Dr. Esteban Ramirez talks in detail about Orthognathic surgery in this video. He explains in detail the problem of over bite, the issue of prognathisms or retrognathisms that is the position of the jaw. He also talks about the Obwegeser Technique.
"Orthognathic surgery is the part of the oral and maxillofacial area to correct the problems, over bite like problem of prognathisms or retrognathisms that means if the jaw is in a very very forward position or in a very bad position or if the patient has too much or no chin or if the patient smiles and shows a lot of gum during the smile, we can move the position of the maxillary, the upper, the lower, the chin to put it in the correct position.
"The origin of the back position of the bones, you know sometimes can be genetic but most of them is growing problems and most of the cases we prefer to send the patient first to the orthodontics to move the teeth to the correct position and then make the surgery.
"But there is some cases that we can make the surgery first and then send the patient to the orthodontics to move the teeth to a good position and then everything is going to be correct, final. Ok to explain more about the surgery, this kind of surgery is under general anesthesia and we take the patients to a very nice surgical room I mean everything is in the… is perfectly in there and to move the, the lower jaw we cut the, the ramus of the jaw.
"We cut, we make some technique, technique, Obwegeser Technique, that’s the name of that technique and then we can move forward or back the lower jaw to fix the the the.. to make a good fixation we use titanium screws to put the jaw in the new position. Those titanium screws can be there forever.
"Patient wants to send only the x-rays, ok the x-rays is anterior or posterior x-rays, lateral x-rays, panoramic x-rays and its very important to send the models. The models means, go to a dentist in your area, is very easy technique, pressure from the mouth, he or she can put it in stone models and you can send it over here so we can study your case including the x-rays and the models and then we can give you an idea what kind of surgery the patient needs.
"The time the patient comes to us, same day, early in the morning, we take the blood test, just to be sure that everything is fine. Of course first of all we make some research by e-mail with the patient to know more about the medical status but we send the patient to the laboratory and next day we can make the surgery early in the morning and the patient is going to spend the night in the hospital just to be really you know we have to check in the afternoon and next day he or she can leave the hospital.
"So the patient for orthognathic surgery has to spend maybe 4 days in Tijuana and they can return to their places."
Watch this video on Orthognathic Surgery Follow-up in Tijuana for more details and clarification on the subject.
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