Learn about mandibular depression treatment options

Treatment of lower jaw depression is an urgent desire for many because of the difficulties in chewing and sleeping, and we have many treatment options available in Turkey that you can learn about.  

What is lower jaw retraction?

Retrognathia, also known as retrognathia, is a condition in which the lower jaw has abnormally occluded back more than the upper jaw, making it look like you have a deep bite.

The difference in the protrusion of the lower and upper jaw is often noticeable only when viewed from the side.

Lower jaw depression can be a difficult condition to manage physically. It may affect your ability to sleep or eat properly. You may also find that the condition affects your self-esteem or confidence because the condition is visually noticeable.

What are the causes of lower jaw retraction?

In most cases, the cause is genetic and develops in other cases later in life with the growth of the jaws when the lower jaw does not grow sufficiently or the upper jaw overgrowth, or a combination of both, if the condition is mild that may not be noticed early.

The condition may also be exacerbated by environmental factors such as finger sucking, allergies, impaired respiratory function, atypical swallowing, or chronic mouth breathing. There may be other factors for retraction of the jaw such as a retracted chin or it may be a purely dental problem.

Here are the other most common causes of lower jaw retraction:

Pierre Robin syndrome

This condition affects both the jaw and the tongue, and leads to obstruction of the airways.

small halves

A pathological problem in which only one side of the lower part of the face grows without the other part growing completely and is underdeveloped.

Nager syndrome

This rare condition affects the jaw and cheeks, as well as the development of the hands and arms.

Treacher Collins syndrome

This condition affects various bones in the face, including the jaw.

Tumor removal surgery

can perform tumor removal In the mouth to defects that change the shape of the lower jaw, which leads to the jaw retraction.

Facial injuries or fractures

If the child has been exposed to physical trauma or facial fractures This may cause his jaw to not develop properly.

What complications can occur due to lower jaw retraction?

If you have mandibular depression, this may affect the occlusion and prevent you from eating or sleeping comfortably. You may also experience severe jaw pain.

A child with a receding jaw may have trouble feeding or using a bottle, and with age, teeth may become misaligned, crowded or misaligned teeth.

This irregular position of the teeth can make it difficult to cut and chew food, and symptoms of temporomandibular joint disorder (TMJ) may occur. This condition causes muscle pain and spasms.

You may have difficulty breathing, especially when sleeping, because the lower jaw is positioned backwards, and the tongue may restrict the airway, which can cause snoring or sleep apnea. Sleep apnea causes breathing to stop several times each night, often without realizing it.

How is lower jaw retraction treated?

There are several options, as treatment methods for mandibular depression depend on the severity of the condition. Some cases are left and do not need surgery or any kind of treatment.

Before and after treatment of mandibular depression
Before and after treatment of mandibular depression

Treatment of mandibular depression in newborns

If a child is born with the condition, he or she will likely undergo a physical evaluation that will help the doctor determine how to treat his mandibular depression.

First the baby's breathing is monitored in the NICU N/IICU and X-rays are taken and the baby may then have a sleep examination.

If a child has been diagnosed with obstructive sleep apnea, the plastic surgery and pulmonary departments will likely see if the child can undergo surgical treatment to correct the condition while in the hospital.

BSSO bilateral sagittal ostomy and dispersal osteosynthesis are the most common surgical procedures.

BSSO . Bilateral sagittal ostomy

Mandibular depression treatment with BSSO surgery in Turkey

During this surgery the lower jaw is carefully cut from both sides and moved forward to the ideal position and then held in place with metal plates.

Dispersed bone formation process

For dispersal osteogenesis surgery, a special device is placed inside the jawbone with an attachment placed either inside or outside the mouth. The device is activated to stimulate the formation of new bone.

Once the child has fully recovered from the operation, he is usually able to eat and chew normally.

Dispersed osteosynthesis surgery may be the best solution the ideal solution Because there is less blood loss and less nerve injury.

Treatment of mandibular depression in children and adolescents

orthodontic treatment

Orthodontic treatment of mandibular depression in Istanbul

When lower jaw retraction is mild, it may not be noticed until early childhood. In this case, the child can often be treated withOral and dental braces To modify the growth of the jaws and improve the alignment of the teeth.


Special headgear can make the upper jaw grow slower so that the upper and lower jaws are proportional, functional devices can also promote the growth of the lower jaw by making the lower jaw in an anterior position.

Treatment of lower jaw retraction with head covering orthotics in Turkey

These types of devices used to push the lower jaw forward have also been shown to help treat sleep apnea.

Orthognathic surgery

done with orthodontic surgery The face is also the use of biomechanical treatment before or after surgery, such as orthotics to change the relationship between the jaws and muscle activity to influence jaw growth.

genetic orthopedic surgery

Genetic orthopedic surgery is an emerging field investigating the role of genes that regulate the development of facial and jaw size. Treatment is used during times of growth leaps to turn genes on and off. Treatment typically includes dental appliances that are worn to help reposition and modulate jaw growth.

Correction of the position of the upper and lower jaw

In adolescence or adulthood, patients may need MMA if they still have mandibular retraction or progression of the maxilla once it has stopped growing.

During an MMA procedure, both the upper and lower jaws are positioned, patients will often need orthodontics prior to this surgery.


If you have mandibular retraction, your condition will likely be treated by more than one doctor at different stages of development.

While you likely won't need treatment if your condition is mild, you may need treatments orthodontics or Surgery Or both surgery and orthotics if your condition is severe.

Surgery such as dispersal osteogenesis can cause more bone to grow in the lower jaw and treat airway obstruction in children born with a retracted lower jaw.

After the surgery, there may be a small amount of relapse and the lower jaw will return a little to its previous position, but with this, the procedure is able to improve the condition to a great extent.

As for adolescents or adults with jaw retraction, they can also benefit from surgery such as MMA, which can help beautify the appearance and treat sleep apnea if they have it. Orthotics can also lengthen the lower jaw.

If you are looking for mandibular depression treatment, you can speak with a specialist doctor to get more information because each case is unique, the doctor can assess the poor condition, diagnosis and treatment according to your needs, Bimaristan Medical Center is your first choice for treatment in Turkey, you can contact us.


  1. Pan Orthodontics
  2. healthline
  3. HealthJade

Frequently Asked Questions:

Yes, as the treatment of lower jaw retraction depends on the degree of jaw retraction, there are cases that do not need correction surgery.

Treatment for mandibular retraction usually includes braces, braces, devices or surgery. In minor retractions, treatment is not needed.

If you have a sagging jaw and chin, this may prevent you from eating or sleeping comfortably. You may also suffer from severe jaw pain and TMJ problems.

Because not treating the jaw retraction can affect the patient’s vocal and chewing abilities and may lead to jaw joint problems, sleep problems and snoring, and some people with this condition affect their self-esteem or their level of self-confidence because the condition is visually noticeable.

If you are planning for treatment in Turkey
you can talk to us here.