Surgical orthodontics, also known as orthognathic surgery, is used to correct complex bite and jaw alignment issues that cannot be treated with braces or aligners alone. At Nord Orthodontics, Dr. Scott Nord carefully evaluates jaw position, bite function, and facial balance to determine when surgical orthodontics may be necessary.
When surgery is part of the treatment plan, Dr. Scott Nord works closely with a trusted oral and maxillofacial surgeon to coordinate care. This collaborative approach ensures the teeth and jaws are aligned properly for long-term function, comfort, and a stable, healthy smile.
When Is Surgical Orthodontics Recommended?
Surgical orthodontics is most often recommended for adults whose jaw growth is complete and who have significant jaw discrepancies that cannot be corrected with orthodontics alone.
Common reasons surgical orthodontics may be advised include:
- Severe overbites, underbites, or open bites
- Jaw asymmetry or misalignment
- Difficulty chewing, speaking, or breathing due to jaw position
- Facial imbalance related to jaw structure
- Bite problems that relapse or cannot be fully corrected with braces alone
Because jaw growth typically finishes in the mid-to-late teen years, surgical orthodontics is generally planned after growth is complete.
How Do I Know If I Need Orthognathic Surgery?
Not every patient with a bite issue needs surgery. A comprehensive orthodontic evaluation allows your orthodontist to assess jaw position, bite function, and facial balance.
If orthodontic treatment alone cannot achieve a healthy bite or stable results, surgical orthodontics may be discussed as part of your overall treatment plan. Your orthodontist will explain all options clearly so you can make an informed decision.
How Does Orthognathic Surgery Work?
Orthognathic surgery is performed by a board-certified oral and maxillofacial surgeon in a hospital setting. The procedure is carefully planned using imaging, models, and digital simulations.
In most cases, treatment follows this general sequence:
- Orthodontic treatment begins to align the teeth
- Jaw surgery is performed to correct alignment
- A healing period of approximately two weeks follows surgery
- Orthodontic treatment continues to fine-tune the bite
- Braces are typically removed within 6 to 12 months after surgery
- Retainers are worn to maintain long-term results
Your orthodontist remains involved throughout the entire process to ensure proper coordination and outcome.
Understanding Risks and Considerations
As with any surgical procedure, orthognathic surgery carries certain risks. However, it is a well-established treatment that has been successfully performed for decades.
Your care team will review all risks, benefits, and expectations with you in advance. Questions and concerns are always encouraged, and your comfort and understanding are a priority throughout treatment.
What Are the Benefits of Surgical Orthodontics?
For patients who need it, surgical orthodontics can provide life-changing improvements in both function and appearance. Benefits may include:
- A balanced, comfortable bite
- Improved chewing and speech
- Enhanced facial harmony
- Long-term stability of orthodontic results
- Increased confidence and overall quality of life
Frequently Asked Questions
Considering surgical orthodontics can bring up a lot of questions. The answers below address some of the most common concerns patients have about orthognathic surgery
When Is Surgical Orthodontics Recommended?
Surgical orthodontics is typically recommended for adults with significant jaw alignment issues that cannot be corrected with braces or aligners alone once growth is complete.
How Do I Know If I Need Orthognathic Surgery?
An orthodontic evaluation can determine whether jaw surgery is necessary based on bite function, facial balance, and overall jaw alignment.
Who Is Involved in Orthognathic Surgery Treatment?
Orthognathic surgery is performed by an oral and maxillofacial surgeon who works closely with your orthodontist to coordinate care before, during, and after surgery for the best possible outcome.
How Long Is Recovery After Jaw Surgery?
Initial recovery usually takes about two weeks, though complete healing continues over several months while orthodontic treatment fine-tunes the bite.
Will I Still Need Braces After Surgery?
Yes. Braces are typically worn after surgery to finalize tooth positioning and ensure a stable, long-lasting result.
