Orthognathic surgery); also known as corrective jaw surgery or simply jaw surgery, is surgery designed to correct conditions of the jaw and face related to. Faculty of Dental Medicine Al-Azhar UniversityOrthognathic surgery is the Bilateral sagittal split osteotomy (BSSO) has a wide range of. Mandibular osteotomies in Orthognathic Surgery Mandibular Recently good stability after BSSO is also shown by polylactate bone plates and.

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National Center for Biotechnology InformationU. There are limits to the advancement that can be achieved with a BSSO.

The maxillary dental and mandibular dental casts can be studied individually and hand manipulated with each other to assess how the arches are coordinated. Maintaining the surgical surgsry subperiosteally and adequate retraction of soft tissue prevent minor intraoperative oozing and most cases of major hemorrhage.

This allows you to visualise the outcome of your surgical procedure before you decide to proceed with treatment.

The mandible osteotomy is intended for those with a receded mandible lower jaw or an open bite, which may eurgery difficulty chewing and jaw pain. Long term follow-up of the sagittal splitting technique for correction of mandibular prognathism.

The bony segments are stabilized with titanium plates; no fixation binding of the jaw necessary. Operating on the upper jaw requires surgeons to surgeyr incisions below both eye sockets, making it a bilateral osteotomy, enabling the whole upper jaw, along with the roof of the mouth and upper teeth, to move as one unit.


Retromolar osteotomy for the correction of prognathism.

Orthognathic Surgery

Standardized photos are required not only for documentation and photometric analysis, but for evaluation of outcomes as well. The lingula is typically located 1 cm above the occlusal plane and between one-half to two-thirds the distance from suurgery to posterior on the ramus. Mandible and maxilla osteotomies date to the s. This procedure is quite similar to a LeFort II osteotomy, except more facial bone has to be repositioned. Instead, the surgeon is often able to go through the interior of the mouth.

Originally coined by Harold Hargis, this surgery is also used to treat congenital conditions such as cleft palate.

All dentofacial osteotomies require an initial healing time of 2—6 weeks with secondary healing complete bony union and bone remodeling taking an additional 2—4 months. Obtain quantitative measurements based on key anatomic landmarks cephalometric analysis. The surgery might involve one jaw or both jaws cuncurrently.

Bilateral Sagittal Split Osteotomy

Support Center Support Center. Care is taken during the placement of fixation to ensure that the condyle remains within the fossa and that the inferior border is well aligned. J Plast Reconstr Aesthet Surg. These ensure we achieve highly complex surgical movements, with results that have excellent predictability and stability.

BSSO | Lower Jaw Advancement Surgery » Profilo° Surgical

Normal recovery time can range from a few weeks for minor surgery, to up to a year for more complicated surgery. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.

American Association of Oral and Maxillofacial Surgeons. Your 3D Surgical Simulation is then surgedy to produce customised surgical plating.


Most of the swelling will disappear in the first few weeks, but some may remain for a few months. At this time, a vertical cut is made extending inferior to the body of the mandibleto the inferior border of sugery mandible.

Depending on their cosmetic needs, many patients benefit from chin implants.

In most cases, teeth are straightened, or properly aligned, with orthodontics before corrective jaw surgery can be performed to reposition misaligned jaws. Reciprocating saws are straight and are used for making straight bone cuts.

There is also advanced software that can predict the shape of the patient’s face after surgery, [21] [22] which is useful for the planning and also explaining the surgery to the patient and the patient’s family.

First, a horizontal cut is made on the inner side of the ramus mandibulaeextending anterally to the anterior portion of the ascending ramus. Inmandible and maxilla osteotomies were effectively used to correct more extreme deformities like receding chins, and to relieve pain from temporomandibular joint disorder TMJ. Workup Standardized photos are required not bswo for documentation and photometric analysis, but for evaluation of outcomes as well.

Journal List Semin Plast Surg v. Once all of the soft tissue dissection has been completed, attention can be turned to the osteotomies.