Surgical Orthodontics for Improving Jaw Alignment and Facial Balance
When braces alone aren’t enough to correct bite or jaw alignment, surgical orthodontics, also known as orthognathic surgery, can help. This advanced treatment combines orthodontic care with oral surgery to improve the function and aesthetics of the face and smile.
What Is Surgical Orthodontics?
Surgical orthodontics refers to corrective jaw surgery that realigns the jaws and teeth to improve chewing, speaking, breathing, and overall facial symmetry. It’s often recommended when jaw misalignment is too severe to be corrected by braces alone.
This treatment involves collaboration between your Dr. Frederick Sacramone and an oral and maxillofacial surgeon, ensuring a comprehensive and customized approach to your care.
Benefits of Orthognathic Surgery
Corrects bite problems (open bite, underbite, overbite)
Improves the ability to chew and speak
Enhances facial aesthetics and symmetry
Alleviates sleep apnea or breathing issues caused by jaw positioning
Who Is a Candidate for Jaw Surgery?
Orthognathic surgery is typically recommended for adult patients who:
Have finished growing (jaw growth is complete—around age 16 for females and 18 for males)
Have significant jaw misalignment or bite problems
Experience functional or aesthetic concerns related to their jaw position
Orthodontic Preparation
Braces or other appliances may be used before surgery to begin aligning the teeth, even before jaw growth is fully complete. These pre-surgical movements help ensure the most stable and functional results after surgery.
How Does Surgical Orthodontics Work?
Sometimes, during orthodontic treatment, braces can improve tooth alignment but make bite issues more noticeable; this is often a sign that jaw correction is needed.
In these cases, Dr. Sacramone may recommend orthognathic surgery to reposition the jaws into better alignment. The surgeon will carefully adjust the upper jaw, lower jaw, or both, depending on your unique anatomy.
Surgical Techniques May Include
Lower jaw (mandibular) surgery – Repositions the lower jaw forward or backward by cutting and realigning the bone behind the teeth.
Upper jaw (maxillary) surgery – Raises, lowers, or moves the upper jaw forward or backward, often requiring bone grafting or reshaping.
Facial bone adjustments – In some cases, cheekbones or other facial structures may be repositioned for balance and stability.
What to Expect After Surgery
Recovery Timeline:
Initial recovery: 1–2 weeks (most patients can return to school or work during this period)
Full healing: 4–8 weeks
Post-surgery orthodontics: Dr. Sacramone will make final adjustments with braces
Braces removal: Usually occurs 6–12 months after surgery
Retainer wear: Required after braces to maintain your new smile
Dr. Sacramone will monitor healing and ensure everything is progressing properly throughout this period.
Ready to Learn More?
Orthognathic surgery can dramatically improve your quality of life by correcting bite issues and creating a more balanced facial profile. If you’re experiencing functional challenges or have concerns about jaw alignment, we’re here to help you explore your options.
Contact our office today to schedule a consultation and find out if surgical orthodontics is right for you.