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Facial Orthopaedics in Broadway, Kolkata

Facial Orthopedics / Dent

Facial Orthopaedics in Broadway, Kolkata

Facial orthopaedics, or orthognathic surgery, aims to rectify face and jaw irregularities for aesthetic enhancement and functional improvement. Common issues addressed include misaligned jaws, a receding or projecting chin, overbites, underbites, and asymmetric facial features. Typically, a combination of orthodontic interventions, such as braces or aligners, and surgical correction is employed to correct teeth alignment and underlying skeletal issues. In addition to aesthetics, this procedure helps improve essential functions such as chewing, speaking, and breathing. Additionally, it can boost facial harmony and self-confidence. Given its complex nature, facial orthopaedics require a collaborative approach from specialists in various fields including oral and maxillofacial surgeons, psychiatrists, and speech therapists, among other professionals, to ensure holistic care. 

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FAQ's

The following are the indications for facial orthopaedics:

  • Malocclusion: Improving biting function and facial symmetry by adjusting the jaw and teeth which are out of alignment.

  • Craniofacial abnormalities: Restoring normal facial structure and function involves treating congenital malformations such as cleft lip and palate. 

  • Temporomandibular joint (TMJ) disorders: Maxillofacial procedures to treat problems like discomfort, clicking, or restricted jaw mobility. 

  • Skeletal discrepancies: To attain harmonious facial proportions, one must control the irregular growth patterns of the facial bones. 

  • Airway obstruction: Treating breathing issues brought on by anomalies in the skeleton of the face. 

  • Orthodontic preparation: Maxillofacial surgeries and orthodontic treatment may be recommended to achieve the best possible outcomes. 

  • Facial trauma: Repairing facial trauma to regain both appearance and functionality. 

Facial orthopaedic contraindicated if: 

  • Severe craniofacial abnormalities: Owing to intricate anatomical considerations, conditions like severe craniofacial syndromes may not be appropriate candidates for orthopaedic procedures.

  • Active periodontal disease: Because adjusting the face structures may worsen the disease, patients with active periodontal disease may have difficulties during orthopaedic treatments.

  • Uncontrolled systemic diseases: Disorders such as uncontrolled hypertension or diabetes can impede the healing process and raise the possibility of difficulties during facial orthopaedic therapy.

  • Skeletal immaturity: Because it may alter growth patterns, orthopaedic procedures might not be suitable for patients whose face skeleton development is incomplete.

  • History of severe allergic responses: People who have previously experienced severe allergic reactions to anaesthesia or orthopaedic materials may be more susceptible to negative reactions during treatment. 

Advantages of Facial Orthopaedics:

  • Corrects skeletal imbalances: It addresses underlying skeletal discrepancies, leading to improved facial symmetry and aesthetics. 

  • Enhances dental function: By aligning the jaws and facial bones, facial orthopaedics can improve bite function, chewing efficiency, and speech.

  • Early intervention: It allows for early correction of skeletal issues in growing children, potentially reducing the need for more invasive treatments later in life.

  • Improves airway function: It can aid in improving breathing and reducing sleep apnea symptoms by optimising jaw positioning. 

The drawbacks of face orthopaedics include:

  • Prolonged treatment duration: Orthopaedic treatments for facial remodelling frequently necessitate protracted treatment times, which negatively affect patient satisfaction and compliance. 

  • Potential relapse: Following therapy, there is a chance of relapse, which calls for continued observation and, in certain situations, further measures. 

  • Complications risk: Before beginning therapy, orthopaedic operations should be carefully considered as there is a possibility of infection, tissue injury, or unpleasant reactions to the materials employed. 

An orthodontist can employ a variety of appliances to alter the pace, direction, or amount of jaw growth in children who need treatment for bite disorders. The following are some of the most popular appliances that dentists might suggest:

  • Palate expander: To enlarge a maxilla that is too small to accommodate teeth, this fixed device gradually pushes the cartilage above the upper jaw region. 

  • Lower jaw expander: This device progressively pushes the teeth apart to create space because the lower jaw's bone cannot be expanded. 

  • Activators: These tools are used to guide teeth into their positions by gradually moving the upper or lower jaw forward. 

  • Blocks: To correct malocclusion, a fixed bite block uses the bite force to reposition teeth gradually and pleasantly. 

  • Orthodontic headgear: An appliance that wraps around the face to apply forces to the jaw and head may be advised for bite issues that orthodontists are unable to treat from within the mouth. 

Facial orthopaedics is associated with the following risks:

  • Infection: Pathogens can be introduced during surgical operations or appliance insertion, which can result in localised or systemic infections.

  • Tissue damage: Adjusting the bones of the face may unintentionally harm nearby blood vessels, nerves, or soft tissues, which could result in discomfort or functional impairment.

  • Adverse reactions: Materials used in orthopaedic equipment may cause allergic reactions in certain patients, which can cause irritation or discomfort.

  • Functional problems: Misplaced appliances or surgical modifications may interfere with speaking, swallowing, or biting alignment.

  • Psychological impact: Modifications to a patient's face may affect their body image and sense of self, which may cause psychological anguish or make it harder for them to adjust. Careful patient selection and routine monitoring help to reduce these hazards.  

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