Below you’ll find several different cases which might require corrective jaw surgery, along with a typical treatment plan that an oral surgeon like Dr. Jessen would perform in order to correct the condition and return your mouth to the way it should be. If you have any questions after reading through these case studies or would like more information, we encourage you to look through our corrective jaw surgery page or get in contact with us so that we can help you out.
If you find yourself with an overbite caused by a small severely backward positioned lower jaw it may cause chronic trauma to the roof of your mouth which can result from a deep bite in which the lower front teeth chew on the palatal gum tissue. A situation like this can also be accompanied by an outwardly turned lower lip resulting from the chronic trauma when the upper front teeth repetitively hit against an abnormally positioned lower lip. If you experience any problems like this, corrective jaw surgery might be one of the only ways you’ll be able to find relief. Based on a similar situation from an actual patient, Dr. Jessen would probably recommend the following surgical treatment.
1. Help eliminate your overbite and deep bite, and position the lower lip and chin in a more favorable forward position by using lower jaw advancement. Lower jaw advancement is the process of moving the lower jaw bones forward so that they align properly with the upper jaw. In addition, lower jaw advancement can help enlarge the airways in your mouth, making it easier to breath.
2. Prepare for and maintain the surgical correction by using pre-and post-operative orthodontics of less than 13 months.
If you’re at all like one of Dr. Jessen’s previous patients, you might be experiencing severe downward vertical growth of the upper jaw resulting in long facial appearance. Inadequate upper jaw width might give you a cross-bite and an overbite caused by the backward positioned lower jaw and forward positioned upper jaw, in addition to a paranasal deficiency and narrow base of the nose. You might also have lip incompetence, which is the inability to keep your lips together without effort and can lead to a gummy smile and gum inflammation of your upper front gum tissue caused by chronic exposure to air. If any of those conditions applied to you, Dr. Jessen would probably recommend the following treatment options.
1. Significantly repositioning of your upper jaw and upper jaw setback to correct the long facial appearance and help correct your overbite, followed by surgically widening the upper jaw to eliminate the cross-bite caused by lack of upper jaw width. This would also help correct your lip incompetence and gummy smile.
2. Executing an forward autorotation of the lower jaw to further reduce and eliminate your overbite and to bring chin point forward.
3. Surgically allowing nasal base to widen with the superior repositioning of the upper jaw.
Both of these treatment procedures have been successful in the past and have helped others find relief. If you think any of the problems you read about might apply to you, please contact us so that we can help you get the treatment you need to get your mouth back.