Orthognathic Surgery

Dr. Muhammet Birlik @ ANTALYA / TURKIYE

Orthognathic surgery is an advanced clinical approach designed to correct structural jaw discrepancies that cannot be addressed with orthodontics alone. It involves surgical repositioning of the jawbones to restore both facial harmony and proper oral function. This procedure is particularly common in adults whose skeletal growth is already complete.

In Antalya, orthognathic surgery is performed through a multidisciplinary collaboration between orthodontists and oral-maxillofacial surgeons. This article explains what orthognathic surgery is, who needs it, how the treatment process unfolds, and what to expect during recovery.

What Is Orthognathic Surgery?

Orthognathic surgery is a surgical intervention that realigns the position of the upper jaw (maxilla), lower jaw (mandible), or both. It is carried out in conjunction with orthodontic treatment to address skeletal discrepancies that lead to misaligned bites and facial imbalance.

The goal is to achieve both functional improvement (chewing, speaking, breathing) and aesthetic enhancement (facial symmetry, balanced profile).

When Is Orthognathic Surgery Necessary?

This surgery is considered when skeletal problems are too severe to be corrected with orthodontics alone. Common indications include:

  • Protruding or retruded lower jaw
  • Protruding, underdeveloped, or narrow upper jaw
  • Facial asymmetry
  • Anterior open bite
  • Deep bite (excessive overlap of front teeth)
  • Crossbite (misalignment of upper and lower teeth)
  • Excessive gum display while smiling (gummy smile)
  • Speech difficulties related to jaw misalignment
  • Jaw-related sleep apnea

These conditions affect both aesthetics and essential functions such as eating, breathing, and speaking.

How Does the Orthognathic Surgery Process Work?

The treatment consists of three primary stages:

1. Orthodontic Preparation Phase

  • Orthodontic treatment is started to align the teeth according to the desired surgical jaw position—not the current one.
  • Braces are typically used to reposition teeth in preparation for surgery.
  • This phase generally lasts 8 to 18 months.

2. Surgical Phase

  • Surgery is performed under general anesthesia by a maxillofacial surgeon.
  • Depending on the case, it may involve the upper jaw, lower jaw, or both.
  • Incisions are made inside the mouth, ensuring no visible scarring.
  • The repositioned jawbones are stabilized using titanium plates and screws.

3. Post-Surgical Orthodontics & Recovery

  • Orthodontic treatment continues after the surgery to fine-tune the bite.
  • This phase typically takes 4 to 8 months, depending on the case.

What Is the Recovery Process Like?

Post-surgical recovery includes both physical healing and adaptation to the new jaw position:

  • Swelling and discomfort may last for 1–2 weeks.
  • A liquid or soft food diet is recommended during early recovery.
  • Most patients return to normal daily activities in 4 to 6 weeks.
  • Full bone healing usually takes around 3 to 6 months.

Benefits of Orthognathic Surgery

Orthognathic surgery provides a range of long-term benefits, including:

  • Improved facial profile and symmetry
  • Corrected bite and chewing function
  • Resolution of speech problems
  • Relief from sleep-related breathing disorders
  • Reduced strain on teeth and jaw joints
  • Enhanced self-esteem and psychological well-being

Who Is a Good Candidate?

Orthognathic surgery is suitable for:

  • Adults (typically over 18) who have completed facial growth
  • Patients with skeletal jaw disorders not correctable with braces alone
  • Individuals with functional impairments (e.g., chewing, breathing)
  • Patients without medical conditions that contraindicate surgery

Orthognathic Surgery in Antalya

In Antalya, orthognathic surgery is planned and performed through a team-based approach. Dr. Muhammet Birlik provides personalized orthodontic treatment plans that align with surgical correction needs. Each stage of the treatment is carefully coordinated with oral and maxillofacial surgeons to ensure optimal results in both function and appearance.

This article is for informational purposes only. Please consult a licensed orthodontist or oral surgeon for diagnosis and personalized treatment planning.

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