Fairfax Oral and Maxillofacial Surgery - Drs. Zussman*, Smith, Dolan, Lane*, Silloway, Park, Theberge & Ramsey
Orthognathic Surgery
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Orthognathic Surgery
 
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Orthognathic Surgery

What is Orthognathic Surgery or Corrective Jaw Surgery?

Orthognathic Surgery, known as Corrective Jaw Surgery corrects minor and major dental and skeletal abnormalities. Corrective jaw surgery includes the correction of misaligned jaws and teeth, which will improve speaking, chewing, and breathing. The primary goal is to correct your functional problems, but this procedure can also dramatically enhance your appearance.

What Conditions May Require Corrective Jaw Surgery?

  • Chronic jaw joint or jaw pain and headaches
  • Open bite (a space between your upper and lower teeth when your mouth is closed)
  • Birth defects or facial injury
  • Unable to make lips touch without strain
  • Difficulty biting and chewing food
  • Difficulty swallowing
  • Sleep apnea (unable to breathe properly while sleeping, including snoring)
  • Facial appearance is unbalanced from the front or side
  • Chronic dry mouth and mouth breathing
  • Excessive teeth wear
  • Protruding jaw (See Figure 1)
  • Receding chin (See Figure 2)

Orthodontic Braces:
Prior to surgery, you will need to wear braces that will move your teeth into a new position. Since your bite is being prepared so your teeth fit together after surgery, you may think that your teeth don’t fit together properly and your mouth is getting worse. However, when our doctors reposition your jaw, your teeth should fit well together.
Closer to surgery, they will take additional x-rays and models of your teeth to ensure that your teeth will be properly aligned during surgery.

Corrective Jaw Surgery:
This procedure will be performed under general anesthesia in a hospital and can take anywhere from one to several hours to finish. Our doctors will reposition your jaw to suit your specific needs.

After Surgery:
Our doctors will instruct you to modify your diet, which could include liquids and solids, with a schedule for changing over to a normal diet. You should also avoid using tobacco products and engaging in strenuous physical activity.
Pain after your corrective jaw surgery can be easily managed with medication and you will be able to return to school or work between one and three weeks after surgery. Initial healing of the bones takes about six weeks and then you will follow-up with your orthodontist to finish your case.

Technology and Jaw Surgery
Our doctors use 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, and to see the benefits of orthognathic surgery.

If you are a candidate for Corrective Jaw Surgery, our doctors will work closely with your dentist and orthodontist during your treatment. The actual surgery can move your teeth and jaws into a new position that results in a more attractive, functional and healthy dental-facial relationship.

Sequence Of Treatment
Once a consultation has been completed by your orthodontist, we would like to evaluate you by performing a clinical examination, reviewing your radiographs, and evaluating your pre-treatment models. A comprehensive treatment plan will be developed in conjunction with your orthodontist. Several progress checks will be made during your orthodontic treatment and then the final work up will be completed prior to surgery. This includes models, photos, 3-dimensional records and radiographs. The specific details of your surgery including indications, options, risks, and complications will be discussed with you at length before surgery is performed. Clearance for surgery including a history and physical, lab work, and X-rays are obtained from your primary care medical doctor before all procedures.

Surgery is performed in a hospital setting our outpatient surgical setting. The same anesthesiologist, instrumentation and surgical staff are provided in our outpatient surgery center as one would find at the hospital. Determination of eligibility for this facility will be determined in advance of your surgery.

For those patients who qualify, third party financing is also available:

CareCredit

What are the Benefits of Corrective Jaw Surgery?

By undergoing corrective jaw surgery, your teeth are repositioned in a more functional, balanced and healthy manner. Some patients experience drastic enhancements to their appearance and speech.

 
Members of the American Association of Oral and Maxillofacial Surgeons Diplomates of the American Board of Oral    and Maxillofacial Surgery
* * Board Eligible * Emeritus  
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    703-764-2077
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