Segmental Osteotomies

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Segmental Osteotomies

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Segmental Osteotomies

Segmental Osteotomy is a specialized jaw surgery technique where the jawbone (maxilla or mandible) is divided into smaller segments and repositioned to correct localized dental or skeletal deformities. Unlike full jaw movement, this approach allows for more precise corrections of smaller sections of the jaw — especially useful in complex orthodontic cases or when traditional braces alone are insufficient.

It is commonly used to treat issues like spacing, open bite, asymmetry, or excessive jaw length in a very focused and controlled manner.

What We Do

Our surgical team performs both Maxillary Segmental Osteotomies and Mandibular Segmental Osteotomies, depending on the location and nature of the deformity. Each procedure is custom-planned using CBCT scans and cephalometric analysis to achieve ideal occlusion, alignment, and aesthetics.

Commonly performed segmental procedures include:

  • Anterior Segmental Osteotomy – To reduce excessive protrusion or spacing

  • Posterior Segmental Osteotomy – For molar correction or posterior open bite

  • Vertical Segmental Osteotomy – To correct excessive vertical dimension

  • Segmental Maxillary Impaction – For long face syndrome and gummy smiles

Who Needs Segmental Osteotomy?

  • Patients with localized dental misalignment

  • Individuals with open bite or deep bite not treatable with braces alone

  • Adults with skeletal discrepancies in limited jaw regions

  • Those with excessive dental show or protrusion in anterior teeth

  • Complex orthodontic cases requiring surgical assistance

Benefits of Segmental Osteotomies

  • Highly targeted correction without moving the entire jaw

  • Reduces need for extensive bone movement

  • Enhances dental alignment and bite correction

  • Minimizes relapse risk when combined with orthodontics

  • Can address aesthetic concerns like protruding teeth or gummy smile

  • Useful in relapse correction after failed orthodontic or jaw surgeries

Surgical Process

  1. Preoperative orthodontics (if needed)

  2. Digital planning with 3D imaging and dental models

  3. Surgery under general anesthesia

  4. Precise bone segment cutting, repositioning, and fixation

  5. Stabilization with titanium mini plates and screws

  6. Post-op healing and continued orthodontic alignment

Recovery & Aftercare

  • Mild swelling, discomfort, and numbness for 7–10 days

  • Soft diet and oral hygiene maintenance for 2–4 weeks

  • Full healing in 6–8 weeks

  • Post-operative orthodontic fine-tuning (if applicable)

Risks & Considerations

  • Risk of root damage if not planned carefully

  • Temporary numbness or swelling

  • Possibility of minor asymmetry or need for secondary adjustments

  • Surgical precision and experience are crucial for long-term stability