Orthognathic Surgery

Orthognathic surgery is needed when jaws don't meet correctly and/or teeth don't seem to fit with jaws. Teeth are straightened with orthodontics and corrective jaw surgery repositions misaligned jaws. This not only improves facial appearance, but also ensures that teeth meet correctly and function properly.

For a brief narrated overview of orthognathic surgery, please click the image on the right. It will launch our flash educational MiniModule in a separate window that may answer some of your questions about orthognatic surgery.

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 can affect chewing function, speech, 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 needing repositioning.

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

Any of these can exist at birth or may be acquired after birth as a result of hereditary or environmental influences or the 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 will make the decision to proceed with treatment together.

Technology and Orthognathic Surgery

Dr. Casciato uses three-dimensional models to show you exactly how your surgery will be approached. Using comprehensive facial X-rays he 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 treatment prescribed and to see the benefits of orthognathic surgery.

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.

Having trouble? Please make sure you have version 7 of the Flash browser plugin in order to correctly view this presentation. This software is available as a free download.

If you are a candidate for Corrective Jaw Surgery, Dr. Casciato 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.