Jaw Surgery Transformation: 4+ Years of Progress (with CT Scans)

Witnessing the remarkable results of orthognathic surgery in a male patient over 4 years and 7 months. This in-depth case study explores the incredible transformation of a 20-year-old male patient who underwent double jaw surgery (orthognathic surgery) combined with post-surgical orthodontics. We'll delve into his journey from the initial consultation to two years post-treatment, highlighting key aspects and showcasing actual CT scan imagery.

What made this case unique?

• Debate over tooth extraction: The medical team had differing opinions on whether to extract the upper first premolars during surgery.

  

  Debate over tooth extraction

• Asymmetrical jaw growth: The patient exhibited uneven bone growth in his lower jaw, adding complexity to the treatment plan.

  

  Asymmetrical jaw growth

Pre-Surgery Challenges:

• Prognathism: The patient had a prominent lower jaw, creating an underbite.

• Lip Incompetence: He couldn't comfortably close his lips at rest.

• Facial Imbalance: The jaw misalignment affected his overall facial harmony.

  

  Prognathism

  

  Lip Incompetence

Surgical Approach:

• Maxillary Impaction and Rotation: The upper jaw was repositioned upward and rotated clockwise to improve the bite and facial profile.

• Mandibular Setback: The lower jaw was surgically moved backward to correct the underbite.

Post-Surgery Highlights:

• Overjet Correction: The initial overjet was significant but gradually decreased through mandibular autorotation and orthodontic treatment, eliminating the need for premolar extractions.

• Improved Facial Aesthetics:  CT scans demonstrate a remarkable reduction in facial height and a more balanced profile.

• Mandibular Bone Growth:  Observe the asymmetrical bone growth in the lower jaw, a fascinating aspect of this case.

  

  The initial overjet was significant but gradually decreased through mandibular autorotation and orthodontic treatment

  

  Overjet Correction

  

  reduction in facial height and a more balanced profile.

  

  reduction in facial height and a more balanced profile.

Long-Term Stability:

• CT Scan Analysis: Compare the skeletal changes from 3 months to 4 years and 7 months post-surgery.

Long-Term Stability

• Long-term stability (2 to 4 years 7 months post-surgery):  Despite ongoing minor skeletal remodeling, the patient exhibited remarkable stability in both occlusion and facial structure from 2 years to 4 years and 7 months following the surgical intervention.

  

  Long-term stability (2 to 4 years 7 months post-surgery)

• Occlusal Stability:  Achieving a stable and functional bite is crucial for long-term success.

Occlusal Stability:  Achieving a stable and functional bite is crucial for long-term success.

Key Takeaways:

• Dynamic Healing:  Even after achieving a stable bite, the facial bones continue to adapt over time.

• Importance of Patient Collaboration:  Maintaining good posture and oral habits are essential for long-term results.

This case study underscores the transformative power of orthognathic surgery and the importance of long-term follow-up care. By combining surgical expertise with orthodontic treatment, patients can achieve remarkable functional and aesthetic improvements, leading to a more confident and fulfilling life.

For further information, please visit

https://blog.naver.com/vvsaz144/223572903258

Keywords: double jaw surgery, orthognathic surgery, prognathism, overjet, malocclusion, jaw surgery before and after, CT scan, facial asymmetry, post-surgical orthodontics, mandibular autorotation, long-term stability.

Jaw Surgery Transformation