Maxillary Prognathism(Upper Jaw Deformity)
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Maxillary Prognathism (Upper Jaw Deformity)
Maxillary prognathism is a dental and facial condition in which the upper jaw extends forward more than normal in relation to the lower jaw. This condition can affect the overall balance of the face and may lead to difficulties with proper bite alignment, chewing, and speech. In many cases, maxillary prognathism develops due to genetic factors, abnormal jaw growth, or developmental conditions that affect the structure of the facial bones.
II. When do you need a maxillary cosmetic/orthognathic surgery?
The need for surgery generally falls into two categories:
a. Function Related
Malaligned (misaligned) jaws can cause:
- Difficulty in chewing and speaking.
- TMJ problems (jaw joint pain).
- Disrupted sleep and breathing issues, such as sleep apnoea and snoring.
b. Cosmetic Concerns
Various skeletal deformities can affect overall aesthetic appearance, including:
- Gummy smile (Vertical maxillary excess).
- Anterior-posterior discrepancies of the maxilla.
- Constricted arch.
III. Types of Maxillary Jaw Surgery
Le Fort Osteotomy Procedures
- Le Fort I Osteotomy: A procedure that separates the upper jaw from the rest of the facial bones, which facilitates repositioning it forward, backward, superiorly (upward), or inferiorly (downward), thereby creating a better facial appearance.
- Le Fort II Osteotomy: Mainly performed on the midface and cheekbones for a "sunken" or depressed skeletal complex in the midface area.
- Le Fort I Augmentation: A procedure that involves the forward movement of the maxilla (upper jaw), thereby repositioning it to correct a depressed upper jaw problem.
Pre-Surgical Preparation
The notes outline several steps required before undergoing these surgeries:
- Pre-surgical Orthodontics: Often needed before the actual surgery takes place. Imaging: X-rays and CT scans are required.
- Planning: Virtual surgical planning is performed on a computer, along with model surgery.
- Psychological Evaluation: Conducted to ensure a successful outcome for the patient.
Post-Surgical Recovery
- Hospital Stay: Typically lasts approximately 3-4 days.
- Discharge Criteria: Patients can be discharged once they can start taking soft food orally and can perform day-to-day activities by themselves.
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Saijan Tt"It's a pleasure with Dr. Philip Mathew, Dental Surgeon whom the best I ever met. A friend of all ages, brotherly concern to every patient and perfect in treatment. Thanks to treat my whole family with no other choice!"
varalakshmy m"I had a good experience about my surgery.I had fear during surgery but now I am feeling so happy because now my facial appearence is more good than earlier. After surgery, most of my friends,relatives and family have the very good opinion. And also he is the wonderful person, he always gives the positive energy. Thank you so much Dr.Philip Mathew sir and the Team."
Sijo Varghese"Orthognathic Surgery was conducted for my daughter by Dr. Philip Mathew. The makeover is really attractive and I should appreciate the Doctor for his aesthetic sense and his endeavour to make people smile with confidence."
Sana Fathima"I had a good experience about my surgery .l had fear during surgery but now l am feeling so happy because now my facial appearance is more good then earlier. After surgery, most of my friends,relatives and family have the very good opinion. Thank you so much Dr.Philip Mathew sir"
Limsy Rijo Limsy rijo"Altogether feeling good about JP dental clinic . proper explanation about the treatment plan and execution.since I had come for the second opinion I am thankful to God for directing me . Once again thank you Doctor"
Arya Shajan T"I had a great experience and support from Dr. Philip Mathews and his team. I am extremely happy with the result of surgery and I would recommend everyone JP Dental clinic."
Basil Babu"Dr.philip mathew is incredible. He explained everything to me in a very clear manner.he was also kind and friendly. All of the staff and his other colleagues in the same department at jubilee mission hospital and JP dental center were great and very helpful.now I feel very confident about my appearance than earlier."
meghanath"I arrived here with a prognathic lower jaw issue that made it hard for me to chew and talk. The doctors' were really kind. Both the orthodontic procedure and the surgery went quite well, and I am really happy with the outcome"
Abhi K"I had an accident few years back and was seriously injured and i lost seven of my teeth and because of that i was facing a lot of difficulties . I was not even able to chew food properly. Then i came to know about dr. Philip from J P dental clinic who is also a dental surgeon in mission hospital. I consulted him nearly a month ago and he fixed all my problems. I felt so safe and secure in his care . Im so grateful to dr. Philip sir and jp dental for bringing my smile back."
Pranav Suresh"The clinic is very clean and warm very unlike a regular dental clinic. The initial consultation made me comfortable and I decided to go ahead. I had undergone a jaw surgery and I genuinely feel happy towards it and the doctor's approach towards me was very nice."
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