Jaw (Orthognathic) Surgery
Orthognathic Surgery, also known as corrective jaw surgery, is a specialized procedure where the bones of the lower or upper jaw are repositioned to create a stable bite and harmonious facial appearance.
When the teeth and jaws don’t come together and meet in alignment, chewing and joint function are impaired. Our surgeons can plan and perform a procedure to improve speech, chewing function, breathing, and facial aesthetics. Surgery can also treat sleep apnea in specific cases.
Orthognathic Surgery requires comprehensive treatment planning to ensure a good surgical experience and result for the patient. Your oral surgeon will work closely with your orthodontist to anticipate which dental and skeletal movements are necessary for you and create a customized treatment plan that will tailor to your situation. Dr. Mascarenhas has completed a fellowship in Orthognathic surgery after his medical and surgical training where he performed over 250 cases in one year; with this experience, you can feel confident you are in good hands for jaw surgery in Toronto!
Who Needs Orthognathic Surgery?
The ideal candidates for orthognathic surgery are patients who have a significant underbite or overbite or with a jaw that is incorrectly positioned.
For a majority of patients, orthodontics alone can correct an improper bite and straighten the lower and upper teeth. However, in up to 20% of patients, despite proper orthodontics, the skeletal discrepancy is too great to be overcome with braces alone. In these scenarios, orthognathic surgery is recommended so that teeth and jaws can be aligned in their ideal, stable position.
Jaw surgery can aid in treating the following conditions, which may exist at birth or be acquired afterward due to a traumatic event to the facial skeleton:
- Difficulty in biting or chewing
- Lack of tooth show when smiling
- Inability to make lips touch without strain
- Birth defects or facial injury
- Open Bite (teeth do not touch together)
- Protruding Jaw
- Underbite
- Overbite
- Small Chin/Retruded Jaw
- Obstructive Sleep Apnea
- Snoring
- Facial asymmetry
The Consultation and Surgical Planning
Before you make any decisions or begin treatment, we recommend you come to our office for a consultation appointment. At this visit, your surgeon will explain the different options available to you, and what each selection involves. We will also perform a complete examination, including a detailed head and neck exam and examination of your x-rays. As this is a major decision, we strongly encourage bringing along a family member.
At our practice, we use three-dimensional CT scans, digital scans of your teeth, and virtual surgical planning to illustrate your current situation and how it can be treated with corrective jaw surgery. You will be shown a detailed presentation on virtual surgical planning, as well as previous patient examples that have been treated with orthognathic surgery.
The Jaw Surgery Procedure
Many patients become apprehensive when they are told that they may require surgery to fix their bite. This is normal! However, we will go over the surgical procedure in detail with you at your consultation appointment and answer any questions you may have.
Corrective jaw surgery is performed in the hospital under general anesthesia. You can expect to stay one night in the hospital after surgery, and approximately 95% of our patients are discharged the morning after surgery.
Although we will review a detailed list of post-operative instructions before your surgical date, you can expect to be on a liquid/soft diet for several weeks. In addition, we will use elastics to help guide your teeth into their brand-new bite. You will not be wired shut after the surgery. Although this used to be common practice after jaw surgery, our practice uses tiny titanium plates and screws to secure the jaws in their new position. These titanium implants do not set off airport alarms or disrupt MRI machines, and very rarely require removal.
Are you searching for the best jaw surgeon in Toronto or an oral and maxillofacial surgeon near me? Book a consultation with Dr. Mascarenhas today!
Trusted Local Oral Surgeon in Brampton
Patient Testimonials
“I recently had some oral surgery and just wanted to comment on how incredible each and every staff member was — from both the medical team as well as the staff at the front desk…. I was understandably nervous, but every person there made me feel calm, safe and relaxed…… thank you to each and every one of you!!! You’re the best!!!”
- – Karen
“I was out of Dr. Mascarenhas’s chair in approximately ten minutes, without pain.
I highly recommend him as one of the best Oral surgeons to consider.”
- – Derek
“My son had complex oral surgery and Dr. Omura’s job was outstanding, in fact my son was eating solids in 3 days.
The staff is extremely friendly, polite, caring and very helpful.
The assistant & nurse were great, compassionate and helped me get my 6’2 son into my car without hesitation.
Their Covid-19 safety protocols are impeccable. They take your temperature, questionnaire, give you a new mask. I felt so safe and at peace. Thank you for everything.”
- – Alejandra
“Highly recommend. The team is amazing. Little to no after-effects after my implant surgery.
I was nervous coming in, but the staff put at ease and the surgery went flawlessly!”
- – Beryl
“Dr. Mascarenhas performed a wisdom teeth extraction on all four of my wisdom teeth. The entire experience from start to finish to finish was nothing shy of wonderful. As a very nervous patient, all staff were kind, patient, and understanding. I would highly recommend this office to any patient looking for an oral surgeon.”
- – Graydon
“I came in for a consult and had my x-rays taken as part of it. I was very impressed with the technology and equipment Four Corners had. The assistant pulled up my x-rays immediately on the screen and Dr. Mascarenhas was able to walk me through my treatment plan right away. I am looking forward to my procedure next month, as the staff and surgeon were very welcoming and professional.”
- – Jeremy
“I came in to see Dr. Mascarenhas for 2 dental extractions. I was so pleased with how the procedure went and that my recovery was fast and seamless – I went back to work the next day. This was an exceptional experience for me as I had gotten another tooth extracted at a different office about 3 years ago, and it hurt me for 3-4 months after; Dr. Mascarenhas’ work was flawless! I’m very thankful for the staff’s experience and professionalism.”
- – Delford