Evaluating Your Need For Orthognathic Surgery
In diagnosing your need for orthognathic surgery, the oral and maxillofacial surgeon and the orthodontist will work closely together. The orthodontist is responsible for moving the teeth so they will fit together properly after the jaws have been repositioned, and the oral surgeon is responsible for repositioning the jaw(s) so the teeth and jaws are in proper alignment. In addition, your general dentist is responsible for maintaining your oral health before, during, and after your orthodontic and surgical treatment.
Before any treatment begins, an initial consultation will be held to get acquainted and answer any preliminary questions you may have. It is important to understand that your treatment, including pre-surgical orthodontics, orthognathic surgery, and post-surgery healing, may take from several months to two years or more to complete. You should be prepared to make a long-term commitment in order to derive the benefits of orthognathic surgery, and in some cases psychological counseling may be an important part of the treatment process.
After the initial consultation, a thorough examination with facial measurements, photographs, x-rays and dental impressions will be made. A medical history will also be taken to ensure that there are no health problems that would interfere with surgery or the administration of anesthesia. If input from other specialists is needed, you will be referred for additional consultations as appropriate.
Based on the results of your examination, consultations and other diagnostic procedures, you and the evaluation team will decide on the course of treatment that is best for you. Depending on the extent of your problem, orthodontic treatment alone may be sufficient, or orthognathic surgery may be indicated. Surgery can range from minor movement of a single part of your dental arch to the repositioning of both jaws. 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 case, you and your dental team will make the decision to proceed with treatment together.
Some people may consider having cosmetic procedures to enhance their new appearance, such as surgery on the eyes, nose, chin or neck. You may wish to discuss these options with your surgeon including if and when these procedures should be performed.