{"id":29,"date":"2022-01-13T08:51:20","date_gmt":"2022-01-13T08:51:20","guid":{"rendered":"https:\/\/www.barnaclinic.com\/blog\/cirugia-ortal-maxilofacial\/en\/?p=29"},"modified":"2022-01-13T08:51:20","modified_gmt":"2022-01-13T08:51:20","slug":"orthognathic-surgery","status":"publish","type":"post","link":"https:\/\/www.barnaclinic.com\/blog\/cirugia-ortal-maxilofacial\/en\/orthognathic-surgery\/","title":{"rendered":"What is orthognathic surgery and when is it necessary?"},"content":{"rendered":"<p>There are certain traces that decisively influence the image of people. So, the symmetry and the proportion are characteristics that are repeated in the traces that we consider attractive. <strong>Orthognathic surgery<\/strong> has a double objective: on one hand <strong>it corrects anatomical discrepancies when it comes to symmetry and facial proportions<\/strong> and, on the other hand, <strong>it corrects the dental malocclusion <\/strong>that has its origins in skeletal alterations.<\/p>\n<p><!--more--><\/p>\n<h2><strong>WHEN IS IT NECESSARY TO OPERATE ON THE JAW?<\/strong><\/h2>\n<p><strong>Orthognathic surgery<\/strong> is an intervention that is recommended for functional and also aesthetic reasons. Faced with <strong>dental malocclusion <\/strong>and being a cause of a badly positioned maxillary bone and or jawbone, it will be possible to offer the patient surgical treatment. After the visit with a <a href=\"https:\/\/www.barnaclinic.com\/en\/professionals\/570\/samir\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>maxillofacial surgeon<\/strong><\/a> and an orthodontist, a treatment plan is carried out that is performed in coordination with both specialists and involves a <a href=\"https:\/\/www.barnaclinic.com\/en\/ortodoncia\/index\/\">orthodontic treatment<\/a> phase and a surgical treatment phase.<\/p>\n<p><strong>Orthognathic surgery <\/strong>has another great indication that has been gaining more importance in the last 15 years: <strong>treatment of OSAS (Obstructive Sleep Apnea Syndrome)<\/strong> in those cases when the previous projection of the jaw is insufficient and lowers the space in the airway during sleep.<\/p>\n<h2><strong>ORTHOGNATHIC SURGERY: PHASES OF TREATMENT<\/strong><\/h2>\n<ol>\n<li><strong><u>Diagnosis<\/u><\/strong>: <a href=\"https:\/\/www.barnaclinic.com\/en\/professionals\/570\/samir\"><strong>maxillofacial surgeon<\/strong><\/a>, via a physical exploration of the patient and the study of the requested diagnostic tests, should diagnose a sceptical problem to be treated surgically.<\/li>\n<li><strong><u>Pre-surgical orthognathic treatment<\/u><\/strong>: after planning the case along with the <a href=\"https:\/\/www.barnaclinic.com\/en\/professionals\/383\/doris\">specialist orthodontology<\/a>, the <a href=\"https:\/\/www.barnaclinic.com\/en\/ortodoncia\/index\/\">orthodontic treatment<\/a> will begin with the aim of <strong>preparing the case for orthodontic treatment<\/strong>. This treatment can last from a few months to two years, according to the degree of <strong>malocclusion<\/strong>. <strong>Preoperative orthodontics <\/strong>has different objectives to conventional orthodontics (when patients don\u2019t undergo surgery), meaning that it should be very clear from the start whether the patient is a candidate or not for <strong>orthognathic surgery<\/strong>.<\/li>\n<li><strong><u>Surgical treatment<\/u><\/strong>: the <strong>planning for orthognathic surgery<\/strong> is carried out over digital three dimensional models of the patient\u2019s face. The patient can be \u201coperated on\u201d virtually to define the results that we want to achieve. This way, all the movements of the facial skeleton that are carried out in the surgery have been planned previously thanks to those digital models, on a computer screen.<\/li>\n<li><strong><u>Post-surgical orthodontic treatment<\/u><\/strong>: is a shorter <a href=\"https:\/\/www.barnaclinic.com\/en\/ortodoncia\/index\/\"><strong>orthodontic<\/strong><\/a><strong> phase<\/strong> than the first one (not usually more than 5-6 months) when the <a href=\"https:\/\/www.barnaclinic.com\/es\/cuadro-medico\/383\/doris-diaz\">orthodontist<\/a> has just \u201cadjusted\u201d the <strong>dental occlusion<\/strong> so that it\u2019s perfect. The surgeon will carry out a follow-up on the evaluation during the next few months in collaboration with the <a href=\"https:\/\/www.barnaclinic.com\/en\/professionals\/383\/doris\">orthodontist<\/a>, which allows for optimal results.<\/li>\n<\/ol>\n<h4><em><strong>What are the most common situations in which carrying out orthodontic surgery is recommended?<\/strong><\/em><\/h4>\n<ul>\n<li style=\"font-weight: 400;\">Maxillary bone is very back<\/li>\n<li style=\"font-weight: 400;\">Jawbone is very back<\/li>\n<li style=\"font-weight: 400;\">Jawbone is very forward<\/li>\n<li style=\"font-weight: 400;\">Narrow or pointy palate<\/li>\n<li style=\"font-weight: 400;\">Very evident facial asymmetry<\/li>\n<li style=\"font-weight: 400;\">A combination of the above<\/li>\n<\/ul>\n<h2><strong>TYPES OF ORTHOGNATHIC SURGERY<\/strong><\/h2>\n<p>With respect to the deformations to treat, there are basically two types of intervention:<\/p>\n<ol>\n<li><strong>Class II skeletal, hypoplasia or retrognathism<\/strong>. It is the operation destined to correct a very back or slightly facing forward jaw.<\/li>\n<li><strong>Class III skeletal or jaw prognathism<\/strong>. It is the appropriate technique for patients whose jaw is forward in relation to the maxillary bone.<\/li>\n<\/ol>\n<p>These two citations can be associated with:<\/p>\n<ul>\n<li style=\"font-weight: 400;\"><strong>Facial asymmetry<\/strong>: the patient has a decompensation between the two sides of their face.<\/li>\n<li style=\"font-weight: 400;\"><strong>Gingival smile<\/strong>: when a person shows an excess of gum which is visible when talking or smiling and is not possible to correct exclusively via gingival surgery.<\/li>\n<li style=\"font-weight: 400;\">Alterations in the shape of the chin<\/li>\n<li style=\"font-weight: 400;\">Alterations in nasal anatomy<\/li>\n<\/ul>\n<p>We have to mention that the different <strong>dental skeletal deformities <\/strong>described can be present alone or together. This makes the <strong>orthognathic surgery planning <\/strong>\u00a0and the correct coordination with the orthodontist key aspects to achieve excellent results.<\/p>\n<p><strong>Esthetic surgery<\/strong> techniques, such as <strong>mentoplastia <\/strong>or <strong>rinoplastia<\/strong>, are commonplace in the treatment of this type of patient given that, as we have explained, the esthetic result and the dental occlusion are the two main objectives of this type of treatment.<\/p>\n<blockquote>\n<h4><i><span style=\"font-weight: 400;\"><a href=\"https:\/\/www.barnaclinic.com\/es\/cuadro-medico\/570\/samir\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-16\" src=\"https:\/\/www.barnaclinic.com\/blog\/cirugia-ortal-maxilofacial\/wp-content\/uploads\/sites\/23\/2021\/12\/Captura-de-pantalla-2021-12-15-a-las-17.16.44-150x150.png\" alt=\"Dr. Samir Aboul-Hosn\" width=\"104\" height=\"104\" srcset=\"https:\/\/www.barnaclinic.com\/blog\/cirugia-ortal-maxilofacial\/wp-content\/uploads\/sites\/23\/2021\/12\/Captura-de-pantalla-2021-12-15-a-las-17.16.44-150x150.png 150w, https:\/\/www.barnaclinic.com\/blog\/cirugia-ortal-maxilofacial\/wp-content\/uploads\/sites\/23\/2021\/12\/Captura-de-pantalla-2021-12-15-a-las-17.16.44-297x300.png 297w, https:\/\/www.barnaclinic.com\/blog\/cirugia-ortal-maxilofacial\/wp-content\/uploads\/sites\/23\/2021\/12\/Captura-de-pantalla-2021-12-15-a-las-17.16.44-768x776.png 768w, https:\/\/www.barnaclinic.com\/blog\/cirugia-ortal-maxilofacial\/wp-content\/uploads\/sites\/23\/2021\/12\/Captura-de-pantalla-2021-12-15-a-las-17.16.44.png 794w\" sizes=\"(max-width: 104px) 100vw, 104px\" \/><\/a><\/span><\/i><\/h4>\n<p><em>\u201c<strong>Esthetic surgery<\/strong> techniques, such as <strong>mentoplastia <\/strong>or <strong>rinoplastia<\/strong>, are commonplace in the treatment of this type of patient given that, as we have explained, the esthetic result and the dental occlusion are the two main objectives of this type of treatment.\u201d<\/em><\/p>\n<p>Dr.\u00a0<a href=\"https:\/\/www.barnaclinic.com\/en\/professionals\/570\/samir\">Samir Aboul-Hosn<\/a>, oral and maxillofacial surgeon<\/p><\/blockquote>\n<h2><strong>ORTHOGNATHIC SURGERY AT BARNACL\u00cdNIC+<\/strong><\/h2>\n<p>Dr.\u00a0<strong><a href=\"https:\/\/www.barnaclinic.com\/en\/professionals\/570\/samir\">Samir Aboul-Hosn<\/a><\/strong>\u00a0is a maxillofacial surgeon with <strong>more than two decades of experience with orthognathic surgery<\/strong>. He has specialised in the field of <strong>orthognathic surgery<\/strong> in different national and international centres of prestige and has carried out his Doctoral Thesis work on <a href=\"https:\/\/dr-samir.com\/wp-content\/uploads\/2019\/07\/3D-planning-in-orthognathic-surgery.pdf\">digital surgical planning and 3D printing<\/a> of material for <strong>orthognathic surgery<\/strong>. He has published scientific articles in this field, among them <strong>the third article most cited on orthognathic surgery on a global level<\/strong>. He has collaborated with different orthodontists to treat his patients. His idea about <strong>practical individualised medicine centred on the patient<\/strong> makes <strong>surgical planning a key point<\/strong> where, apart from technical aspects, active listening to the patient\u2019s expectations take on special importance in all his visits. One of the most important aspects in the doctor-patient relationship, as he always tells his university students, is communication. This means listening, understanding, processing and explaining to the patient in the simplest possible way everything that their treatments entails.<\/p>\n<hr \/>\n<p><u><span style=\"color: #808080;\"><a style=\"color: #808080;\" href=\"https:\/\/dr-samir.com\/wp-content\/uploads\/2019\/07\/Planificacio%CC%81n-tridimensional-y-utilizacio%CC%81n-de-fe%CC%81rulas-Computer-Aided-Design-Computed-Aided-Manufacturing-en-cirugi%CC%81a-ortogna%CC%81tica.pdf\" target=\"_blank\" rel=\"noopener noreferrer\"><em><strong><small>Planificaci\u00f3n tridimensional y utilizaci\u00f3n de f\u00e9rulas Computer Aided Design\/Computed Aided Manufacturing en cirug\u00eda ortogn\u00e1tica<\/small><\/strong><\/em><\/a><\/span><\/u><br \/>\n<span style=\"color: #808080;\"> <small>Samir Aboul-Hosn Centenero<\/small><\/span><\/p>\n<hr \/>\n<div id=\"estoy-interesado\" class=\"destacat-site\">\n<h1 style=\"padding-left: 15px; padding-right: 15px; text-align: center;\" align=\"LEFT\"><strong>WOULD YOU LIKE TO CONTACT DR. SAMIR ABOUL-HOSN\u2019S CENTRE?<\/strong><\/h1>\n<p class=\"boto\" style=\"padding-right: 20px;\" align=\"center\"><a class=\"button\" href=\"https:\/\/www.barnaclinic.com\/en\/solicitar-cita\/?profesional=570\" target=\"_blank\" rel=\"noopener noreferrer\">REQUEST FACE-TO-FACE APPOINTMENT<\/a>\u00a0|\u00a0<a class=\"button\" href=\"https:\/\/www.barnaclinic.com\/en\/televisit\/?profesional=570\" target=\"_blank\" rel=\"noopener noreferrer\">REQUEST ONLINE APPOINTMENT<\/a><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>There are certain traces that decisively influence the image of people. So, the symmetry and the proportion are characteristics that are repeated in the traces that we consider attractive. Orthognathic surgery has a double objective: on one hand it corrects anatomical discrepancies when it comes to symmetry and facial proportions and, on the other hand, [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":19,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[22,21],"tags":[27,23,26,24,28,25],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v19.14 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>What is orthognathic surgery and when is it necessary? |\u00a0Dr. Aboul-Hosn<\/title>\n<meta name=\"description\" content=\"Orthognathic surgery has a double objective: on one hand it corrects anatomical discrepancies when it comes to symmetry and facial proportions...\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.barnaclinic.com\/blog\/cirugia-ortal-maxilofacial\/en\/orthognathic-surgery\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"What is orthognathic surgery and when is it necessary? 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