Surgical Orthodontics

What is surgical orthodontics?

Just as orthodontics repositions teeth, surgical orthodontics (also known as orthognathic surgery) corrects jaw irregularities to improve the patient's ability to chew, speak, and breathe. It also improves facial appearance. In other words, surgical orthodontics straightens your jaw. Moving the jaws also moves the teeth, so braces are always applied in conjunction with jaw correction. This helps to make sure teeth are in their proper positions after surgery.

Who needs surgical orthodontics?

Your orthodontist will consider surgical orthodontic treatment for non-growing adult patients with improper bites as well as those concerned with facial aesthetics. Jaw growth is usually finished by age 16 for girls and 18 for boys. All growth must be completed before jaw surgery can be performed. However, the pre-surgical tooth movements can begin one to two years prior to these ages.

How does it work?

During your orthodontic treatment, which usually lasts six to 18 months, you wear braces and visit your orthodontist for scheduled adjustments to them. As your teeth move with the braces, you may think your bite is getting worse rather than better. However, when your jaws are placed into proper alignment during orthognathic surgery, the teeth will then fit into their proper positions.

Surgery is performed in the hospital with an oral surgeon, and can take several hours, depending on the amount and type of surgery needed. In lower jaw surgery, the jawbone behind the teeth is separated and the tooth-bearing portion moved forward or backward, as needed. In upper jaw surgery, the jaw can be repositioned forward or backward, or the jaw can be raised or lowered. Certain movements may require the jaws to be separated, with bone added or removed to achieve the proper alignment and stability. Other facial bones that contribute to alignment may also be repositioned or augmented.

When you have completed surgery, you should be able to return to school or work within two weeks. After the necessary healing time (about four to eight weeks), your orthodontist "fine-tunes" your bite. In most cases, braces are removed within six to 12 months following surgery. After your braces are removed, you will wear a retainer to maintain your beautiful new smile.