Correcting Misaligned Teeth and Jaw: Do You Need Surgery? - Dentistry

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Correction of dental and periodontal misalignment?


Hello Dr.
Yang, I would like to ask about the correction of misaligned teeth and gums.
My gums are higher on the left side and lower on the right, and I have an overbite, which causes my speech and smile to appear crooked (the lower teeth are shifted towards the left front).
I previously consulted a dentist, who said that I would need surgery and braces for correction, which is a significant undertaking.
Additionally, I have many dentures (about seventeen).
I would like to know if surgery is absolutely necessary, and whether I would need to replace all my dentures.
How much would this cost? Thank you!

Little Ju, 20~29 year old female. Ask Date: 2005/05/10

Dr. Yang Hui reply Dentistry


1.
If the dental occlusion is in a crossbite configuration, severe cases may only improve with surgical intervention.

2.
If the prosthesis is a dental bridge (several teeth bonded together), it may be necessary to remove the prosthesis and replace it with a resin crown in order to attach the orthodontic device.

3.
The cost of the surgery is unknown as our clinic does not perform this procedure.
(General medical centers such as Kaohsiung Medical University or Taipei Veterans General Hospital can perform this surgery).
It would be advisable to inquire with them for more accurate information.

Reply Date: 2005/05/10

More Info


Correcting misaligned teeth and jaw issues can be a complex process, especially when surgery is involved. Based on your description, it sounds like you have a significant misalignment, which is often referred to as a malocclusion. This can lead to functional issues, such as difficulty chewing and speaking, as well as aesthetic concerns.
1. Surgical Intervention: In many cases, surgery may be recommended to correct severe jaw misalignment. This is particularly true if the misalignment is causing functional problems or if it is affecting your quality of life. Surgical options can include orthognathic surgery, which realigns the jaw and can help improve both function and appearance. However, surgery is usually considered a last resort after other options have been explored.
2. Impact on Existing Dentures: Since you mentioned having around 17 dental prosthetics, it’s crucial to discuss how surgery might affect these. Depending on the extent of the jaw realignment, some of your existing dentures may need to be replaced or adjusted. This is because the position of your jaw will change, which can affect how your dentures fit. Your dentist or oral surgeon will provide guidance on whether your current dentures can be modified or if new ones are necessary.

3. Costs Involved: The cost of surgery and subsequent dental work can vary widely based on several factors, including the complexity of the surgery, the type of anesthesia used, the geographical location of the dental practice, and whether you have dental insurance that covers part of the procedure. Generally, orthognathic surgery can range from $20,000 to $40,000, but this is a rough estimate and can vary significantly. It’s essential to have a detailed discussion with your oral surgeon and dentist about the expected costs and payment options.

4. Alternative Treatments: Before committing to surgery, it’s worth exploring all available options. In some cases, orthodontic treatment alone may be sufficient to correct mild to moderate misalignments. Braces or clear aligners can sometimes achieve significant improvements without the need for surgical intervention. Your orthodontist will evaluate your specific situation and provide recommendations tailored to your needs.

5. Consultation and Second Opinions: Given the complexity of your situation, it may be beneficial to seek a second opinion from another orthodontist or oral surgeon. Different professionals may have varying approaches to treatment, and a second opinion can provide you with additional insights and options.

6. Education and Resources: To better understand your dental health and the procedures involved, consider seeking out reputable dental health resources. Websites from dental associations, educational institutions, and patient advocacy groups can provide valuable information about dental treatments, including the pros and cons of surgery versus orthodontic treatment.

In conclusion, while surgery may be necessary for correcting significant jaw misalignment, it’s essential to have a thorough discussion with your dental care team about all available options, the potential impact on your existing dental work, and the associated costs. This will help you make an informed decision that aligns with your health needs and financial situation. Remember, your dental health is a long-term investment, and taking the time to explore all avenues will ultimately lead to the best outcome for your smile and overall well-being.

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