Surgical orthodontics, also known as orthognathic surgery, is a specialized treatment designed to address jaw alignment and bite disorders. This procedure involves collaboration between an oral and maxillofacial surgeon and an orthodontist, offering multiple benefits, including:
- Improved speaking, chewing, and breathing capabilities
- Enhanced facial appearance and aesthetics
Who Needs Surgical Orthodontics?
Orthognathic surgery is suitable for adult patients who:
- Have improper bites or facial aesthetic concerns
- Have completed their physical growth (typically by age 16 for females and 18 for males)
While jaw growth must be complete before surgery, pre-surgical orthodontic treatment (such as braces) can begin 1-2 years earlier to prepare the teeth and jaw for the procedure.
How Does Surgical Orthodontics Work?
In some cases, traditional braces may worsen the bite instead of correcting it. During orthodontic treatment, if braces fail to achieve the desired alignment, Dr. Dan Pennella may recommend orthognathic surgery.
What Happens During Surgery?
Orthognathic surgery aligns the jaws properly, allowing the teeth to fit together in the correct position. The specifics of the procedure depend on the patient’s condition and may take several hours. Here’s how it works:
- Lower Jaw Surgery: The jawbone behind the teeth is separated, and the tooth-bearing portion is moved forward or backward as needed.
- Upper Jaw Surgery: The upper jaw can be repositioned by raising, lowering, or moving it forward or backward.
- Complex Adjustments: Some cases involve separating the jaws, adding or removing bone for stability, and repositioning or augmenting facial bones to achieve proper alignment.
Orthognathic surgery is performed by an experienced oral and maxillofacial surgeon, ensuring precision and optimal outcomes.
Post-Surgery Recovery
Recovery from orthognathic surgery is typically straightforward, but it’s important to follow your care team’s guidance. Here’s what to expect:
- Initial Recovery: Most patients recover enough to return to work or school within two weeks.
- Complete Healing: Full healing generally takes 4 to 8 weeks.
- Orthodontic Adjustments: Your orthodontist will make minor adjustments to your bite after surgery.
- Braces Removal: Braces are usually removed 6 to 12 months post-surgery once the teeth and jaw are fully stabilized.
- Retainer Use: After braces are removed, wearing a retainer is necessary to maintain the corrected position of your teeth.
