Orthognathic surgery is aimed at patients who need to correct severe defects in their facial bones that affect chewing, respiration and aesthetics of the face. Some of the cases dealt with are: class II, class III, open bite, asymmetries, gingival smile …

What is orthognathic surgery?

Orthognathic surgery aims to correct the size and position of the maxillary bones that have not developed correctly, either by excess or by defect. It is carried out when the disproportion is so severe that it affects in a relevant – and negative – way the life of the person in terms of chewing, aesthetics or breathing.

What is combination treatment?

ORTHODONTICS + ORTHOGNATHIC SURGERY

While orthodontics does not have to be accompanied by a surgical intervention, orthognathic surgery always goes hand in hand with orthodontic treatment . The combination of both procedures is due to the fact that if the bones of the face have a disproportionate size and position, orthodontics alone will not achieve an optimal functional and aesthetic result.

Phases of treatment

Diagnosis and planning

Planning for maxillofacial surgery begins with a one-year orthodontic treatment . During this phase, the weight falls on the orthodontist, who is the one who must carry out a facial study based on radiographs, photographs and models of the teeth. After this, he will make the appropriate measurements and calculations , which he will present to the surgeon.

Surgical intervention

The surgery lasts four hours and is carried out by general anesthesia. With the aim of not leaving visible scars , it is done through intraoral incisions.

Postoperative

After surgery, it takes approximately one month for the patient to fully re-establish their usual routine. During the first days, you will have facial swelling and you will find inconveniences to eat, talk and do physical activities.

Monitoring and orthodontics

Once the surgery is done and after the postoperative period, the patient must continue with the orthodontic treatment for two more years .

If you need to undergo a dental treatment but you are afraid , conscious sedation will help you to face the procedure with maximum relaxation, without nerves or anxiety.

The conscious intravenous sedation allows to undergo dental, even extensive or complex interventions, in a pleasant and stress, without the side effects or take the risks of a procedure full anesthesia.

In our dental clinic in Kirti Nagar, New Delhi we have been offering this technique to our patients for many years and that is why we have the necessary experience to explain the indications and benefits of it.

What is conscious sedation

The conscious sedation is to take the patient to a controlled state of depressed consciousness by using drugs, while keeping intact the reflections of the same, with the advantages that this entails.

That is to say, the patient is able to respond to verbal stimuli (something very useful if their collaboration is required during the treatment), eliminates the sensation of restlessness and produces a slight amnesia that will make the patient not remember with accuracy the particularities of the procedure.

Endodontics Oral surgery Dental Aesthetics Dental implants Pediatric Dentistry Orthodontics Periodontics Dental prostheses

Two great benefits of this treatment

Thus, the two fundamental effects of conscious sedation become two of its great benefits; On the one hand, the elimination of feelings of tension and restlessness make dental intervention a pleasant and pleasant experience. On the other hand, amnesia prevents the patient from remembering in detail the time of the intervention that could generate apprehension and more tension in the future. All this is achieved while the patient is able to interact with the specialist during the process.

In addition, it contributes to analgesia, since it acts by enhancing local anesthetics, and at the same time minimizes the patient’s behavior -movement and resistance- that hinder treatment, all with minimal side effects.

These effects have made conscious intravenous sedation have several indications in dentistry and its use is increasing. A fundamental indication is that of applying sedation to facilitate, both the patient and the professional, the performance of long and / or complicated procedures.

Conscious sedation is increasingly popular during implant placement , since its application, together with local anesthesia, guarantees the patient’s well-being and eliminates the anxiety generated by undergoing a process known by him.

Intravenous conscious sedation applied to dental implants

Among the advantages of conscious sedation applied to the world of Implantology , it is worth noting the convenience of performing all implants in a single session and with no pain, making the treatment a shorter and more pleasant experience.

In cases of complete oral rehabilitation over multiple implants, a process characterized by its long duration, the placement of dental implants with conscious sedation is especially useful and advantageous.

Conscious sedation is also useful to perform to combat the phobia of the dentist.

Dentophobia or dental phobia is a relatively widespread phenomenon, which consists in feeling an irrational and continuous fear of going to the dentist. Thanks to the method of conscious sedation, this unjustified fear is combated.

The danger of suffering from this phobia is that it can lead to worsening of oral problems, because the patient refuses to go to a professional who treats them. It is important to consider alternatives to face this problem.

Similarly, conscious intravenous sedation is very useful in non-collaborating patients, such as children or patients with psychological disorders. Sedation allows these patients to perform multiple dental procedures in a single session with adequate precision and without danger to the patient.

Conscious sedation is always performed by an anesthesiologist. At our dental clinic in Kirti Nagar, New Delhi we collaborate with Dr Akash Sachdeva, an anesthetist with extensive experience in intravenous conscious sedation applied to dentistry .

Before undergoing conscious sedation, the patient must be evaluated by the anesthesiologist, who will request the relevant analyzes to ensure that the patient will not be at risk. In addition, the patient must know some mandatory requirements, such as going on an empty stomach and respecting the periods of fluid intake and abundant meals once the intervention is over.

In conclusion, conscious sedation has proven to provide great advantages to specialists in dentistry, especially in the world of oral surgery and implantology, and its implementation is now frequent in the best dental clinics in Valencia.