Jaw Surgery

Corrective jaw surgery is performed to remedy skeletal problems such as Class II or Class III features. If your bite severely impairs your ability to bite, chew and speak due to upper and lower jaws being out out of position, your orthodontist co-ordinates with an oral and maxillofacial surgeon to re-position jaws and teeth for optimal function.

Jaw surgery usually occurs for adults to re-position their jaws because unlike chidlren, adults jaw are no longer developing and growing. Surgery is required to modify the size or shape of an adult’s jaw bones. The cause of disportionate jaw positions may be genetic, birth defects or jaw injuries. Surgical orthodontics is generally recommended for adults who have a severe problem that cannot be corrected by orthodontic treatment alone.

Jaw Malocclusions

The classifications for orthodontic malocclusions is dependent on the positioning  of your teeth to the relationship of your jaw bones. The 3 basic classifications of jaw occlusions are : Class I, Class II and Class III.

jaw occlusions

Class 1

Normal jaw

protruded upper jaw

Class 2

Upper jaw overjets outwards

protruded lower jaw

Class 3

Lower jaw overjets outwards

Orthodontic braces is normally both before and after surgery. This is so that teeth on both upper and lower jaw meets and bites together correct. BIDH’s team of oral surgeon and orthodontists are one of the few dental teams in Thailand with the experience and capability to perform jaw surgeries. If you require jaw surgery, we will require overnight stays at the dental hospital. Surgeries are done under general anaesthesia.

complimentary consultation

Make an advance appointment for a treatment plan with our dentists. There is no obligation to start treatment. Find out what treatment is specific to you.

Jaw Surgery Procedure

Pre and post planning for orthodontic treatment in conjection with surgery is performed together with you by your orthodontist and maxillofacial oral surgeon. Your two dental specialists work as a team to diagnoses and execute your treatment plan of care. Because jaw surgery is a lengthy procedure that can span across years, it is vital to follow through with your plan and select qualified and skill specialists.

dental x-ray

Step 1 : Treatment planning and co-ordination

Your orthodontist is the first dentist you meet for diagnoses of malocclusion. X-ray imaging, study models and records is taken. If orthodontic braces with jaw surgery is required for your case, your orthodontist refers and arranges with the oral maxillofacial surgeon for confrmation of treatment plan.

bangkok dentists

Step 2 : Orthdontic braces pre-surgery

Upon confirming your treatment plan with the oral surgeon, your orthodontist starts with a first set of braces installed to move teeth to a certain occlusion. You may need to wear these braces for certain intervals until the required occlusion is achieved.

Step 3 : Surgery arrangements and GA set up

When you are ready for jaw surgery stage, your dentist arranges to have a chest x-ray and health-check made to ensure you are in good health to undergo general anaesthesia. Operating room and overnight stay at our dental hospital is pre-booked.

dental hospital

Step 4  : Jaw surgery and overnight stay

Before the day of surgery, avoid consuming any foods and liquids. On arrival, our registered nurses provides you with instructions. Your anaesthesialogist, oral surgeon and orthodontist will work together during surgery. Post surgery, you are recommended to stay overnight for monitoring.

care of braces

Step 5  : Orthdontic braces pre-surgery

After a certain degree of healing from jaw surgery, your orthdontist installs a second set of braces that will shift your teeth and occlusion into your final positions.

Step 6  : Braces removal and retainers

After orthodontic treatment is competed, records and retainers are made for wear to keep your teeth in position.

Conclusion – Jaw Surgery

For individuals whereby orthodontic braces are unable to directly resolve significant malocclusions, jaw surgery may be recommended. As orthognathic surgery or jaw surgery is a major and lengthy treatment process, it is important to have obtain a proper treatment plan from well-experienced orthodontist and maxiofacial oral specialist for successful results. Once your treatment procedure has started, it should be followed through to completion. Ceasing treatment or changing dentists or doctors admist your jaw surgery plan can cause additional challenges, therefore you will need to be committed and ensure that orthognatic surgery is the option and plan for you.

Get a dental consult with our orthodontist should you be unsure whether orthodontic braces or jaw surgery is for you at BIDH orthodontic dental clinic. Our dental hospital’s oral surgery clinic has an operating theatre that is dedicated for oral surgery treatments under general aneasthesia. BIDH dental hospital follows strict aneasthesia standards and hospital based patients safety practices. Our registered nurses looks after our in-patient overnight stay patients and their families.