Before & After

Case 1: TMJ Total Joint Replacement with orthognathic Surgery

This 22 year old patient had Idiopathic Condylar Resorption (ICR), anterior open bite malocclusion, and a restricted airway.  Following Bilateral TMJ total joint replacement and segmental Lefort I osteotomy she has an  improved occlusion, a much larger airway (see images), and improved function.  She can open to 43mm and bite into foods with her front teeth for the first time in years. 

Before

After

Case 2: Orthognathic Surgery

23 year old male with a large Class III malocclusion (mandible larger than maxilla) who had jaw pain, difficulty chewing, and esthetic concerns.  Bilateral Sagittal Split Osteotomy and Lefort I osteotomy were performed resulting in improved esthetics, occlusion, and pain.

Before

After

Case 3: REvision jaw Surgery

This patient had a right subcondylar fracture of the mandible that was treated by another surgeon with Maxillomandibular Fixation (MMF or jaws wired shut).  This resulted in malocclusion and decreased ability to move the mandible.  After revision surgical treatment she can open, chew normally, and has a return to her pre-injury occlusion (bite).

Before

After

Case 4: REvision jaw Surgery

This unfortunate young man was involved in a significant motorcycle accident that resulted in multiple facial fractures. These fractures were treated by another surgeon and resulted in a poor occlusion where the maxilla was entirely inside the mandible (opposite of normal orientation).  This patient could not chew as a result and lost over 30lbs.  He was treated with revision jaw surgery via a segmental Lefort I osteotomy (upper jaw surgery) that resulted in an improved occlusion that allows him to chew and swallow.  He has regained most of his weight and will complete orthodontic treatment to further improve his occlusion (bite).

Before

After

Case 5: REvision jaw Surgery

This patient had a fall that resulted in a subcondylar fracture of the right mandible.  She was treated by another surgeon with Maxillomandibular Fixation (MMF or mouth wired shut). This resulted in malocclusion with limited function. She was treated with revision jaw surgery resulting in return of her normal occlusion and excellent function. 

Before

After

Case 6: Orthognathic Surgery

This patient had a large Class II skeletal malocclusion (maxilla larger than mandible).  She had difficulty biting into foods and had esthetic concerns about her jaw discrepancy. She was treated with Bilateral Sagittal Split Osteotomy in conjunction with orthodontic treatment.  This led to significant improvements in her occlusion, ability to bite/chew foods, and esthetics. 

Before

After