What Is Orthognathic Surgery?
Orthognathic surgery is a type of corrective jaw procedure used to fix misalignments that cannot be resolved with orthodontics alone. It focuses on repositioning the upper or lower jaw—or both—to achieve better function, comfort, and balance.
Common reasons a patient may be a candidate for orthognathic surgery:
- Difficulty chewing or biting food
- Speech limitations or lisping caused by jaw position
- Jaw pain or strain when opening and closing the mouth
- Breathing concerns, often related to jaw positioning
- Noticeable jaw asymmetry or facial imbalance
This procedure is typically combined with orthodontic treatment. Braces or aligners are used before and after surgery to align the teeth properly, allowing the jaw to function as it should once repositioned.
When Is Surgical Orthodontic Care Necessary?
Not every orthodontic issue can be corrected with braces or aligners alone. Some conditions are rooted in how the jaw has developed and may require a combined approach that includes surgical orthodontic care.
This type of treatment is typically considered when:
- The upper and lower jaws don’t meet properly
- There’s a significant open bite, underbite, or crossbite
- Facial symmetry is affected by jaw positioning
- The jaw structure contributes to sleep issues or airway restriction
- There’s ongoing discomfort in the jaw joint or surrounding muscles
What to Expect During the Process
If jaw surgery becomes part of your orthodontic plan, our team will guide you through every stage of the process. From the initial exam to your final follow-up, each phase is structured for efficiency, safety, and the best possible outcome.
Here’s what the full process typically looks like:
1. Pre-Surgical Orthodontic Treatment
Before surgery, you’ll wear braces or aligners to begin aligning your teeth. This phase ensures your bite will fit correctly after your jaw is repositioned.
2. Digital Planning and Imaging
We use digital scans, 3D modeling, and simulation tools to map out your treatment. This allows for a more precise surgical plan and helps you visualize the expected results before anything begins.
3. Surgical Procedure
Your jaw surgery will be performed by an oral and maxillofacial surgeon. It typically involves repositioning one or both jaws using small titanium plates and screws for stability. Procedures are done under general anesthesia at a hospital or surgical center.
4. Post-Surgery Recovery
Most patients return to normal routines within two to four weeks, depending on the extent of the procedure. We’ll monitor healing and make adjustments as needed.
5. Final Orthodontic Phase
After surgery, you’ll continue orthodontic treatment to fine-tune your bite and finalize tooth alignment.
The Role of Bite Correction Surgery
When orthodontic treatment alone can’t align your bite properly, bite correction surgery becomes a key part of restoring how your teeth and jaws work together. The goal isn’t just to create a better-looking smile—it’s to fix how your bite functions day to day.
Common bite problems addressed with surgery:
- Open bite (front teeth don’t touch when the mouth is closed)
- Underbite (lower jaw extends too far forward)
- Overbite or deep bite (upper teeth significantly overlap lower teeth)
- Crossbite (upper and lower teeth don’t line up side to side)
Left untreated, these issues can lead to jaw joint pain, uneven tooth wear, difficulty chewing, and even speech limitations. By correcting the jaw position surgically and combining it with orthodontic care, we create a stable, balanced bite that performs well and looks natural.
- Patients often report:
- Easier chewing and eating
- Less strain on jaw joints
- Improved facial balance
- Enhanced breathing or sleep in some cases
Bite correction surgery is not for every case, but for those who need it, it offers lasting benefits that go beyond what braces or aligners can achieve on their own.