Mandibular setback surgery

Explainer Video

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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Mandibular Setback Surgery Procedures

The procedure for mandibular setback surgery typically involves the following steps:
1. Pre-Surgical Evaluation

The patient undergoes a comprehensive evaluation, including dental and facial imaging, to assess the extent of the mandibular protrusion and plan the surgical approach.

2. Anesthesia

The surgical procedure is performed under general anesthesia to ensure the patient's comfort and safety throughout the operation.

3. Surgical Incisions

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.

4. Osteotomy

Using specialized surgical instruments, the surgeon carefully cuts and mobilizes the mandible, allowing for precise repositioning according to the preoperative treatment plan.

5. Mandibular Setback

The mobilized mandible is moved backward to the desired position to correct the skeletal discrepancy and improve facial aesthetics and function.

6. Fixation

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.

07. Wound Closure

The surgical incisions are carefully closed with dissolvable sutures, and any excess tissue is trimmed to facilitate proper healing.

08.Recovery and Rehabilitation

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.

Mandibular Setback Surgery Gallery

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Mandibular setback surgery

Benefits:

Mandibular setback surgery offers several benefits, including:

  • Correction of Skeletal Discrepancies: Mandibular setback surgery effectively corrects mandibular protrusion and skeletal Class III malocclusion, improving facial balance and harmony.
  • Enhanced Facial Aesthetics: By repositioning the lower jaw backward, mandibular setback surgery can improve the appearance of the chin and lower face, resulting in a more balanced and attractive facial profile.
  • Improved Bite Function: Mandibular setback surgery aligns the upper and lower jaws, improving bite function, chewing efficiency, and speech clarity.
  • Treatment of Temporomandibular Joint (TMJ) Disorders: In some cases, mandibular setback surgery may be recommended to alleviate symptoms associated with TMJ disorders, such as jaw pain, clicking, or dysfunction.
  • Long-Term Stability: Mandibular setback surgery provides durable and stable results, with the corrected skeletal position maintained over time, leading to improved oral health and overall well-being.

Mandibular setback surgery

Risks

While mandibular setback surgery offers significant benefits, it also carries certain risks and considerations, including:

  • Surgical Complications: As with any surgical procedure, there is a risk of complications such as infection, bleeding, nerve damage, and adverse reactions to anesthesia.
  • Temporary Discomfort: Patients may experience temporary swelling, bruising, and discomfort following surgery, which can be managed with pain medications and cold compresses.
  • Changes in Sensation: Mandibular setback surgery may result in temporary or permanent changes in sensation, including numbness or tingling, in the lips, cheeks, gums, or chin.
  • Orthodontic Treatment: Mandibular setback surgery often requires preoperative and postoperative orthodontic treatment to achieve optimal results, which may prolong the overall treatment process.
  • Relapse: In some cases, there may be a risk of relapse or partial regression of the surgical correction over time, requiring additional treatment or orthodontic adjustments.

Why Get Dental Treatment of Mandibular Setback Surgery at Dentiva Clinic?

Dentiva Clinic is a premier destination for individuals seeking mandibular setback surgery, offering advanced surgical techniques and personalized care to achieve optimal outcomes. Here’s why patients choose Dentiva Clinic for their mandibular setback surgery needs:
Experienced Surgeons

Our team of oral and maxillofacial surgeons specializes in mandibular setback surgery and has extensive experience performing complex craniofacial procedures with precision and expertise.

Comprehensive Evaluation

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.

State-of-the-Art Facilities

Dentiva Clinic is equipped with state-of-the-art surgical suites and advanced imaging technology to ensure safe, efficient, and minimally invasive surgical procedures.

Multidisciplinary Approach

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.

Patient-Centered Care

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.

Frequently asked questions
and their answers

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.

Have Any Questions Feel Free to Contact with Our Team

+90 506 250 00 05

Reviews

Thomas Aaron
Thomas Aaron
2024-03-19
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2024-03-19
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2024-03-19
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2024-03-19
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2024-03-19
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2024-03-19
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2024-03-19
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Bryan Lusk
2024-03-19
I had a decent experience at Dentiva, However, there were a few areas where I felt they could have been more attentive to detail
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Amanda Adams
2024-03-19
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