Common types of dysgnathia

maxillary / mandibular recession /
facial asymmetries

Repositioning the upper or lower jaw to create an optimal overbite and profile normalization. Combination of upper and lower jaw surgery (maxillomandibular realignment)

Characteristics and complaints

An overbite is typically characterized by a retrusive chin and a large gap between the upper and lower lip. Those affected often suffer from pain in their lower jaw, head and neck.

The corrective surgery

A correction is possible by a Z-shaped displacement of the lower jawbone behind the wisdom teeth. In this way, the lower jaw can be pulled forward like a drawer.

Advantages of our surgical procedure

  • no exterior skin incisions
  • no jaw wiring
  • short surgery and short hospitalization
  • no blood products
  • no repeat surgery

Repositioning the upper jaw for an optimum overbite

An overbite is one of the most common types of dysgnathia. Functional problems such as “cracking,” pain in the jaw and migraine-like headaches and neck pain are often at the forefront. But there is also an aesthetic impact.

Minimally invasive surgical techniques can correct each area of the jaw and facial bones without any external incisions or complicated wiring. Functional problems are corrected while improving facial symmetry and aesthetics.

The treatment is always carried out in cooperation with an orthodontist!

The surgical procedure

The aim of this surgery is to achieve perfect occlusion through realignment and harmonization of the facial profile. The procedure is carried out while the patient is under general anesthesia. A short incision is made at the level of the wisdom teeth, uncovering the lower jawbone. The bone is then divided using a minimally invasive technique. This allows us to move the section of the jaw supporting the teeth to the predetermined position. The realignment and occlusion are carried out using computer-generated templates.

The jaws are fixed using small screws and mini-plates. Thanks to this minimally invasive surgical technique, you can eat, drink and brush your teeth any time. Complications rarely occur during this procedure.

If indicated, the costs of surgery and orthodontic treatment will be covered in part by statutory health insurance.

What should I pay attention to?

  • Cool the area often and well during the first three days
  • Good oral hygiene (children’s toothbrush, mouthwash)
  • Smoking can compromise the distraction result - smoking is prohibited!
  • Do not blow your nose for at least 2 weeks
  • Do not use arnica prior to the surgery and no aspirin before or after the surgery!
  • Only eat soft foods for approx. 6 weeks post surgery (e.g. pasta)
  • Physical exercise should be avoided for 6-8 weeks during the healing phase

Possible post-op

  • mild reversible numbness in the lower jaw
  • swelling goes down by 2/3 after approx. 2 weeks Residual swelling can occur up to 4 months post-surgery

Orthodontic treatment/maxillofacial surgery Treatment timeline

Potential pre-surgery given crowding:
Upper and/or lower jaw expansion
RPE | Mandibular distraction
8-12 months Orthodontic
Main surgery
Corrective jaw surgery
+ 6 weeks + 4-6 months Orthodontic
+ 6 months Healing phase
removal of plates, if need be
Total treatment timeline approx. 1.5 - 2 years

Gallery Patient Stories