Causes of maldevelopment
We distinguish between congenital and acquired dysgnathia.
Congenital dysgnathies
In our practice in Berlin Mitte, patients with congenital malocclusions, which are due to genetic predispositions, often introduce themselves. Such dysgnathies often develop in the course of the physical growth phase before puberty due to disorders of jaw growth.
As a result of this maldevelopment, the jaws meet incorrectly or the jaws are located incorrectly in the skull itself. In this case we speak of a skeletal dysgnathia. If, on the other hand, it is a pure malposition of the teeth, it is a dental dysgnathia.
When should dysgnathia be treated?
In the majority of cases, dysgnathia must be treated. Self-healing does not take place. Dysgnathia is only rarely a purely aesthetic problem, but leads far more frequently to significant impairment of the chewing function and to health problems. Patients with malocclusion often show a more difficult lip closure or other symptoms, including pain in the head and neck area, as well as problems with the masticatory apparatus and cracking temporomandibular joints in places. In many cases there are also speech disorders and considerable muscular tensions emanating from the temporomandibular joints. In addition, chronic pain due to premature wear and tear of the temporomandibular joints is also known. Gastro-intestinal diseases or nocturnal breathing difficulties (snoring, sleep apnea) can also be caused by sygnathia. Facial expression is also frequently affected by dysgnathia and thus influences the harmony of facial expression.
The following are some of the malpositions requiring treatment:
- The underbite
An underbite (retrogression or retrognathia) is when the lower jaw is too far back in the mouth - The overbite
If the lower jaw, on the other hand, is too far forward, we speak of progeny or prognathism - The deep bite
When deep biting, the upper incisors extend too far downwards and cover the lower incisors beyond the normal size - The cover bite
During the covering bite, the upper incisors overlap the incisors in the lower jaw almost completely - Cross bite
In a cross bite, the lateral teeth of the upper jaw are too far inwards or the lateral teeth of the lower jaw are too far outwards - Open bite
In an open bite, there is a gap between the upper and lower incisors
The following treatment procedure results from a surgical jaw repositioning.
- Before the operation, a visual simulation of the desired surgical result is prepared and individually compared with your wishes
- The procedure is performed using modern surgical techniques
- The changeover operation takes place under general anaesthesia
- The operation takes two to four hours, depending on the complexity of the procedure
- The procedure is performed via the oral cavity, so that no visible scars develop
- A gentle surgical method and bone-stabilising measures mean that the usual wiring can be dispensed with
- This is how you can open your mouth immediately after the operation
Over the years, we have cared for numerous patients in our practice and successfully treated them surgically on the upper and lower jaws.
Thanks to the most modern surgical methods and intensive and computer-assisted planning and execution of operations, dysgnathia treatment in our clinic is a safe and gentle procedure and is also recommended for patients at an advanced age. You will be able to open your mouth again shortly after the operation. The intake of soft food and dental care are also possible without any problems.
