Orthognathic Surgery | Balaji Dental and Craniofacial Hospital

Unknown facts on Jaw Surgery in India

by smbalaji | May 14, 2021 | Orthognathic Surgery

Corrective Jaw Surgery

Orthognathic Surgery (Corrective Jaw Surgery, Jaw Surgery) is a complicated procedure that requires meticulous planning due to the complexities of occlusion (the way the teeth bite) and the combined impact on the facial appearance when teeth and jaws are moved. Due to the scope of the task, a collaborative approach is used. An orthodontist and oral surgeon are part of the team, as are the general dentist and other dental professionals such as periodontists and endodontists.

What is maxillofacial surgery?

Oral and Maxillofacial Surgery deals with surgeries related to the upper and lower jaws. Maxillofacial surgeons undergo extensive training in the treatment of conditions related to the maxilla and the mandible. It can range from cosmetic jaw surgery to the treatment of injuries caused by trauma.

There was a time in the past when cosmetic treatment was prohibitively expensive and could only be afforded by the very wealthy. Facial cosmetic surgery including rhinoplasty and cosmetic jaw surgery has become more affordable in modern times. This was following establishment of a connection between the mental well being of a person and facial deformity correction through medical research.

Oral and Maxillofacial Surgery in India

Sushrutais considered to be the Father of the Surgical Sciences. He described surgical procedures that dealt with extraction of teeth and draining jaw abscesses, resetting fractures of the jaws and cosmetic jaw surgery. This actually marked the genesis of jaw reconstructive surgery in India in ancient times.

Oral and Maxillofacial surgeons have always played an important role in the development of surgical innovations. The armed forces of India have always boasted of a distinguished medical corps with the strong presence of oral and maxillofacial surgeons. They dealt with repairing injuries caused to the facial region during wartime and have provided valuable service to injured soldiers.

The Relationship of the Jaws with the Face

The maxilla and mandible comprise the middle and lower thirds of the face. Facial deformities are more common in the middle and lower third than in the upper third of the face. Jaw deformity surgery is a highly specialized branch of oral and maxillofacial surgery in India.

The Importance of Experience towards attaining Surgical Excellence

Experience plays an important role in jaw reconstruction surgery. No jaw is similar to another and the shape of each jaw is heavily influenced by genetics and environmental factors. The structure of the jaws should not only be esthetically appealing but should also perform the all-important functional roles effectively.

Our hospital is also a specialty center for redo reconstructive surgery of the craniofacial region. Many patients who have had less than satisfactory results at other centers present to our hospital for corrective jaw surgery.

Even the slightest deformity of the jawbones can lead to impairment in function of the jaws. The two main functions performed by the jaws are related to speech and eating. They play a very important role in shaping our lives.

Humans communicate through speech to express their thoughts. Speech has to be clear and crisp. A good balanced diet is extremely important for the wellbeing of the whole body. This not only includes the major groups, but also the micronutrients, which play a very important role in the development of the brain.

Both speech and nutritional intake is affected when there is deformity of the jaws. Deformity of the jaws can include a large upper jaw in relation to a small lower jaw or a small lower jaw in relation to a large upper jaw. Pathologies affecting the jaw joints also affect the function of the jaws.

Proven Track Record of Experienced Oral and Maxillofacial Surgeons

Experience serves to develop the intuitive feeling in a surgeon as to what would best suit the facial structure of each patient. Using detail imaging studies and the experience gained over decades of operating on similar cases, they are able to map out the surgery beforehand. This enables them to obtain the best possible results for the patient.

Long Standing Excellence in the field of Oral and Maxillofacial Surgery

Our hospital has been performing jaw deformity correctionfor patients for over 30 years now. Situated in Chennai, the healthcare capital of India, we are renowned for our patient care and use of cutting edge technology for jaw correction surgery like distractors in India.

Our orthognathic surgery division is amongst the finest in India. Led by Director and Consultant, Dr SM Balaji who is considered to be the best reconstructive jaw surgeonin India by his peers, this experienced team of medical and paramedical staff ensures that patients receive world class care throughout their stay in the hospital.

Dr SM Balaji who is also a distinguished orthognathic surgeon is widely recognized as the most innovative and best jaw surgeon in India. Numerous awards at the national and international level stand testimony to his contributions as the best oral and maxillofacial surgeon in India.

Facial Cosmetic Surgery in India

We are a centre of excellence for facial plastic surgery in India. Our hospital is renowned for facial cosmetic correction. Ear reconstruction surgery for microtia deformity is a specialty surgery that has been performed in our hospital for over 30 years now. It is usually performed in two stages although minor ear deformity correction is performed in a single stage

Distraction Osteogenesis for Jaw Deformity Surgery

Jaw distraction surgery

We were amongst the first to perform jaw distraction surgery in India through the use of internal distractors. Bijaw advancement surgery through maxillary Le Fort I and bilateral sagittal split osteotomy of mandiblealsoprovides very good results. Our hospital was also a pioneer in the use of Recombinant Human Bone Morphogenetic Protein-2 (rh-BMP2) for the rehabilitation of bony defects in the jaws. Our hospital is a renowned center for facial makeover surgery.

Temporomandibular joint fusion or TMJ ankylosis can lead to malformation or underdevelopment of the lower jaw. Surgical techniques have evolved over the years to correct the discrepancy in relative jaw size caused by this condition.

Lower jaw lengthening is commonly performed through distraction osteogenesis. This is the treatment of choice for the correction of obstructive sleep apnea

Leading Surgical Centre for Facial Trauma Care

We are also a leading center for reconstruction of defects that arise from treatment of diseases, injuries and defects. Our hospital is a specialty correction center for facial asymmetry surgery caused by fractures to the eye region.

Our hospital is a best Jaw Surgery(Jaw reconstructive) center for patients who have undergone surgery for oral cancer.We have rehabilitated scores of patients with destructive lesions of the jaws arising from dentigerous cysts and odontogenic keratocyst amongst many other pathological conditions.

Jaw advancement surgery and jaw reduction surgery of the lower jaw performed in our hospital through bilateral sagittal split osteotomy (BSSO) offers optimal cosmetic and functional results for the patient. Le Fort I maxillary osteotomy is utilized for maxillary advancement.

Allied with fixed orthodontic treatment, this results in complete rehabilitation of the patient. Our hospital is also a specialty center for cleft orthodontics. Trained orthodontic specialists are able to bring about perfect alignment of teeth affect by cleft palate deformities.

Contributions towards Rehabilitation of Cleft Lip and Palate Deformity

We are recognized throughout the world for our contributions towards cleft lip and palate surgery. Many innovations that are standard surgical practice throughout the world today originated in our hospital. Our hospital is the foremost center for cleft lip surgery in India and cleft palate surgery in India.

International Recognition for the Surgical Services provided by our hospital

Our hospital is the regional affiliate of international foundations like the International Cleft Lip and Palate Foundation of Japanand the Dallas based World Craniofacial Foundation of USA. We are renowned for the correction of deformities caused by Tessier’s facial clefts like hypertelorism correction. These surgeries enable the affected children to lead completely normal lives and realize their potential to the fullest.

Many innovations to standard surgical operation procedures have risen from the work of the Cleft Research Unit of our hospital. Dr SM Balaji has also won many honours around the world for his outstanding research into craniofacial surgery

Children from around the world with craniofacial deformities of the skull caused by premature closure of sutures are referred to our hospital. Left untreated, this could cause damage to the child’s developing brain and cause early mortality. Our hospital specializes in the rehabilitation of these children to complete normalcy.

Our hospital is also a center of excellence for facial feminization surgery through surgical correction of the jaws. Innovative jaw remodeling surgery and use of biotechnological advances ensures best results for this facial cosmetic surgery

Dental implant surgery in our hospital is much sought after by patients from around the world. Premature loss of teeth can lead to changes in the bone structure of the jaws. This can result in a prematurely aged look to the face. We use advanced facial biometric systems to recreate the perfect jaw structure for each individual patient.

Maxillofacial Center

To conclude, our hospital is a one-stop superspecialty center for craniomaxillofacial surgery in India.

Lower Jaw Protrusion – Bilateral Sagittal Split Osteotomy Reduction

by smbalaji | Mar 19, 2021 | Orthognathic Surgery

What is Bilateral Sagittal Split Osteotomy Reduction

Orthognathic surgery is the surgical correction of the components of the facial skeleton in patients with dentofacial skeletal defects to restore the proper anatomical and functional relationship. The bilateral sagittal split osteotomy (BSSO), which is the most frequently performed jaw surgery, either with or without upper jaw surgery, is an important component of orthognathic surgery. Horizontal mandibular excess, deficiency, and/or asymmetry are indications for a bilateral sagittal split. It is the most widely used treatment for mandibular advancement and can also be used for a mild to moderate mandibular setback.

Bilateral sagittal split osteotomy reduction is a required surgical technique for correcting mandibular deformities. Correcting these deformities necessitates a detailed understanding of the signs, procedures, and complications of the sagittal split osteotomy.

Patient Troubled with a Large Lower Jaw

The patient is a 21-year-old male from Palakkad in Kerala, India. His lower jaw has always been very large since he can remember. He has had eating and speech difficulties for a very long time now. There was also an element of bullying while he was in school.

The size of his lower jaw also prevented him from obtaining a full lip seal. This led him to have drying of his oral mucosa with resultant bad breath. He has now secured a good job and wanted to get this corrected. He zeroed in on us after extensive Internet research and word-of-mouth inquiries.

Specialty Center for Jaw Surgery

Our hospital specializes in all varieties of jaw surgery. We perform jaw reconstruction surgery for many conditions. This includes jaw reduction and jaw augmentation surgery for both jaws. Orthognathic surgery using maxillary osteotomy results in the correction of maxillary defects.

We perform jaw advancement surgery through distraction osteogenesis. Patients with obstructive sleep apnea get relief through this surgery. We use the latest intraoral distraction devices for this surgery.

Complete patient satisfaction is a salient feature at our hospital. We are a specialty center for dental implant surgery. Plastic surgeons also perform these procedures in Western countries.

Correction of craniofacial deformities in children is also performed in our hospital. Our hospital is a specialty center for pediatric general anesthesia.

Initial Treatment Planning upon Presentation

Dr. SM Balaji, Jaw Reconstruction Surgeon, spoke with him and examined him. The patient had mandibular prognathism. He had an overjet of 10 mm with resultant cosmetic and functional compromise. Inquiries revealed that a large lower jaw was present in several family members.

Imaging studies were then obtained and the treatment plan explained. The patient was in agreement and consented to surgery.

Esthetic Results from Successful Jaw Reduction Surgery

He underwent bilateral sagittal split osteotomy for reduction of the lower jaw. The inferior alveolar nerve was first mobilized with the distal segment. The nerve was fully protected throughout the surgery.

This allowed for free manipulation of the proximal segment. Bilateral bone slices 12 mm thick were then removed from the osteotomy sites. The mandible was then set back and stabilized with plates after checking occlusion.

Successful Correction of Large Lower Jaw

This resulted in complete correction of his mandibular prognathism. There was the transformation of his facial features following the surgery. He expressed complete satisfaction with the results and thanked the surgical team.

Video of Lower Bilateral Sagittal Split Osteotomy Reduction

5 Important Points you should know about Jaw Reconstruction Surgery

by smbalaji | Mar 4, 2021 | Orthognathic Surgery

Jaw Reconstruction Surgery cost in India

Jaw reconstruction, otherwise known as orthognathic surgery, is a procedure for correcting or adjusting any kind of jaw abnormalities. In certain cases, problems with the bite or alignment of the teeth may be corrected using jaw correction techniques of dental and orthodontic care. This is a specialized method of correcting any structural defects of the jaw.

There are a number of ways in which such defects can occur; automobile accidents are the most common. Jaw repair is a technique used to address jaw disorders such as open bites, trouble chewing, difficulty swallowing, temporomandibular joint (TMJ) pain disorder, severe wear of teeth in the jaw, and receding chins. It can also be used to address serious orthodontic issues affecting the relationship between the teeth and the jaws, including the correction of under-bites and congenital abnormalities related to the formation of the jaw. It may also help to relieve sleep apnea, a potentially life-threatening disease.

5 Important Points on Jaw Reconstruction

What is Jaw Reconstruction Surgery?

Jaw reconstruction surgery is performed for the correction of jaw deformities. It can either be for cosmetic reasons, improve function or correct a deformity arising from an underlying disease process.

What are the various conditions of the jaws that can be corrected by jaw reconstruction surgery?

Jaw deformities include excessive jaw size or bony deficiency of the jaws. These can either be idiopathic (without any underlying cause) or could be the result of an abnormality. Jaw reduction surgery is performed for the correction of excessive jaw size (maxillary and mandibular prognathism). Jaw augmentation surgery is performed when there is a bony deficiency.

Which disease processes most commonly require jaw reconstruction surgery?

Tumours, cysts, traumatic injuries and syndromic deformities of the jaws are the most common underlying conditions that lead to bony deficiency requiring reconstructive jaw surgery.

What are the various technique and methods that are used for jaw reconstruction surgery?

There are various surgical techniques that are utilized for jaw reconstruction. These include utilizing grafts, reconstruction plates and distraction osteogenesis. Grafts can range from those harvested from the patients themselves to biosynthetic materials. Distraction osteogenesis uses the principle of new bone generation to help lengthen deficient jawbone.

Which surgeons are best qualified to obtain the optimal results from jaw reconstruction surgery?

Experienced oral and maxillofacial surgeons who have dealt with a multitude of jaw deformities obtain the best functional and cosmetic results from these procedures. Jaw reconstruction truly transforms the quality of life of the patient.

Jaw reconstruction surgery cost in India

Any cosmetic procedure is a significant investment. Having agreed to undergo orthognathic surgery, you might naturally ask, ‘How much is the cost of orthognathic surgery? The cost of surgery varies from patient to patient, depending on the extent of the reconstruction. In India, plastic surgery can be used at a fraction of the cost in other countries without compromising the standard of treatment.

The cost of jaw surgery in India ranges from INR 50,000 to INR 3,000,000 depending on the complexity of the surgery to be performed.