If your teeth don’t bite together properly because the bones of the face and jaw are out of alignment orthodontics alone can’t correct the problem. Surgery is needed to change the relationship between the lower jaw and upper jaw. A maxillary osteotomy is surgery to change the position of the upper jaw.
The surgery takes place under a general anaesthetic, which puts you to sleep completely. It is performed from the inside of the mouth so there will be no visible scars. Most patients spend one or two nights in hospital. Stitches usually dissolve completely in a couple of weeks.
You’re likely to experience some discomfort and bruising in the first few days, which will fade over the next two weeks. There will also be some swelling, which may take longer to disappear completely. Cold compresses and sleeping upright for the first few days after surgery can help the healing process.
It’s important that the area heals without any infection so you’ll be given antibiotics through a vein in your arm while you’re in hospital and then a course of antibiotics along with painkillers to take at home.
Immediately after the operation your jaw will feel stiff and you may not be able to open your mouth very wide. You may also have some discomfort in your throat and find swallowing difficult. A liquid diet is best for the first couple of days followed by soft foods that don’t need much chewing. You can then gradually introduce normal food.
We recommend that you take a week off work and avoiding strenuous exercise during this time. It’s important that you don’t drive or operate machinery for 48 hours after a general anaesthetic.
Your surgeon will arrange a review appointment before you leave hospital. Your surgeon will explain all aspects of the procedure and possible outcomes before arranging for you to have surgery. You will also leave hospital with everything you need for further care. If you have any questions or concerns before or after your surgery, please contact the Oral Surgery Implant Group.