Orthodontic care is often associated with braces, aligners, and the gradual adjustment of teeth. But for some, these conventional treatments may not be enough to resolve more complex dental issues. In these cases, surgical orthodontics—also known as orthognathic surgery—becomes necessary. But how do you know if you or someone you love needs this specialized treatment?

What is Orthodontic Surgery?

It involves a combination of orthodontics and corrective jaw surgery. This approach corrects severe cases of misalignment, skeletal irregularities, or structural problems that braces or other non-invasive methods cannot do alone.

Orthognathic surgery focuses on the bones of the jaw and face, correcting alignment issues to improve both function and appearance. The goal is not only to align the teeth but also to reposition the jaw, allowing for a balanced bite and better overall oral health.

Who Needs Surgical Treatment?

While most people are able to correct dental misalignment with braces or clear aligners, certain conditions require a more advanced approach. Here are some of the key indicators that a person may need to undergo surgery:

Severe Malocclusion

Malocclusion, or improper bite alignment, is one of the most common reasons people seek orthodontic care. However, in extreme cases where the upper and lower jaws are misaligned, surgery may be necessary. This condition can manifest as:

Underbite: The lower jaw protrudes forward, causing the lower teeth to sit in front of the upper teeth.
Overbite: The upper jaw extends too far, causing the upper teeth to cover the lower teeth significantly.

These conditions are not just cosmetic issues—they can also lead to difficulties in chewing, speaking, and even breathing.

Jaw Growth Discrepancies

Sometimes, the upper and lower jaws do not grow at the same rate. When this happens, it can result in a significant imbalance between the two. In some cases where orthodontic appliances alone won’t fix the problem, surgery intervenes to move the jaws into proper alignment.

Sleep Apnea and Breathing Issues

Sleep apnea is a serious condition where breathing repeatedly stops and starts during sleep. While it is often associated with lifestyle factors like weight, in some cases, it is caused by skeletal problems in the jaw or airway. For patients with skeletal-related sleep apnea, jaw surgery can open up the airway, improving sleep quality and reducing health risks associated with the condition.

According to the American Association of Orthodontists (AAO), nearly 50-70% of adults with sleep apnea have jaw misalignment that contributes to the issue. Surgical procedure could help relieve this issue by repositioning the jaw, making it easier to breathe during sleep.

Facial Asymmetry

Facial symmetry is not just about aesthetics. Severe asymmetry can lead to functional issues, like difficulties with chewing, talking, or even breathing. When the jaw is significantly misaligned, it can cause the face to look unbalanced, and this structural issue might need surgical correction for both appearance and function.

Chronic Jaw Pain (TMJ Disorders)

Chronic jaw pain, known as Temporomandibular Joint Disorder (TMJ), is another condition that might necessitate surgical intervention. If left untreated, TMJ can lead to persistent discomfort, headaches, and even difficulties with everyday activities like chewing or yawning. For severe cases where therapy or splints aren’t effective, surgery can provide lasting relief by correcting the jaw alignment.

When is Surgical Orthodontics Recommended?

Orthodontists and oral surgeons recommend surgery only when necessary. Typically, this procedure is reserved for adults, as jawbones stop growing during late adolescence. For children and teenagers, braces and other less-invasive treatments are generally preferred.

Cases when surgery is recommend:

Braces or aligners alone correct the patient’s bite.
There is a jaw discrepancy that affects facial symmetry and function.
The patient has ongoing pain or breathing issues related to jaw misalignment.

Combining Braces with Surgery

Most patients undergoing surgery will wear braces or aligners both before and after the surgery. The professional will typically use these appliances to move the teeth into a position that allows for the best surgical outcome. After surgery, braces will remain in place for a few months to ensure proper healing and alignment.

What to Expect from the Procedure

This process generally takes a few hours and is performed under general anesthesia. Post-surgery, patients can expect to take a few weeks off from work or school to recover, during which time they may experience swelling, discomfort, and temporary changes in speech or eating habits. However, with proper care and follow-up appointments, most patients see significant improvements in both function and appearance.

According to research, about 90% of patients undergoing surgical orthodontics report satisfaction with the results, as the surgery often leads to improved facial symmetry, better chewing function, and reduced jaw pain.

Is it Right for You?

While the thought of surgery may seem daunting, it’s important to remember that for many patients, it offers a life-changing solution. The benefits are not just cosmetic. They also improve daily functions like eating, speaking, and breathing. It’s essential to consult with an orthodontist or oral surgeon to assess your specific condition and determine if this treatment is the right option for you.

Conclusion

This treatment is a specialized approach for patients with severe bite misalignments, jaw growth discrepancies, or conditions like sleep apnea. By combining orthodontic treatment with jaw surgery, patients can achieve both functional and aesthetic improvements that positively impact their quality of life.

If you think you might need surgical orthodontics or want to learn more, schedule a consultation with Bateman Orthodontics. Our team specializes in advanced treatments and is committed to helping you achieve a healthy, balanced smile. Contact us today to book your appointment in our Brockport or Rochester office and begin your journey to better oral health!