FACIAL TRAUMA & RECONSTRUCTION

Orthognathic (Corrective Jaw) Surgery

Orthognathic surgery is needed when jaws don't meet correctly and/or skeletal disproportions exist in the zygoma (cheek), nasal, maxillary (upper jaw and palate) and mandibular(lower jaw) bones. Corrective jaw surgery ( orthognathic surgery) repositions the upper and lower jaws and palate. In addition, cheek, chin and nasal irregularities, when they exist can be simultaneously treated. This not only improves facial appearance, but also ensures that the jaws meet correctly and function properly.

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 grow at different rates. The result can be a host of problems that can affect chewing function, speech, long-term oral health and facial appearance. Injury to the jaw and birth defects frequently cause  jaw disparities. Orthodontics alone can correct minor bite problems when only the teeth are involved. Orthognathic surgery may be required for the jaws when conditions such as congenitally oversized, undersized, narrow, wide or assymetric facial skeleton patterns exist, requiring  repositioning.

Difficulty in the following areas should be evaluated:

  • Difficulty in chewing, biting or swallowing
  • Speech problems
  • Chronic jaw or TMJ pain
  • Open bite
  • Protruding jaw
  • Breathing problems
Any of these symptoms can exist at birth, be acquired after birth as a result of hereditary or environmental influences, or as a result of trauma to the face. Before any treatment begins, a consultation will be held to perform a complete examination with x-rays. During the pre-treatment consultation process, feel free to ask any questions that you have regarding your treatment. When you are fully informed about the aspects of your care, you and your healthcare team can make the decision to proceed with treatment together.
 

Technology & Orthognathic Surgery

Dr. Milne 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.

If you are a candidate for corrective jaw surgery, Dr.Milne will work closely with your orthodontist during your treatment. The actual surgery can move your  jaws into a new position that results in a more attractive, functional, and healthy jaw-facial relationship. In addition, nasal deformities, flat cheeks and chin deformities can be simultaneously treated as indicated.