A bilateral sagittal split osteotomy is a type of oral surgery. Bilateral Sagittal Split Osteotomy is done to correct the malposition of the jaws. The word ‘bilateral’ in the name of surgery is there because during the treatment the jaw can be done bilaterally. With the help of this jaw surgery the lower jaw or the mandibular may be moved or realigned. However, in the cases of extreme misalignment, even braces cannot help much and the only option is a bilateral sagittal split osteotomy. A bilateral sagittal split osteotomy is now considered to be one of the best options for correcting the position of the jaw with the help of surgery.

What happens during a bilateral sagittal split osteotomy?

The surgery is performed in a way that despite the jaw being sectioned the contact between the bones is there. During the bilateral sagittal split osteotomy the surgery is done behind the lower teeth. Generally, depending upon the extent of surgery, the new jaw position is reinforced till healing is complete.

In what scenario a bilateral sagittal split osteotomy may be required?

 Because of the malposition of the jaws the patients feel extreme strain in the muscles and bones of the mouth. The problems of jaw could call for a bilateral sagittal split osteotomy.

How is the treatment with bilateral sagittal split osteotomy carried out?

The first step of the treatment before the surgery is the correct diagnosis. Generally the treatment will begin with your surgeon taking the X- ray to determine the exact nature of the deformity so that the treatment plan can be formed. A bilateral sagittal split osteotomy can benefit patients who suffer from the following problems:-

  • Underbite
  • Overbite
  • Problems in chewing
  • Problems in swallowing
  • Pain in temporomandibular joints

A bilateral sagittal split osteotomy is performed generally on the lower jaw or the mandible, but to completely correct a problem in the aforementioned list the surgery of the upper jaw may also be performed in addition to the bilateral sagittal split osteotomy.

How is the surgery performed?

A bilateral sagittal split osteotomy is performed under general anesthesia. In most cases, prior to performing a bilateral sagittal split osteotomy surgeons prefer to remove the wisdom teeth to prevent infections. Following steps briefly describe the surgical procedure for rectifying the lower jaw deformities:-

  • The patient is given general anesthesia.
  • After an intraoral incision is made, the bone under the gum is exposed.
  • Then the bone is split sagittaly with the help of mechanical or oscillating saws.
  • Thereafter, the bone is fixed into the desired location with the help of plates, screws or wires.

A BSSO is a versatile procedure which can be used to correct protrusion of the lower jaw, retrusions and asymmetries. The procedure is usually followed by a few months of orthodontic alignment of teeth to ensure good occlusion and stability of jaw in the new position.

What are different types of bilateral sagittal split osteotomy surgeries?

  • Osteotomy to correct the deformity of the upper jaw which causes the patients to have an open bite.
  • The lower jaw osteotomy is known as mandible osteotomy which causes a deformity in the lower jaws.
  • Bilateral sagittal split osteotomy is used for the correction of an overbite and underbite.

Time taken to heal after bilateral sagittal split osteotomy

The time take for complete healing may take anywhere from 3 to 4 months after a bilateral sagittal split osteotomy. Sometimes the jaw of the patient is immobilized after the bilateral sagittal split osteotomy. After a bilateral sagittal split osteotomy a patient would require around three months to heal completely.

After the sagittal split surgery a patient can resume to his normal diet only on the advice of the doctors. Generally after the bilateral sagittal split osteotomy patients are advised to take complete rest.

A well executed bilateral sagittal split osteotomy relieves a patient of a lot of problems. A bilateral sagittal split osteotomy can relieve a person from constant pain and improve the levels of confidence.

Where to get the treatment for jaw correction surgery or a BSSO?

A BSSO surgery is best performed by a maxillofacial surgeon whose job is to perform different types of dentofacial treatments. In India, whenever we talk about maxillofacial surgery, the name that comes up in bold letters is that of Dr. Debraj Shome. Dr. Debraj Shome is a super- specialist and his area of expertise also includes maxillofacial surgery amongst other things. He is an oculoplastic and maxillofacial surgeon who is based in Mumbai and is one of the few in India who have this super- specialization. In Mumbai, Dr. Shome is known to take various maxillofacial challenges with complete ease. His patients from all over India come to Mumbai to get the treatment from him. Dr. Shome is one of the very few not only in India but in the world to have a very vast knowledge on this subject owing to his degrees and fellowships. Not only best treatment would be required to get the jaw repositioned but sometimes entire lower mouth area may require reconstructive treatment. In Mumbai, the clinics of Dr. Shome are one of the very few places for this type of specialized treatment. In fact, in entire India you will not find such facilities even in the famous hospitals. Because of Dr. Shome’s knowledge on the subject, he has performed many surgeries in the best hospitals of Mumbai on patients from different parts of India. Patients from all over India come to him in Mumbai with problems of jaw malposition. In the recent years, India has grown exponentially in terms of healthcare with some of the best medical facilities now available in Delhi and Mumbai. In Mumbai, his clinics are equipped with the latest medical equipment from all over the world. Mumbai is now one of the best destinations for medical tourism and patients from all over the world come to Mumbai for getting affordable and quality healthcare. For a corrective jaw surgery, Dr. Shome would be the best choice in Mumbai. The best hospitals in Mumbai completely trust the wisdom of Dr. Shome and therefore he is regular visiting faculty in many hospitals in Mumbai. He travels all over India to impart knowledge to budding young surgeons. India is on the verge of a medical boom. One of the first cities of India to have the fortune of getting some of the best medical facilities in India is Mumbai. Mumbai is now one of the best destinations for world class medical services.

Now, people do not have to go out from India to get treatments for various complicated ailments. They can get the best treatment in India. The treatment in India now is now of the highest standards owing to some of the brightest surgeons in our country like Dr. Debraj Shome.

About Dr. Debraj Shome

Dr. Debraj Shome- Facial Plastic Surgeon in Mumbai, India

Dr. Debraj Shome – Founder, The Esthetic Clinics, is a top facial plastic surgeon. Dr. Shome is currently a Consultant at the best Mumbai hospitals like Saifee Hospital, Breach Candy Hospital, Nanavati Hospital & Apollo Spectra Hospital in Mumbai, India. He has 40+ research papers in the best international journals, numerous presentations at conferences & many awards such as “Best Plastic Surgeon in Mumbai”, “Best Plastic Surgeon in India”, Best Cosmetic Surgeon in India”, “Best Cosmetic Surgeon in Mumbai”, “Breakthrough Innovator in Facial Plastic Surgery” etc. A celebrity plastic surgeon, Dr. Shome believes plastic, reconstructive & cosmetic face surgery can allow you to lead a more fulfilled life….Read more

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