Who needs surgical orthodontics?

Surgical orthodontic treatment will be considered for non-growing adult patients with improper bites and those with non-esthetic facial concerns.  Jaw growth is usually completed by age 16 for females and age 18 to 20 for males.  All growth must be completed before jaw surgery can be performed, but pre-surgical tooth movements can begin one to two years prior to these ages.

What is involved in orthodontic surgery?

During the orthodontic phase of your treatment, the teeth are aligned within the jaws. The next step is the surgical portion of treatment, in which the now straight teeth are made to mesh with one another by moving the jaws into their proper position.  Surgery is performed in a hospital by an oral surgeon.  In lower jaw surgery, the jawbone behind the teeth is separated and the tooth-bearing portion is 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 proper alignment and stability.  Other facial bones which contribute to alignment may also be repositioned or augmented.

You should be able to return to school or work within two weeks after having orthodontic surgery.  After a healing time of approximately four to eight weeks, you will return to our office so we can “fine tune” your bite.  In most cases, braces are removed within six to twelve months following surgery.  After your braces are removed, you will wear a retainer to maintain your new smile.