I need to have surgery!!
I consulted three dentists, and two of them said that my teeth are aligned and do not require braces, indicating that my issue lies with the bone structure.
My aesthetic concerns are a "protruding jaw" and a "long philtrum." There have been news reports during the summer showcasing successful cases of surgeries related to these issues.
I would like to know: what is the success rate? What are the estimated costs? What is the surgical procedure like, for example, will general anesthesia be required? Will there be bone cutting involved? How long will the hospital stay be? Is it really necessary to insert a urinary catheter? Thank you.
Lin, 10~19 year old female. Ask Date: 2003/12/08
Dr. Lai Yishao reply Dentistry
In general, issues related to the teeth, jaws, and facial structure require data collection, diagnostic analysis, and the development of a treatment plan.
Based on the current information, it is insufficient for diagnosis and cannot provide an explanation.
It is recommended to consult an orthodontist for a detailed examination and to discuss an appropriate treatment plan that meets individual needs.
Reply Date: 2003/12/08
More Info
Jaw surgery, also known as orthognathic surgery, is a procedure that corrects irregularities of the jaw and face, improving function and appearance. This type of surgery is often recommended for patients with jaw misalignment, which can lead to issues such as difficulty chewing, speaking, or breathing. In your case, where the concern is about a protruding jaw and an elongated philtrum, jaw surgery may indeed be a suitable option.
Success Rates
The success rates for jaw surgery are generally high, with studies indicating that over 90% of patients report satisfaction with their results. However, success can depend on various factors, including the specific condition being treated, the surgical technique used, and the patient's adherence to post-operative care. Complications, while rare, can occur and may include infection, nerve damage, or issues with bone healing. It's essential to discuss these risks with your surgeon to understand how they apply to your specific situation.
Costs
The cost of jaw surgery can vary significantly based on several factors, including the complexity of the procedure, the surgeon's experience, and the geographical location of the surgery. In the United States, the total cost can range from $20,000 to $40,000 or more. This estimate typically includes pre-operative consultations, the surgery itself, anesthesia, and post-operative care. Since you mentioned that you do not have insurance, it would be wise to discuss payment plans or financing options with your healthcare provider.
Surgical Procedure
Jaw surgery usually requires general anesthesia, meaning you will be completely unconscious during the procedure. The surgery often involves making incisions inside the mouth to access the jawbone, which may require cutting and repositioning the bone to achieve the desired alignment. Depending on the specific corrections needed, the surgery can take anywhere from 1 to 4 hours.
Hospital Stay
Most patients will need to stay in the hospital for 1 to 3 days following the surgery, depending on their recovery progress and any complications that may arise. During this time, healthcare providers will monitor your vital signs and manage any pain or discomfort.
Catheter Use
Regarding the use of a urinary catheter, it is common for patients undergoing general anesthesia to have a catheter placed during surgery. This is primarily for convenience, as you may not be able to get up and use the restroom immediately after the procedure. The catheter is usually removed within a day or two after surgery.
Recovery Insights
Recovery from jaw surgery can take several weeks to months. Initially, you may experience swelling, bruising, and discomfort, which can be managed with prescribed pain medications. A soft or liquid diet is typically recommended for the first few weeks post-surgery. Your surgeon will provide specific guidelines on diet, activity restrictions, and follow-up appointments to monitor your healing process.
Physical therapy or orthodontic treatment may also be necessary after surgery to ensure optimal results and function. It's crucial to follow your surgeon's post-operative care instructions closely to facilitate a smooth recovery.
In summary, jaw surgery can be a highly effective way to address structural issues with the jaw, leading to improved function and aesthetics. Be sure to have thorough discussions with your oral and maxillofacial surgeon about your specific case, including the expected outcomes, risks, and recovery process. This will help you make an informed decision about whether to proceed with the surgery.
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