Correcting wrong positioning of the jaw

Dysgnathia means disorders in the development of the jaw, which are usually accompanied by disruptions in the positioning of the teeth. The correction of dysgnathias is one of the most frequent operations performed at the Klinik Professor Sailer. In most cases, the upper jaw and the lower jaw must be repositioned together, and in most cases, this was preceded by an orthodontic pre-treatment of the jaw. In some rare cases, the orthodontic treatment of the jaw is conducted after the operation. 20% of our operations are repetitions, following similar attempts made elsewhere. 20% of our operations are conducted on patients who had earlier undergone only orthodontic treatment of the jaw and were not happy with the aesthetics of the face, although the positioning of the teeth was optimum. We have developed special methods of operation for this group of patients, which make it possible to achieve excellent aesthetic results without altering the position of the teeth.

Correction of mandibular protrusions and distal occlusion

For the experienced surgeon, it does not matter whether there is a distal occlusion (recession of the lower jaw or prognathism respectively) or a mandibular protrusion (forward projection of the lower jaw), what matters is the planning concept for treatment and the aim of giving an attractive face and a normal or functional positioning of the teeth.

Corrections of asymmetries in the jaw

The correction of jaw asymmetries is significantly more difficult and poses a big challenge even to experienced surgeons. The most frequent subsequent corrections or follow up operations are done in the case of these facial asymmetries. The difficulty lies on the one hand in the deformation of the lower jaw with often extremely narrow, ascending dental branches (rami mandibulares), which can only be split with great surgical experience, and in the positioning of the upper jaw or lower jaw complex on the other hand, which often has to be done manually without using any positioning splints. For splitting the ascending lower jaw branches, we use the piezo-device, which uses ultrasound to separate the bone, but cannot however damage the nerve passing through the bone.

Perfect planning for perfect results

The outcome depends to a large extent on intensive, usually several planning sessions with the patient, to arrive at a common aesthetic goal. In most cases, the patient wants an ante-face according to Prof. Sailer, which corresponds to the current ideal of beauty (similar to the profile of the ancient Egyptian Queen Nefertiti). Prof. Sailer has developed methods for creating a highly attractive ante-face even from a receding or average face. These days, almost all famous actors and actresses, top models and beauty queens have a face that protrudes forwards: namely, the ante-face (according to Prof. Sailer).