We know that the purpose of braces is to reposition teeth to their proper alignment. The same goes for orthognathic surgery (surgical orthodontics). Its purpose is to correct irregularities and align the jaw(s), which will greatly improve the patient’s speech, breathing, facial appearance and ability to chew. By moving your jaw, your teeth will be moving as well. This is why orthognathic surgery and orthodontics work in conjunction with each other, for you to achieve the perfect smile!
Do I need Surgical Orthodontics?
Orthognathic surgery is not necessary for many patients, but will be considered for those non-growing adult patients, with improper bites and aesthetic concerns. The growth period in girls usually lasts up until they are 16 years of age and for boys, until they are 18 years of age. Before any surgery can be performed, the jaw must be fully grown.
How Does the Surgery Work?
The surgery is performed by an oral surgeon as an in-patient at a hospital. These days there is NO “wiring the mouth shut” but rather there are special titanium plates and screws that hold the bones together in their proper balanced positions. For lower jaw surgery, the jawbone behind the teeth is separated and the tooth-bearing portion is moved forward or backward, as needed. In upper jaw surgery, the jaw may be shifted backwards or forwards, or the jaw can be lowered or raised. Certain movements may require the jaws to be separated, with bone added/removed to achieve the proper alignment and stability. Other facial bones that contribute to alignment may also be repositioned or augmented. When you have completed surgery, your mouth and jaw will need to heal for about 4-8 weeks. You should be able to go back to school and/or work within just a few weeks. After this time, your orthodontist will work to fine-tune your bite. After your braces are removed, you will wear a retainer to maintain your beautiful new smile.