Kuch cases mein braces ya aligners se bite theek nahi hoti — jaw ki position hi galat hai। Aise mein orthognathic surgery (jaw surgery) ki zaroorat padti hai। Dr. Ritu Goyal, MDS Oral & Maxillofacial Surgeon Budh Vihar mein yeh complex surgeries karti hain — aaj poori guide de rahi hain।
Jaw Surgery Kab Zaroori Hai
- Severe underbite: Lower jaw bahut aage — chewing aur speech affect
- Severe overbite: Upper jaw bahut aage — buck teeth extreme
- Open bite: Front teeth bilkul nahi milte — khaana kaatna mushkil
- Facial asymmetry: Ek taraf jaw alag, ek taraf alag
- Sleep apnea: Kuch cases mein jaw surgery airway improve karta hai
- Jaw fracture: Accident ke baad
Process — Kaise Hoti Hai
- Assessment (6-12 mahine braces): Pehle braces se teeth align kiye jaate hain — surgery ke liye prepare
- Planning: CBCT 3D scan, surgical planning software
- Surgery: General anaesthesia, hospital mein। Jaw ki haddi cut aur reposition, titanium plates/screws se fix
- Hospital stay: 2-4 din
- Post-surgery braces: 6-12 mahine — final alignment
Recovery Timeline
- 1-2 hafte: Liquid diet, significant swelling
- 2-4 hafte: Soft foods, swelling reduce
- 6 hafte: Normal diet mostly
- 3-6 mahine: Numbness settle, final results
- 1 saal: Complete bone healing
Risks — Honest Discussion
- Temporary numbness — lip/chin (nerve stretch se) — zyada tar recover
- Swelling significant — 2-4 hafte
- Infection risk — antibiotics se manage
- Relapse — braces ke baad retainer zaroori
Dr. Ritu Goyal ka perspective: "Orthognathic surgery sirf cosmetics nahi — jaw position theek hone se chewing better hoti hai, speech improve hoti hai, sometimes sleep apnea theek ho jaata hai. Aur chehra symmetric hone se confidence bhi badhta hai. Yeh major decision hai — patient ko fully informed karna meri zimmedari hai."
Jaw surgery assessment ke liye 9759864222। Dr. Ritu Goyal MDS Oral & Maxillofacial Surgeon poori evaluation karengi।
Aksar Pooche Jaane Wale Sawaal
Severe underbite/overbite, open bite, facial asymmetry jab braces alone fix nahi kar sakte. Sleep apnea kuch cases mein, jaw fractures. Oral surgeon + orthodontist milke decide karte hain.
Poora process 1.5-3 saal — pehle braces 6-12 mahine, surgery, phir braces 6-12 mahine. Surgery khud 2-5 ghante. Hospital stay 2-4 din.
Pehle 2 hafte liquid — soups, smoothies, dahi, juice. 2-4 hafte soft foods. 6 hafte mein normal diet mostly. Solid foods gradually introduce.
General anaesthesia mein hoti hai — surgery mein kuch nahi lagta. Baad mein swelling aur discomfort — medicines se manageable. Tez dard nahi hona chahiye.
Jaw position change se chehra significant change hota hai — usually positive. Photographic records aur planning se expected results doctor dikhata hai pehle.