Surgical Orthodontics

Surgical orthodontics, also called orthognathic surgery, is used to correct severe bite problems and jaw discrepancies that cannot be fixed with braces alone. This treatment combines the expertise of your orthodontist and an oral and maxillofacial surgeon to align both the teeth and the jaws for long-term function, comfort, and facial balance.

When Is Surgical Orthodontics Needed?

Surgical orthodontics is typically recommended for adults whose jaws have finished growing. Severe bite issues such as open bites, underbites, overbites, or jaw misalignment may require surgery to properly correct the foundation before orthodontic treatment can fine-tune the bite.

Jaw growth is usually complete by:

• Age 18 for females

• Ages 20–21 for males

If the upper and lower jaws do not meet correctly, braces alone cannot create a healthy bite, making orthognathic surgery the most effective solution.

How Do I Know If I Need Orthognathic Surgery?

During your evaluation, your orthodontist will determine whether jaw surgery is necessary based on:

• Your bite relationship

• Jaw growth and alignment

• Facial balance and function

If your case can be corrected with braces or aligners alone, surgery will not be recommended.

How Orthognathic Surgery Works

If surgery is needed, your orthodontist and an oral surgeon will work together on a detailed treatment plan. Here’s what to expect:

1. Pre-Surgical Orthodontics: Braces are worn first to align the teeth in preparation for surgery.

2. Surgery: Performed by an oral and maxillofacial surgeon in a hospital setting. Surgery typically lasts several hours depending on the complexity.

3. Recovery: Most patients need about two weeks of rest following surgery.

4. Post-Surgical Orthodontics: After healing, braces remain on for 6–12 months so your orthodontist can fine-tune the bite.

5. Retention: After braces are removed, a retainer will maintain your new smile.

Risks of Surgical Orthodontics

Like any major procedure, orthognathic surgery carries some risks. Your oral surgeon will explain these in detail and review your medical history to ensure the safest possible experience. This procedure has been performed safely for many years and is widely considered predictable and effective.

Benefits of Surgical Orthodontics

Patients who undergo jaw surgery experience life-changing improvements, including:

• Corrected bite function

• Better chewing and speaking ability

• Improved facial balance

• Reduced jaw discomfort

• A healthier, more stable smile

• Long-term confidence and improved oral health