Procedures

• Dental Implants
• Wisdom Teeth
• Jaw Surgery
• Facial Trauma
• Bone Grafting
• Oral Pathology
• TMJ Disorders
• Extractions
• Impacted Canines

Orthognathic Surgery (Jaw)

Orthognathic surgery is needed when upper and lower jaws do not meet correctly. The jaws, also referred to as the mid and lower face, may not be of the same size, parallel, symmetric or a combination of these problems. Teeth are decompensated with orthodontics, and reconstructive facial surgery repositions the misaligned jaws. This not only improves facial appearance, but also ensures that teeth meet correctly and function properly.

Who Needs Orthognathic Surgery?

People who can benefit from jaw surgery include those with an improper bite or jaws that are positioned incorrectly. Jaw growth is a gradual process and, in some instances, the upper and lower jaws may grow at different rates. The result can be a host of problems that can affect chewing function, speech, long-term oral health, temporomandibular joint function and appearance. An injury to the jaw and birth defects can also affect jaw alignment. Orthodontics alone can correct bite problems if the mid and lower facial segments are of the same size, parallel and symmetric. Orthognathic reconstructive surgery may be required if the jaws are not the same size, symmetric and/or parallel.

 

Difficulty in the following areas should be evaluated:

• difficulty in chewing, biting or swallowing
• speech problems
• chronic jaw or TMJ pain
• open bite
• protruding jaw
• breathing problems

 

Any of these can exist at birth or may be acquired after birth as a result of hereditary or environmental influences or, trauma to the face. Before any treatment begins, a consultation will be held to perform a complete examination with x-rays, photos, and computer work-up. During the pre-treatment consultation process, feel free to ask any questions that you have regarding your treatment plan. When you are fully informed about the aspects of your care, you and your health care team will make the decision to proceed with treatment together.

Technology and Orthognathic Surgery

Dr. Schelkun uses modern computer techniques and three-dimensional models to show exactly how your surgery will be approached. Using comprehensive facial X-rays and computer video imaging, he can show how your bite will be improved and even how you may 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.

Dr. Schelkun uses rigid fixation to precisely hold the reconstructed segments in their new position. This means that our patients' jaws are never wired together. You are able to eat and speak after surgery. Rigid fixation allows for early function and a speedier recovery.

If you are a candidate for Corrective Jaw Surgery, Dr. Schelkun 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.