Orthognathic surgery, often known as jaw surgery, corrects misalignments of the jaws to enhance both function and facial symmetry. This transformative procedure blends cutting-edge imaging and planning with surgical expertise to improve essential activities like biting, chewing, and speaking.
Orthognathic surgery, commonly known as jaw surgery, is a transformative field that blends the precision of modern medical techniques with the artistry of facial aesthetics. At its core, this surgical specialty addresses functional and aesthetic concerns by repositioning the bones of the jaws to correct discrepancies related to bite, alignment, and overall facial balance.
Jaw surgery, formally known as orthognathic surgery, is a complex medical procedure aimed at correcting imbalances and misalignments in the jaw to improve both oral function and facial aesthetics. This transformative treatment addresses issues that range from severe malocclusions, where the upper and lower teeth do not meet correctly, to congenital deformities or injuries resulting in disproportionate jaw structures. Patients often experience difficulties with chewing, speaking, and even breathing due to these misalignments, and the procedure aims to restore proper function along with a more harmonious facial appearance.
The process begins with a comprehensive evaluation that includes detailed imaging studies—such as CT scans and three-dimensional dental models—that help surgeons and orthodontists carefully plan the optimal repositioning of the jawbones. A period of pre-surgical orthodontics is typically required to align the teeth properly prior to surgery, thereby ensuring that the jaw segments will fit together seamlessly once repositioned. During the operation, precision cuts are made in the bone, allowing the surgeon to realign the jaw according to the pre-determined plan, and secure it using small plates, screws, or wires, all while preserving sensitive nerves and blood vessels.
The recovery phase is equally essential, often involving a structured regimen of rest, dietary adjustments, pain management, and follow-up appointments to monitor healing and adjust orthodontic devices as needed. Although the surgery involves a significant commitment from the patient, its benefits extend well beyond the improvement of bite and chewing efficiency; many experience a dramatic boost in self-confidence and overall quality of life as facial symmetry is enhanced and persistent discomfort is alleviated.
Furthermore, the collaboration among a team of specialists during the treatment process not only underscores the personalized nature of the procedure but also highlights the integration of advanced technology and surgical expertise in contemporary medical practice.
Jaw surgery, an intricate and transformative branch of maxillofacial surgery, comprises three specialized procedures designed to realign facial structures while improving oral functionality and aesthetic appeal. The three main types—maxilla surgery, mandible surgery, and double jaw surgery—are each tailored to address distinct skeletal and dental misalignments.
Maxilla surgery focuses on the upper jaw, or maxilla, and typically employs the Le Fort I osteotomy technique to reposition the bone in multiple directions. By adjusting the vertical, horizontal, and angular discrepancies of the maxilla, this procedure corrects malocclusions, enhances nasal function, and refines facial contours to achieve a balanced midface.
Mandible surgery, in contrast, targets the lower jaw where techniques such as the bilateral sagittal split osteotomy (BSSO) are used to reposition the mandible. This surgery is particularly effective in correcting underbites or overbites by shifting the lower jaw forwards or backwards, thereby restoring proper occlusion and improving the overall profile.
Double jaw surgery combines the corrections of both maxilla and mandible surgeries in a single, integrated procedure, addressing complex cases where discrepancies in both jaws contribute to functional impairments and facial asymmetries. This comprehensive approach ensures that the upper and lower facial structures work in harmony, delivering an optimal bite and a more symmetrical appearance.
Each procedure begins with meticulous planning, utilizing advanced imaging and simulation techniques that allow surgeons to design customized treatment plans based on the patient’s unique anatomy. Precision in execution and thorough postoperative care are essential, as these surgeries not only restore essential functions such as biting, chewing, and speaking, but also significantly boost patient confidence through enhanced facial aesthetics and symmetry.
Jaw surgery, also known as orthognathic surgery, is a sophisticated intervention designed to correct a wide range of structural and functional conditions that affect the jaws and overall facial harmony. It is commonly employed when conventional orthodontic treatments are insufficient to resolve complex dental and skeletal issues, thereby restoring proper alignment while enhancing both oral function and facial aesthetics.
This procedure treats severe malocclusions—discrepancies in the bite such as overbites, underbites, crossbites, and open bites—where an overbite occurs when the upper jaw projects too far forward and an underbite when the lower jaw extends beyond the upper, leading to difficulties with chewing, speaking, and even breathing.
Crossbites, where the upper and lower teeth do not correspond correctly, and open bites, where the front teeth fail to meet, can also hinder effective mastication and contribute to long-term dental wear.
In addition to bite correction, jaw surgery addresses congenital deformities such as cleft lip and palate, which not only disrupt dental alignment but can also affect the midface structure and impede normal growth, requiring careful, coordinated treatment between surgeons and orthodontists.
Traumatic injuries, whether from accidents or sports-related incidents, can damage the jaw, leading to fractures or asymmetry that impair normal function and appearance; in these cases, reconstructive jaw surgery helps restore stability and symmetry.
Moreover, pathological conditions such as benign tumors or infections can compromise the integrity of the jawbones, prompting surgical intervention to remove abnormal tissue and rebuild structure.
For patients suffering from obstructive sleep apnea—a condition where airway obstruction during sleep leads to breathing interruptions—repositioning the jaw can enlarge the airway, thereby reducing apneic episodes and improving overall sleep quality.
Temporomandibular joint (TMJ) disorders, which cause chronic pain, clicking, or limited movement of the jaw, may also benefit from corrective jaw surgery as it realigns the joint and reduces the strain from malocclusion.
Overall, jaw surgery emerges as a comprehensive solution that integrates advanced imaging, computer-aided design, and surgical precision to treat an array of conditions ranging from dental misalignments and congenital anomalies to trauma-induced deformities and functional breathing disorders, ultimately restoring both functionality and aesthetics in a way that enhances quality of life.
Jaw surgery is a meticulously planned and executed procedure that transforms facial structure and restores proper oral function through a series of precise, coordinated steps. The process begins early in the operating day with a thorough review of imaging studies and 3D dental models that allow the surgical team to map out exact osteotomy lines on the upper and/or lower jaw, ensuring that every bony movement is aligned with the preoperative plan.
Once the patient is placed under general anesthesia to guarantee comfort and immobility, the surgeon makes discreet incisions inside the mouth to minimize visible scarring while carefully exposing the jawbone. Using specialized instruments, precise cuts are made along the predetermined lines so that the bone segments can be mobilized without compromising vital nerves or blood vessels. Next, the surgeon repositions the freed bone segments to correct malocclusions such as overbites, underbites, crossbites, or open bites, aligning the jaws to restore optimal oral function and harmony with facial aesthetics. Titanium plates, screws, and wires are then employed to secure the newly aligned segments, providing stable internal fixation that supports the healing process while sometimes complemented by temporary splints or intermaxillary fixation devices to maintain the proper relationship between the jaws. Once the repositioning and stabilization are completed, the incisions are meticulously sutured and protective bandages are applied to control swelling and reduce the risk of infection. During the entire operation, advanced monitoring systems and real-time imaging provide feedback on the precision of each repositioning step, ensuring that the procedure adheres strictly to the surgical plan while minimizing potential complications.
Postoperative care includes a regimen of pain management, dietary adjustments, and regular follow-up visits with the surgical team, all essential to monitor healing progress and secure long-term success. Ultimately, jaw surgery not only corrects structural and functional anomalies, but also enhances facial symmetry and boosts self-confidence, offering patients improved overall outcomes. Throughout the surgery, state-of-the-art imaging and computer-assisted navigation confirm the precise realignment of the jawbones, guiding each repositioning step with unmatched accuracy. These technologies reduce surgical risks and enhance the stability of the corrections. After the procedure, a comprehensive postoperative plan—including effective pain management, nutritional guidance, and regular evaluations—ensures a smooth recovery and lasting results, ultimately boosting the patient’s quality of life.
Jaw surgery, while offering transformative solutions to complex dental and skeletal issues, is a procedure that involves a range of potential risks and complications that require thorough preoperative planning, careful intraoperative management, and diligent postoperative care. The surgical process itself includes intricate osteotomies, precise repositioning of the jawbones, and the use of fixation devices such as titanium plates, screws, or wires, all of which create multiple avenues for complications.
One primary risk is excessive bleeding, where the rich vascular network in the facial region can lead to significant blood loss during or after the operation, necessitating swift medical intervention or additional procedures to control hemorrhage.
Additionally, infection remains a serious concern, with bacteria potentially infiltrating the surgical site—especially around exposed bone or hardware—thus requiring aggressive antibiotic treatment or even further surgery to clear persistent infections.
Furthermore, nerve damage is a critical complication in jaw surgery; during the delicate surgical maneuvers, important nerves—such as the inferior alveolar or mental nerves—may be inadvertently injured, resulting in temporary or permanent numbness, altered sensation, or chronic pain in the lower lip, chin, or tongue, which can affect speech and overall comfort.
Moreover, issues related to bone healing, such as non-union, where the bone segments fail to fuse properly, or malunion, where bones heal in an incorrect alignment, can lead to instability or relapse, mandating corrective procedures that prolong recovery.
Other potential complications include the adverse effects of general anesthesia, which, although rare, may trigger cardiopulmonary problems or allergic reactions in susceptible patients. Postoperative discomfort, including swelling and pain, might extend beyond anticipated levels, hampering nutrition and communication during recovery.
Lastly, some patients may experience temporomandibular joint dysfunction after surgery, leading to difficulties in chewing and chronic joint discomfort. In sum, while jaw surgery can dramatically enhance function and facial aesthetics, it is crucial that patients are fully informed of these potential risks and work closely with their healthcare team to implement strategies that mitigate complications and promote a safe, effective outcome.
It is essential for individuals considering jaw surgery to adhere strictly to preoperative guidelines, attend every follow-up appointment, and communicate continuously with their medical providers about any unusual symptoms, as early intervention is paramount in averting severe complications.
Jaw surgery recovery is a gradual and multifaceted process that requires both patience and comprehensive care to achieve optimal healing and long-term benefit.
In the immediate postoperative period, patients typically remain under close observation in a controlled clinical environment where pain management, swelling reduction, and early stabilization of the surgical site are paramount.
During the first few days, significant facial swelling, bruising, and discomfort are common as the tissues respond to the trauma of surgery; this phase usually necessitates a liquid or soft-food diet, strict oral hygiene routines, and the use of prescribed pain medications and anti-inflammatory agents to manage discomfort and reduce the risk of infection.
As recovery progresses over the following week, the initial swelling typically begins to subside, although residual edema and stiffness in the jaw muscles may persist. Patients are advised to apply ice packs frequently during the early days and gradually transition to using warm compresses once initial inflammation has decreased.
Follow-up appointments with the surgical team are essential during this period to monitor bone healing, assess the integrity of fixation devices such as screws or plates, and make any necessary adjustments to accompanying orthodontic appliances. Alongside these physical measures, doctors often encourage gradual jaw exercises and controlled physiotherapy regimens designed to restore mobility and strength to the facial muscles, ensuring that the new alignment of the jaws is maintained without undue strain.
In the weeks following surgery, many patients experience a notable improvement in pain levels, although minor discomfort, stiffness, and occasional numbness may linger as the nerves continue to heal. Emotional recovery is just as important: the limitations imposed by diet restrictions, altered speech, and temporary changes in appearance can cause feelings of anxiety or isolation, which highlights the benefit of having a strong support network.
Overall, a full recovery from jaw surgery can span from several weeks to several months, with each phase of healing requiring adherence to postoperative guidelines, including dietary modifications, activity limitations, and continuous monitoring for any signs of complications.
Equipped hospitals, and advanced specialized centers with experienced doctors and specialists are available in all medical treatment areas in Iran. Also, good hotels and entertainment centers have made Iran an appropriate choice for patients who need Jaw Surgery.
Jaw surgery in Iran presents a compelling option for both locals and international patients seeking state-of-the-art orthognathic procedures at significantly lower costs compared to Western nations, largely due to the country’s favorable economic conditions, high-quality medical services, and the extensive expertise of surgeons who perform hundreds of these operations each year. The cost of orthognathic surgery in Iran ranges around 2,800-3,500 USD.
Orthognathic surgery, is a procedure designed to correct skeletal irregularities and misalignments of the jaws that orthodontics alone cannot fix. This surgery improves both function and appearance by repositioning the upper jaw (maxilla), lower jaw (mandible), or sometimes both in a single procedure.
Ideal candidates for orthognathic surgery are those who have significant skeletal discrepancies that contribute to functional problems like difficulties in chewing, speaking, or breathing, as well as aesthetic concerns including facial asymmetry.
Full recovery following orthognathic surgery which includes proper bone healing, nerve recovery, and any needed postoperative orthodontic adjustments, can take several months.
Consistently ranked as one of the Top Hospitals in Iran
Bahman Super Speciality Hospital has 200 official beds
Ranked the biggest and most equipped private treatment center in Iran
The first private hospital in Iran to get the Green Award International Certification
The first private PET scan center equipped with PET-CT, PET-MAMMO, Cyclotron, and Conventional Nuclear Medicine
The first private super specialty ophthalmology hospital in Iran.
Considering the increasing expansion of Mashhad city and medical needs in 1973.
One of the best-equipped diagnostic and therapeutic cardiology centers in the region.