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Corrective Oral Surgery

Corrective oral surgery (orthognathic surgery) moves teeth and jaws into a more balanced, functional and healthier position. Unequal growth of the jaws, birth defects or injury can create problems. Orthognathic means "straight jaws" and corrects a wide range of facial and jaw fractures and irregularities.

Its benefits include an improved ability to:

• chew
• breathe
• speak
• enhances appearance

When only the teeth are involved, orthodontics can correct many "bite" problems but it cannot reposition jaws. Corrective oral surgery is usually performed when needed in connection with orthodontics corrections. The orthodontist and oral surgeon work together in developing your specific treatment program. A complete evaluation of the patient's condition through X-rays, photographs, facial measurements and dental impressions help them determine the best course of therapy.

What Conditions May Indicate a Need for Corrective Oral Surgery?

• Difficulty in chewing or swallowing
• Speech problems
• Chronic jaw pain
• Excessive wearing of teeth
• Facial injury or birth defects
• Unbalanced facial appearance
• Receding chin or protruding jaw
• "Open bite" (a space remains between the upper and lower teeth when the mouth is closed)
• Chronic mouth breathing with dry mouth
• Sleep apnea (breathing problems when sleeping)

What Are Preparations for the Oral Surgery?

Your orthodontist and oral surgeon will work closely together in preparation for your complete treatment program. First, pre-surgical orthodontics will move your teeth into a new position to fit together better after surgery. This means you'll be wearing braces for 6 to 18 months prior to the surgery. Your teeth will be carefully evaluated during orthodontic visits. When your dental correction team determines that your teeth are properly positioned, the surgery will be scheduled.

Where Is the Oral Surgery Performed? How Long Does It Last?

The surgery is performed in either a hospital or outpatient surgical center under general anesthesia which "puts you to sleep" during the operation. The length of surgery will depend upon the amount and type of surgery needed.

What About Any Facial Surgical Scars?

Since most incisions are made inside the mouth, no external scars are usually visible. If incisions are needed externally, the surgeon carefully conceals them in natural skin creases.

What Happens After Oral Surgery?

After surgery, you will experience some discomfort that is usually not significant; the pain can be controlled with medications. Your healing will take some time. Normally you can return to work or school within two weeks.

After four to eight weeks following surgery, your orthodontics treatment will continue to complete the proper positioning of your teeth. Usually your braces are removed within 6 to 12 months after surgery.

Following the removal of your braces, schedule an appointment with your dentist for a check-up. You'll have plenty to celebrate with all the benefits gained as a result of the corrective oral surgery.

By Brian J. Gray, DDS, MAGD, FICO

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.

Oral Surgery: The Solution to Wisdom Tooth Impaction Oral Surgery: The Solution to Wisdom Tooth Impaction Oral Surgery: The Solution to Wisdom Tooth Impaction

Oral surgery is frequently a part of growing up and developing wisdom teeth. Many people don't have the space in their mouths for their wisdom teeth, so the teeth aren't able to come in straight.

Impacted wisdom teeth happen when the developing wisdom tooth pushes into the tooth next to it. This can be quite painful, but some patients don't experience pain and don't realize they have impacted teeth.

That's why wisdom teeth dentists take x-rays. This enables a dentist to see how much the teeth have developed so far and where they look to be headed.

If the patient has impacted wisdom teeth, then the dentist will recommend oral surgery to remove the wisdom teeth. Simple extractions may be performed by a general dentist in his or her office under local anesthesia (like Novocain), but more complex cases will be referred to an oral surgeon.

During wisdom tooth oral surgery, the dental surgeon surgically removes the problematic teeth. (Most people get all four wisdom teeth removed, but that's not true for everyone.) In general, wisdom tooth surgery is easier to perform on younger people, as their wisdom teeth are still developing and haven't fully hardened to bone.

A visit to the wisdom tooth surgeon is not an inevitable part of becoming an adult, but for many people, it's a wise investment in their long-term dental health!

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.