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Jaw Surgery, Washington DC & Sterling VA

If you or your child are in need of jaw surgery, it is important to consult with Dr. Saba first, before visiting the oral surgeon’s office. Your initial consultation with an orthodontist will make the transition into surgery a bit easier. Because cleft palates and other craniofacial irregularities affect the form and growth of the upper jaw, the teeth become a special consideration.

Development and alignment of the teeth and their relationship to the jaw needs to be addressed during infancy and throughout the child’s growing years. As an adult, surgery is more often sought to correct malocclusions that were not addressed earlier in life and can only be corrected by surgery. Dr Saba works with several top oral surgeons in the area and can help make the transition from pre-operative to post-operative surgery a less worrisome experience.

This type of surgery addresses a prominent mandible (lower jaw), giving the patient an underbite (lower teeth being in front of the upper teeth). Orthodontic treatment initiates at least one year before the patient can be ready for orthognathic surgery. Following a 6-8 weeks of healing period, Dr. Saba then continues with the orthodontic treatment until the ideal occlusion (bite) is accomplished.

This type of surgery addresses a small mandible (lower jaw), giving the patient the appearance of a retruded chin and severe overjet (upper teeth being too far ahead of lower teeth). Orthodontic treatment initiates a year before the patient is ready for surgery. Upon completion of the surgical correction, Dr. Saba resumes with orthodontic treatment, usually for another 6-10 months.

Ideally, when upper lip is at rest, only 2-3 mm of the edge of one’s upper incisors should display. Furthermore, when someone smiles the entire length of upper incisors will show. Some people show too much gum when they smile. Orthognathic surgery in combination with braces can correct this condition through removal of excess jaw bone in the maxilla (upper jaw) and securing the area where the block of bone was removed with bone plates.

Skeletal open bite leads to an inability to bite with the front teeth and sometimes inability to close the lips together. Dr. Saba can address these problems early on, at age 7, before completion of growth and development of the face and the jaws. If not treated early, Dr. Saba can still treat a skeletal open bite in combination with Orthognathic surgery, working closely with a surgeon.