1VIC

Correction of mandibular retrognathism

Treatment Effect

Treatment Outcomes

- Short-term effects: During the initial phase of orthodontic treatment, teeth gradually begin to move, potentially improving occlusal relationships and alleviating some chewing issues caused by mandibular retrusion. Additionally, the patient's facial profile may show slight improvement, such as better lip closure.

- Long-term effects: Following a complete combined orthodontic and orthognathic treatment course, the mandible is repositioned to its normal location, resulting in a more harmonious and aesthetically pleasing facial contour. The side profile becomes more three-dimensional, shifting away from a retruded appearance. Occlusal function is significantly enhanced, improving chewing efficiency and reducing the risk of disorders such as temporomandibular joint dysfunction.

Is this suitable for me?

Is This Right for Me?

Ideal candidates include individuals with significant mandibular retrognathia that affects facial aesthetics and occlusal function; those experiencing considerable psychological distress due to mandibular retrognathia and seeking improvement; and adolescents during their growth phase who show a tendency toward mandibular retrognathia and can benefit from early intervention.

Unsuitable candidates include individuals with severe systemic diseases such as heart disease, hypertension, or diabetes who cannot tolerate surgery; those with acute oral inflammation, such as periodontitis or gingivitis, who must first manage the inflammation before considering correction; and women who are pregnant or breastfeeding, as orthognathic surgery is generally not recommended during these periods.

Select Device

Select Equipment

Orthodontic Equipment: Common options include traditional metal braces, ceramic braces, and clear aligners. Traditional metal braces are relatively affordable and provide stable correction results but have lower aesthetics. Ceramic braces closely match natural tooth color, offering better aesthetics, though they come at a higher cost. Clear aligners are aesthetic and comfortable, can be removed and reinserted by the patient, but require high patient compliance and are relatively more expensive.

Orthognathic Surgery Equipment: Advanced imaging devices such as CT scanners are used during surgery to precisely assess the shape and structure of the mandible. Surgical navigation systems are also employed to assist surgeons in performing procedures with greater accuracy.

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Equipment Selection

Orthodontic Equipment: Common options include traditional metal braces, ceramic braces, and clear aligners. Traditional metal braces offer relatively lower costs and stable correction outcomes but have poor aesthetics. Ceramic braces closely match tooth color, providing better aesthetics, though at a slightly higher price. Clear aligners are aesthetic and comfortable, can be removed by the patient, but require high patient compliance and come at a relatively higher cost. Prices in South Korea typically range from approximately 3,000,000 KRW for traditional metal braces to 5,000,000 KRW for ceramic braces, and 7,000,000 to 10,000,000 KRW for clear aligners, depending on the complexity of treatment.

Orthognathic Surgery Equipment: Advanced imaging devices such as CT scanners are used during surgery to precisely examine the morphology and structure of the mandible. Surgical navigation systems are also employed to assist surgeons in performing procedures with greater precision. In South Korea, the cost of orthognathic surgery typically ranges from 10,000,000 to 25,000,000 KRW, depending on the complexity of the case and the specific techniques used.

Price

Price

Orthodontic Treatment Costs: The cost for traditional metal braces generally ranges from 10,000 to 30,000 RMB; ceramic braces cost between 20,000 and 40,000 RMB; clear aligners are relatively more expensive, with Invisalign typically costing between 40,000 and 80,000 RMB, and Angelalign ranging from 20,000 to 60,000 RMB.

Orthognathic Surgery Costs: The cost of orthognathic surgery varies depending on factors such as surgical complexity, location, and hospital. Generally, the surgery itself costs between 50,000 and 100,000 RMB. When including pre-surgical and post-surgical orthodontic treatments, the total cost for combined orthodontic and orthognathic therapy may range from 80,000 to 150,000 RMB.

Expected Outcome

Expected Outcomes

Patients should maintain realistic expectations. Correction of mandibular retrognathia can significantly improve facial aesthetics and occlusal function, but it may not achieve an ideal state of perfection. The outcomes are also influenced by factors such as the patient's age, the severity of mandibular retrusion, and the chosen treatment plan. Generally, adolescent patients tend to experience better corrective results because their skeletal structures are still in the growth and development phase.

Combination Therapy

Retrognathia correction may be combined with other treatment modalities. For instance, during orthodontic treatment, functional appliances can be utilized to stimulate mandibular growth. In cases involving maxillary developmental abnormalities, simultaneous corrective surgery on the maxilla may be required. Furthermore, postoperative rehabilitation, such as physical therapy and orofacial myofunctional training, may be necessary to restore chewing function and facial muscle coordination.

Adverse Effects and Complications

Side Effects and Complications

- Side effects of orthodontic treatment: During the initial phase of wearing appliances, patients may experience discomfort such as tooth soreness and oral ulcers, which typically subside within 1 to 2 weeks. Poor oral hygiene maintenance can also lead to issues such as dental caries and periodontitis.

- Complications of orthognathic surgery: Surgical risks include bleeding, infection, and nerve damage. Nerve injury may result in symptoms such as numbness or paresthesia of the lower lip. While most patients gradually recover within 3 to 6 months post-surgery, a small minority may experience permanent sensory deficits. Additionally, complications such as non-union of bone segments and unstable occlusion may occur.

Beyond the aforementioned side effects of orthodontic and orthognathic treatments, some patients may experience increased psychological stress during the treatment process. For instance, the aesthetic impact of wearing appliances may lead to feelings of inferiority, while discomfort during the surgical recovery period and concerns about treatment outcomes can also impose a psychological burden on patients.

Select Instrument

Device Selection

In addition to the previously mentioned orthodontic appliances and imaging and navigation equipment related to orthognathic surgery, attention can also be paid to some auxiliary treatment devices. For example, oral hygiene devices such as water flossers and electric toothbrushes can help patients maintain better oral cleanliness and prevent oral diseases during orthodontic treatment. For patients after orthognathic surgery, some rehabilitation devices may be used, such as oral muscle training devices, to help restore the function of oral muscles.

Project Contraindications

Contraindications

In addition to the previously mentioned systemic diseases, oral inflammation, and conditions such as pregnancy and lactation, patients with mental disorders who are unable to cooperate with treatment are not suitable for mandibular retrusion correction. Furthermore, patients with unrealistic expectations regarding treatment outcomes are advised against undergoing treatment until sufficient communication and psychological adjustment have been completed.

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Contraindications

In addition to the previously mentioned systemic diseases, oral inflammation, and conditions such as pregnancy and lactation, patients with mental disorders who are unable to cooperate with treatment are not suitable for mandibular retrusion correction. Furthermore, patients with unrealistic expectations regarding treatment outcomes are advised against undergoing treatment until sufficient communication and psychological adjustment have been completed.

Side effects

Side Effects and Complications

- Side effects of orthodontic treatment: During the initial phase of wearing aligners or braces, patients may experience discomfort such as tooth soreness and oral ulcers, which typically subside within 1 to 2 weeks. Poor oral hygiene maintenance can also lead to issues such as dental caries and periodontitis.

- Complications of orthognathic surgery: Surgical risks include bleeding, infection, and nerve damage. Nerve injury may result in symptoms such as numbness of the lower lip and paresthesia. Most patients gradually recover within 3 to 6 months post-surgery, although a small minority may experience permanent sensory impairment. Additionally, complications such as non-union of bone fragments and unstable occlusion may occur.

Side Effects

In addition to the side effects of orthodontic and orthognathic treatments mentioned above, some patients may experience increased psychological stress during the treatment process. For instance, the aesthetic impact of wearing appliances may lead to feelings of inferiority. Furthermore, discomfort during the surgical recovery period and concerns about treatment outcomes can impose a psychological burden on patients.

Self-Symptom Check

Symptom Self-Assessment

If you notice the following symptoms, you may have a receding mandible: a "bird-like" facial profile when viewed from the side, with a short and recessed chin; abnormal dental occlusion, such as deep overbite or excessive overjet; difficulty chewing, often accompanied by temporomandibular joint pain or clicking. However, self-assessment of symptoms serves only as a preliminary evaluation. A definitive diagnosis requires detailed examination at a reputable hospital.

Select treatment plan

Selecting a Treatment Plan

Doctors will develop personalized treatment plans based on the patient's oral examination and imaging results. When choosing a treatment plan, patients should communicate thoroughly with their doctor to understand the pros and cons, treatment duration, and costs of each option. Additionally, consider your lifestyle and work schedule to select the most suitable treatment plan. For instance, for patients with busy schedules and high aesthetic demands, clear aligners may be a better choice.