If you have significant dental problem and it results in major facial and jaw irregularities, routine orthodontics (braces) treatment alone will not be effective. At Phyathai 2 Hospital, we have a good treatment option that would help you smile and speak with confidence.
Orthognathic Surgery (Corrective Jaw Surgery)
Orthognathic surgery, or known as Corrective Jaw Surgery is the surgery to reposition the bones of the jaws which is usually performed in conjunction with orthodontics, the alignment of the teeth. The surgery involves the modification of the jaws in order to change their alignment and positions that can dramatically improve oral function and also enhance facial appearance.
The conditions that need for Orthognathic Surgery
Orthognathic surgery is often required for those with improper bite or jaws that are positioned incorrectly. For some people, jaw misalignment is caused by birth defects and injuries. For others, the upper and lower jaws grow at different rates and when the upper and lower teeth don't meet comfortably, it can limit eating, chewing, swallowing and talking ability. Following are some of the problems that can be treated with orthognathic surgery.
        -    Open bite
        -    Unbalanced facial appearance
        -    Misaligned teeth
        -    Unsuccessful orthodontics treatment
        -    Unable to close the mouth properly
        -    Protruding lower jaw/ Receding lower jaw
        -    Gummy Smile
        -    Breathing problem, difficulty swallowing
Surgical steps:
Stage 1 Pre-surgical orthodontic treatment:
Before the surgery, orthodontic procedures to straighten the teeth are performed so that post-operatively your teeth are moved into the position that will fit together. This initial stage typically takes around 1 and a half to two year.
Stage 2 Surgery:
Once the tooth alignment is satisfactory, orthodontist and oral maxillofacial surgeon will work together to make a thorough examination and analysis of your bite and facial bones to achieve the correct jaw repositioning, and more pleasing facial appearance. The operation will take between 2-5 hours, stay in hospital between 3-7 days and return to their homes for recovery.

Stage 3 Post-surgical orthodontic treatments:
After the surgery and the jaw have healed, orthodontist will begin to “fine-tune” your bite for the best possible relationship, which takes about 6 month. After your braces are removed, you will wear retainer and follow-up with orthodontist strictly, so your bite remains stable.
Advantage of Orthognathic Surgery

1. Correcting open bite
2. Improving chewing function
3. Speaking clearly
4. Improving facial appearance
5. Increasing self-confidence
Orthodontic and orthognathic surgical treatment will be individually planned according to each patient’s clinical assessment and x-ray imaging study; the treatment is carried out jointly by an orthodontist and an oral and maxillofacial surgeon. At Dental Center of Phyathai 2 Hospital, we offer an extensive consultation and through assessment customized to your own specific needs to ensure the best possible outcome.