Complex Orthodontics in Pensacola, Gulf Breeze, & Perdido, FL

Your orthodontist can tell you if orthognathic surgery is needed as part of your treatment. Depending on the severity of your case and the alignment of your jaw, you may or may not need surgery.

An oral and maxillofacial surgeon will perform your orthognathic surgery, and the surgery will take place in a hospital. Orthognathic surgery can take several hours depending on each individual case. Once the surgery is complete, you will have about a two-week rest period. Since orthognathic surgery is a major treatment, we recommend that you schedule some time away from work and school during the healing process. After your jaw has healed, your orthodontist will once again “fine-tune” your bite. After surgery, you will have to wear braces, and most braces are removed within six to 12 months following surgery. After your braces are removed, you will wear a retainer to help maintain your new smile.

As with any major medical surgery, there may be certain risks of having orthognathic surgery. However, the process of orthognathic surgery is not new, and it has been performed for many years in practices and hospitals. If you’re concerned about an upcoming treatment with orthognathic surgery, please contact our practice and let us know. We are happy to answer any questions that you may have, and provide you with any additional information. Your comfort is important to us.

For many patients, the most important reward of having orthognathic surgery is achieving a beautiful, healthy smile that lasts a lifetime. Whether you need orthodontic treatment to correct a bad bite, malocclusion, or jaw abnormality, orthognathic surgery can help restore your confidence and leave you smiling with confidence for many years to come.

• Pain in the jaw area
• Pain, ringing, or stuffiness in the ears
• Frequent headaches or neck aches
• Clicking or popping sound when the jaw moves
• Muscle spasms in the jaw area
• A change in the alignment of top and bottom teeth
• Locked jaw or limited opening of the mouth
• If you notice that you are experiencing any of these symptoms, let your doctor know at your next appointment. Your doctor can help determine if you have TMD and create a customized treatment plan to help relieve your symptoms.

Not all jaw pain is associated with TMD. If you feel that you might have TMD, it is always important to see your dentist and receive an exam. However, not all jaw pain is associated with TMD, and if you do not have TMD there are many different preventive steps you can take to maintain a healthy, strong smile.

• Relax your face — “Lips together, teeth apart”
• Avoid grinding your teeth
• Avoid all gum chewing
• Don’t cradle the phone receiver between your head and shoulder — either use a headset or hold the receiver to your ear
• Chew food evenly on both sides of your mouth
• Do not sit with your chin rested on your hand
• Practice good posture — keep your head up, back straight, and shoulders squared
• Many people get TMD without ever having braces. Symptoms usually wax and wane regardless of whether braces are worn. If you are experiencing any of the symptoms listed above and are concerned that you’re a candidate for TMD treatment, please contact our office for a consultation.

Sleep apnea is a condition in which your breathing stops periodically during sleep, as many as 20-30 times per hour. Each time you stop breathing in your sleep, the resulting lack of oxygen alerts your brain, which temporarily wakes you up to restart proper breathing. Since the time spent awake is so brief, most people with sleep apnea don’t remember it, and many feel like they are getting a good night’s sleep when, in fact, they are not. The constant wake-sleep, wake-sleep cycle prevents those with sleep apnea from achieving deep sleep, resulting in a constant drowsy feeling during the day.

The following symptoms can indicate the presence of sleep apnea. If you notice one or more of these, contact our practice.

• Insomnia or difficulty sleeping
• Loud snoring at night
• Waking up at night short of breath
• Snorting or choking sounds during the night (indicating a restart of breathing)
• Headaches upon waking in the morning
• Falling asleep unintentionally during the day
• Extreme drowsiness throughout the day

There are three categories of sleep apnea. The most common is called obstructive sleep apnea (OSA), and occurs due to a physical blockage, usually the collapsing of the soft tissue in the back of the throat. Less common is central sleep apnea (CSA), in which breathing stops because the muscles involved don’t receive the proper signal from the brain. And some people suffer from “mixed” or “complex” sleep apnea, which is a combination of obstructive and central.

Obstructive sleep apnea is more common in males than females, and more common in older adults (40+) than younger adults and children. However, anyone — regardless of gender or age — can suffer from sleep apnea. Other risk factors include obesity, smoking, drinking, use of sedatives or tranquilizers, and family history. Central sleep apnea strikes most often in people with heart disorders, neuromuscular disorders, strokes, or brain tumors.

Sleep apnea is considered a serious medical problem and if left untreated it can lead to high blood pressure, increasing the risk of heart failure and stroke. The ongoing state of fatigue caused by sleep apnea can lead to problems at work or school, as well as danger when driving or operating heavy machinery. Sleep apnea can also cause complications with medication or surgery; sedation by anesthesia can be risky, as can lying flat in bed after an operation. If you know or suspect you suffer from sleep apnea, let your family doctor know before taking prescribed medication or having surgery.

Treatments for sleep apnea depend on the severity of each individual case, and the type of apnea. Basic treatment can be behavioral — for instance, patients are instructed to lose weight, stop smoking, or sleep on their sides instead of on their backs. Beyond that, oral devices can be used to position the mouth in such a way that prevents throat blockage. In more severe cases, surgery may be the best option.