o0400030013505035947

両顎手術最も多かった質問

 

両顎手術Q&A
症状
–噛み合わせが悪い
–顔が長い
–非対称がある
–顔の関節に痛みがある

対象
–長い顔
–顔面非対称
–突き出し口
–しゃくれ顎
–引っ込んでいる顎

手術方法
–leport I
-SSRO/IVRO
-V-LINE,ZYGOMA追加

 

o0400030013505035947

Q&A

Q歯列矯正では改善できないのですか
A不正咬合は歯列の問題とともに骨格上の問題も伴っております。歯列矯正のみで治療する場合歯に負担がかかるとともに完全に治すこともできません。

Q歯列矯正なしで手術のみで改善はできないのですか
A手術で骨格を正すと咬合面がずれることになるため歯列矯正が必要になります。ただ手術前に正常咬合であり美的な理由で手術を受ける場合は95%ほど歯列矯正が必要ありません。

Q先手術と先矯正の違いはなんですか
A先手術とは手術してから歯列矯正を行うことを言います。先矯正とは手術をするために先に歯列矯正をしてから手術を受け仕上げに再び歯列矯正を行うことを言います。

Q親知らずや八重歯は問題になりませんか
A八重歯が問題になる場合は抜歯をするか先矯正を行うことになります。親知らず自体が手術をする上で問題にはなりませんが手術中に上顎親知らずは同時に抜歯できます。下顎は無理です。
***輪郭手術や両顎手術の1ヶ月前まで親知らず抜歯可能。傷が完全に治った後に手術をするためである***

Q術後骨が弱くなることはないですか
A骨の厚さを調節する手術ではなく位置をかえ再固定する方法であるため骨が弱くなることはありません。

Q他の手術と一緒に受けることができますか
Aできません。病院によっては目は可能なところもあります。基本的は鼻とバストはできません。

Q入院期間を教えください
A2泊3日

Q何回来院が必要ですか
A退院後3-4日目:腫れケア+歯科チェック
2週目:口内抜糸+腫れケア+咬合チェック
3週目:咬合チェック+口を開ける練習
4週目:ウェイパー除去後歯列矯正用のWire着用。1ー2か月ごとに歯科で矯正治療

Q固定ピンは除去するのですか
A本人が希望であれば除去します。1年後から除去可能になります(病院によって少し違います。6か月以降から可能という病院もあります。)

Q固定ピンで空港検問祭に音がなることはありませんか
Aありません

Q副作用はありませんか
A顔の構造が変わるためいびきをするようになったり感覚が鈍化してるすることもあります。手術直後炎症になることもありますが大体は飲み薬で治療できます。鼻の形が変わることがあります。

Q手術時間はどのくらいかかりますか
A4時間

Qダウンタイムはどのくらいですか
A術後2週目から外に歩けるくらいになりますが言葉を自由に話すことができません。1ヶ月経てばまだ腫れはありますが話すことができます。

Q手術後歯列矯正はいつから始めてどのくらいしなきゃなりませんか
A4~6週目から矯正を始め平均1年~1年6ヶ月かかります。

Q必ず矯正は病院から指定してくれるところでしなければならないのですか
Aそのような必要はありません。他歯科であってもの協診によって可能です。

Qインプラントやラミネートしているんですが大丈夫ですか
A問題はありませ。ただ後ほどやり直すこともあります。

Q感覚はいつ頃戻りますか
A1ヶ月~6ヶ月、最大2年の間には回復しますが手術前よりは少し鈍いままであることはあります。

Q食事はいつからできますか。何を食べればいいのですか。
A1ヶ月目から可能となります。硬い食べ物は3~6ヶ月以降可能です。1ヶ月までは液体を主に飲むことになります。栄養ドリンクや果実ジュースになります。脂っこいスープは抜糸後からになります。

Qいつから仕事ができますか
A話す仕事であれば1ヶ月後から可能です

Q痛みはどのくらいですか
A両顎手術は痛みよりも辛い手術であります。術後唾を飲み込むまたは呼吸をすることが腫れているため大変しづらくなります。このようはことが3日間続きます。

Q血袋を抜くときに痛いのですか
A5秒くらいで除去できます。痛みはありません。

Q輸血は必要ですか
A他の整形手術に比べ出血があります。輸血をすることが一般的です。

Q飛行機はいつから乗れますか
A2週目から乗れます。

Q年があっても手術が受けれますか
A40歳まで可能

Q皮膚はたるみますか
A頬に肉つきがよく弾力が落ちている場合はたるむ確率が高いです。

両顎手術に関しては歯列矯正の質問もたくさんいただいており多くの方が歯列矯正に負担を感じてるようです。韓国に月ごとにくるのも大変であるため日本で矯正治療を受ける方もおります。そのような場合は各病院で診断書とこれからの治療計画を英語で記載した文書をお渡しします。

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