Evaluation : After the initial examination a thorough examination with facial measurements, photographs, x-rays, and dental impressions will be carried out. A complete medical examination will follow. This rules out any health problems that would interfere with the surgery or the administration of General Anesthesia.
Pre-surgical Orthodontia : The Oral & Maxillofacial Surgeon and the Orthodontist will work closely together during your treatment. Orthodontic treatment (braces) is started before surgery. The teeth are moved and repositioned into proper alignment before surgery if necessary.
Preparing for Surgery : The Orthognathic Surgery will take place in a hospital under general anesthesia. You will be admitted to the hospital one day prior to surgery and will be advised on dietary conditions for the days leading up to surgery. You will probably be required to stay in the hospital for a week or so until you have recovered from the surgery. You may need blood transfusion during the surgery. You will then undergo a full medical checkup. You should as always, maintain a good standard of oral hygiene before and after surgery.
Surgical Procedures : Orthognathic Surgery lasts anywhere from 1½ hours to several hours depending on the type of surgery needed. Incisions are made inside the mouth during surgery and there will be no visible external scars. However if external incision has to be made, as in surgeries of the tempromandibular joint , care is taken to conceal it in the natural skin creases or folds. Meticulous suturing technique can reduce the scar formation.
