Orthognathic surgery
Orthognathic surgery
the complete solution for jaw correction and facial harmony
Orthognathic surgery is a specialized surgical procedure in the field of oro-maxillofacial surgery, intended to correct the incorrect position of the upper jaw, the mandible or both jaws. This intervention is recommended when the bone imbalances are too great to be corrected exclusively through orthodontic treatment. Unlike treatments that only align the teeth, orthognathic surgery acts on the bone structure of the face, restoring the balance between function, aesthetics and long-term health.
What is orthognathic surgery and why is it necessary?
Orthognathic surgery corrects dento-maxillary anomalies of skeletal origin, that is, those situations in which the jaws are not positioned correctly relative to each other or to the rest of the face.
These imbalances can be:
- congenital
- occurred during growth
- accentuated by genetic or functional factors
Without proper treatment, they can lead to:
- severe malocclusion
- accelerated tooth wear
- temporomandibular joint pain
- difficulty breathing and sleeping
- aesthetic and emotional discomfort
For which patients is orthognathic surgery indicated?
Orthognathic surgery is especially indicated for adult patients, after bone growth has been completed, who present one or more of the following problems:
Severe incorrect bite (skeletal malocclusion)
- reverse bite (mandible positioned anteriorly to the maxilla)
- open bite (front teeth not touching)
- overjet sau overbite accentuat
- asymmetrical bite
In these situations, braces alone cannot correct the position of the jaws, but only mask the problem by tilting the teeth, with an increased risk of relapse.
Jaw or mandible too advanced or too retracted
- retracted upper jaw → poor support of the upper lip
- too advanced mandible → appearance of prognathism
- too receding mandible → small chin, convex profile
These imbalances affect not only facial appearance, but also the essential functions of the dento-maxillary apparatus.
Visible facial asymmetries
- chin deviation
- "tilted" or unbalanced face
- asymmetrical smile
Asymmetries are frequently associated with temporomandibular joint overuse and chronic pain.
Associated functional problems
Orthognathic surgery is frequently recommended for patients experiencing:
- difficulty chewing
- slurred speech
- chronic mouth breathing
- snoring and obstructive sleep apnea
- severe fatigue and restless sleep
By correctly repositioning the jaws, the airways can widen, significantly improving breathing and sleep quality.
How is orthognathic surgery performed?
Orthognathic surgery is the result of extremely rigorous planning, carried out by a multidisciplinary team consisting of:
- oro-maxillofacial surgeon
- orthodontist
The process includes:
- detailed clinical evaluation
- imaging analyses (CBCT, 3D scans)
- digital simulations of the final result
- preoperative orthodontic treatment
- surgery under general anesthesia
- Postoperative orthodontic treatment for stabilization
All incisions are made intraorally, without visible scars on the face, and bone fixation is done with modern, stable and safe systems.
Benefits of orthognathic surgery
Functional benefits
- correct and stable bite
- efficient mastication
- clearer speech
- reducing joint pain
- improved breathing
- sleep apnea improvement
Aesthetic benefits
- harmonization of facial proportions
- balanced facial profile
- symmetrical and natural smile
- better defined mandibular contour
The results are natural and tailored to each patient, without an artificial appearance.
Psychological benefits
- increasing self-confidence
- reducing complexes related to facial appearance
- improving quality of life and social relationships
For many patients, orthognathic surgery represents a profound transformation, not only physical, but also emotional.
Is orthognathic surgery a safe procedure?
When it is:
- correctly indicated
- carefully planned
- performed in a specialized center
Chirurgia ortognată este o procedură sigură, predictibilă și cu rezultate stabile pe termen lung. Recuperarea este progresivă, iar majoritatea pacienților revin la activitățile obișnuite în câteva săptămâni.
Conclusion – Why choose orthognathic surgery?
Orthognathic surgery is the complete solution for patients whose jaw imbalances affect bite, breathing, speech and facial harmony. It not only corrects the teeth, but also restores the structural balance of the face, providing long-term functional, aesthetic and psychological benefits.