Orthognathic Surgery: Benefits, Costs, and Risks Explained - Dentistry

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Orthognathic surgery


Orthognathic surgery can be performed entirely within the oral cavity, leaving no scars on the beautiful face, and it is an art that combines science, medicine, and aesthetics.
Analyzing the human face involves the jawbone, the temporomandibular joint, muscle groups, and the nervous system, which are all very intricate structures.
Patients with dental and jaw deformities require cranial radiographic examinations for precise angle and length analyses, as well as three-dimensional computed tomography for detailed inspection and analysis.
Through analysis and comparison, abnormalities can be identified, and surgical simulations can be conducted on paper (or computer) to redefine the ideal facial shape, designing the most suitable methods for bone cutting and assembly, measuring cutting angles and distances.
These measurements and bone cutting techniques are then applied to preoperative detailed plaster models.
Patients with dental and facial deformities can have their misaligned bones and occlusion corrected through surgical intervention, where specific sections of the upper and lower jaw are cut, realigned, and fixed in a new position.
The postoperative healing process does not involve any foreign materials, alleviating concerns about potential foreign body reactions or rheumatic issues in the future.

May I ask how much this procedure typically costs? Is guardian consent required? What is the level of risk involved?

Xin Xin, 10~19 year old female. Ask Date: 2006/12/08

Dr. Yang Hui reply Dentistry


Hello, Xin Xin: I am not sure about the exact cost of orthognathic surgery, but it is approximately between 100,000 to 200,000 TWD.
Generally, it is necessary to combine it with orthodontic treatment.
The surgery requires consent from a guardian.
All surgeries carry risks, and the level of risk depends on the patient's individual condition (such as whether they have heart disease, drug allergies, etc.).

Reply Date: 2006/12/08

More Info


Orthognathic surgery, also known as jaw surgery, is a procedure designed to correct various dental and skeletal irregularities, including misaligned jaws and teeth. This surgery can significantly improve both function and aesthetics, allowing individuals to achieve a more balanced facial appearance and improved bite functionality.

Benefits of Orthognathic Surgery
1. Functional Improvement: Many patients experience enhanced chewing, speaking, and breathing abilities post-surgery. This is particularly beneficial for those with severe jaw misalignments that affect daily activities.


2. Aesthetic Enhancement: The surgery can lead to a more harmonious facial structure, which can boost self-esteem and confidence. Since the incisions are made inside the mouth, there are typically no visible scars on the face.

3. Long-term Results: Unlike orthodontic treatments that may require ongoing adjustments, orthognathic surgery provides a more permanent solution to jaw alignment issues.


Costs of Orthognathic Surgery
The cost of orthognathic surgery can vary widely based on several factors, including the complexity of the case, the surgeon's experience, and the geographic 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, surgical fees, anesthesia, hospital stays, and post-operative care. It is essential to check with your insurance provider, as some plans may cover a portion of the costs if the surgery is deemed medically necessary.


Risks Associated with Orthognathic Surgery
Like any surgical procedure, orthognathic surgery carries certain risks. These may include:
1. Infection: As with any surgery, there is a risk of infection at the surgical site.


2. Nerve Damage: There is a possibility of temporary or permanent nerve damage, which can lead to numbness or altered sensation in the face.

3. Blood Loss: Significant blood loss can occur during surgery, necessitating blood transfusions in some cases.

4. Malocclusion: There is a risk that the bite may not align correctly after surgery, requiring further adjustments or additional procedures.

5. Anesthesia Risks: General anesthesia carries its own set of risks, particularly for individuals with pre-existing health conditions.


Consent and Monitoring
Before undergoing orthognathic surgery, patients typically need to provide informed consent, which includes understanding the risks, benefits, and alternatives to the procedure. If the patient is a minor, parental or guardian consent will be required.

Conclusion
Orthognathic surgery is a complex but rewarding procedure that can significantly enhance both function and aesthetics for individuals with jaw misalignments. While the costs can be substantial, the long-term benefits often outweigh the financial investment. It is crucial to have thorough discussions with your oral and maxillofacial surgeon to understand the specific risks associated with your unique situation and to ensure that you are fully informed before proceeding with the surgery. Always consider seeking a second opinion or consulting with multiple specialists to find the best approach tailored to your needs.

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