Orthognathic surgery

   Orthognathic surgery is a general term that describes correction of condition of skeletal and dental deformities in face bones. Orthognathic surgery can also be described as applications that are conducted to correct deformities of jaw or deformities of tooth with jaws. Besides, aesthetic and functional corrections can also be made with orthognathic surgery. Correction of chewing-orthognathic surgery interventions are among main application areas of modern plastic surgery in the whole world.

   The problems that may be seen in face skeletal structure and be solved with orthognathic surgery are stated below:

   1. When jowl is in front, behind, right side or left side,

   2. Deficient growth of one side or whole jowl,

   3. When maxilla is in front, behind, right side or left side,

   4. Deficient growth of maxilla,

   5. When teeth in jowl and maxilla do not contact each other (open chewing deformity)

   6. When gonion is in front or behind, small or big,

   7. When cheekbones are bigger, smaller, in more front or behind than they must be,

   8. Deformities of jaws due to accidents or tumour.

   In face harmony and skeleton structure of human there are growths and rates that change from person to person. Thus in jaw skeleton growing there are rates that change fro person to person. In case relation of jowl and maxilla is not normal chewing deformities- malocclusion occurs. Jowl and maxilla can be front, behind, low or up from their ideal position that they must be. These problems in teeth and skeleton structure effects face aesthetic in an important level too. Another subject that must not be ignored is the current problem effects patients physiologically. Correction of skeletal and teeth problems with orthognathic surgery also solves functional, aesthetic and psychological problems too. This can be defined with the statement of patients as "a new lease of life".

  Chewing deformities of persons can be corrected as refine with a team consist of plastic surgeon and orthodontist. Only plastic surgeon or orthodontist is not adequate to obtain ideal result. When persons who have such problems apply to our clinic first of all the occurrence period of current problem is determined. Upon evaluation of tmj. temporomandibular joint in a detailed way, the images obtained from digital camera are evaluated in computer environment and ideal appearance of the patient after treatment is determined. It is important for patient to attend this digital evaluation actively that is made in computer environment. These patients must evaluate orthodontics treatment (wire treatment) that must be made before surgery with orthodontist to determine the treatment. Surgery plan is determined with works that are made on radiographies of patient (cephalometric analysis). Deformities in teeth are corrected before surgery period. A perfect completion is achieved with orthodontics treatment that continues after surgery period. Generally, orthodontics treatment starts before operation period and later continues according to plans. The length of this period is completely depends on problems and adaptation of patient to treatment.