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Facial Orthopaedics, also known as Dentofacial Orthopaedics, is a subspecialty of orthodontics that focuses on the alignment of your teeth and correcting bite problems. Facial Orthopaedics usually deals with facial growth and facial development. The procedure is usually addressed to children. However, adults can also benefit from these treatments, particularly those who have skeletal abnormalities causing speech difficulties, damage to teeth, uneven wear, and temporomandibular joint (TMJ) problems. Children are considered the best candidates for Dentofacial Orthopaedics since their bones are still growing, and early intervention can facilitate proper jaw alignment or growth compared to adults. In adults, it can be difficult as their jawbones are hardened and fully formed. Therefore, most Dentofacial Orthopaedics for adults may require Jaw Surgery or Orthognathic Surgery to establish bite alignment, followed by braces.
Specialists in the Department of Oral Maxillo-Facial Surgery at Manipal Hospitals, Bhubaneswar, Odisha, offer Dentofacial Orthopaedic treatments for adults, providing them with an attractive facial pattern and a beautiful smile. By employing cutting-edge techniques, our specialists rely upon advanced equipment to make remodels of your jaws, thereby enhancing both aesthetics and functional outcomes.
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Facial Orthopaedics offers several benefits for adults, some of which include:
Enhanced ability to chew properly and give an attractive smile
Improved facial aesthetics using aligners, teeth whitening, or porcelain veneers
Minimising stress on TMJ
Increased confidence and comfort, boosting one’s self-esteem
Better overall health due to improved bite and fewer problems with gum disease, tooth decay, and TMJ disorder
Correction of problems related to breathing caused by narrow dental arches
Some common conditions addressed by Facial Orthopaedics include the following:
Underbites: The protrusion of the lower jaw in front of the upper jaw
Overbites: The upper teeth overlap the lower teeth. Both underbites and overbites affect the aesthetics and function of the jaw.
Crossbites: The upper teeth are behind the lower teeth when the mouth is closed. The condition changes your facial appearance and the functioning of your teeth.
Openbites: The presence of a gap between the upper and lower front teeth when the mouth is closed, causing difficulties in speech and swallowing.
Facial Asymmetry: A facial condition characterised by variations or lack of symmetry on one side of the face compared to another, resulting in differences in appearance and positioning of the jaw.
During your initial consultation with our specialists, a thorough clinical examination is performed to evaluate your facial structure, bite, and dental alignment, followed by imaging tests such as X-rays or computed tomography (CT) scans. Sometimes photographs of your teeth and jaw are also taken for a comprehensive assessment. Dental impressions and models are then made to plan your treatment. Specialists may also perform a cephalometric analysis to examine the relationship between dental and skeletal regions, aiding in the diagnosis and correction of various dental and skeletal anomalies. Based on the results, treatment plans are discussed. You are encouraged to ask questions and share any concerns you have, and our specialists will answer them promptly.
Our specialists may recommend braces before undergoing Jaw Surgery. Regular follow-ups are made to evaluate any progress made before the procedure, which may take about a year. General instructions you can follow to prepare yourself before undergoing Jaw Surgery include:
Abstain from smoking or chewing tobacco to prevent any complications, such as gum diseases
Avoid anti-coagulants and other medications that might cause risks during the procedure. Inform our specialists about all prescription and non-prescription medicines, including vitamins, supplements, and herbs.
Follow dietary instructions and schedules advised by our specialist
Fast for at least 12 hours before your Jaw Surgery
You can brush your teeth or bathe during the day of the procedure
Being mentally and physically prepared for the surgery and sharing any worries you have with our medical team.
During the surgery, anaesthesia is administered to numb your pain. Depending on your condition, specialists may perform either of the three procedures mentioned below:
Our specialists will inform you regarding the type of surgery performed specifically for your condition.
Some alternative treatment options available under Facial Orthopaedics that are applied to both children and adults, in certain cases, include:
Orthodontic Braces: The metal brackets attached to the teeth aid in proper alignment after several months.
Palatal Expanders: Used to treat overbite and underbite conditions by widening the upper jaw and creating sufficient distances between the lower and upper jaws to reach proper alignment.
Retention Devices: Mainly used to prevent relapse and maintain results
Cosmetic Dentistry: Procedures such as Veneers, Crowns, and Bonding, enhance a patient's smile.
Although these can be alternatives for surgery, the above interventions are usually done along with Jaw surgery, especially in adults, to obtain better results and improved aesthetics.
Recovery is unique to every individual. However, it may take several weeks for you to return to work or school. Complete healing of your jaw may take a year. During your recovery, you will be able to perform light exercises and take brief walks. You will have to wear braces for at least six to nine months, followed by retainers, to keep your teeth in alignment. Moreover, you will be prescribed pain medications and antibiotics to address pain and prevent infections. Our specialist will give you post-recovery instructions to enhance your healing.
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