Affiliated doctor at Döbling Private Hospital
Jaw operations are performed by me as a consultant surgeon at Döbling Private Hospital.
Döbling Private Hospital is one of the top addresses among the private clinics of Vienna and attends to more than 13,000 inpatients every year from Austria and abroad.
In most cases, complaints in the mandibular joint can be treated with targeted conservative measures after performing a careful investigation. Usually it is necessary to perform surgery on the mandibular joint despite conservative treatment.
Misalignment of the jaws
Depending on the need for correction, the maxilla or upper jaw (Le Fort-I osteotomy), the mandible or lower jaw (bilateral sagittal split osteotomy), or both tooth-bearing portions of the jaw will be mobilized, positioned correctly in three dimensions, and fixed again.
Misalignment of the jaw can also be successfully corrected in adults when orthodontic treatment alone is not sufficient. In close cooperation with your treating orthodontist, we plan your combined orthodontic and maxillofacial surgical treatment after a detailed diagnostic investigation, and then create an individual treatment concept for you. The treatment is usually divided into four phases.
1. Preliminary orthodontic treatment:
In this phase the dental arches of the upper and lower jaws are shaped, and the teeth positioned correctly in their axis on the respective dental arch.
2. Dysgnathic surgery:
Depending on the need for correction, misalignment of the jaw is corrected by operating on one jaw (LF-I osteotomy, BSSO) or both jaws (bignathic osteotomy).
At our medical office the entire osteotomy for dysgnathic surgery is performed by piezosurgery in order to ensure optimal preservation of soft tissue.
3. Orthodontic fine adjustment:
To ensure optimal interlocking of the teeth, we perform fine adjustment of the teeth after the operation.
4. Orthodontic retention:
After active orthodontic treatment, the outcome is stabilized by placing a removable and/or fixed retainer.
In persons with a very small or narrow jaw, a fracture gap is created surgically and an apparatus (distractor) is used to bring the respective portion of the jaw into the desired position.
By performing a chin wing osteotomy, a person’s profile can be improved in cases of mandibular asymmetry, a receding chin, or a markedly protruding chin.
Obstructive sleep apnea syndrome
Depending on the severity and cause, a variety of treatments may be recommended. A tooth-borne mandibular protrusion splint is a form of conservative therapy. Orthognathic surgery is a surgical option.
Maxillofacial operations are usually performed in general anesthesia at a hospital. The methods of anesthesia currently in use are extremely safe and very well tolerated.
Complications are extremely rare in persons in good general health, who adhere to the recommended postoperative measures. However, complications can never be entirely ruled out. Every operation goes hand in hand with certain risks, such as drug intolerance, hematoma, inflammation, impaired wound healing, or sensitivity disorders. Even an experienced surgeon cannot predict these in advance or avoid them in all cases. Therefore, before an operation you will be informed about all potential risks.
Piezosurgery or ultrasonic surgery is a highly modern ultrasound-based piezoelectric procedure. The special surgical feature of this procedure is targeted exposure of bone while protecting the adjoining soft tissue. Thus, the risk of injury to critical anatomical structures such as blood vessels and nerves is minimized. Ultrasound surgery is used at our medical office primarily for bone harvesting, surgical tooth extraction, sinus lift, and oral and maxillofacial surgery.
2D/3D X-ray – CBCT
At our medical office we use Orthophos SL 3D, which provides digital two-dimensional and three-dimensional X-ray images. 2D X-ray is the standard diagnostic procedure and still is an important basic procedure for the evaluation of teeth and jaws. 3D X-ray – CBCT (Cone Beam Computed Tomography) is a highly modern and efficient imaging procedure used in dental medicine, oral and maxillofacial surgery, and ENT medicine. Based on this three-dimensional imaging procedure, we are able to offer our patients a very high level of safety in terms of diagnosis and treatment. The selection of a specific imaging procedure depends on the individual situation of each patient.