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Welcome to Dr Antony George's Website

Welcome to the only complete webpage on Orthognathic Surgery on the Internet
My Homepage
What is Orthognathic Surgery?
Who needs Orthognathic Surgery?
At what age can Orthognathic Surgery be done?
What are the Complications of Orthognathic Surgery?

What are the Post-Surgical care to be taken?
What are the steps in Orthognathic Surgery?

What are the steps in Orthognathic Surgery?
Evaluation: After the initial examination a through examination with facial measurements, photographs, x-rays, and dental impressions are made. A complete medical examination is done to rule out any health problems that would interfere with the surgery or the administration of General Anesthesia.
Pre-surgical Orthodontia: The Oral & Maxillofacial Surgeon and the Orthodontist will work closely together during your treatment. Orthodontic treatment (braces) is started before surgery. The teeth are moved and repositioned into proper alignment before surgery if necessary.
Preparing for the Surgery: Orthognathic Surgery is done in a hospital under general anesthesia. Usually you have to get admitted to the hospital one day prior to the surgery. You have to stay in the hospital for a week or so till you have recovered from the surgery. You have to undergo a full medical checkup. You may need blood transfusion during the surgery. You should maintain a good oral hygiene before and after surgery.
Surgical Procedures: Orthognathic Surgery lasts anywhere from 1½ hours to several hours depending on the type of surgery needed.
Incisions are made inside the mouth during surgery and there will be no visible external scars. However if external incision has to be made, as in surgeries of the temporomandibular joint , care is taken to conceal it in the natural skin creases or folds. Meticulous suturing technique can reduce the scar formation.
Sometimes it maybe necessary to remove some of your teeth during surgery to create space to reposition the jaw's.

Common Surgical Procedures are

Check out to get an better understanding. 

What are the Post-Surgical care to be taken?
Immediately after surgery you will be shifted to the recovery room until the general anesthesia has worn off. You may be kept in the ICU (intensive care unit) for 24 hours to monitor your vital signs. You family would be allowed to see you for a short period of time. An Intravenous (IV) line to your arm will be used to provide the required medications and nutrients, until you are able to take sufficient food by mouth. Elastic bandages may be placed over your face to reduce the swelling. Minor bleeding maybe seen after the surgery. If surgery of the maxilla has been done then there will be oozing of blood from the nose, which will stop within 24 hours.
You can expect temporary swelling of the lips, cheek and nose. This is a normal healing response and will disappear after a week or so. You will experience nasal congestion and sore throat due to nasal tubes used for general anesthesia. You may also have vomiting or nauseating sensation due to the medications used. After been shifted to the room you will be on a soft diet, as you won't be able to chew properly. In some cases the jaws maybe immobilized with wires and so you will be able to take only a liquid diet.
Oral Hygiene has to be maintained meticulously. You have to brush your teeth properly. If you have difficulty in using an adult tooth brush initially you may use a baby toothbrush. You have to brush you teeth and wash your mouth with an mouthwash after every intake of food. Poor oral hygiene will result in infection, a bad taste to the mouth and increased swelling of the face.

You will have to stay at the hospital for a week or more, till you have recovered from your surgery. After going back home you can return to work or school as soon as you feel like it. It is preferred to take rest for 2-3 weeks. Your appearance will have changed due to the repositioning of the jaws and so you should be prepared for signs of surprise from your family and friends. But it won't take long for them to adjust to the "new" you.
The initial healing will take 6 weeks but the completion of healing process will take up to 9-12 months. During this period you have to visit your surgeon and orthodontist regularly. Throughout this period oral hygiene has to be minted strictly. In most cases the braces are removed after 6-8 months following surgery.

* My Homepage * Know your teeth * Know your Gums (Gingiva) * Eruption Dates * Six Golden Rules * Brushing\Flossing Technique * Wisdom tooth * Tooth Decay * Extraction * Dental Implant * Surgical Extraction * Orthognathic Surgery * Asymmetry of the face * Gummy Smile * Prognathism{Long Jaw} * Beggs\Straight wire{Orthodontia} * Bleaching{Tooth Whitening} * Habit Breaking * Interceptive Orthodontics * Discolouration\Veneers * Composite\Amalgam Fillings * Root Canal Treatment{RCT} * Crown{Porcelain\Castmetal} * Flap Surgery/Splinting * Bridges{Porcelain\Castmetal} * TMJ (Joint) Disorders * Bell's Palsy {Facial Paralysis} * Ankylosis{Difficulty in mouth opening} * Cleft Lip and Palate * Trigeminal Neuralgia * In a Lighter vein

This site is produced, designed and maintained by
Dr Antony George, Trichur Institute of Head And Neck Surgery (TIHANS),
Shornur Road,Trichur,Kerala-680001,India.
Ph: 0091-0487-335145, 335185
email me
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copyright ŠAug 2000. No part of this website may be transmitted or reproduced in anyway. Every effort has been made to supply correct and accurate information, but I assume no responsibility for its use.

updated Aug2002.