. After a specified healing period , the braces will then be removed and the patient will wear a retainer.

    Please send me a private message if you'd like referrals. I can refer you to Orthodontists and they'll be the ones who'll refer you to an OMF surgeon with whom they have a tie-up with. You can also approach any of the hospitals I've mentioned above, ask for an Oral and Maxillofacial surgeon then work your way from there.



    Actually I'm almost done with the Decompensation stage. I have my Oral and Maxillofacial Surgeon but still interested to ask other opinions. I have class 3 malocclusion and procedure would be Lefort 1 sagittal split with osteotomy and genioplasty I can't be so sure with Lefort 1 I cant remember but definitely they are interested to do my chin and both lower and upper jaw as well.(Upper will be move forward and lower will be move backwards) I've been researching online, watching videos in youtube and it helped me to understand more about this, before I was really hesitant and terrified to undergo orthognathic surgery but through the videos from youtube of whom actual patients documented their whole journey of this treatment inspired me to push through, I'm rather excited than terrified lol :rotflmao: I am being inspired because they've had amazing results and a dramatic transformation! I still have lots of questions in my mind though.:confused:
    Like which will show better results when doing only the lower mandible or both? I heard that usually you will need blood transfusion if they will do your upper jaw. And there's possibility that it can change the shape of your nose. I'm quite concerned about this!:eek:

    From what I've known this procedure is cheaper in the Philippines than in western countries.
    Do you happen to know if there are organizations who are willing to sponsor Orthognathic surgery?*okay*
  • smilewarriorsmilewarrior Moderator ✭✭✭
    ^ Dude, ayun naman pale eh. Kung baga handa na lahat, isasalang ka na lang. :) That would be Le Fort I Osteotomy (below the nose) for your upper jaw and most likely Bilateral Split Sagittal Osteotomy , with Genioplasty for the lower jaw.

    Sponsorhip is usually available for Cleft Lip and Palate patients who happen to be indigent. From the way you post I can tell you are probably a working professional, dude naman malabo namang indigent ka hindi ba ? :)

    There's this one case in the US wherein something went wrong with a patient who had upper jaw orthognathic surgery. It did not "take" because of either an infection or a problem with the blood supply, so they had to remove a large portion of the upper jaw (the part which "died" ). Essentially the patient was left deformed. :( As with all types of major surgery there will always be risks involved with Orthognathic surgery. What is important is constant communication between your Oral and Maxifacial Surgeon and your Orthodontist for careful planning. Careful planning (hopefully) leads to less mistakes.
  • bobbyknightbobbyknight Member PExer
    ^ Dude, ayun naman pale eh. Kung baga handa na lahat, isasalang ka na lang. :) That would be Le Fort I Osteotomy (below the nose) for your upper jaw and most likely Bilateral Split Sagittal Osteotomy , with Genioplasty for the lower jaw.

    Sponsorhip is usually available for Cleft Lip and Palate patients who happen to be indigent. From the way you post I can tell you are probably a working professional, dude naman malabo namang indigent ka hindi ba ? :)

    There's this one case in the US wherein something went wrong with a patient who had upper jaw orthognathic surgery. It did not "take" because of either an infection or a problem with the blood supply, so they had to remove a large portion of the upper jaw (the part which "died" ). Essentially the patient was left deformed. :( As with all types of major surgery there will always be risks involved with Orthognathic surgery. What is important is constant communication between your Oral and Maxifacial Surgeon and your Orthodontist for careful planning. Careful planning (hopefully) leads to less mistakes.



    awww! hahah :lol:
    well i still consider myself as impoverished :D
    my Orthodontist told me it's quite hard to find sponsors because its more likely the procedure is cosmetic, duh! It's not just cosmetic:mecry:
    Why not if someone or something is ready to sponsor that would be much better:)
    I think Caritas? Or the Philippine sweepstakes?(did I say it correctly?)
    I think the most part of the expenses for the procedure will just go to plates and screws:rolleyes:

    Usually how would they administer the general anesthesia?
    Man, please give me some good names of Oral and Maxillofacial surgeon.:bop:
  • smilewarriorsmilewarrior Moderator ✭✭✭
    ^ For mouth surgery, general anesthesia is delivered via nasal intubation. Yes the miniplates and screws cost a lot, but so does the oscillating saw that will be needed to cut the bone. The relatively new saw is designed to cut bone but is supposed to stop once it hits soft tissue ( which lessens the chance of accidentally cutting large nerve bundles or large blood vessels ).

    Fancy high tech equiptment is definitely a plus when it comes to the success of complicated procedures like Orthognathic Surgery but it's only part of the equation so to speak. The greater part rests on the skill of whoever will weild the equipment, as not everyone can do it. If there was any procedure that would make an OMF surgeon sweat bullets and pee in his pants it's this. I'm not even kidding.

    Caritas and Philippine Charity Sweepstakes offers assistance to financially challenged individuals, yung tipong katulad ng mga kapwa nating Filipino na namumulot ng bulok na pagkain sa basurahan, kasi iyun ang magiging pagkain nila (as disturbing and heartbreaking as that sounds) :(

    If you wouldn't mind, could you please pm to me the name of your Orthodontist and the name of your Oral and Maxillafacial Surgeon? Most likely they won't know me personally, but I may be able to offer insight as to what I know of them, if I happen to know them by reputation.
  • bobbyknightbobbyknight Member PExer
    ^ For mouth surgery, general anesthesia is delivered via nasal intubation. Yes the miniplates and screws cost a lot, but so does the oscillating saw that will be needed to cut the bone. The relatively new saw is designed to cut bone but is supposed to stop once it hits soft tissue ( which lessens the chance of accidentally cutting large nerve bundles or large blood vessels ).

    Fancy high tech equiptment is definitely a plus when it comes to the success of complicated procedures like Orthognathic Surgery but it's only part of the equation so to speak. The greater part rests on the skill of whoever will weild the equipment, as not everyone can do it. If there was any procedure that would make an OMF surgeon sweat bullets and pee in his pants it's this. I'm not even kidding.

    Caritas and Philippine Charity Sweepstakes offers assistance to financially challenged individuals, yung tipong katulad ng mga kapwa nating Filipino na namumulot ng bulok na pagkain sa basurahan, kasi iyun ang magiging pagkain nila (as disturbing and heartbreaking as that sounds) :(

    If you wouldn't mind, could you please pm to me the name of your Orthodontist and the name of your Oral and Maxillafacial Surgeon? Most likely they won't know me personally, but I may be able to offer insight as to what I know of them, if I happen to know them by reputation.



    So, that means I don't even have a slightly chance to be sponsored by those organizations?:depressed:

    I'm just concerned with the moments arriving in the hospital, while waiting and you are being prepared, while inside the operating room not sedated yet, I don't know what's the feeling. Maybe I'll pass out?:mecry:
    I'm not afraid of the procedure because I will be in a deep sleep and before you know it, it's all over.
    So, before I'll be put on deep sleep I'll be choke down by that nasal intubation? No more big needles for your spinal cord.*okay*
  • smilewarriorsmilewarrior Moderator ✭✭✭
    ^ I've replied to your PM bobbyknight.
  • bobbyknightbobbyknight Member PExer
    ^ I've replied to your PM bobbyknight.



    yep but this is another topic :D
  • smilewarriorsmilewarrior Moderator ✭✭✭
    ^ Whoever will be your surgeon will be in a better position to explain to you what you'll most likely experience when going under general anesthesia. :) Afterwards your face will most likely swell a bit, and you'll have to be confined in the hospital for a bit (depends on your surgeon) until you are well enough to leave.
  • bobbyknightbobbyknight Member PExer
    ^ Whoever will be your surgeon will be in a better position to explain to you what you'll most likely experience when going under general anesthesia. :) Afterwards your face will most likely swell a bit, and you'll have to be confined in the hospital for a bit (depends on your surgeon) until you are well enough to leave.



    Those were already explained to me before and I've been doing research online about it. :)
    Usually 2 days is enough to stay in the hospital.
    First week of the post op would be the most tough part and from there everyday will be just going peachy!*okay*
    I'm concerned about the liquid diet :depressed:
    And losing weight because you cannot eat right:mecry:

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