Hi i am looking for an orthodontist in Europe that can do lingual braces in preparation for orthognathic surgery? Thanks
Orthodontist Which Does Lingual Braces for Othognathic Surgery
Doctor Answers (2)
Lingual Braces with Jaw Surgery is Far More Difficult
Your orthodontist should be able to get things done with lots of different tools, but sometimes different tools work better than others depending on your goals for treatment. Obviously, how feasible/desirable it would be to use lingual braces with orthognathic surgery depends on the surgical procedure being done.
Here are some problems you and your orthodontist will have to trouble shoot with using lingual braces with orthognathic surgery (and this is probably not the entire list):
- Intermaxillary fixation (wiring of the jaws together) is required while the surgeon secures the jaws in their new position (and occasionally after surgery), the problem with lingual braces is that there aren't any attachments on the outside of teeth immediately available for this. This is kind of a big deal, and your orthodontist and surgeon will have to come up with a creative solution to provide attachments on the outsides of your teeth for this.
- You'll need to wear elastics for a significant period of time post-surgery to help settle in the teeth. Again attachments for this will need to be bonded on the outer surfaces of your teeth depending on where you need to wear the elastics.
- With a lower jaw surgery the retractors are in the general area of the brackets in the lower arch, and it puts them at a greater risk of them coming off, especially since surgeons are not used to them being there. This may not be a huge deal, but you really don't want any brackets coming off in surgery.
My advice to you if you are undergoing orthognathic surgery is do it with labial braces. Surgery is a big deal and you really don't want to be throwing your surgical team curveballs if you want a predictable result.