Dysgnatic Surgery

Its objective is to achieve a harmonious occlusion of the bite and face by repositioning the jawbone. After a thorough analysis of the teeth, the alignment of the teeth and the profile of the face, as well as a functional analysis of the jaw joints, we advise our patients individually. This type of surgery is only one part of a complex treatment plan that includes dental, jaw orthopedic and surgical measures. At the Marigan Clinic, we combine all disciplines to achieve satisfactory results with this surgery. In this way, all treatment steps are optimized and ideally agreed upon. The most common interventions in surgery for dysgnatic anomalies are

Displacement of the lower jaw

This procedure is performed under general anesthesia. It is accessed through the oral cavity so that no unattractive scars can occur. By means of sagittal splitting (according to Obwegeser and Dalport), the part of the lower jaw that supports the denture can be detached from the joint dependent part by fixing it in the correct position with titanium mini-implants. In this way, it is possible to move the lower jaw in three dimensions.  For aesthetic reasons, it can also be performed in combination with a mentoplasty or chin repositioning. The hospital admission will be from one to three days.

Displacement of the upper jaw

This operation is also performed under general anesthesia. It is accessed through the oral cavity so that no unattractive scars can occur. By means of Le Fort I Osteotomy, the upper jaw is detached from the skull and subsequently fixed in the desired position with mini titanium plates. In this way, malpositions of the upper jaw are corrected. In special cases, additional excision of the upper jaw is performed ( two or three piece ) in order to correct excessively wide or narrow jaws according to individual needs. The hospitalization is usually from one to three days.