Sometimes, a patient requires more than
orthodontic correction with braces to achieve the
most optimal result.
Depending on the treatment diagnosis, Dr. Jusino
may recommend a consultation with an Oral Surgeon
to discuss the best plan of correction.
Should Dr. Jusino refer you to an Oral Surgeon for
an evaluation, our office will provide the Oral
Surgeon relative information prior to your
consultation appointment, including a copy of the
digital panoramic x-ray and digital photographs.
A referral outlining Dr. Jusino's examination
diagnosis and treatment recommendation will also
be forwarded to the Oral Surgeon's office.
Dr. Jusino has successfully treated many patients
who have required a combination of braces and
What is Oral and Maxillofacial Surgery?
oral and maxillofacial surgeon diagnoses and
treats a wide range of problems related to the
face, mouth, teeth and jaws. The specialty
encompasses a background in dentistry and
medicine, and requires an additional 4-7 years of
hospital-based training after dental school.
What is orthognathic surgery?
Orthognathic surgery is surgery performed on the
bones of the jaws to change their positions.
Orthognathic surgery is corrective facial surgery
where deformities of the jaw exist. It may
be indicated for functional, cosmetic, or health
reasons. It is surgery commonly done on the
jaws in conjunction with orthodontic treatment,
which straightens the teeth.
How do I know if I need orthognathic surgery?
Facial imbalances are often present and sometimes
recognized by the untrained eye. People with
large jaws, or chins, or small jaws or chins,
teeth which don't fit together, eyeballs which
appear bulging and flat cheekbones are examples of
facial characteristics that may be improved by
orthognathic surgery. Sometimes, the
differences are so subtle that only a trained
specialist can recognize them. The
Orthodontist or Oral Maxillofacial Surgeon
recognizes the need for surgical repositioning of
segments of facial bones or teeth. An
evaluation by such a specialist will often easily
determine if you are a candidate for this type of
Will I have to have orthodontics?
most cases where the jaws are being moved,
comprehensive orthodontic movement of the teeth
may be necessary to prepare the teeth for optimal
occlusion of biting positions. Following
surgery, there is often a short period of
orthodontics for subtle and fine detailing of the
What is the surgery like?
minor orthognathic surgery procedures can be done
in the surgeon's office, but most often they are
done in the hospital. Surgery usually lasts
three to four hours during which time you are
completely asleep. While you are asleep,
incisions are made on the inside of your mouth to
expose the bones to be cut. The procedures
are then carried out. Screws are used to hold the bones and the teeth
are not usually wired together at all. The
incisions are closed with sutures, and you are
ready for recovery.
How long does recovery last?
length of recovery in the hospital may vary from
one to three days following surgery. During
the week following surgery, activities should be
limited. All strenuous activities and heavy
exercise should be avoided the first month after
surgery. Swelling is common, and a brief
period of facial discoloration is possible.
Often, orthognathic surgery is easier to recover
from than the extraction of impacted wisdom teeth.
What if I don't have the surgery?
Facial and dental imbalances have influences on
function, health and appearance. Not
treating a functional problem may prevent you from
being able to bite and chew your food, close your
lips together, and to speak clearly. The
health of the teeth, gums and particularly the jaw
joint (TMJ) may be in jeopardy if surgery is not
done. While not often a primary reason for
orthognathic surgery, the appearance of your face
may be made to look more balanced or normal.
One's facial appearance can influence one's
quality of life in many ways.
Information provided by Dr. Frederic L. Bonine -
Oral Surgeon Brighton, MI
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