JAW SURGERY: INDICATIONS, RISKS, AND WHAT TO EXPECT FROM THE PROCEDURE

BENEFITS OF JAW SURGERY FOR PATIENT HEALTH AND QUALITY OF LIFE

Patients often seek information about “Jaw Surgery,” a procedure that, despite its complexity, can bring significant improvements to oral and facial health, as well as quality of life. This surgical intervention, also known as orthognathic surgery, is a fundamental pillar in correcting various skeletal anomalies of the face, affecting not only aesthetics but, more importantly, chewing function, breathing, and speech. At the practice of Dr. Miguel Lopes Oliveira, MD, DDS, Maxillofacial Surgeon, we understand the importance of demystifying this process, offering clarity and support at every stage, from the initial consultation to full recovery.

📘 View Article Summary
  • Orthognathic surgery corrects facial skeletal anomalies, improving function and aesthetics.
  • The intervention aims to reposition the jaws for functional balance and facial harmony.
  • The surgery is indicated to correct severe misalignments that orthodontic treatment cannot resolve.

💡 Book your consultation or contact our team

WhatsApp Book a consultation

or continue reading the article to clarify your doubts.

What Does Jaw Surgery Entail?

Jaw surgery, or orthognathic surgery, is a surgical procedure aimed at correcting disproportion and misalignment between the upper jaw (maxilla) and the lower jaw (mandible). These disharmonies can be congenital (present from birth) or develop over time due to factors such as trauma, irregular growth, or other medical conditions. The primary objective is to reposition the facial bones to achieve functional and aesthetic balance, improving occlusion (bite), breathing, speech, and facial harmony. For many, searching for “jaw surgery” is the first step towards finding relief from chronic problems and achieving greater confidence in their smile and face.

When is Jaw Surgery Indicated?

The decision to proceed with jaw surgery is always preceded by a thorough evaluation and detailed planning. This type of surgery is typically indicated when there is significant jaw misalignment that cannot be corrected by orthodontic treatment alone. Common indications include:

  • Bite Problems (Malocclusion): Open bite (front teeth do not meet), crossbite (upper teeth do not fit correctly with lower teeth), prognathism (overly prominent lower jaw) or retrognathism (recessed lower jaw).
  • Facial Asymmetry: Imbalances in the face affecting proportion and symmetry.
  • Breathing Difficulties: Obstruction of the upper airways, often associated with obstructive sleep apnoea, where jaw positioning can exacerbate the problem.
  • Temporomandibular Joint (TMJ) Problems: Chronic pain, clicking, or difficulty moving the jaw.
  • Speech and Mastication Difficulties: Impairments in articulating sounds or in the efficiency of chewing food.

Jaw surgery can be indicated to correct bite and appearance issues, providing functional and aesthetic alignment. Dr. Miguel Lopes Oliveira, with his extensive experience in maxillofacial surgery, conducts an in-depth analysis to determine if jaw surgery is the most suitable solution for each patient, ensuring all treatment options are considered.

The Diagnosis and Planning Process

The journey to jaw surgery is a collaborative process involving a team of specialists. At Dr. Miguel Lopes Oliveira’s practice, diagnosis begins with a detailed consultation, where the patient’s concerns and expectations are carefully listened to. This is followed by an exhaustive data collection, including advanced imaging such as X-rays and CT scans, and study models of the dental arches. These elements are crucial for precise and personalised surgical planning. Through analysis and projections, it is possible to predict the final outcome and discuss the expected changes, both functional and aesthetic, with the patient. This meticulous planning is fundamental to the success of jaw surgery, ensuring that each bone movement is calculated with precision to achieve therapeutic goals.

How Does Jaw Surgery Work?

Jaw surgery is performed under general anaesthesia and involves intraoral incisions, meaning there are no visible scars on the face. Depending on the case, the surgery may involve the upper jaw (maxillary osteotomy), the lower jaw (mandibular osteotomy), or both (bimaxillary surgery). The maxillofacial surgeon, such as Dr. Miguel Lopes Oliveira, carefully repositions the bone segments to the planned position, fixing them with small titanium plates and screws, which are biocompatible and generally do not require removal. The duration of the procedure varies according to complexity, but the main focus is always on precision and patient safety. Understanding the risks is essential before undergoing jaw surgery, and Dr. Miguel Lopes Oliveira’s team is dedicated to clarifying all doubts, ensuring the patient feels fully informed and secure for the jaw surgery.

Recovery After Jaw Surgery

The recovery phase after jaw surgery is a crucial period that requires patience and dedication from the patient. Immediately after surgery, some swelling and discomfort are expected, which are managed with appropriate medication. The diet will be liquid or pureed for several weeks, and oral hygiene is extremely important to prevent infection. What to expect after jaw surgery is important for recovery, and patients receive detailed instructions on post-operative care, including pain management, diet, and physical activity restrictions. Regular follow-up with the surgeon and orthodontist is essential to monitor healing and the progress of dental alignment. Most patients return to their normal activities within a few weeks to a few months, with results that continue to improve as swelling subsides and tissues adapt.

Results and Impact on Quality of Life

The results of jaw surgery are, for most patients, transformative. Beyond functional improvement, which can have a profound impact on self-esteem and confidence, the functional benefits are invaluable. The ability to chew and speak correctly is restored, and breathing problems, such as sleep apnoea, can be significantly relieved or resolved. Many patients report an improvement in sleep quality and a reduction in headaches or TMJ pain they previously experienced. The facial alignment achieved by jaw surgery contributes to overall well-being. Dr. Miguel Lopes Oliveira takes pride in witnessing the positive impact these interventions have on his patients’ lives, enabling them to live with greater comfort and confidence.

The Next Step for Your Health

The decision to undergo jaw surgery is a significant step and requires careful consideration. We hope this article has provided a clear overview of what jaw surgery entails, from its indications to the recovery process and long-term benefits. However, each case is unique and deserves an individualised approach.

If you have concerns or suspect you might benefit from maxillofacial surgery, Dr. Miguel Lopes Oliveira and his team are available to welcome you and address all your questions. An assessment is the first and most important step in determining the most suitable treatment plan for your specific needs, ensuring you receive the most experienced and attentive care.

Each case is unique and should be assessed in person by a medical doctor, considering examinations, history, and individual expectations.

📚 View references
  1. Segmental Maxillary Osteotomies in Conjunction With Bimaxillary Orthognathic Surgery: Indications – Safety – Outcome.

Book your appointment

Lisbon
Évora

Book your appointment

Lisbon
Évora

Book your appointment

Lisbon
Évora