What is surgical orthodontics and when is it needed in Gosford?
Case Note ID: Sept-2024-SO
Location: Central Coast Orthodontics (serving the Gosford area)
Primary Treatments: Metal Braces, Orthognathic Surgery
Supporting Technology: Digital Surgical Planning, Coordinate Treatment Protocol
Presenting Clinical Problem
A 26-year-old adult patient presented with skeletal discrepancy requiring combined orthodontic and surgical intervention for comprehensive correction.
- Class III Malocclusion: Skeletal pattern with mandible positioned significantly anterior to the maxilla
- Anterior Crossbite: Upper anterior teeth positioned behind lower anterior teeth due to skeletal relationship
- Functional Limitations: Jaw relationship affecting normal function and long-term dental health
The primary clinical objective was to correct the skeletal discrepancy through coordinated surgical-orthodontic treatment whilst establishing optimal functional occlusion.
Treatment Plan & Clinical Process
A comprehensive surgical-orthodontic treatment plan was developed requiring coordination between orthodontic and oral surgery specialists.
Phase 1: Pre-Surgical Orthodontics: Initial orthodontic treatment prepared the dentition for surgical correction. Teeth were aligned within their respective jaw bases whilst maintaining existing skeletal relationship. This phase established optimal tooth positions for post-surgical occlusion.
Phase 2: Surgical Correction: Orthognathic surgery was performed to reposition the jaws into proper skeletal relationship. Surgical planning utilised digital technology to determine optimal jaw positions for functional and aesthetic outcomes.
Phase 3: Post-Surgical Orthodontics: Following surgical healing, orthodontic treatment continued to refine occlusion and finalise tooth positions. Total treatment duration of 18 months included both pre-surgical and post-surgical orthodontic phases.
Clinical Outcome
The combined surgical-orthodontic approach successfully addressed the skeletal discrepancy and established proper functional relationships. Jaw position was corrected, eliminating the anterior crossbite and improving facial balance. Comprehensive treatment provided stable long-term results addressing both functional and aesthetic concerns. Treatment outcomes depend on individual patient characteristics, healing response, compliance with post-operative instructions, and retention protocol adherence. Individual responses vary, and outcomes experienced by one patient do not necessarily reflect results others may experience.
Frequently Asked Questions for Gosford Patients
When is surgical orthodontics necessary in the Gosford area?
Surgical orthodontic treatment may be indicated when jaw discrepancies exceed the limits of orthodontic tooth movement alone. Significant skeletal imbalances, severe Class II or Class III relationships, or certain facial asymmetries may require combined treatment. Comprehensive assessment determines whether orthodontics alone or surgical-orthodontic treatment is most appropriate.
What are the risks associated with surgical orthodontic treatment?
Orthognathic surgery carries risks including anaesthesia complications, infection, temporary or permanent nerve sensation changes, and jaw joint problems. Some patients experience swelling, discomfort, and temporary dietary restrictions during healing. Comprehensive pre-surgical assessment and experienced surgical teams minimise these risks whilst optimising outcomes.
How long is the recovery period following orthognathic surgery?
Initial healing typically requires 6-8 weeks, with most swelling resolving within this timeframe. Dietary modifications may be necessary during early healing phases. Complete bone healing requires approximately 3-6 months. Post-surgical orthodontic treatment continues during the healing period to finalise occlusion. Individual healing rates vary based on surgical extent and patient factors.
Orthodontic Treatment in Gosford
We want to share with you our previous patient’s orthodontic journey here in New South Wales. Our patient is a 26-year-old university student who studies science. He was concerned about his appearance, mainly because of his crooked teeth. As a student, he wanted to project himself professionally and be able to talk with confidence. He consulted a general dentist and was referred to us. During his initial examination, we noticed that his lower jaw was more forward than the upper jaw, making his upper front teeth appear behind his lower front teeth. Although it took him a long time to finally get his teeth fixed, he was very eager to start his treatment. For his smile transformation, we did a combination of braces and surgical orthodontics to correct his bite problems.
What Were The Issues With His Existing Teeth?
- Crossbite
- Class III Malocclusion (Lower jaw is more forward than the upper jaw)
What We Did for His Smile Makeover
- Braces
- Orthodontic Surgery
The Result
After several visits over 18 months, we finally removed his braces. Together with surgical orthodontic treatment, we were able to correct his bite problem and give him the smile he has always wanted.
We were happy that we finally fixed his long-standing dental problem. And he too was so ecstatic to smile and show off his perfectly aligned teeth. Now his teeth are one less thing to worry about while he studies. He can now talk and smile confidently in front of the class, or even to his friends!
Do you have crooked teeth and want to feel confident when smiling? Look no further! Call us at +61 2 4327 9488 or fill in the enquiry form below. We’re here to help you achieve the smile you’ve always wanted.
