Jaw Surgery (Orthognathic Surgery)

In patients where the jaw closure is not compatible with each other, the lower jaw may be ahead or behind the upper jaw. This condition, known as prognathism/retrognathism, can negatively affect a person’s life functions and lead to a decrease in self-confidence.

Surgical interventions aimed at improving the jaw skeletal structure allow individuals to continue their daily lives with more confidence and health. After procedures performed by experienced dental specialists, individuals regain their oral functions smoothly.

Patients who visit our clinic due to orthognathic discomfort first undergo imaging in tomography units, taking films that reveal their skeletal structure. After these reports, which include cephalometric, panoramic, and 3D imaging, a treatment plan is created, focusing on consultations in oral diagnosis, jaw surgery, and orthodontics.

For patients undergoing jaw surgery, we use special artificial intelligence (AI)-supported programs for profile analysis. We determine the positions of the jaws based on the base of the skull. Also, we use an intraoral scanner to scan the teeth. Based on this analysis, we plan either a ‘surgery first’ or an ‘early surgery’ approach. In the AI-supported program, we reposition the jaws into the right place and prepare a surgical guide. After this, the surgery is performed under general anesthesia.

In our clinic, we usually prefer the ‘surgery first‘ option. This method quickly corrects the patient’s profile and jaw relationship. Then, we start the Invisalign treatment. If a patient’s teeth are very crooked, we first do orthodontic treatment with Invisalign for 3-4 months, and then perform corrective jaw surgery.

Before undergoing orthognathic surgery with the Surgery First technique, patients enter a streamlined pre-surgical phase that conducted by Oral and Maxillofacial surgeon. Unlike traditional methods that require lengthy orthodontic treatment to align teeth before surgery, we bypass this period with the Surgery First method. In the initial phase, we conduct comprehensive planning by using advanced imaging techniques, like 3D tomography, to accurately assess the jaw’s structure and alignment. We use AI imaging to simulate the expected outcome, giving patients a clear understanding of the anticipated changes.

During this phase, patients also undergo thorough medical evaluations to ensure they are suitable candidates for surgery. Discussions about the procedure, risks, benefits, and post-surgical orthodontic treatment are critical components of the preparation. We significantly reduce the time patients spend in discomfort or dissatisfaction with their appearance, as we directly address the skeletal issues first.

Post-surgery recovery in the Surgery First technique tends to be more efficient and patient-friendly. Since the major skeletal corrections are done first, patients often notice an immediate improvement in their facial aesthetics and jaw function.

Post-surgery, it may take six months to one year for the patients to fully recover. The pain resulting from the procedure is alleviated with treatments and medications administered in the hospital. Patients, who are fed with pulp-free liquid foods for a few days, have their diets determined by doctors. Depending on the guidance, some patients may be advised to use rubber bands, but these bands should not completely hinder oral functions.

Patients who do not work in physically active jobs can return to work within about a week. However, for people in physically demanding jobs, the rest period is two or three weeks.

Following surgery, the focus shifts to orthodontic treatment, which is typically less invasive and shorter in duration compared to the pre-surgical orthodontic phase in traditional methods.

During the orthodontic treatment phase, regular follow-ups are essential to monitor the healing process and make necessary adjustments to the orthodontic appliances. We provide detailed guidelines on post-surgical care, including diet, oral hygiene, and activity restrictions, for our patients to ensure a smooth and quick recovery.

The Surgery First method not only shortens the overall treatment duration but also allows patients to enjoy the benefits of their surgery sooner, often with a faster return to normal daily activities and a significant boost in self-confidence and quality of life.

The duration of orthognathic surgery and subsequent treatment, especially when following the Surgery First method, varies depending on the complexity of the case but is generally faster than traditional methods. The actual surgery, which corrects the jaw position, typically takes about 3–4 hours under general anesthesia. We reduce surgery time by using AI image technology and other surgical planning devices.

After the surgery, the immediate postoperative recovery takes a few weeks, during which the patient will notice considerable improvements in facial structure and function.

Following this, the orthodontic treatment phase begins, which is designed to fine-tune the alignment of the teeth with the newly positioned jaw. This phase can last anywhere from 6 months to one year, depending on the patient’s specific needs. The total treatment time, from surgery to the completion of orthodontic care, often spans arounds 2 months to one year. We reduce treatment time notably compared to traditional orthognathic surgery, where pre-surgical orthodontics alone can take a similar amount of time. We offer a more efficient and patient-friendly timeline, allowing individuals to see and enjoy the results of their treatment sooner.

When you come to our clinic for jaw surgery, the planning is done on the day of your arrival. The plan is explained to you on the second day, and on the third day, you are taken for the surgery. The jaw surgery itself lasts about 3-4 hours, so the total time required for just the surgery is three days. Including the recovery process, the time you need to spend in Istanbul is about 10 days. After the surgery, if your teeth are closing well, you may not need orthodontic treatment.

For the surgical procedures to achieve the targeted success and to be completed successfully, it is important to follow certain rules. These rules both protect the patient’s health and ensure that the surgeons perform their tasks correctly. The following are important considerations in orthognathic treatments aimed at correcting the jaw structure:

Anesthesia is implemented during surgical procedures to prevent pain or discomfort. It is important to use painkillers prescribed by the doctor regularly, as the effects of anesthesia wear off after the surgery.

The numbness caused by the administered anesthesia continues for a while after the surgery. During this period, one should not eat or drink anything.

Returning to a normal eating routine takes some time. For a few days after treatment, patients should consume pulp-free foods according to the diet prescribed by the doctor.

Bleeding may continue after the surgery. Regardless of how minimal the bleeding is, the area should be pressed with a tampon.

It is important to use the antibiotics prescribed during the treatment. These antibiotics are necessary for the procedures to be successful and for patients to return to their normal lives more quickly.

Smoking and alcohol should not be used after the procedure.

A white appearance may be observed in the operated area 2-3 days after the surgery. This is quite normal.

The area will be sensitive on the first day of treatment. Therefore, patients can start brushing their teeth a day later.

These are the general rules that patients usually need to follow after treatment. Additionally, the doctors performing the treatment will provide necessary information about the process ahead. In the event of any abnormal condition after the surgery, it is important to consult the doctor without delay.

After jaw surgery, patients can expect a treatment period where they will gradually regain their aesthetic appearance and jaw functions. During this process, it is important to fully comply with the instructions of the doctors and to use the prescribed medications completely.

Individuals with lower or upper jaws positioned more forward or backward than normal due to genetic characteristics often require orthognathic treatment and jaw surgery. This skeletal disorder is addressed through both orthodontic treatments and surgical procedures. Additionally, jaw surgery is a suitable treatment for those with overbites, underbites, crossbites, or open bites. Patients who have facial asymmetry, suffer from sleep apnea, or desire a stronger jawline are also ideal candidates.

Furthermore, individuals seeking a V-shaped facial structure can benefit from this surgery. The procedure allows for the creation of specific jawline aesthetics, such as the ‘Texas jaw’ or ‘California jaw,’ catering to those who wish to enhance their facial contours in these specific styles. Our treatments ensure that a wide range of jaw-related issues, whether functional or aesthetic, can be effectively addressed through jaw surgery.

The jaw naturally affects the structure and functions of teeth. An abnormal position of this region adversely affects biting and eating functions. Therefore, orthognathic treatment not only corrects the structure and posture of the jaw but also positions the teeth where they should be, ensuring smooth functioning of eating, biting, chewing, and sensing functions.

Our surgeries are performed by “Oral and Maxillofacial surgeon”, whose primary expertise is jaw surgery. We ensure that the procedure is conducted by specialists deeply familiar with the intricacies of this complex operation. The clinic owner, Dr. Eren Perad is an Oral and Maxillofacial surgery specialist and has wide experience on different successful and complex cases. He is available 24/7, providing a direct line of communication for any concerns or questions you might have.

We employ the latest technology in our clinic, including a 3D intraoral scanner and 3D tomography. We also have an AI-supported jaw surgery planning program, led by our clinic owner and PhD Orthodontist, Dr. Tuğçe Gürbüztürk. In this way, we realize a simulation of the patient’s post-surgery profile, offering a clear view of the expected outcome before the procedure. Any desired changes can be swiftly incorporated based on this simulation.

We use personalized surgical guides, which significantly shorten the surgery time to about 3-4 hours. We do not only minimize facial swelling but also hasten the recovery process. Our surgeries are conducted in international professional hospitals, ensuring high standards in patient care. The rooms for post-surgery recovery are of superior quality, and a companion can stay with the patient without any additional fee.

We utilize the ‘surgery first’ technique, achieving the desired profile for our patients in just one day. Post-surgery, we ensure ongoing patient follow-up, including video calls to monitor recovery and address any concerns. We take full responsibility for the surgeries we perform, standing by the quality and success of our procedures.

Jaw Surgery in Turkey, also known as Orthognathic Surgery, has gained popularity for its high-quality medical services and competitive prices. Individuals seeking orthognathic surgery in Turkey benefit from state-of-the-art facilities and experienced surgeons who specialize in addressing various jaw-related concerns. The jaw surgery cost in Turkey is notably affordable compared to many other countries, making it an attractive destination for those considering such procedures. The jaw surgery in Turkey price encompasses a comprehensive package, covering not only the surgical intervention but also postoperative care and follow-up appointments. Patients can undergo jaw reduction surgery or opt for jaw plastic surgery, tailoring the procedure to their unique needs. Beyond the financial aspect, the emphasis on patient well-being is evident in the meticulous jaw surgery recovery process, ensuring a smooth and comfortable rehabilitation. For those wondering how much is jaw surgery, Turkey stands out as an excellent choice, providing a blend of medical excellence and cost-effectiveness.

We believe that treatments should be carefully planned and applied with sensitive criteria to enable individuals to lead healthier and more confident lives. By conveying important information about orthognathic treatment costs, surgery, post-surgery actions, and many more details, we aim for a treatment process that is conscious, communicative, and easy for our patients.

At our clinic, we adopt a progressive perspective on orthognathic surgery, setting us apart from traditional treatments in the field. We follow the latest methods, emphasizing speed and efficiency without compromising on quality. Our focus is on providing a better and more rapid solution for our patients.

As we stated above, we implement the “Surgery First” technique, which significantly reduces the overall treatment timeline, allowing our patients to experience transformative results much faster.

We perform treatments meticulously to help our patients lead happier and more confident lives with great care and attention. For information about treatment details and the surgical process, feel free to contact us.

Maxillofacial surgery is a highly specialized branch of medicine that focuses on addressing intricate health issues related to the mouth and jaw. This multifaceted field encompasses a wide range of conditions, including diseases, aesthetic considerations, hereditary anomalies, traumatic injuries, and congenital deformities. Maxillofacial surgeons work with both hard tissues, such as teeth and jawbones, and soft tissues, which include the tongue and cheeks.Orthognathic surgery refers to procedures that diagnose and treat diseases while also correcting or repositioning the jaw.

Maxillofacial surgical procedures can be carried out using different anesthesia methods, including local anesthesia, general anesthesia, or sedation. The choice depends on the specific treatment, the preferences of the patient and their condition. A local anaesthetic is often used for patients with fear of dentists or those who may find it difficult to undergo treatment due to physical or mental problems. Sedation or local anesthesia are viable alternatives for various situations and different types of oral and facial surgeries. When guiding patients through these choices, our experienced maxillofacial surgeon, Dr. Eren PERA, tailors the anesthesia method to best suit their individual needs.

Sagittal Split Ramus Osteotomy

Sagittal split ramus osteotomy involves cutting one side of the jawbone to create a separation between the upper and lower jaws. SSRO is usually used to correct jaw abnormalities, improve jaw alignment, or treat other conditions that require jaw surgery. The procedure is carried out under general anesthesia to ascertain the new position of the jawbone and correct its alignment.

Genioplasty

Genioplasty is a cosmetic surgery that focuses on reshaping the chin.The aim of the procedure is to enhance the aesthetics of the chin, improve the profile of the chin, or correct imbalances in the lower part of the face. To achieve the desired aesthetic or functional results, the procedure often involves repositioning the chin bone or tissue and adjusting its size.

Mandibuloplasty

Mandibuloplasty is surgery to reshape the lower jaw to improve aesthetics and functionality. It involves changing the angle of the jaw, the lower jawline or the chin, and is performed inside the mouth to avoid external scarring.

Mandibulary Osteotomy

Mandibular osteotomy is an operation to relocate the lower jaw. This procedure is usually carried out by dentist and maxillofacial surgeons. The operation involves making an incision in the lower jaw behind the teeth to move it either forward or backward, depending on the needs of the patient, and is often preceded by orthodontic treatment. This treatment is applied to correct abnormalities of the mandible, such as retrognathism and prognathism.

V Shaped Jaw Surgery

V-shape jaw surgery is a cosmetic operation which reconfigures the jawline to create a more attractive V-shape. Patients may choose to undergo this procedure in order to achieve a more defined and symmetrical jaw line. In order to achieve the desired V-shaped contour, techniques such as osteotomy and tissue repositioning may be used.

Jaw Line Surgery

Jaw line surgery is commonly called orthognatic surgery. It can alter the appearance of the jaw and chin.The procedure may involve increasing or decreasing the size of the bones, and may also involve realigning the teeth and jaws. If necessary, the teeth and jaws may be realigned.

Lefort1 Osteotomy

A Lefort 1 osteotomy is a surgical procedure that repositions the upper jaw to improve dental occlusion. It is typically performed in conjunction with orthodontic treatment using braces.

Lefort1 Multipiece Osteotomy

Lefort 1 Multi Piece Osteotomy is a surgical procedure used to correct skeletal malocclusion, dentofacial asymmetries, and midface deficiencies or excesses by readjusting the position of the carrier segments of the teeth.

Lefort2 Osteotomy

The LeFort 2 osteotomy is a surgical procedure that corrects misalignment and deformities by separating the upper jaw and repositioning it forward. The procedure involves splitting the bone and moving it into the desired position.

Lefort3 Osteotomy

LeFort 3 osteotomy is a surgical method used to reposition the cheekbones, eye sockets and upper jaw. The bones are gradually shifted over a number of different sessions to achieve more movement and less relapse.

SARPE Osteotomy

S.A.R.P.E stands for Surgically Assisted Rapid Palatal Expansion. This technique combines surgery with orthodontic treatment to provide a larger palate to correct problems such as lateral crossbite and crowding of the upper arches.

MARPE Treatment

MARPE is a non-surgical and non-extraction treatment that effectively expands the upper jaw, also known as the maxilla, with the assistance of miniscrews.

Palatal Expansion Osteotomy

Palatal Expansion Osteotomy, also called surgically assisted rapid maxillary lengthening (SARME), is a surgery used to fix transversal issues in growing patients. It includes surgically dividing the jaw bones and placing a palate expander.

Jaw Reduction Osteotomy

Jaw reduction surgery makes the lower face slimmer by cutting down the size of the jawbone and its muscles. It is performed to enhance the facial appearance of individuals with a wide or square jawline.

Jaw Prosthesis

A Jaw Prosthesis is a type of prosthesis designed to fill cavities in the chin and/or face area resulting from congenital defects, trauma, or post-cancer treatment. These cavities may be located inside or outside the mouth.

Maxillary Osteotomy

Maxillary osteotomy is a dental surgery technique that rearranges bones and teeth to fix problems in the upper jaw and restore oral ability.

Careful post-operative care is, therefore, essential in managing the patient following orthognathic surgery. The patient is carefully maintained on a balanced diet during the first few weeks, from which they proceed with a liquid or semi-liquid diet into solid meals within a month after treatment. Swelling can be improved, and the patient has to be encouraged to maintain head elevation for the initial few weeks after the operation. Regarding jaw exercise, it’s crucial to avoid excessive jaw movement during the early stages of recovery. Patients are advised to refrain from actively exercising the jaw and allow it to heal without unnecessary strain.

Basic care measures are also essential, such as strictly following the postoperative medicine schedule, not missing out on the follow-up visits, and maintaining good oral hygiene. When it comes to oral hygiene, patients need to be mindful of restricted jaw movement. Gentle cleaning with a soft-bristled toothbrush and adherence to the prescribed oral hygiene routine are crucial. It’s important to avoid aggressive movements that could strain the jaw. These care instructions, including guidance on jaw exercise and overall body workout, are regularly reinforced through weekly personalized post-operative video calls. These calls provide patients with a comprehensive understanding of the healing processes after orthognathic surgery and address any specific concerns they may have.