Jaw surgery is recommended for individuals who experience structural, functional, or aesthetic concerns related to the jaw and facial skeleton. A good candidate is someone whose jaw alignment affects daily activities such as chewing, speaking, breathing, or overall facial appearance.
You may be a suitable candidate for jaw surgery if you have:
1. Difficulty in Chewing, Biting, or Swallowing
People who struggle with proper tooth contact or have uneven bite patterns often require surgical correction.
2. Jaw Pain, TMJ Problems, or Frequent Headaches
Chronic jaw discomfort, clicking, locking, or limited mouth opening may indicate underlying skeletal imbalance.
3. Facial Asymmetry or Imbalanced Jaw Growth
A visibly uneven face, recessed chin, elongated jaw, or disproportionate lower/upper jaw growth suggests the need for surgical correction.
4. Breathing or Sleep Disorders (Including Sleep Apnea)
If jaw structure restricts the airway, surgery can help improve breathing during sleep and reduce snoring.
5. Speech Difficulties Due to Jaw Position
Misaligned jaws can affect pronunciation and clarity. Corrective surgery helps improve speech function.
6. Chronic Mouth Breathing
Often caused by narrow jaws or retruded jaw position, which surgery can address effectively.
7. Congenital or Developmental Jaw Deformities
Conditions such as cleft-related deformities or abnormal jaw growth patterns often require surgical intervention.
8. Trauma or Accident-Related Jaw Damage
People with fractures, deformities, or loss of bone after injury are strong candidates for reconstructive jaw surgery.
9. Orthodontic Limitations
When braces alone cannot correct severe bite or jaw misalignment, surgery is recommended to achieve a functional, stable bite.
10. Difficulty Closing Lips Comfortably
Also known as lip incompetence — often caused by jaw positioning issues.
Ideal Candidate Requirements
A good candidate generally:
Is in good overall health
Has completed facial growth (usually 17–18+ years)
Has realistic expectations
Is willing to undergo pre- and post-operative orthodontic care if required
Seeks improved function, appearance, or both
Jaw surgery is recommended for individuals who experience structural, functional, or aesthetic concerns related to the jaw and facial skeleton. A good candidate is someone whose jaw alignment affects daily activities such as chewing, speaking, breathing, or overall facial appearance.
You may be a suitable candidate for jaw surgery if you have:
1. Difficulty in Chewing, Biting, or Swallowing
People who struggle with proper tooth contact or have uneven bite patterns often require surgical correction.
2. Jaw Pain, TMJ Problems, or Frequent Headaches
Chronic jaw discomfort, clicking, locking, or limited mouth opening may indicate underlying skeletal imbalance.
3. Facial Asymmetry or Imbalanced Jaw Growth
A visibly uneven face, recessed chin, elongated jaw, or disproportionate lower/upper jaw growth suggests the need for surgical correction.
4. Breathing or Sleep Disorders (Including Sleep Apnea)
If jaw structure restricts the airway, surgery can help improve breathing during sleep and reduce snoring.
5. Speech Difficulties Due to Jaw Position
Misaligned jaws can affect pronunciation and clarity. Corrective surgery helps improve speech function.
6. Chronic Mouth Breathing
Often caused by narrow jaws or retruded jaw position, which surgery can address effectively.
7. Congenital or Developmental Jaw Deformities
Conditions such as cleft-related deformities or abnormal jaw growth patterns often require surgical intervention.
8. Trauma or Accident-Related Jaw Damage
People with fractures, deformities, or loss of bone after injury are strong candidates for reconstructive jaw surgery.
9. Orthodontic Limitations
When braces alone cannot correct severe bite or jaw misalignment, surgery is recommended to achieve a functional, stable bite.
10. Difficulty Closing Lips Comfortably
Also known as lip incompetence — often caused by jaw positioning issues.
Ideal Candidate Requirements
A good candidate generally:
Is in good overall health
Has completed facial growth (usually 17–18+ years)
Has realistic expectations
Is willing to undergo pre- and post-operative orthodontic care if required
Seeks improved function, appearance, or both
A successful jaw surgery begins with a thorough and comprehensive pre-surgical evaluation. At Pratap Hospital, we follow a structured assessment process to ensure accuracy, safety, and predictable outcomes. This evaluation helps Dr. Pratap Duggirala understand the patient’s jaw structure, facial proportions, airway, bite relationship, and overall health before planning surgery.
What Pre-Surgical Evaluation Includes
1. Detailed Medical & Dental History
Review of past illnesses, surgeries, medications
Assessment of dental treatments and orthodontic history
Evaluation of jaw pain, breathing issues, speech concerns, or trauma history
This helps tailor the surgical plan to the patient’s needs and overall health.
2. Clinical Examination
Dr. Pratap evaluates:
Jaw movements
Bite alignment (occlusion)
Facial symmetry
Mouth opening
TMJ function (clicking, locking, pain)
Airway status
This physical examination forms the foundation of surgical planning.
3. X-Rays & Imaging Studies
We use advanced imaging for precise diagnosis:
3D CT scans – to study jaw structure, asymmetry & bone anatomy
OPG / Lateral Cephalogram – to analyze bite, bone height & growth patterns
Airway analysis – for sleep apnea or breathing issues
These images allow virtual planning for high-accuracy corrections.
4. 3D Virtual Surgical Planning
Using advanced digital tools:
Jaw movements are simulated
Exact bone cuts and repositioning are planned
Facial balance and bite outcome are predicted
Surgical splints are designed for accurate execution
This results in predictable, precise, and safer surgeries.
5. Dental & Orthodontic Evaluation
For many corrective jaw surgeries, orthodontic treatment is required before and after surgery.
The evaluation includes:
6. Photographic Analysis
Standardized photos from multiple angles help evaluate:
Facial proportions
Symmetry
Chin position
Smile line
This helps in planning functional as well as aesthetic improvements.
7. Blood Tests & Medical Clearance
To ensure surgical safety, we perform:
Patients with diabetes, hypertension, thyroid issues, or other systemic conditions are optimized before surgery.
8. Discussion of Expected Results & Recovery
Dr. Pratap explains:
This helps patients prepare mentally and physically for surgery.
Why Pre-Surgical Evaluation Is Important
Ensures maximum safety
Allows precise 3D planning
Predicts functional & aesthetic outcomes
Customizes treatment for each patient
Improves success rate & long-term stability
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Surgical Techniques Used in Jaw Surgeries
At Pratap Hospital, we rely on advanced, precise, and minimally invasive surgical techniques to correct jaw deformities, improve bite function, enhance facial aesthetics, and restore normal jaw mechanics. Under the expertise of Dr. Pratap Duggirala, we combine modern technology with reconstructive excellence to ensure safe procedures and predictable outcomes.
1. 3D Virtual Surgical Planning (VSP)
This forms the foundation of modern jaw surgery.
Using digital scans and virtual models, we simulate:
Bone cuts (osteotomies)
Jaw repositioning
Bite alignment
Facial profile outcomes
This ensures high precision, reduced surgical time, and more accurate results.
2. Intraoral (Scarless) Approaches
Most jaw surgeries are performed from inside the mouth, leaving no visible external scars.
Benefits:
Faster healing
Minimal swelling
Better cosmetic results
3. Le Fort Osteotomies (Upper Jaw Surgery)
Used for correcting the maxilla (upper jaw):
These techniques help correct:
Open bite
Underbite/overbite
Midface retrusion
Facial asymmetry
4. Bilateral Sagittal Split Osteotomy (BSSO) – Lower Jaw Surgery
A gold-standard technique for the mandible (lower jaw).
Used for:
This method offers stability, accuracy, and quicker recovery.
5. Genioplasty (Chin Surgery)
A precise surgical cut in the chin bone allows:
Improves jawline definition and facial balance.
6. Distraction Osteogenesis
A technique used to gradually lengthen the jawbone over weeks.
Ideal for:
Short or retruded jaws
Congenital deformities
Severe asymmetry
Airway improvement
This technique produces natural-looking, stable bone.
7. Rigid Fixation With Titanium Plates & Screws
Once the jaw is repositioned, small titanium plates are used to hold the bones securely.
Benefits:
8. TMJ Surgical Techniques
For patients with jaw joint issues:
TMJ arthroscopy
Disc repositioning
Joint reconstruction
Ankylosis release
These help restore movement and reduce chronic pain.
9. Bone Grafting & Reconstruction Techniques
Used for trauma, tumors, cysts, or underdeveloped jaws.
Types include:
Autogenous bone grafts (rib, hip, jaw)
Alloplastic implants
Microvascular free-flap reconstruction
Patient-specific custom implants
These restore missing bone and support dental or facial reconstruction.
10. Airway-Focused Jaw Advancement Techniques
Specialized for sleep apnea:
These techniques increase airway space and significantly improve breathing.
11. Endoscopic-Assisted Jaw Surgery
Minimally invasive approach used in selected cases:
Why Our Techniques Stand Out
At Pratap Hospital, we combine:
✔ State-of-the-art technology
✔ Precision-driven planning
✔ Minimal trauma surgical methods
✔ High success rates in complex jaw corrections
✔ Expertise of Dr. Pratap in craniofacial & reconstructive surgery
Precision • Planning • Safety • Transformation
Jaw surgery at Pratap Hospital follows a structured, evidence-based, and meticulously planned approach to ensure the best functional and aesthetic results. Under the expertise of Dr. Pratap Duggirala, every step is designed to maximize safety, precision, and long-term stability.
1. Pre-Operative Preparation
Before the day of surgery, patients undergo:
Completion of all diagnostic scans
Orthodontic preparation (if required)
Blood tests & medical fitness clearance
Instructions on diet, medications, and fasting
Dr. Pratap also reviews the 3D surgical plan with patients to ensure clarity and confidence.
2. Admission & Anesthesia
On the day of surgery:
The patient is admitted a few hours before the procedure
General anesthesia is administered by our experienced anesthesiology team
Vitals and airway are carefully monitored throughout
This ensures a completely painless and controlled surgical experience.
3. Intraoral Access (Scarless Approach)
Most jaw surgeries are performed from inside the mouth, leaving no external scars.
Incisions are made inside the gums to access the upper or lower jaw safely.
4. Performing Osteotomies (Bone Cuts)
Using the 3D surgical plan as a blueprint, Dr. Pratap performs carefully planned bone cuts such as:
These cuts allow the jaws to be moved into the correct position with millimeter accuracy.
5. Repositioning the Jaws
The jaws are moved to their new, corrected positions.
This step ensures:
Proper bite alignment
Improved facial balance
Corrected airway space
Symmetrical jaw function
3D surgical splints are used as guides for perfect positioning.
6. Fixation With Titanium Plates & Screws
Once aligned, the jaws are fixed securely using medical-grade titanium plates and screws.
Benefits include:
These plates are biocompatible and rarely need removal.
7. Closure of Incisions
The intraoral incisions are closed with dissolvable sutures.
Because all cuts are inside the mouth, no visible scars appear on the face.
8. Post-Surgery Monitoring
After surgery, the patient is shifted to a recovery room where:
Most patients stay 1–2 days in the hospital.
9. Post-Operative Care Instructions
Patients receive detailed instructions regarding:
Regular reviews help track healing and bite refinement.
10. Orthodontic Finishing (If Required)
For corrective jaw surgeries, braces may be continued for a few months after surgery to fine-tune the bite.
11. Complete Recovery & Final Outcome
Most patients return to routine activities within:
2–3 weeks of surgery
Final bone healing occurs over 3–6 months
Results are permanent, stable, and transformative
Jaw surgery not only enhances bite function but also improves facial harmony and long-term oral health.
Below are the most common questions patients ask before undergoing jaw surgery at Pratap Hospital. These answers are designed to give clarity, confidence, and a realistic understanding of the entire process.
1. Is jaw surgery painful?
No. Jaw surgery is performed under general anesthesia, so you won’t feel any pain during the procedure.
Post-surgery discomfort is manageable with prescribed medications and reduces significantly in a few days.
2. Will jaw surgery change my facial appearance?
Yes, in most cases it brings positive and natural-looking changes.
Jaw alignment improves facial symmetry, jawline definition, and profile while maintaining your natural identity.
3. How long does it take to recover?
Initial recovery: 2–3 weeks
Swelling reduction: 4–6 weeks
Complete healing: 3–6 months
Most patients return to work or college within 2 weeks depending on comfort.
4. Will I need braces?
For corrective jaw surgeries (orthognathic surgery), braces are often required:
5. Are there visible scars after surgery?
No. Almost all jaw surgeries at Pratap Hospital are performed using intraoral (inside the mouth) incisions, leaving zero external scars.
6. When can I start eating normally?
7. How long do the plates and screws stay in my jaw?
The titanium plates and screws are biocompatible and permanent.
They usually do not need removal, unless there is a rare complication.
8. Is jaw surgery safe?
Yes. With modern 3D planning, advanced imaging, and experienced surgical expertise, jaw surgery has a high safety profile.
At Pratap Hospital, strict pre-surgical evaluation ensures maximum safety.
9. Will my speech be affected?
Speech may be slightly altered in the first few days due to swelling.
As healing progresses, speech improves—in fact, many patients experience better articulation after surgery.
10. Can jaw surgery fix breathing or snoring problems?
Yes. For patients with airway obstruction or sleep apnea, jaw advancement surgery can significantly improve breathing during sleep.
11. How long will I need to stay in the hospital?
Most patients stay for 1–2 days after surgery for monitoring and comfort.
12. Will I be able to open my mouth normally after surgery?
Yes. There may be temporary stiffness, but physiotherapy and guided exercises help restore full jaw movement.
13. Are the results permanent?
Yes. Once the bones heal in their new positions, the results are stable and long-lasting.
14. Am I too old for jaw surgery?
Jaw surgery can be safely performed for adults of any age, provided they are medically fit.
15. When can I return to work or college?
Most patients resume light work or classes in 10–14 days depending on the type of surgery and individual comfort.
