Orthognathic Surgery

Corrective Jaw Surgery Ann Arbor, Ypsilanti, Saline MI

Orthognathic surgery is needed when the top and bottom jaws don’t meet correctly and/or teeth don’t adequately fit within the jaw. Teeth are straightened with orthodontics, and corrective jaw surgery repositions a misaligned jaw. This not only improves facial appearance, but also ensures that teeth meet correctly and function properly.

Orthognathic Surgery Presentation

To provide you with a better understanding of orthognathic surgery, we have provided the following multimedia presentation. Many common questions pertaining to orthognathic surgery are discussed.

Who needs orthognathic surgery?

People who can benefit from orthognathic surgery include those with an improper bite, or jaws that are positioned incorrectly. Jaw growth is a gradual process and in some instances, the upper and lower jaws may grow at different rates. The result can be a host of problems that may affect chewing function, speech, or long-term oral health and appearance. Injury to the jaw and birth defects can also affect jaw alignment. Orthodontics alone can correct bite problems when only the teeth are involved. Orthognathic surgery may be required for the jaws when repositioning is necessary.

   


Am I A Candidate for Corrective Jaw Surgery?

Difficulty in the following areas should be evaluated:

  • Difficulty in chewing, biting, or swallowing
  • Speech problems
  • Chronic jaw or TMJ pain
  • Open bite
  • Protruding jaw
  • Breathing problems

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Any of these symptoms can exist at birth, be acquired after birth as a result of hereditary or environmental influences, or as a result of trauma to the face. Before any treatment begins, a consultation will be held to perform a complete examination with x-rays. During the pre-treatment consultation process, feel free to ask any questions that you have regarding your treatment. When you are fully informed about the aspects of your care, you and your dental team can make the decision to proceed with treatment together.

Technology & Orthognathic Surgery

Dr. Fear and Dr. Fear use modern computer-aided techniques and three-dimensional models to show you exactly how your surgery will be approached. Using comprehensive facial x-rays and computer video imaging, we can show you how your bite will be improved and even give you an idea of how you’ll look after surgery. This helps you understand the surgical process and the extent of the proposed treatment.

If you are a candidate for corrective jaw surgery, Drs. Fear or Fear will work closely with your dentist and orthodontist during your treatment. The actual surgery can move your teeth and jaws into a new position that results in a more attractive, functional, and healthy dental-facial relationship.

A patient getting a panoramic x-ray of her jaw

What to Expect

  • Corrective jaw surgery is a significant intervention requiring many months of preparation.
  • The surgery is performed in the hospital and can last between one to four hours.
  • Hospital stays of one to three days are normal.
  • Braces are maintained during surgery and may need to be removed six to twelve months after surgery.
  • The greatest impact of orthognathic surgery is the recovery phase.
  • Patients typically may be off work/school from two weeks to one month after surgery.
  • Return to normal chewing function may take 2 months and full
    function may take one year.
  • Our goal is to ensure you are well taken care of during and after surgery.
  • Weekly appointments are required for up to two months after surgery.

Legacy Oral and Facial Surgery Center

5 out of 5 stars based on 3 Jaw Surgery reviews

Our Latest Patient Testimonial

Great Job!

- Praskovya N

5 out of 5 stars on

Our Latest Patient Testimonial

Got me in as soon as I called, severe pain, bad wisdom tooth, complications "Can you be here in 45 minutes? Absolutely. Couldn't be any smoother or professional from the start. Top level facility and service. This Doc., Doctor Dalbert Fear is the most compassionate Doctor I have encountered in my 63 year lifetime. I had an impacted 3rd molar that was infected trying to grow a wrong direction in my jawbone that was a very tough surgery. Consequently the lingual nerve that affects the tongue was disturbed in the process and caused excruciating pain and numbness after the 1st surgery. The 2nd molar also had to be extracted because of this. Doctor Fear took an immidiate interest in solving this issue in any way possible, after 2 more encounters into general anesthesia the reason for the excruciating pain, inability to swallow or talk was discovered and Dr. Fear solved the problem of not being able to swallow, eat or talk for 3 weeks. It has been the most traumatizing medical emergency of my life and this man and his staff stuck with me every day, every minute until the pain problem was solved. The surgery that was performed was a very hard issue as the lingual nerve passes right by where the tooth had to be extracted, Trust me when I tell you, you NEVER want to experience this kind of pain. I have drilled a hole through my hand with a #8 size drill bit, had broken ribs, dislocated shoulder, broken collar bone, deviated septum surgery under local anesthesia, broken bones in my right hand, and foot, 4 root canals, 3 tooth implants. All of these events were a square dance compared to this. I NEVER thought or knew that pain like this was possible and the good Doctor and his staff kept me as comfortable and pain free as possible with any medications that were required or additional surgeries or other tasks that needed to be performed. The postoperative care that I received and continue to receive from Legacy Oral and Facial Surgery Center after this procedure is certainly nothing like I have experienced in any other medical health care facility, Emergency Room trauma center, hospital or any other doctor in my lifetime. Absolutely the best care I have ever received, and continue to receive from this facility and staff. Dr. Fear has told me personally that he is on this with us until it is completly solved. Millions of thank you's to Dr. Fear, and all the nurses, professionals and office staff that have helped me and my wife through this very trying time through the Christmas holiday season with this injury. We Thank you very sincerely, Mark & Ruby D.

- Mark D

5 out of 5 stars on

Our Latest Patient Testimonial

Dr Fear is an amazing man. I am 78 yrs old and have a rare type of lymphoma, and he immediately understood, how it behaved (very rare for anyone to know this) the impact of it and helped me decide what to do. He was so kind! It is refreshing to have an oral surgeon who also understands your general health and takes it into consideration in the process. I was in so much pain from a week of attempted root canals at an endodontist. But the tooth wouldn't cooperate and the abscess was getting larger.. But the extraction procedure was fast! The tooth popped, he was able to remove the infection from the abscess, and stitch it up in record time. He was a life saver for me. And the nurse (short blond hair can't remember her name) who took care of me was so fabulous. She really looked out for me through the whole process. Thanks to both of you and your staff.

- Judith S

5 out of 5 stars on