The position of the lower jaw in relation to the upper jaw is a vital factor in achieving an ideal orthodontic treatment result.
Surgical treatments are for our patients that have severe skeletal discrepancies. The position of the lower jaw in relation to the upper jaw can make a difference to the result in the bite, overall functionality and facial appearance. The position of the jaws is a vital factor in surgical cases when striving to achieve an ideal orthodontic treatment result.
Options for surgical treatment include:
Chin Advancement (Genioplasty)
Chin Advancement (Genioplasty) is jaw surgery to improve the underlying position of the upper and lower jaws relative to each other. Surgery not only corrects the skeletal structures, but it can improve the facial profile. If the discrepancy between the upper and lower jaw is too large a chin implant may also be needed to improve facial profile.
Class III Maxillary Advancement and Mandibular Set Back
Class III Maxillary Advancement and Mandibular Set Back is surgery to correct a Class III malocclusion which may involve advancement of the maxilla (upper jaw) and set back of the mandible (lower jaw). The upper jaw is often deficient in Class III cases and moving this structure forward enables for improvement of the mid-face (cheek bone measurement).
Maxillary Impaction (Gummy smile)
Maxillary Impaction (Gummy smile) is jaw surgery to reduce the amount of gum showing
Surgically Assisted Maxillary Expansion (S.A.M.E)
Surgically Assisted Maxillary Expansion (S.A.M.E) is surgical expansion required to widen the upper jaw once growth has ceased.
Class II Mandibular Advancement Surgery
Class II Mandibular Advancement Surgery is jaw surgery to improve the underlying position of the upper and lower jaws relative to each other. Surgery not only corrects the skeletal structures, but it can improve the facial profile. Combined jaw surgery and orthodontic treatment enables the attainment of the ideal facial harmony and correction of the bite
To assist in achieving an ideal result, orthognathic surgery may be required if it is deemed necessary by our specialist orthodontists and if the patient is interested.
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Frequently Asked Questions
Genioplasty, or chin surgery, is a procedure that aims to improve the appearance and balance of the chin through bone reshaping or repositioning. It can be done using techniques such as sliding genioplasty or chin implants. It addresses concerns like weak or prominent chins, asymmetry, or misalignment. Consulting with a qualified medical professional is essential to understand the procedure and its potential risks and benefits.
Genioplasty can benefit individuals who have concerns such as a weak or receding chin, a protruding chin, chin asymmetry, chin misalignment, or those seeking overall facial harmony.
The recovery time for genioplasty varies, but most individuals can resume normal activities within two weeks. Swelling and bruising typically peak in the first few days and gradually subside over several weeks. Final results may take several months to become fully apparent. It’s important to follow post-operative instructions and attend follow-up appointments for proper healing.
Possible reasons for a gummy smile are diverse. It may be triggered by an upper lip that is either too short or excessively movable, causing it to rest higher than usual during smiles. Another contributing factor is a condition called vertical maxillary excess, where the upper jaw is too long, leading to the appearance of a gummy smile.
To fix maxillary deficiency, treatment options may include orthodontic intervention with braces or aligners, maxillary expansion to widen the upper jaw, or orthognathic surgery to reposition the jaw. The specific approach depends on the severity of the deficiency and individual factors. Consulting a dental or surgical professional is essential for proper evaluation and treatment planning.
The prevalence of a gummy smile can vary among different populations and is influenced by various factors. While it’s not considered extremely rare, it’s not as common as a typical smile either.
Estimates suggest that approximately 7–14% of the population may have a gummy smile to some degree. The condition can range from mild to severe, with varying levels of gum visibility when smiling. Some individuals may have a gummy smile due to genetic factors, while others may develop it as a result of dental or skeletal issues.
It’s essential to note that the perception of a gummy smile can be subjective, and cultural norms and individual preferences also play a role in how a gummy smile is perceived. Some people may embrace their gummy smile, while others may seek treatment to reduce gum visibility and achieve a more balanced smile.
If you are concerned about your smile or have a gummy smile that bothers you, it’s best to consult with a qualified dentist or orthodontist. They can assess your specific case and recommend appropriate treatment options if necessary.