What is the difference in outcome between single jaw surgery and double jaw surgery, and when is one preferred over the other?

Doctor's Answers 1

A single jaw surgery means only one jaw is manipulated during the surgery,this could be either the upper jaw (maxilla), or the lower jaw (mandible).While a double jaw surgery involves both the upper and lower jaw. The indication for either a single jaw or a double jaw will depend on each individual's case needs.

If the jaw malposition involves both jaws, then a double jaw surgery is usually indicated. Likewise if the jaw malposition involves only 1 jaw then a single jaw surgery is more appropriate. However it is not always so clear cut, as a double jaw surgery is more invasive than a single jaw surgery. Sometimes even if the condition involves both the upper and lower jaw, a single jaw surgery may be sufficient as one offending jaw condition is not as severe as the other.

Generally speaking if your jaw malposition is more severe, then a double jaw surgery may be more appropriate as the correction can be shared between the upper and lower jaw as opposed to all be taken up by 1 jaw movement. This means that the distance between the new jaw position and the old jaw position will be smaller and usually results in greater stability. Likewise if your jaw malposition is mild, the option of a single jaw surgery may mean less surgical morbidity.

The difference in outcome will vary depending on each individual's case presentation and it is best to discuss this with your surgeon. Hope this helps and all the very best.

Warm regards,

Dr Priscilla Lu

Orthodontist

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Is jaw surgery painful?

Thanks for the question. I always ask my patients how they are feeling after the jaw surgery during our review sessions. The general feedback is that some discomfort is felt but overall, it is bearable. This is possible because there are pain management measures in place during and after the surgery to help reduce the amount of discomfort felt throughout the process. During a jaw surgery, you will be placed under general anaesthesia (GA) so that you are completely unconscious and unable to feel pain.

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How is a jaw surgery performed?

Thanks for the question. As an oral & maxillofacial surgeon, jaw surgery is a very technical dental procedure that is under our dental specialty. Each successful case requires close teamwork and communication between an oral surgeon and orthodontist. Your oral surgeon will first determine what type of corrective jaw surgical procedure is appropriate in your case. He/she is also the one carrying out the procedure. I normally do a joint consultation with an orthodontist at our group practice for my patients so that they are clear of the entire process – orthodontics and surgery.

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