The course leading up to orthognathic surgery can be lengthy. Below is a general overview of the order in which things need to be done prior to surgery.
Within 1 year prior to consultation lateral panorex and PA cephalogram x-rays (can be obtained at C-Dental) are highly recommended prior to your consult.
Meet with Dr. Deschamps-Braly to determine your dental occlusion and which surgery is necessary for you.
6-18 months prior to surgery AND 3-6 months after surgery. Your orthodontist will align your teeth in such a way that AFTER orthognathic surgery your bite fits correctly. Some patients may need to wear braces for 6-9 months, whereas more complex cases may require braces for up to 18 months or longer. Your braces will be worn for an additional 3-6 months after surgery depending on your circumstances.
Prior to and after surgery. Typically, 3-4 weeks prior to orthognathic surgery. Also 1 week AND 6 months postoperatively.
A dental cleaning is desired at least 2 months prior to your surgery.
Your orthodontist will place ‘arresting’ or ‘static’ wires on your orthodontics 3-4 weeks prior to surgery to stop your teeth from moving.
Plaster models on your teeth will be taken prior to surgery to help in the surgical planning. These can be done at the same time you have your pre-operative CT scan taken: around 2 weeks after arresting wires placed and 1-2 weeks prior to surgery.
If needed, hooks will be placed on your brackets by your orthodontist shortly about 1-2 weeks prior to surgery (if necessary).
Will occur take place on a Wednesday or Thursday at CPMC Davies Campus and requires a one night hospital stay. You will follow up with us the Monday and Friday following surgery.
Upper jaw: 2-3~ hours; lower jaw (bilateral sagittal split osteotomy (BSSO)): 2-3~ hours; bi-maxillary (both jaws): 5-6~ hours.