In some cases, achieving a healthy, balanced smile requires more than orthodontic treatment alone. Surgical orthodontics, also known as orthognathic surgery, is used to correct jaw irregularities that cannot be treated with braces or clear aligners alone. At Shelly Orthodontics, Dr. Andrew Shelly works closely with experienced oral and maxillofacial surgeons to deliver precise, coordinated care and long-lasting results.
What Is Surgical Orthodontics?
Surgical orthodontics is a combined approach that aligns the teeth and repositions the jaws to improve both function and appearance. While braces move the teeth into proper alignment, jaw surgery corrects the underlying skeletal structure.
This treatment is designed to:
- Improve bite alignment
- Correct jaw positioning
- Enhance facial balance and symmetry
- Improve functions such as chewing, speaking, and breathing
By addressing both teeth and jaw alignment, surgical orthodontics creates stable, long-term results.
Who Is a Candidate for Surgical Orthodontics?
Surgical orthodontics is typically recommended for patients with moderate-to-severe jaw discrepancies that cannot be corrected with orthodontics alone. It is most commonly performed once jaw growth is complete.
You may be a candidate if you have:
- Significant overbite, underbite, or open bite
- Jaw misalignment or facial asymmetry
- Difficulty chewing, speaking, or biting
- Chronic jaw discomfort or tension
- Limited improvement with braces alone
Dr. Shelly will evaluate your condition and determine whether surgical treatment is the best option for your case.
What Is the Process for Surgical Orthodontic Treatment?
Surgical orthodontics is a multi-step process that involves careful planning and coordination between your orthodontist and oral surgeon. Each phase is designed to ensure optimal results.
Phase 1: Pre-Surgical Orthodontics
Braces are placed to align the teeth in preparation for surgery. This phase typically lasts 12 to 24 months and is essential for proper jaw positioning.
Phase 2: Jaw Surgery
An oral and maxillofacial surgeon performs the procedure to reposition the upper and/or lower jaw. The surgery is completed in a hospital or surgical center under anesthesia.
Phase 3: Recovery
Initial recovery usually takes about two weeks, with full healing occurring over several weeks. Most patients can return to normal daily activities after the early healing period.
Phase 4: Post-Surgical Orthodontics
After healing, orthodontic treatment continues to fine-tune your bite and alignment for optimal results.
Phase 5: Retention
Once treatment is complete, retainers are used to maintain your new alignment and ensure long-term stability.
What Are the Benefits of Surgical Orthodontics?
Surgical orthodontics provides both functional and aesthetic improvements that can significantly enhance the quality of life.
Benefits may include:
- Improved bite function and comfort
- Easier chewing and speaking
- Enhanced facial balance and symmetry
- Relief from jaw pain or tension
- Long-lasting correction of complex orthodontic issues
This approach addresses the root cause of the problem, not just the symptoms.
What Should I Expect During My Consultation?
Your consultation is the first step in determining whether surgical orthodontics is right for you. Dr. Shelly will perform a comprehensive evaluation and discuss your goals and concerns.
During your visit, we will:
- Evaluate your teeth, bite, and jaw alignment
- Review diagnostic records and imaging
- Discuss whether surgery is recommended
- Explain the treatment process and timeline
Our goal is to provide a clear understanding of your options so you can make an informed decision.
Frequently Asked Questions
Surgical orthodontics is a more advanced form of treatment, and it’s natural to have questions about the process.
Is Jaw Surgery Safe?
Yes. Orthognathic surgery is a well-established and carefully planned procedure performed by experienced oral and maxillofacial surgeons. Your care team works together to ensure safety and successful outcomes.
Will I Be Without Braces During Surgery?
No. Braces remain in place during surgery to help guide the positioning of your teeth and jaws.
How Long Is the Total Treatment Time?
Total treatment time typically ranges from 18 to 30 months, depending on the complexity of your case and the phases involved.
Will Surgery Change My Appearance?
Yes, but in a positive and balanced way. Surgical orthodontics improves facial harmony by aligning the jaws properly, often enhancing your overall profile.
When Can I Return to Normal Activities?
Most patients return to daily activities within a couple of weeks, with full healing continuing over several weeks. Your surgeon will provide detailed recovery guidelines.