Surgical Orthodontics
Surgery is sometimes needed to correct a bite in orthodontics, especially in cases where the misalignment of the jaw or teeth is too severe to be corrected with braces or aligners alone. This type of surgery is known as orthognathic surgery or jaw surgery. Some reasons why surgery might be necessary include severe jaw misalignment, facial asymmetry, functional improvement, growth discrepancies, achieving long term stability, treating TMD, or enhancing aesthetic outcomes.
Surgical Orthodontics
FAQS
Surgical orthodontics is usually recommended for patients with severe jaw discrepancies, such as significant overbites, underbites, crossbites, or facial asymmetry that cannot be corrected with braces alone. It may also be necessary for those with functional issues like difficulty chewing, speaking, or breathing.
Surgical orthodontics is typically performed after the patient has stopped growing, usually in late adolescence or early adulthood (around age 16-18 for females and 18-21 for males). This is to ensure that the jawbones have fully developed and will not continue to change shape.
The process generally involves three stages:
- Pre-Surgical Orthodontics: Braces are applied to align the teeth in preparation for surgery. This phase can last 12-18 months.
- Surgery: The actual surgery, which is performed by an oral and maxillofacial surgeon, involves repositioning the jaw(s) to achieve proper alignment. The surgery is usually done under general anesthesia.
- Post-Surgical Orthodontics: After the surgery, the patient continues to wear braces for several months to fine-tune the alignment of the teeth. Retainers are typically used after the braces are removed.
Patients are under general anesthesia during the surgery, so they do not feel pain during the procedure. Post-surgery, some discomfort, swelling, and bruising are common, but pain can be managed with prescribed medications. Most patients feel significant improvement in comfort within a few weeks.
Initial recovery usually takes about 2-4 weeks, during which patients may need to follow a soft or liquid diet and avoid strenuous activities. Full recovery, including complete bone healing, can take several months. Your surgeon will provide specific guidelines for your recovery.
Yes, orthognathic surgery can significantly improve facial aesthetics by correcting jaw alignment and addressing asymmetry. Many patients experience a more balanced and proportionate facial profile after surgery.
The long-term outlook for patients who undergo orthognathic surgery is generally very positive. The surgery can improve both function and aesthetics, leading to better oral health, improved jaw function, and a more balanced facial appearance. Retainers and regular follow-up visits with your orthodontist are essential to maintaining the results.
