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Neal A. Zabiegalski, Oral Surgery

(301) 862-5600



Jaw Alignment Surgery

Orthognathic surgery (jaw alignment surgery) is needed when jaws don't meet correctly and/or teeth don't seem to fit with jaws. This treatment reuires a coordinated effort between the oral surgeon and the orthodontist whereby the teeth are straightened with braces and corrective jaw surgery repositions the misaligned jaw. This not only improves facial appearance, but also ensures that teeth meet correctly and function properly for speech, digestion, and breathing.

Who Needs Orthognathic Surgery? (jaw surgery)
People who can benefit from orthognathic surgery include those with an improper bite or jaws that are positioned incorrectly due to excess growth (hyperplasia) or inadequate growth (hypoplasia). The result can be a host of problems that can affect chewing function, breathing, speech, long-term health and appearance. Injury to the jaw and birth defects can also affect jaw alignment. Orthodontics alone can correct bite problems when only the teeth are involved but, when the jaws are involved remember to always bring an Oral and Maxillofacial Surgeon into the pre-planning process.

Difficulty in the following areas should be evaluated:

  • Difficulty in chewing, biting or swallowing
  • Speech problems
  • Chronic jaw fatigue or TMJ pain
  • Open bite (Front teeth can’t touch)
  • Protruding jaw and chin
  • “Gummy Smile” or Horsey smile
  • Breathing problems
  • Very small chin “Andy Gump” or “Bird face”

Any of these symptoms can exist at birth, be acquired after birth as a result of hereditary or developmental influences, or as a result of injury to the face. Before any treatment begins, a consultation will be held to perform a complete examination with x-rays. During the pre-treatment consultation process, feel free to ask any questions that you have regarding your treatment. When you are fully informed about the aspects of your care, you and your dental team can make the decision to proceed with treatment together. 

Technology & Orthognathic Surgery

Dr. Zabiegalski uses modern computer imaging techniques to show you exactly how your surgery will be approached. Using comprehensive facial photography and Cone Beam CT scans, we can show you how your bite will be improved and even give you an idea of how you'll look after surgery. This helps you understand the surgical process and the extent of the treatment prescribed. Our goal is to help you understand the benefits of orthognathic surgery.

If you are a candidate for corrective jaw surgery, Dr. Zabiegalski will work closely with your dentist and orthodontist during your treatment. The actual surgery can move your teeth and jaws into a new position that results in a more functional and healthy dental-facial relationship.