Mandibular lengthening, also known as jaw lengthening surgery, is a surgical procedure aimed at increasing the length of the lower jawbone to correct conditions such as micrognathia (underdeveloped lower jaw) or mandibular hypoplasia (small lower jaw). This innovative surgical technique involves gradually lengthening the jawbone using specialized devices known as distractors, which stimulate new bone formation and allow for the gradual expansion of the mandible. Mandibular lengthening surgery offers a transformative solution for individuals with jaw deformities or facial asymmetry, improving both aesthetic appearance and functional alignment of the lower jaw.
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The patient undergoes a comprehensive evaluation, including dental and facial imaging, to assess the severity of the jaw deformity and plan the surgical approach.
Mandibular lengthening surgery is performed under general anesthesia to ensure the patient's comfort and safety throughout the procedure.
The oral and maxillofacial surgeon makes incisions inside the mouth to access the lower jawbone without visible external scars.
Using precise surgical instruments, the surgeon carefully cuts the lower jawbone (mandible) to create a controlled fracture line.
Specialized distraction devices, known as distractors, are surgically inserted into the mandible on both sides of the jawbone.
Following a latency period to allow for initial bone healing, the distractors are gradually activated using a screw-like mechanism to slowly separate the bone segments and stimulate new bone formation.
Throughout the distraction phase, the patient undergoes regular follow-up appointments to monitor bone healing and adjust the distractors as needed to achieve the desired lengthening of the mandible.
Once the desired lengthening is achieved, the distractors are left in place for a period of consolidation to allow the newly formed bone to mature and strengthen.
After the consolidation phase, the distractors are removed surgically under general anesthesia, and any residual bone irregularities are corrected.
Following surgery, patients require a period of recovery and rehabilitation, during which they may experience temporary swelling, discomfort, and dietary restrictions. Close monitoring and follow-up care are essential to ensure optimal healing and long-term outcomes.
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Mandibular lengthening surgery offers several benefits, including:
While mandibular lengthening surgery offers significant benefits, it also carries certain risks and considerations, including:
Our team of oral and maxillofacial surgeons specializes in mandibular lengthening surgery and has extensive experience performing complex craniofacial procedures with precision and expertise.
We conduct thorough preoperative assessments, including dental and facial imaging, to develop personalized treatment plans tailored to each patient's unique anatomical features and treatment goals.
Dentiva Clinic is equipped with state-of-the-art surgical suites and advanced imaging technology to ensure safe, efficient, and minimally invasive surgical procedures.
Our clinic employs a multidisciplinary approach to mandibular lengthening surgery, collaborating closely with orthodontists, speech therapists, and other experts to address all aspects of patient care and optimize treatment outcomes.
At Dentiva Clinic, we prioritize patient comfort, safety, and satisfaction, providing compassionate support and guidance throughout every step of the treatment journey, from initial consultation to postoperative care and follow-up.
Mandibular lengthening surgery is a procedure to lengthen or extend the lower jaw using bone graft or distraction osteogenesis.
It is used for those with short lower jaw causing issues like sleep apnea, underbites, lack of chin projection, or an unbalanced facial profile.
This surgery can increase chin projection, correct underbites, expand the airway for improved breathing and sleep apnea and balance facial proportions.
A bone graft can longitudinally expand the lower jaw. Distraction osteogenesis gradually lengthens the jaw after an osteotomy using fixation devices.
There is moderate pain during the recovery period that is managed with medication. Distraction devices may cause discomfort while lengthening the jaw.
Swelling and stiffness peaks after 3-5 days. The diet is limited to soft foods for 4-6 weeks. Normal activity can often resume after 2 weeks. Total healing takes 2-3 months.
Risks include nerve damage, infection, bleeding, relapse, bite problems, and issues with distraction devices. An experienced surgeon reduces risks through careful treatment planning.
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