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Surgical Orthodontics

What is Surgical Orthodontics?

Surgical orthodontics, also known as orthognathic surgery, is a specialized treatment aimed at correcting jaw alignment and bite disorders. This procedure requires collaboration between an oral and maxillofacial surgeon and an orthodontist. Beyond improving jaw function—such as speaking, chewing, and breathing—surgical orthodontics also enhances overall facial appearance and aesthetics.

Who Needs Surgical Orthodontics?

Orthognathic surgery is recommended for adult patients with improper bites or facial aesthetic concerns who have completed their physical growth. Typically, jaw growth concludes by ages 16-18 in females and 18-21 in males. It’s crucial that jaw growth is complete before undergoing surgery. However, pre-surgical orthodontic treatments, like braces or clear aligners, can begin earlier—sometimes as early as 14-15 years of age. During your consultation, Dr. Jacob Zitterkopf will determine if you are a candidate for this procedure.

How Does Surgical Orthodontics Work?

Surgical orthodontics typically involves three stages:

  1. Pre-surgical Orthodontics: This stage involves the use of braces or clear aligners to prepare the teeth for surgery. In some cases, this may temporarily worsen the bite as the alignment is adjusted in preparation for the procedure.

  2. Orthognathic Surgery: Performed by an oral surgeon, this procedure involves repositioning one or both jaws to achieve proper alignment and balance. Advanced 3-D software is often used to plan the surgery in detail.

  3. Post-surgical Orthodontics: After surgery, the orthodontist will continue to adjust the teeth using braces or aligners to fine-tune the bite.

How Long is the Post-Surgery Recovery Period?

Recovery from orthognathic surgery typically takes about 2 weeks, after which most patients can return to school or work. Full healing generally occurs within 6-8 weeks. Following surgery, minor adjustments to the bite may be necessary, and braces or aligners are usually removed 6 to 12 months later. As with any orthodontic treatment, wearing a retainer after the removal of braces is essential to maintain the corrected position of the teeth.