Jaw Reconstruction Surgery
Scarsdale and Mt. Kisco, NY




Jaw Reconstruction Surgery provided by and in Scarsdale & Mt. Kisco, NY at


3D illustration of mandible at New York Oral, Maxillofacial, and Implant SurgeryJaw reconstruction surgery, a cornerstone of maxillofacial surgery, is a form of treatment for individuals facing a range of complex oral and facial conditions. From traumatic injuries to congenital anomalies and tumors, jaw reconstruction surgery plays a pivotal role in restoring both function and aesthetics to the jaw and surrounding structures.



Understanding Jaw Reconstruction Surgery



Jaw reconstruction surgery, also known as orthognathic surgery, encompasses a range of procedures aimed at correcting abnormalities and restoring functionality to the jawbone and surrounding structures.

This type of surgery is used in a variety of situations, such as severe facial trauma resulting from accidents, falls, or sports injuries. These injuries can cause fractures, dislocations, or deformities of the jawbone, necessitating surgical intervention to restore proper alignment and function.

Congenital anomalies such as cleft lip and palate, jaw malformations, and craniofacial syndromes may require surgical correction to improve facial symmetry, function, and appearance.

Benign or malignant tumors of the jawbone or surrounding tissues may necessitate surgical resection and reconstruction to remove the tumor and restore structural integrity.

Temporomandibular joint (TMJ) disorders may also require orthographic surgical intervention. Dysfunction of the temporomandibular joint, which connects the jaw to the skull, can cause pain, difficulty chewing, and limited jaw movement. Jaw reconstruction surgery is often used to address TMJ disorders and improve jaw function.

The decision to undergo jaw reconstruction surgery is made in collaboration between the patient, Dr. Gary Orentlicher, and other members of the healthcare team. A comprehensive evaluation, including imaging studies and dental impressions, is conducted to assess the underlying condition and formulate a tailored treatment plan.



Techniques of Jaw Reconstruction Surgery



Jaw reconstruction surgery encompasses a variety of techniques and approaches, depending on the specific needs and goals of the patient. Here are some examples of common procedures.


Orthognathic Surgery


This procedure involves repositioning the upper jaw (maxilla), lower jaw (mandible), or both to correct bite abnormalities, improve facial aesthetics, and enhance chewing function. Orthognathic surgery may involve traditional open techniques or minimally invasive methods, such as the use of bone plates and screws.


Bone Grafting


In cases where the jawbone is damaged or lost due to trauma, infection, or tumor resection, we may perform bone grafting to restore volume and structural support. Autologous bone grafts, harvested from the patient's own body, or allografts, derived from donor sources, are commonly used to augment bone defects and facilitate healing.


Osteotomy


Osteotomy is a surgical procedure involving the cutting and reshaping of bone to correct misalignment or improve function. This technique is often employed to treat conditions such as mandibular prognathism (overbite) or retrognathia (underbite). By precisely repositioning the jawbone, osteotomy can restore proper alignment, improve bite function, and enhance facial aesthetics.


Distraction Osteogenesis


This innovative technique involves gradually lengthening or repositioning the jawbone using a specialized device known as a distractor. Distraction osteogenesis stimulates new bone formation and allows for controlled expansion or movement of the jaw to correct deformities and improve function.


Mandibular Reconstruction


For patients with extensive jaw defects or tissue loss, we may employ mandibular reconstruction to restore form and function to the jaw and surrounding structures. This may involve the use of vascularized tissue flaps from other areas of the body or advanced reconstructive techniques.


Preprosthetic Surgery


Preprosthetic surgery focuses on preparing the jawbone to support dental prostheses, such as dentures or dental implants. This may involve procedures such as ridge augmentation or alveoplasty to enhance the shape, size, and density of the jawbone. By optimizing the bone structure, preprosthetic surgery ensures a stable foundation for prosthetic devices, improving their fit, comfort, and longevity.


Osseous Surgery


Osseous surgery, also known as bone surgery, is a procedure aimed at repairing and reshaping the bone to address periodontal disease or bone defects. This may involve techniques such as bone grafting, guided bone regeneration, or osteoplasty to restore lost bone tissue and support periodontal health. Osseous surgery plays a crucial role in preserving the structural integrity of the jawbone and promoting long-term dental function.


Reconstructive Microsurgery


In cases of extensive jaw defects or tissue loss, we may employ reconstructive microsurgery to transplant vascularized tissue flaps from other areas of the body, such as the fibula, scapula, or radial forearm, to restore form and function to the jaw and surrounding soft tissues.



Recovery Process and Rehabilitation



The recovery process following jaw reconstruction surgery varies depending on the complexity of the procedure and the individual patient's healing capacity. Patients may require a brief hospital stay following jaw reconstruction surgery to monitor for any complications and ensure adequate pain management.

We may initially recommend a soft or liquid diet to allow for proper healing and minimize stress on the jaw joints and surgical site. As healing progresses, patients can gradually transition to a more normal diet under the guidance of their healthcare provider.

Pain and discomfort are common after jaw reconstruction surgery and are manageable with prescription pain medications, over-the-counter analgesics, and cold compresses applied to the surgical site.

Regular follow-up appointments with us are essential to monitor healing progress, address any concerns or complications, and make adjustments to the treatment plan as needed.

In some cases, we may recommend physical therapy to improve jaw mobility, muscle strength, and function following surgery. Therapeutic exercises and manual techniques can help optimize outcomes and facilitate recovery.



Potential Complications and Risks



While jaw reconstruction surgery is generally safe and effective, it comes with certain risks and potential complications:

•  Surgical site infections can occur following jaw reconstruction surgery and may require antibiotic treatment to resolve.

•  Excessive bleeding is a potential complication of any surgical procedure and may require intervention to control.

•  Injury to the nerves surrounding the jaw and face can occur during surgery, resulting in temporary or permanent sensory disturbances, such as numbness or tingling.

•  Inadequate alignment of the jaws or teeth (malocclusion) may occur following jaw reconstruction surgery and may require additional corrective measures to address.

•  Factors such as smoking, poor nutrition, and systemic health conditions can impair healing and prolong recovery following surgery.



It's important for patients to disclose any potential general or oral health concerns that may present complications during jaw reconstruction surgery. They should also discuss the potential risks and benefits of oral surgery with their healthcare provider. This allows all parties to make informed decisions about treatment options.
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Jaw Reconstruction Surgery - Scarsdale, NY • NYOMIS Oral Surgery
Jaw reconstruction surgery by Dr. Gary Orentlicher and Dr. Andrew Horowitz in Scarsdale & Mt. Kisco, NY. Restore jaw function and aesthetics with expert care.
New York Oral, Maxillofacial, and Implant Surgery, 495 Central Park Ave #201, Scarsdale, NY 10583 - (914) 768-8220 - oralsurgeryny.com - 7/17/2024 - Page Terms:dental implants Scarsdale NY -