ADA Accessibility Information



What are the advanced operative techniques in orthognathic surgery

Posted on 3/21/2022 by Dr. Shaun Rai
What are the advanced operative techniques in orthognathic surgeryOrthognathic surgeries are procedures done to reposition jaws used traditionally in dentate patients to correct malocclusion in the skeleton.

techniques used in orthognathic surgery are discussed below

Soft tissue reflection and bone cut are where an incision that is `u` shaped is made across the mucosa and buccal sulcus; from the first step, a mucoperiosteal flap will be raised, exposing the maxilla to the energy. Maxilla from the pyriform aperture .The orbital nerves are identified and protected, mucoperiosteum nasal is reflected from the floor. The maxilla`s outer surface is marked using a marker pen before the cutting using a surgical bur forward and upward to the pterygoid maxillary. The nasal wall is cut from the palate using a nasal chisel. The septum is separated from the palate.

Separation and mobilization this is where the bone [maxillary] is unconnected from the skull`s base with the help of a smith spreader. Disarticulation of ptergyo maxillary is accomplished by Rowe`s forceps, which are dismasted. Depending on the surgeon, osteotomies can be used.

 Final fixation and adjustment, closure this is where the occlusal wafer is seated on the surfaces of mandibular teeth and incisal edges. The maxilla is put in the anteroposterior occlusal is kept in place with intermaxillary fixation. For maxillary impaction, the bone is removed. When lip lengthening is required, a `v`-y` closure is needed. It can be accomplished by suturing the mid-line of the mucal surface, which is followed by suturing the labially. A stitch can be applied, which maintains the desired shape of the altar. It is done by a non-restorable suture passed from the inner side of the mouth to the alar cartilage.

 Presprothetic technique is the orthognathic surgery that can be conducted on the patient`s edentulous to correct discrepancies between the jaws, followed by implants being replaced to rehabilitate maxillary bone.

Monday - Thursday:
8:00am - 4:30pm

Friday: 8:00am - 1:30pm
Copyright © 2016-2024 Rai Oral Surgery and Dental Implants and WEO Media (Touchpoint Communications LLC). All rights reserved.  Sitemap
Our Blog | Rai Oral Surgery & Dental Implants | Virginia Beach
Shaun B. Rai DMD has created this informative blog to help educate the community. Please read below and then call us today!
Rai Oral Surgery and Dental Implants, 933 First Colonial Road #205, Virginia Beach, VA 23454 : (757) 777-9883 : : 6/14/2024 : Page Terms:oral surgeon Virginia Beach VA :