Friday, April 12, 2024

Before And After Underbite Surgery

Things I Wish I Knew Before Having Double Jaw Surgery

UNDERBITE JAW SURGERY | vlog recovery days 1-14 | before & after

Tinsley is an active and vibrant young woman. Just like most people her age, she enjoys sharing her experiences on social media. Before having double jaw surgery, she was self-conscious of her smile. She did her best to hide her crossbite, but felt uncomfortable and was plagued with chronic headaches. So began her double jaw surgery journey, which she documented on her Instagram account @tinsleys_doublejaw_surgery.

Now that Tinsleys recovered, happy, healthy and sporting a new profile that she loves, we wanted to know what she wishes shed know before beginning this process. What lessons could we glean from her experience to share with our other patients who are considering jaw surgery? She obliged with a wealth of useful information about her jaw surgery and recovery thats very useful in preparing for such an extensive treatment:

Underbite For Toddlers And Children

The earlier an underbite is addressed, the better. If a childs underbite is less severe, parents should wait until at least age 7 to seek corrective treatment such as braces. Thats when permanent teeth begin to erupt.

For short-term correction, a small study suggests facemask appliances can help ease lower front teeth into place in children. But theyll still require a more permanent solution later in life.

If your child has a severe underbite, especially if its caused by a birth defect such as cleft lip, early surgery may help. Talk to your childs dentist and doctor to see what course of treatment they recommend. Surgery has its risks and should only be used in children when underbite is interfering with their quality of life or ability to eat, breathe, or speak.

What Is Orthognathic Surgery

Orthognathic surgery, also known as jaw surgery, is a procedure that corrects irregularities within the jawbone. It realigns the jaws and teeth to improve functions and facial appearance.

Jaw surgery is for people who had been unsuccessful in fixing their facial issues through standard orthopedic solutions.

The surgery can repair dental and skeletal irregularities and improve a patients eating, chewing, and speaking. The procedure may also enhance a persons appearance, although that is just a side effect. Orthognathic surgery aims to fix functional issues caused by jaw problems.

You may require orthognathic surgery if you have:

A qualified orthodontist will determine if you are suitable for jaw surgery. Depending on the severity of your jaw problems, the process could take numerous surgeries and orthodontic treatments until the procedure is complete.

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Recruit A Support Team

I wish I knew how important it was to have a caretaker 24/7. Before surgery, it is difficult to understand the time and attention that are necessary for recovering. There are so many everyday things that you wont be able to do on your own initially . I would say its close to impossible to recover without help. It is essential to have someone with you all day, even throughout the night in the first few weeks of recovery. We often take for granted normal routines like being able to get up and make a bowl of cereal, brush our teeth, or change shirts. During your recovery process, those things become challenges and will require someone to help.

What Is The Percentage Of People Who Will Experience An Infection After Surgery

18 Images Fresh Fixing Overbite Before And After

The incidence of infection following orthognathic or jaw surgery is very low. In the literature, the incidence is reported to be between 6 and 15 percent. These figures are high, in our opinion. When it occurs, the infection is easily treated with antibiotics and drainage with minimal discomfort and no long-term effects.

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Communicate With Your Surgery Team

It can feel very scary to go through such a life changing surgery and to be put to sleep. It is very important to communicate your feelings with your oral healthcare team. The surgeons and anesthesiologists help you feel like more than 100% capable of recovering and recovering well. Having doctors and a healthcare team that is invested in your recovery and your health makes it easier to recover with confidence.

Before And After Photos And Case Studies

Before and after photos of actual patients of Dr. Joseph. To learn about what procedures were performed, and view enlarged images, please select a patient below.

All photos are displayed with the consent of the patient.

Dr. Joseph and his staff are absolutely wonderful. Everyone is extremely friendly, the office is beautiful and he does great work. I love this place!

Ambur in Jacksonville

I Love going to see Dr. Joseph & his staff! I have had Botox & fillers. I appreciate his attention to detail. When I leave I feel beautiful & uplifted.

Becky in Jacksonville

Dr. Joseph is without a doubt THE BEST! He is extremely detail oriented and makes you feel relaxed and comfortable in the process.

Dawn in Jacksonville

I have been a patient of Dr. Joseph for a number of years, and have been so impressed with him and his wonderful staff. I recently had a neck lift, and I couldnt be happier! I am 71, and had that awful turkey neck! Dr.Joseph did such a super job- I am over the moon!

Ann in St Augustine

Dr. Joseph and his team are great. They remember you and provide realistic expectations. I have had several procedures done and all have turned out better than expected. He is a kind, courteous, physician and artist.

Tiffany in Julington Creek

I was fortunate to have Dr. Joseph perform my eyelid surgery and laser resurfacing. My experience was awesome. He is a caring doctor with a bedside manner that helps you relax and is rarely see in the medical profession.

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What Is Distraction Osteogenesis

Distraction osteogenesis of the jaws is based on the Ilizarov leg lengthening procedure. In many ways, it is more successful and reliable in the head and neck region versus the extremities because of the ample blood supply found in the head and neck. It is typically reserved for very severe deformities that cannot be corrected in a single surgery.

In the mandible or lower jaw it is at times used to advance and grow the jaw forward in order to open the airway and avoid the need for tracheostomy in infants and children with severe micrognathia .

As mentioned previously in the maxilla or upper jaw it is often times used in patients who have undergone cleft lip and palate repairs, which can restrict maxillary growth. This can lead to a more severe misalignment of the jaws. Distraction osteogenesis can be utilized in these cases to grow the jaw over a period of time to correct a more severe discrepancy.

One other advantage of distraction osteogenesis is that the soft tissue envelope meaning muscle and skin will readily follow the bone.

What Is The Likelihood That You Would Lose Sensation In Your Mouth After Surgery

Double Jaw Surgery – my story & tips!

Following orthognathic surgery, there will be neurosensory changes. The nerves involved with jaw surgery are not motor, meaning surgery will not affect how your face looks or moves. In the lower jaw, the numbness will include the lower lip, chin, and gum tissue, and in general, this should resolve in about three months. Sometimes neurosensory changes take up to 18 months in an adult to resolve completely.

Occasionally, minor neurosensory changes of the lower lip and chin can be permanent. Permanent numbness following an upper jaw surgery is much less common.

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Orthognathic Surgery Before And After

Your oral surgeon will decide on the most suitable orthognathic surgery process based on your current and past health.

Complications from jaw surgery are uncommon, but the risks include:

  • Jaw position relapse
  • Root canals

As long as your orthognathic surgery is performed by an experienced and well-qualified oral surgeon, there is no need to worry.

After Corrective Jaw Surgery

What should you expect from orthognathic surgery? There are necessary instructions to follow in the days after your procedure.

Recovery time for orthognathic surgery is six weeks. Most doctors recommend patients take two weeks off of work or school following their surgery. Complete jaw healing takes up to three months.

Immediately after the surgery, you may experience postoperative symptoms such as bleeding, nausea, and swelling. They should subside within a few hours.

Swelling is common. Your face will be swollen, feel numb, and show signs of bruising for two to three weeks after your procedure. Swelling peaks on the third day, but resolves itself in two to three weeks.

After your stay in the hospital, your oral surgeon will let you know what is safe to eat, prescribe pain medicine, and guide you through the next few weeks of recovery.

Patients have to avoid tobacco use and strenuous activities for two weeks. You will adhere to a liquid diet during the first week and slowly move onto solid foods as your mouth heals.

Your surgeon will also give you instructions for proper oral hygiene to prevent post-surgery infections. Patients must rinse their mouths two to three times per day with warm salt water to soothe surgery wounds. Most patients undergo mouth therapy to re-establish a healthy range of motion.

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You Should Have Prescriptions And Instructions For:

  • Strong pain medicine
  • Antibiotic
  • Anti-nausea medicine
  • Chlorhexidine Gluconate mouth rinse

Instructions to follow up in the office within 24 hours of discharge for I-CAT scans if not already done at the hospital.

You will have Dr. Vandervorts cell phone number. He is available 24/7 if you have any concerns.

What Does Bad Bite Actually Mean

Photographer, 22, with severe underbite that left her unable to eat has ...

The term bad bite is a lay term for malocclusion. What that means is that the teeth of the upper jaw or maxilla do not align appropriately with the teeth of the lower jaw or mandible. A malocclusion can be limited to the teeth themselves and would be fixed commonly with orthodontic treatment or braces. A malocclusion can also be the result of misalignment of the jaws themselves. This can be either congenital, meaning from birth, developmental in nature, or from a traumatic injury.

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During Your Care In The Pacu/icu

A hospital nurse will monitor and assist you. You will be provided medications for pain, congestion and nausea as needed. You will receive antibiotics and steroids at scheduled intervals. You should be able to open your mouth, but you will have some light guiding rubber bands in place. You may have an acrylic bite splint wired to your upper teeth. You will have a light gauze dressing wrapped around your face. You will have an IV in your hand or arm providing you with fluids and medications. You may have a nasogastic tube to reduce the chances of nausea. You may also have a catheter in your bladder so that you will not have to get out of bed to urinate. These tubes are usually taken out early the next morning for overnight stays.

Woman Who Had A Severe Underbite Reveals Her Astonishing Transformation After Undergoing A Painful Double Jaw Surgery That Required Her To Relearn How To Talk And Eat

  • Katie Johnson, 21, from Tennessee, shared photos of her jawline before and after the procedure in a TikTok video that has been viewed 13.6 million times
  • An underbite, also called a Class III malocclusion or prognathism, is a dental condition in which the lower teeth and jaw protrude in front of the upper teeth
  • Last year Katie opened up about how she was made fun of because of her underbite in an emotional Facebook post
  • She said she had to ‘learn to talk and eat all over again’ after the surgery, but she insisted it has made her ‘happier’ and ‘stronger’

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Does A Cleft Lip/palate Affect The Jaws

A cleft lip and/or palate is often associated with a cleft of the alveolus or the tooth bearing segments of the upper jaw or maxilla. The patient usually undergoes several surgeries in the area of the cleft at an early age. Because of this early surgery, the normal growth pattern of the maxilla can be restricted.

It is often necessary to advance the upper jaw when the patient is in the mid to late teens. This can be completed in a single surgery and may also be combined with a lower jaw or mandibular surgery. At times, if the movement is too large to complete in a single surgery, a procedure called distraction osteogenesis may be undertaken to reposition the jaw. This procedure grows the jaw over a period of weeks to achieve the desired position. It is typically reserved for very large discrepancies.

Improve Obstructive Sleep Apnea

Final Update Video! Underbite Jaw Surgery

In obstructive sleep apnea , your breathing temporarily stops during sleep. It occurs when the space in your airways become too narrow, making it difficult to breathe while sleeping.

A type of double jaw surgery, called maxillomandibular advancement surgery, can provide relief. Both jaws are often moved forward close to 10cm.

During the procedure, your upper and lower jawbones are shifted forward. This creates more space in your airways, helping you breathe better during sleep. This surgery doesnt always result in a successful elimination of OSA.

Double jaw surgery may be recommended if you have:

  • severe jaw misalignment
  • incorrect jaw position or size
  • severe TMJ disorders
  • moderate to severe obstructive sleep apnea

But to be considered a good candidate, its also important that you:

  • have tried treating your condition with nonsurgical options
  • stop smoking cigarettes and cannabis, if you smoke
  • understand the risks

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Surgery For Underbite Correction

There are excellent options for correcting an underbite. The right method for you or your child depends on several factors.

Age is one of those factors. You should begin correcting a childs underbite as soon as possible. Its easier for a surgical professional to manipulate the bones and pallets of children.

Some overbites may only need one type of correction. Others may need a combination of interventionsincluding surgery.

Lets look at a few surgical options for underbite correction.

Double Jaw Surgery Recovery Timeline

After double jaw surgery, youll likely spend 1 to 3 nights in the hospital. The exact amount of time depends on your progress.

Your face will be swollen for about 48 hours. You may be able to drink water right after. You might be able to eat liquid foods the next day.

Before youre allowed to go home, your surgeon will check your jaws and order X-rays.

When youre discharged, youll need someone to drive you home.

You can expect to take 3 to 8 weeks off from work or school. During this time, youll likely experience:

  • Pain. Your doctor will prescribe pain relievers to manage the pain.
  • Swelling. After the first 48 hours, the swelling will subside. But it will take a couple of weeks to fully disappear.
  • Stiffness. You wont be able to open your mouth for the first several weeks.
  • Numbness. Temporary numbness in your jaw is normal. This takes a few months to go away.
  • Dry lips. Its common to develop dry, chapped lips during recovery. Its recommended that you apply lip balm frequently.
  • Blocked nose. You can expect to have nasal blockage and bloody discharge, but its critical to avoid blowing your nose. These side effects will go away after a few days.

To support a speedy recovery, its best to:

  • eat pureed or soft foods for the first 6 weeks
  • take your medication

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Returning To Work Or School

Depending on how patients are feeling, they will probably be able to return to work or school one to three weeks after surgery. Normal recovery time lasts just a couple of weeks for minor surgery. For more complicated surgery, the initial healing phase can last about six to eight weeks. Complete healing of the jaws can take between 9 and 12 months. As far as your appearance is concerned, any bruising that may occur will be gone after a few days. Swelling, however, takes longer to dissipate, but most will be gone after approximately two to three weeks. Patients may be more conscious of their appearance than the people around them. Often patients will feel like they ran out of gas in the afternoon. This is normal and this feeling will improve with time. A number of other factors will determine when patients can return to normal activities. Youth is an advantage, as with any surgery.

Attitude plays a very large part in the recovery process A positive attitude increases your ability to snap back from the procedure. Patients who follow with a healthy diet tend to recover more quickly. Dietary instructions are given to help patients with their nutrition. Clearly, the type of surgical procedure performed and the length of the procedure will influence recovery time. Lastly, the demands of school or the patients occupation play a role and must be considered.

Jaw Surgery Before & After Case 5

A Wimps Guide to Orthognathic Surgery: Double Jaw Surgery Results ...

The upper jaw often does not grow as much as the lower jaw, or may grow canted, in our patients born with a cleft.

Not every patient with a cleft will need this surgery, but it is one we perform routinely given the number of cleft and non-cleft craniofacial patients we see.

We usually wait until patients are fully skeletally mature before doing this surgery, to minimize the risk of needing to do any future surgeries.

Occasionally, the difference in the upper and lower jaw is so severe that we do perform distraction surgery prior to full maturity, knowing that we may need another surgery in the future.

He is seen here at 6 weeks after his operation, with his splint out and smile ready to show off!

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