The need for upper jaw surgery arises in a situation where the upper jaw is not aligned with the lower jaw, or in a situation where the teeth in both jaws are not aligned in a straight line and the mouth cannot be closed properly. This article explains what the upper jaw surgery is, how the procedure is performed and the results you can expect.
The problem of distortion or deficiency of the upper jaw is manifested by a general lack of symmetry of the face, a look in the front or a profile. The upper jaw is protruding or submerged at an abnormal level, and the surgery allows for aesthetic improvement of the overall appearance of the face and even leads to the proper closure of the teeth, so that the effect also applies to the respiratory system and chewing operations.
Symptoms and signs indicating the need for upper jaw surgery include:
Insufficient, excessive or asymmetrical growth of the upper jaw
Functional Difficulties - Manifested in difficulty swallowing and chewing, as well as speech difficulties
Lack of symmetry - when the posterior or anterior teeth are not aligned, and the upper jaw is not symmetrical, so the face looks distorted
Effort in closing the mouth - the lips cannot be pinched easily
Chronic pain - in the upper jaw joint
שחיקת שיניים – כתוצאה מהעיוות בלסת העליונה
At the counseling session, the patient and the physician formulate a comprehensive work plan from which to understand the goals of the surgery and the desired results. This is the patient's opportunity to ask all questions about the surgery and express their expectations. To begin upper jaw surgery, the area is disinfected. During surgery, the doctor performs one incision, or multiple incisions, near the jaw and ear joint. The exact approach chosen depends on the purpose and scope of the analysis. For example, if the goal is to correct upper jaw deformity, several cuts are made.
In the next step, the upper jaw is sawed using a small saw, so that the jaw movement and fixation can be enabled in the new location. Depending on the treatment plan, a partial bone or sub-jaw bone transplant may be performed at this stage, or part of the jawbone may be removed.
At the end of the procedure, the gums are returned to the site by performing closed sutures that dissolve two to three weeks later, and the patient receives a pressure bandage. In some cases, drainage or several drains should be left in place to drain blood residue and fluid from the tissue. The duration of the upper jaw procedure depends on the extent of the operation, and in most cases lasts from one hour to three hours.
By placing delicate rubber bands on both sides of the jaw, between the teeth, a new closure of the mouth is possible. In rare cases, the need arises to tie the teeth together for a short period. Because upper jaw surgery changes the facial features, in many cases the same procedure is performed on the lower jaw or chin surgery to achieve perfect harmony on the face. This is a complex operation involving the treatment of the part of the mouth that is responsible for the proper functioning of the speech, breathing and eating system, and the effect on the facial appearance is significant. Therefore, care should be taken by an oral and maxillofacial specialist only to achieve the perfect results.
In the first few days after the upper jaw surgery, care should be taken to avoid bending or stretching the neck, as well as to avoid the facial muscles. The pressurized dressing can be removed a few days later, if the bleeding has stopped, and a week and a half to three weeks later, the stitches can be examined. Occasionally, blood clots may appear under the skin or swelling, but are usually absorbed two weeks later. If pain arises, prescription or non-prescription painkillers can be used, as needed.