Surgery

Poor alignment of the jaw and teeth can cause many problems, including an uneven smile. Misalignment may affect breathing, chewing, and speaking. While braces and clear aligners help with many bite problems, they sometimes cannot achieve the desired results. Surgical orthodontics, also known as orthognathic surgery, combines orthodontic treatment with corrective jaw surgery to reposition both the teeth and underlying bones, helping restore function and facial balance for severe jaw issues.

When Do You Need Jaw Surgery?

Adults whose jaws have stopped developing, typically in their late teens, may be candidates for surgical orthodontics. Surgery may be recommended if you have:

  • An obvious overbite or underbite that braces alone cannot fix
  • An open bite where upper and lower teeth do not touch when the mouth is closed
  • Crossbites or misaligned jaw connections
  • Facial asymmetry due to jaw placement
  • Functional issues such as jaw pain, trouble speaking, or difficulty chewing
  • Obstructive sleep apnea related to jaw anatomy

In these cases, the issue is not only with teeth alignment but also with the position of the jawbones.

How the Process Works

1. Preparing the Teeth

Before surgery, braces or aligners are used to move teeth so they will fit correctly after jaw repositioning. This step may take several months to over a year, depending on the complexity of the case.

2. Surgical Stage

The surgery is performed in a hospital under general anesthesia. It may involve moving the upper jaw, lower jaw, or both. Wires, screws, or small plates are used to stabilize the bones. Surgery typically lasts 2 to 5 hours.

3. Recovery

Most patients stay in the hospital for 1 to 3 days. Initial recovery may involve pain, swelling, and a limited diet. Many return to work or school within a few weeks, though full recovery may take several months.

4. Final Orthodontic Adjustments

Once the jaw has healed, your orthodontist will make final adjustments to ensure your bite is stable and provides the best long-term results.

Why Consider Jaw Surgery?

  • Improved Bite Function: Easier talking, eating, and breathing
  • Facial Harmony: Balanced and symmetrical facial appearance
  • Oral Health Benefits: Straight teeth are easier to clean, reducing risk of cavities and gum disease
  • Pain Relief: Reduction of jaw joint discomfort and headaches
  • Better Breathing: Can help alleviate sleep apnea symptoms in some cases

Can It Be Done Without Surgery?

If the jaw is only slightly misaligned or primarily a teeth issue, braces, clear aligners, or functional appliances may be sufficient. Only a comprehensive evaluation can determine the best course of action.

What to Expect at Your Consultation

Your orthodontist and surgeon will collaborate to assess your needs. The evaluation may include:

  • Digital scans and X-rays to examine jaw bones
  • Bite analysis to assess jaw function
  • Photographs and models to plan treatment
  • A treatment plan outlining steps, timeline, and costs

You will also discuss whether your goals are functional, aesthetic, or both.

Recovery Process

Full recovery from orthognathic surgery takes time and effort. Patients typically:

  • Eat soft foods for the first few weeks
  • Maintain oral care even with braces
  • Attend follow-up appointments to monitor progress
  • Gradually resume normal activities as advised by the surgeon

While initial recovery is relatively short, the full process may take 12 to 18 months.

Debunking Common Myths

  • "It's only for looks." – Many patients need surgery for functional issues.
  • "Recovery is too difficult." – Modern pain management makes recovery manageable.
  • "It's not safe." – Surgery performed by an experienced team has a high success rate.

Who Is a Good Candidate?

  • Serious bite or jaw alignment problems
  • Generally good overall health
  • Understanding of the time commitment required
  • Motivation to complete the treatment plan

Next Steps

Jaw surgery is a significant decision but can improve confidence, comfort, and oral health. If orthodontics alone cannot fix your bite, consult a qualified orthodontist and surgeon to explore your options.

Final Thoughts

Surgical orthodontics addresses both aesthetic and functional concerns. Proper alignment of the jaw and teeth can enhance comfort, health, and appearance, giving you a smile you can be proud of.

📞 Thinking about correcting your jaw or bite? Call us today to schedule a consultation and see if surgical orthodontics is right for you. A healthier, more functional smile may be closer than you think.