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Cleft and Craniofacial Center
Sri Ramachandra University
Porur, Chennai, 600116
We have completed more than 10,000 free cleft surgeries, and we performed approximately 800 free cleft surgeries every year.
What is cleft Lip & Palate ?
What are craniofacial deformities?
How to feed cleft baby?
At what age treatment starts?
Will child be like normal child aftertreatment?
What is treatment for whole in palate after palate repair?
How to go about if I have speechproblem even after palate repair?
The Smile Train Partner Center
044 24765614
Team and philosophy
Meet our team
Feeding of cleft baby
Surgery & Timing
Anesthesia management
Speech therapy
Pediatric Dental Treatment
Orthodontic treatment
Ear problem
Refinement and Nose correction surgeries
Craniofacial cleft and anomalies
Orthognathic Surgery
Orthognathic Surgery
Orthognathic Surgery : Reshaping the Facial Bones
Cleft & Craniofacial Center, Sri Ramachandra University
Othognathic surgery aims to improve facial appearance by reshaping and repositioning facial bones and the jaws along with the teeth. The following conditions benefit from orthognathic surgical intervention.
  Excess or deficiency of lower jaw :
The protrusion of lower jaw is very visible from the side. In profile, this is seen as prominance of the lower part of the face and particularly the lower lip. Some patients may also have asymmetric jaws. Aside from the deformity in the patient’s appearance, there may be problems with chewing and speech in some cases.

Patients with mandibular retrusion appear to have a small and/or underdeveloped lower jaw. Patients often have mouth opening problems or open bite. Surgical correction is usually the only solution for open bite. Other associated complications are temporo-mandibular joint problems and breathing problem during sleep resulting sleep apnea. This condition manifests as a perpetually tired and listless patient because of inadequate sleep and deficient oxygenation during sleeping hours
  Excess or deficiency of upper jaw :
The deficiency condition is caused by less or restricted growth of the upper jaw and is more commonly seen in cleft lip and palate patients and following trauma to the upper face. Due to the poor growth and development of the upper jaw, these individuals may appear to have lower jaw protrusion even if mandible growth is normal.
Excess of upper jaw will cause excess gummy smile or protruding upper teeth.
  Both Jaws (Bimaxillary) Protrusion
This condition caused by protrusion of both jaws, resulting in a “gummy smile”, with excessive show of front teeth. Because the patient has difficulty in closure of his or her lip, they have difficulty in concealing their front teeth. The patient often compensates by trying to hide this with a tight lip closure, making their lips appear small and constricted.
The treatment is different according to age and degree of protrusion. Generally, during the teenage to young adult years, the patient may undergo orthodontics to correct the condition. However, in the older age group and in severe cases this needs to be addressed by a combination of orthodontics and surgery to the jawbones.
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