Surgical orthodontics, also known as orthognathic surgery, is a specialized treatment used to correct significant jaw and bite misalignment that cannot be resolved with braces alone. When the jaws do not align properly, it can affect chewing, speaking, breathing, facial balance, and long-term oral health. Combining orthodontic treatment with surgery allows for improved function, stability, and facial harmony.
At Green-Barr Orthodontics, Dr. Patrick Barr and Dr. Bryan Green use advanced digital imaging and detailed treatment planning to evaluate jaw alignment and determine whether surgical orthodontics is the most effective option. Our goal is to provide clear guidance and predictable outcomes for patients with complex skeletal concerns.
Who Is a Candidate for Surgical Orthodontics?
Surgical orthodontics is typically recommended for adults whose jaw growth is complete and who have significant bite or facial alignment issues. Jaw growth usually finishes around age 16 for females and age 18 for males.
While the surgery itself is performed after growth is complete, orthodontic preparation often begins one to two years beforehand. This coordinated approach ensures the teeth are properly positioned so the jaws can be aligned accurately during surgery.
How Does Surgical Orthodontic Treatment Work?
In some cases, braces alone cannot fully correct the bite and may temporarily make alignment appear worse as the teeth are prepared for surgery. This is a normal part of treatment planning.
Orthognathic surgery is performed by an oral and maxillofacial surgeon and may involve repositioning the upper jaw, lower jaw, or both. The jaws may be moved forward, backward, raised, lowered, or reshaped to improve function and balance. Once surgery is complete, orthodontic treatment continues to fine-tune the bite and ensure long-term stability.
What Is Recovery Like After Orthognathic Surgery?
Recovery occurs in stages and varies by individual, but most patients experience a predictable and manageable healing process.
Initial recovery typically allows a return to work or school within two weeks
Full healing usually occurs over four to eight weeks
Minor bite adjustments may be made during healing
Braces are generally removed six to twelve months after surgery
A retainer is worn afterward to maintain long-term results
Our team provides clear guidance and ongoing support throughout each phase of recovery.
Is Surgical Orthodontics Always Necessary?
Not every orthodontic concern requires surgery. Many alignment and bite issues can be corrected with non-surgical orthodontic treatment. Surgical orthodontics is recommended only when it provides the most stable and effective solution.
A comprehensive evaluation at Green-Barr Orthodontics allows our doctors to determine whether surgical treatment is appropriate and to explain all available options clearly.
Frequently Asked Questions
Patients considering surgical orthodontics often have questions about what to expect. Below are answers to common concerns not already covered above.
Will Surgical Orthodontics Change My Facial Appearance?
Surgical orthodontics often improves facial balance and symmetry while maintaining a natural appearance.
Will I Need Braces Before and After Surgery?
Most patients require orthodontic treatment both before and after surgery to properly align the teeth and stabilize results.
How Long Does the Full Treatment Process Take?
From orthodontic preparation through final retainer wear, treatment may take two to three years depending on complexity.
Is Orthognathic Surgery Painful?
Discomfort is managed with medication and typically improves significantly within the first few weeks of recovery.
Can Surgical Orthodontics Improve Breathing or Speech?
In some cases, correcting jaw alignment can positively affect airway function, breathing, and speech clarity.