Orthognathic surgery, or corrective jaw surgery, addresses a jaw misalignment from abnormal growth that cause a bad bite. These skeletal issues are recognized by an orthodontist, who will refer for this procedure when they feel that jaw corrective surgery is necessary for ideal tooth relationships and smile.

When you have a misalignment of the jaw, it can lead to a bad bite causing functional problems with chewing and speech. It can also be associated with TMJ disorders and sleep apnea.

What Types of Problems Does Corrective Jaw Surgery Fix?

Abnormal growth of the upper or lower jaw leads to skeletal misalignment, causing either an underbite, overbite, or asymmetry.

Surgical intervention can place the jaws in the appropriate positions to restore facial harmony, and teeth relationships, thus improving eating and speaking.

Our Process for Corrective Jaw Surgery

Typically a referral is made to us by your orthodontist, who recognizes the need for surgical intervention. 

Before we meet, we would like for you to fill out our orthognathic questionnaire form. We typically require 2 visits so that we can do our very best to understand your problem and concerns. The first visit will involve a 3D CT scan, dental impressions, photographs, clinical measurements, and a one-on-one discussion of your treatment goals/expectations. Your surgeon will study and analyze your medical records, then discuss your particular problem, present a surgical option and discuss the details of surgical treatment.

Virtual Surgical Technology and Planning

Using three-dimensional models obtained from your CBCT and intraoral scan, we are able to plan the surgery to a high level of accuracy and predictability. We can plan the surgical movements, visualize the anatomy and vital structures and go into the operating room with confidence.  

The Surgery

The surgery itself is done in a hospital setting, where your safety and comfort will be top priorities. You will be kept in the hospital overnight for observation following the procedure.  Your jaws will not be wired shut, but you will be in training elastics to help guide your jaws and teeth into their new position.  If you wear braces, they will remain in place during your corrective jaw procedure.

Recovery Phase

We will closely monitor you during your recovery phase on a weekly basis for 6 weeks, and then release you back to your orthodontist to finalize and detail your bite. A soft diet will be required during this period and necessary medications to help alleviate any discomfort and swelling.  You may also undergo some physical therapy as you heal to regain your mouth opening and strength.

Maxillomandibular Advancement for Obstructive Sleep Apnea

Obstructive sleep apnea (OSA) is a serious disorder that can be detrimental to your health and well-being. It can decrease your alertness during the day and lead to other medical problems if left untreated.

If you suffer from moderate to severe levels of sleep apnea, and you are seeking a surgical option,  you can schedule an appointment at Inland Empire Oral & Maxillofacial Surgeons to discuss maxillo-mandibular advancement (MMA), which is a form of corrective jaw surgery where your jaws are moved forward to relieve airway obstruction.

Symptoms of Sleep Apnea

There are a number of common symptoms that indicate the presence of obstructive sleep apnea, including:

  • Episodes where you stop breathing during the night (as reported by your partner or spouse)
  • Waking up gasping for air
  • Snoring
  • Daytime sleepiness and fatigue
  • Irritability or difficulty concentrating during the day

If you exhibit any of these symptoms, then you should see your medical doctor for a sleep study referral. Once your sleep apnea diagnosis is confirmed, we can offer further details about surgical treatment options.

Treatment Options for Sleep Apnea

While there are a number of potential treatment options for sleep apnea, the most effective treatment modality is maxillomandibular advancement (MMA). By moving the upper and lower jaw forward, we can relieve obstructions with your breathing and improve the quality of your sleep.  A CPAP or breathing machine should be your first line of therapy. However, if you cannot tolerate a CPAP and you are seeking a permanent, surgical treatment option, then you can consider maxillomandibular advancement.

Your treatment experience will begin with a full consultation, where we will outline your options for treatment and care. During the consultation, we will review your medical history, assess your facial anatomy, and analyze the level of obstruction using 3D imaging.

You’re in Good Hands with Our Doctors

Inland Empire Oral & Maxillofacial Surgeons has a reputation for clinical excellence, warm and welcoming patient care, and best-in-class technology. Our entire staff is committed to providing you with a smooth and comfortable experience, ensuring your safety while helping you achieve full restoration of your oral and facial health. To schedule a consultation, we invite you to contact us at one of our many locations.