Underbite, also known as crossbite or mandibular protrusion, is a common dental deformity. Many people choose to correct this condition through surgery. However, regret and dissatisfaction after surgery are not uncommon. This article will systematically analyze the reasons for regret after overbite surgery, explore the problems that may arise after surgery, and put forward relevant suggestions, in order to provide a reference for clinical practice and patient decision-making.
1. Basic concepts and indications of underbite surgery
The main manifestation of underbite is mandibular protrusion, which leads to abnormal occlusion of the upper and lower teeth, affecting oral function and facial aesthetics. For severe bony underbite, orthognathic surgery is a commonly used treatment method. This surgery adjusts the position of the mandible to restore normal occlusion and facial contour.
Indications include patients with significant skeletal overbite that is difficult to correct with non-orthodontic methods, usually accompanied by occlusal dysfunction or significant facial deformity.
2. Analysis of the reasons for regret after overbite surgery
Inadequate preoperative evaluation
Preoperative evaluation includes clinical examination, imaging analysis and three-dimensional model establishment. Some patients experience psychological disappointment after surgery because they have too high expectations for the surgical results or do not fully understand the possible problems that may arise after the operation.
Insufficient surgical skills and experience
Orthognathic surgery is a complex technique that involves bone cutting, bone reconstruction, and soft tissue adjustment. The surgeon's technical level directly affects the outcome of the surgery. Inappropriate surgical design or operation may cause problems such as facial asymmetry and unsatisfactory bone displacement.
Postoperative complications
Common complications after surgery include:
① Swelling and pain in the surgical area
② Abnormal sensation of teeth (such as numbness)
③. Temporomandibular joint dysfunction
④Infection and poor bone healing
These problems can seriously affect patients' quality of life and even lead to functional impairment.
Psychological factors
Changes in appearance after surgery may cause patients to have psychological adaptation disorders, especially when there is a gap between the postoperative effect and expectations, which can easily lead to regret.
Inadequate postoperative maintenance and orthodontic cooperation
Orthognathic surgery usually needs to be combined with orthodontic treatment. It is equally important to maintain good oral hygiene and regular check-ups after surgery. Lack of standardized postoperative management will affect the long-term effects of the surgery.
3. Common Postoperative Problems and Coping Strategies
Facial asymmetry
Inaccurate bone positioning during surgery or bone displacement after surgery can lead to facial asymmetry. The surgical accuracy should be improved through precise preoperative planning and intraoperative image navigation assistance. When obvious asymmetry occurs, revision surgery can be considered if necessary.
Bite Problems
Unstable or uncomfortable occlusion after surgery needs to be improved through postoperative orthodontic adjustment. Poor occlusion may affect chewing function and joint health, and requires sufficient attention.
Sensory impairment
Mandibular nerve injury may cause decreased sensation or numbness in the lips and mandibular skin. Most of the symptoms are temporary, but some patients may experience long-term paresthesia. Nerve injury should be avoided during surgery, and symptoms can be relieved through medication and rehabilitation therapy after surgery.
Joint dysfunction
Increased burden or damage to the temporomandibular joint may cause joint pain, clicking, and limited mouth opening. Reasonable surgical design and postoperative functional exercises can help prevent these.
Psychological adaptation
Patients may experience emotional fluctuations after surgery, and psychological counseling and professional support should be strengthened to help them correctly understand postoperative changes.
IV. Importance of postoperative care and follow-up
Postoperative care includes oral hygiene maintenance, nutritional support and regular follow-up visits. Doctors should provide detailed instructions to patients on correct care, promptly identify and deal with postoperative problems, and follow-up visits can monitor bone healing and functional recovery, and adjust treatment plans in a timely manner.
5. How to reduce the risk of postoperative regret
Adequate preoperative communication
Doctors should explain the surgical plan, expected results and possible risks in detail to ensure that patients understand and have reasonable expectations.
Precise preoperative planning
Utilize modern imaging technology and three-dimensional simulation to accurately design surgical plans and improve the individualization and precision of surgery.
Choose an experienced professional team
Orthognathic surgery involves multidisciplinary collaboration, and it is critical to choose oral and maxillofacial surgeons and orthodontists with extensive experience.
Postoperative standardized management
This includes strictly following doctor's orders, participating in rehabilitation training and cooperating with orthodontic treatment to ensure the stability of postoperative results.
Psychological support
Provide psychological counseling to patients before and after surgery to help them adjust their mental state and reduce negative emotions.
VI. Case Analysis
A patient underwent orthognathic surgery for severe overbite. After the surgery, he developed slight facial asymmetry and partial lip numbness. Through postoperative orthodontic adjustment and neurological rehabilitation treatment, the symptoms gradually improved. The patient said that he did not fully understand the risks of the surgery in the early stage, which led to great psychological pressure in the early stage. This case reflects the importance of preoperative communication and postoperative management.
Beauty Encyclopedia Tips:
Overbite surgery is a complex and technically demanding medical procedure. Patients should fully understand the indications, risks and postoperative care requirements of the surgery, have reasonable expectations for the postoperative results, choose a professional medical team, and cooperate with standardized postoperative management. This can minimize surgical regrets and improve the quality of life. If abnormal symptoms occur after surgery, seek medical attention in a timely manner to avoid worsening of the problem. Psychological adjustment is also an important part of the recovery process. Patients can seek professional psychological support to promote comprehensive recovery.