Surgical Orthodontics

What is surgical orthodontics?

Surgical orthodontics is more commonly known as orthognathic surgery. Surgical orthodontics is usually carried out to improve jaw alignment and bite disorders. This surgery requires the teamwork of an oral and maxillofacial surgeon, and an orthodontist.

A patient benefits from surgical orthodontics in multiple ways. The surgery helps in improving a patient’s speaking, chewing, and breathing capabilities. It also greatly improves a patient’s facial appearance.

Who needs surgical orthodontics?

Adult patients with improper bites and facial aesthetic concerns who have reached physical maturity are candidates for orthognathic surgery. Jaw growth is typically completed by age 16 in females and age 18 in males.

It is essential that jaw growth is completed before orthognathic surgery is performed. Pre-surgical tooth movements do not require the condition of full growth of the jaw and can start one to two years earlier.

How does surgical orthodontics work?

In certain cases, treatment with braces may unexpectedly worsen the bite instead of correcting the alignment. For example, during routine orthodontic adjustments, a patient may notice that their bite is becoming worse as their braces move the teeth. If the treatment does not seem effective, Dr. Marc Allen may recommend orthognathic surgery to address the issue.

Orthognathic surgery works by placing the jaws into proper alignment, which allows the teeth to fit correctly in their intended positions. This surgical procedure is typically performed by an oral and maxillofacial surgeon and can take several hours to complete, depending on the patient’s condition.

  • Surgery for the Lower Jaw:
    The jawbone is separated behind the teeth, and the tooth-bearing portion of the jawbone is moved either forward or backward as needed.

  • Surgery for the Upper Jaw:
    The upper jaw can be raised, lowered, repositioned, or moved forward or backward. Some cases may require separating the jaw, adding or removing bone, or making adjustments to achieve stability and proper alignment.

In addition to adjusting the upper and lower jaws, facial bones that support alignment can also be repositioned or augmented to enhance stability and functionality. This ensures that the jaws and teeth work harmoniously together for improved bite alignment and overall facial balance.

How Long is the Post-Surgery Recovery Period?

The recovery period of orthodontic surgery is about two weeks, and the patient will be able to return to school or work after this time period. The surgery will take between 4 and 8 weeks to completely heal. Minor adjustments will be required to be made to the patient’s bite after the surgery.

The removal of braces is usually carried out 6 to 12 months after the surgery. The patient is required to wear a retainer after the braces are removed to maintain the corrected position of the teeth.

Surgical Orthodontics Marc Allen Orthodontics in Huntersville, NC