Surgical orthodontics

We talk about orthodontics combined with surgery when the orthodontic problem consists not only of the teeth being ugly, but also of the jawbones being somehow deformed, underdeveloped, or even asymmetrical. In such cases, the orthodontic treatment is usually supplemented by one, sometimes two major surgical interventions. These are called orthognathic surgery or jawbone surgery. The goal of orthognathic surgery is to adjust the position or size of the ja wbones relative to the rest of the skull.

Orthodontic cases combined with surgery take longer due to their complexity and require more care than traditional orthodontic treatments. In return, the result is much more spectacular, we can often achieve lifelong aesthetic transformation and functional improvement!

Before starting treatment combined with surgery, a surgical consultation is required in all cases, in which case, after the initial diagnosis, a personal meeting with the surgeon who will perform the operation follows. Only if the surgeon agrees with the treatment plan and undertakes the operation, do we start orthodontic treatment. Orthodontic preparation and follow-up are carried out in our clinic, but the surgery itself is always performed in a hospital. In the case of young people, the OEP often covers part of the costs of the surgery.

In our office, one of Budapest’s most renowned head, neck and mouth surgeons, Dr. We work together with Krisztián Nagy. Years of close cooperation means that we regularly perform a large number of orthodontic treatments combined with surgery. Mature, well-functioning communication between the surgical and orthodontist side means a smooth, predictable patient journey for our patients.

The orthodontic process is very similar to non-surgical treatments, but more often documentation, photos, X-rays, digital impressions and at least one CBCT recording will be required. Surgical care is provided in the most modern conditions, currently in the operating room of the Emineo Private Hospital. Most interventions involve an operation under anesthesia of between 1-4 hours, with a hospital stay of 1-2 days after the operation.

All incisions are made in the oral cavity, there are no external scars!

Some typical examples of jawbone changes that can be corrected with surgery

BIRD-FACE

In this case, the size of the lower jaw significantly drops behind that of the upper jaw, creating a typical profile with a retracting chin tip. The chewing function in most cases is retained but there is a clearly visible step between the two dentures.

BULLDOG BITE

The growth rate of the lower jaw significantly exceeds that of the upper one, thus resulting in a very distinctive jaw line and a protruding chin tip, often resulting in aesthetically and functionally insufficient dentition.

NARROW UPPER JAW

This abnormality can be rectified approximately up until the age of 16, afterwards, in order to find a solution, surgical intervention becomes more and more necessary with time. Its typical sign is blocked nasal breathing which the person generally gets completely used to in time but it may result in snoring and a crossbite in the side dentition, whereby the teeth of the lower jaw reside in front of the upper ones, the exact opposite of where they should normally be. Periodontal disease very frequently occurs as a complication.

FACIAL ASYMMETRY

One side of the face grows a little bit bigger than the other, perhaps it develops poorly owing to a childhood injury. This will, in case of a minor anomaly, cause abrasion or crowding on tooth level but a more pronounced anomaly can become visible on the face as well. Often, it is noticeable how the upper denture is slanting in comparison with the level of the eyes, perhaps the lips are crooked as well, the chin tip isn’t located at the face’s midline.

GUMMY SMILE

The positioning anomaly of the upper jaw, when the upper denture isn’t located at the smile line but significantly lower, thus an excessive amount of the gum is visible during smiling.

Hasadékos páciensek műtéti fogszabályozása

CLEFT LIP AND JAW

The most common birth defects are cleft lip and jaw, unfortunately it concerns a huge amount of infants worldwide. The treatment of those born with cleft starts during the first few days and usually lasts until young adulthood. In this respect, a long series of orthodontic treatments and surgeries are needed. The neonatal and pediatric treatment of those with cleft is a clinical hospital task. It is approximately around the age of 7 when the part of the treatment where although the insured is fully covered by OEP, it may be done at a private facility with similar results. Most of these patients simultaneously suffer from both the disadvantages of a narrow upper jaw as well as a bulldog bite, a solution for these requires a long treatment but brings on a permanent and extremely spectacular change.