Orthognathic Surgery with Orthodontics: An Integrated Treatment Plan for Optimal Results

Some patients suffer from skeletal jaw problems that cannot be treated with orthodontics alone. In such cases, combining jaw surgery (orthognathic surgery) with orthodontic treatment becomes the ideal solution to achieve both functional and aesthetic results. Dr. Islam Kassem, Consultant of Oral and Maxillofacial Surgery, explains how this integrated plan is developed and executed for the best outcomes.

What is Orthognathic Surgery?

Orthognathic surgery is a procedure performed to correct deformities in the upper or lower jaw, such as protrusion, retrusion, or lateral deviation. It is used when orthodontics alone cannot resolve the issue.

Why Combine with Orthodontics?

Dr. Islam Kassem explains that the goal of this combination is to:

• Precisely align the teeth.

• Improve facial balance and aesthetics.

• Enhance speech, chewing, and breathing.

• Reduce the likelihood of future recurrence.

Treatment Plan Stages

1. Pre-surgical Phase
   The orthodontist begins by fitting braces to reposition the teeth into the optimal alignment that allows accurate surgery.

2. Surgical Phase
   Dr. Islam Kassem performs the jaw surgery in a hospital setting, adjusting the position of the upper or lower jaw (or both) using precise techniques for ideal alignment.

3. Post-surgical Phase
   The patient continues orthodontic treatment for a specific period to fine-tune the bite and ensure the surgical results are stable.

Who Is a Candidate for This Plan?

• Individuals with significant jaw misalignment.

• Patients experiencing difficulty in speaking or chewing.

• Cases where facial appearance is affected due to jaw protrusion or retrusion.

Benefits of the Integrated Plan

• Long-lasting and satisfying results.

• Significant improvement in overall quality of life, both physically and emotionally.

• Effective treatment for complex cases that cannot be resolved by orthodontics alone.

Conclusion

Dr. Islam Kassem emphasizes that combining orthognathic surgery with orthodontics is the ideal approach in certain advanced cases. Careful planning by a specialized team ensures the best possible outcomes, both functionally and aesthetically.