Orthognathic (Jaw Correction) Surgery
ओर्थोग्नाथिक (जबडा सुधार) शल्यक्रिया
Orthognathic surgery, also known as corrective jaw surgery, is performed to correct a wide range of minor and major skeletal and dental irregularities, including the misalignment of jaws and teeth.
Key Benefits of Jaw Correction Surgery
जबडा सुधार शल्यक्रियाका प्रमुख फाइदाहरू
Improves Chewing and Speaking
चपाउने र बोल्ने क्षमतामा सुधार
Helps align jaws for better bite function.
Corrects Jaw Alignment
जबडाको सन्तुलन सुधार
Fixes open bite, underbite, or overbite.
Enhances Facial Appearance
अनुहारको बनोट सुधार
Balances facial profile and symmetry.
Relieves TMJ Pain
TMJ दुखाइमा राहत
Can reduce strain on jaw joints.
Advanced 3D Surgical Planning
उन्नत ३D शल्यक्रिया योजना
Our procedures utilize modern virtual surgical planning technology to ensure precision and predictable outcomes. 3D imaging allows us to simulate results before your surgery.
🦷 Do you experience difficulty chewing, speaking, or notice a facial imbalance?
Consult with Dr. Regmi for Jaw SurgeryAvailable in Chitwan, Bharatpur and Kathmandu
Comprehensive Oral & Maxillofacial Surgery
Advanced Surgical Solutions by Dr. Krishna Regmi
Restoring function, aesthetics, and confidence through precision surgery
Innovative Orthognathic Surgery
Dr. Regmi specializes in advanced jaw correction techniques including:
| Procedure | Application | Technology Used |
|---|---|---|
| 3D Virtual Surgical Planning | Precise jaw movement simulation | CBCT imaging, planning software |
| Segmental Osteotomies | Localized jaw corrections | Custom surgical guides |
| Distraction Osteogenesis | Gradual bone lengthening | Adjustable distraction devices |
| Maxillomandibular Advancement | Obstructive sleep apnea treatment | 3D printed splints |
Dr. Krishna Regmi Oral & Maxillofacial Surgeon
Corrective Jaw Surgery (Orthognathic Surgery)
Comprehensive surgical correction of jaw abnormalities to improve function, aesthetics, and quality of life
Book Your ConsultationIs Jaw Surgery Necessary?
Corrective jaw surgery (orthognathic surgery) is recommended when jaw discrepancies cause functional problems or significantly affect facial aesthetics. These procedures reposition the jaws to achieve proper alignment, improving bite function, facial balance, and overall oral health.
Common Indicators for Jaw Surgery:
- Difficulty chewing or biting due to misaligned jaws
- Chronic jaw pain or TMJ disorders
- Excessive tooth wear from malocclusion
- Facial asymmetry or unbalanced facial appearance
- Breathing problems including sleep apnea
- Open bite (space between upper and lower teeth when closed)
- Protruding or receding jaw affecting profile
- Congenital facial differences such as cleft lip/palate
Note: Not all jaw irregularities require surgery. Dr. Regmi will conduct a comprehensive evaluation to determine if orthognathic surgery is the most appropriate treatment for your specific condition.
Combined TMJ Surgery and Orthognathic Surgery
When temporomandibular joint (TMJ) disorders coexist with significant jaw deformities, a combined approach may be necessary. This integrated treatment addresses both the joint dysfunction and skeletal discrepancies simultaneously.
When Combined Approach is Recommended:
- TMJ arthritis with jaw deformity: When degenerative joint changes have altered jaw position
- Condylar resorption: When the mandibular condyles have deteriorated, affecting jaw alignment
- Traumatic jaw injuries: When previous trauma has affected both the joints and jaw position
- Congenital syndromes: When developmental conditions affect both joints and jaw growth
Benefits of Combined Treatment:
- Addresses both functional and aesthetic concerns in a single treatment plan
- Reduces overall treatment time compared to staged procedures
- Improves long-term stability by correcting underlying skeletal issues
- Enhances overall treatment outcomes with comprehensive approach
Types of Corrective Jaw Surgery
Orthognathic surgery encompasses various procedures tailored to address specific jaw discrepancies. The appropriate technique depends on the nature and severity of the deformity.
Maxillary Osteotomy (Upper Jaw)
Repositions the upper jaw to correct issues such as open bite, excessive gum display, or midface deficiency. The procedure involves carefully planned cuts in the maxilla to move it into the optimal position.
Mandibular Osteotomy (Lower Jaw)
Corrects problems with the lower jaw, including retrognathia (receding chin) or prognathism (protruding jaw). The mandible is repositioned to achieve proper alignment with the upper jaw.
Genioplasty (Chin Surgery)
Modifies the chin position and shape to improve facial harmony. This can be performed alone or in combination with other jaw procedures to enhance overall facial balance.
Bimaxillary Osteotomy (Both Jaws)
Involves repositioning both the upper and lower jaws simultaneously. This comprehensive approach is used for complex deformities affecting the entire facial structure.
Corrective Jaw Surgery Rate List
Below is our tentative rate list for corrective jaw surgery procedures. Please note that final pricing depends on the complexity of your case, anesthesia requirements, and any additional procedures needed.
Disclaimer: All rates are tentative and listed in Nepalese Rupees (NPR). Final pricing will be provided after a comprehensive clinical evaluation. Additional charges may apply for anesthesia, hospital facilities, imaging, and post-operative care.
| Procedure | Description | Tentative Rate (NPR) |
|---|---|---|
| Diagnostic & Planning Phase | ||
| Initial Consultation & Examination | Comprehensive evaluation including clinical assessment and discussion of treatment options | 3,000 – 5,000 |
| Advanced Imaging (CBCT Scan) | 3D imaging for precise surgical planning and evaluation of jaw structures | 8,000 – 15,000 |
| Virtual Surgical Planning | Computer-assisted simulation of jaw movements and prediction of surgical outcomes | 15,000 – 25,000 |
| Single Jaw Procedures | ||
| Maxillary Osteotomy (Upper Jaw) | Repositioning of the upper jaw to correct vertical, horizontal, or transverse discrepancies | 180,000 – 300,000 |
| Mandibular Osteotomy (Lower Jaw) | Repositioning of the lower jaw to correct prognathism, retrognathia, or asymmetry | 200,000 – 350,000 |
| Genioplasty (Chin Surgery) | Repositioning or reshaping of the chin to improve facial harmony | 80,000 – 150,000 |
| Complex Jaw Procedures | ||
| Bimaxillary Osteotomy (Both Jaws) | Comprehensive correction involving both upper and lower jaws simultaneously | 350,000 – 500,000 |
| Orthognathic Surgery with Segmental Osteotomy | Jaw repositioning with additional bone cuts to address specific segmental issues | 400,000 – 600,000 |
| Jaw Surgery with Bone Grafting | Jaw repositioning with additional bone grafting to enhance stability and results | 450,000 – 650,000 |
| Combined Procedures | ||
| Orthognathic Surgery with TMJ Surgery | Combined approach addressing both jaw positioning and temporomandibular joint issues | 500,000 – 750,000 |
| Corrective Jaw Surgery with Rhinoplasty | Combined jaw correction with nasal surgery for comprehensive facial harmony | 600,000 – 850,000 |
What's Included in the Surgical Fee:
- Surgeon's professional fee
- Pre-operative planning and surgical simulation
- Use of specialized surgical instruments and equipment
- Standard post-operative follow-up visits for 6 months
Additional Costs (Not Included in Surgical Fee):
- Anesthesia fees (varies based on procedure complexity and duration)
- Hospital or surgical facility fees
- Pre-operative medical tests and imaging
- Orthodontic treatment (braces) before and after surgery
- Prescription medications and surgical supplies
- Additional procedures if complications arise
Recovery from Orthognathic Surgery
Understanding the recovery process helps patients prepare for what to expect after corrective jaw surgery. Recovery typically follows a predictable timeline with specific milestones.
Immediate Post-Op (1-2 weeks)
Swelling peaks at 2-3 days, then gradually decreases. Liquid diet, pain management, and rest are essential during this phase.
Early Healing (2-6 weeks)
Swelling continues to resolve. Transition to soft foods. Most patients return to work/school within 2-3 weeks.
Intermediate Phase (6 weeks - 3 months)
Bone healing progresses. Gradual return to normal diet and activities. Orthodontic adjustments continue.
Long-Term Recovery (3-12 months)
Final healing occurs. Nerve sensation typically returns gradually. Final orthodontic detailing completes the treatment.
Recovery Tips:
- Follow all post-operative instructions carefully
- Maintain excellent oral hygiene to prevent infection
- Attend all scheduled follow-up appointments
- Be patient with dietary restrictions and healing timeline
- Communicate any concerns promptly with your surgical team
Joint Stabilization and Diagnosis in Orthognathic Surgery
Proper diagnosis and joint stabilization are critical components of successful orthognathic surgery. The temporomandibular joints must be healthy and stable before proceeding with jaw repositioning.
Diagnostic Process:
- Clinical examination: Comprehensive assessment of jaw function, bite, and facial symmetry
- Imaging studies: X-rays, CT scans, and 3D imaging to evaluate bone structure and joint health
- Dental models: Precise models of teeth to plan the surgical procedure
- Virtual surgical planning: Computer-assisted simulation of the planned jaw movements
Joint Stabilization Approaches:
- Pre-surgical orthodontics: Aligning teeth to their ideal positions within each jaw before surgery
- Splint therapy: Using custom-made appliances to position the jaws correctly during surgery
- TMJ evaluation: Assessing joint health and addressing any disorders before proceeding with surgery
- Staged treatment: Addressing joint issues first, then proceeding with orthognathic surgery once joints are stable
Important: Joint stabilization is essential for predictable, long-lasting results. Unstable TMJs can compromise the outcome of orthognathic surgery and lead to relapse.
Frequently Asked Questions
The surgery itself typically takes 2-6 hours, depending on the complexity of the procedure. Single-jaw surgeries generally take 2-3 hours, while double-jaw surgeries may take 4-6 hours.
Most incisions for jaw surgery are made inside the mouth, so there are no visible external scars. In some cases, small incisions may be needed near the jaw joints, but these are typically placed in natural skin creases to minimize visibility.
Most patients wear braces for 12-18 months before surgery to align the teeth properly, and then for 6-12 months after surgery for final adjustments. The total orthodontic treatment time is typically 18-30 months.
When performed for functional reasons (difficulty chewing, breathing problems, etc.), jaw surgery is often covered by medical insurance. Coverage for purely aesthetic concerns may be limited. Our team will help you understand your insurance benefits and navigate the approval process.
We offer various payment options including installment plans for qualified patients. We also work with insurance providers to maximize your coverage. During your consultation, we'll provide a detailed cost breakdown and discuss payment options that work for your budget.
Ready to Explore Jaw Surgery Options?
Schedule a comprehensive evaluation with Dr. Krishna Regmi to determine if corrective jaw surgery is right for you.
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