Mandibular setback surgery, also known as mandibular osteotomy or setback genioplasty, is a surgical procedure performed to reposition the lower jaw (mandible) backward to correct skeletal discrepancies and improve facial harmony and function. This specialized surgical intervention is commonly recommended for individuals with a mandibular protrusion, often associated with conditions such as skeletal Class III malocclusion (underbite) or facial asymmetry. Mandibular setback surgery aims to achieve optimal facial aesthetics and functional occlusion by harmonizing the relationship between the upper and lower jaws.
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The patient undergoes a comprehensive evaluation, including dental and facial imaging, to assess the extent of the mandibular protrusion and plan the surgical approach.
The surgical procedure is performed under general anesthesia to ensure the patient's comfort and safety throughout the operation.
The oral and maxillofacial surgeon makes incisions inside the mouth along the lower gum line (gingivobuccal sulcus) to access the mandible without visible external scars.
Using specialized surgical instruments, the surgeon carefully cuts and mobilizes the mandible, allowing for precise repositioning according to the preoperative treatment plan.
The mobilized mandible is moved backward to the desired position to correct the skeletal discrepancy and improve facial aesthetics and function.
Once the mandible is repositioned, small bone plates and screws are used to stabilize the bones in their new position, promoting optimal healing and long-term stability.
The surgical incisions are carefully closed with dissolvable sutures, and any excess tissue is trimmed to facilitate proper healing.
Following surgery, patients require a period of recovery and rehabilitation, during which they may experience temporary swelling, discomfort, and dietary restrictions. Close follow-up care is essential to monitor healing and address any postoperative issues.
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Mandibular setback surgery offers several benefits, including:
While mandibular setback surgery offers significant benefits, it also carries certain risks and considerations, including:
Our team of oral and maxillofacial surgeons specializes in mandibular setback surgery and has extensive experience performing complex craniofacial procedures with precision and expertise.
We conduct thorough preoperative evaluations, 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 setback 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 setback surgery is a procedure to correct prognathism and asymmetries by cutting and moving it backward.
It is used to treat underbites, crowding, protruding chins, and cases where the lower jaw is too far forward compared to the upper jaw. It can improve facial balance.
This surgery sets back the lower jaw to properly meet the upper jaw. It can correct underbites, overjet issues, and facial asymmetry. It improves the bite and smile aesthetics.
The surgeon makes incisions inside the mouth, splits the jaw behind the molars, moves the front portion backward, and secures it with plates and screws.
There will be moderate but manageable pain, swelling, and stiffness during the recovery period. Medication helps control discomfort.
Swelling and bruising peaks after 3 days. A liquid or soft food diet is required for 4-6 weeks. Normal activity can resume after 2 weeks. Total healing takes up to 3 months.
Risks include nerve damage, infection, bleeding, relapse requiring revision surgery, and temporary numbness. An experienced surgeon reduces risks.
The surgery takes 2-4 hours depending on the complexity of the case. Patients typically stay 1-2 nights in the hospital after surgery.
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