Surgical Orthodontics
In some cases, achieving a healthy, balanced smile requires more than braces or clear aligners alone. Surgical orthodontics, also known as orthognathic surgery, is used to correct jaw irregularities that affect bite, function, and facial balance. At Bernhardt & Smith Orthodontics, Dr. Melissa Bernhardt and Dr. Blair Smith work closely with experienced oral and maxillofacial surgeons to provide comprehensive, coordinated care.
What Is Surgical Orthodontics?
Surgical orthodontics is a specialized treatment that combines orthodontic care with jaw surgery to correct more complex bite and alignment issues. While braces move the teeth into position, surgery repositions the jaws so everything fits together properly.
This approach helps improve:
- Bite alignment and function
- Jaw positioning
- Facial symmetry and balance
- Breathing, chewing, and speaking
By addressing both the teeth and the jaw, surgical orthodontics provides stable, long-term results.
Who Is a Candidate for Surgical Orthodontics?
Surgical orthodontics is typically recommended for patients with moderate to severe jaw discrepancies that cannot be corrected with braces alone. It is most often performed once jaw growth is complete.
You may be a candidate if you have:
- Significant overbite, underbite, or open bite
- Jaw misalignment or facial asymmetry
- Difficulty chewing or speaking
- Chronic jaw discomfort or tension
- Limited improvement with orthodontic treatment alone
Our team will carefully evaluate your condition and determine the best treatment approach for your needs.
Why Is Surgical Orthodontics Sometimes Necessary?
Some orthodontic concerns are caused by differences in jaw size, jaw position, or facial skeletal development that cannot be corrected with braces or aligners alone. Surgical orthodontics may be recommended to improve the way the jaws fit together, enhance facial balance, and create better long-term function.
Surgical orthodontic treatment may help address:
- Severe bite misalignment
- Jaw asymmetry or facial imbalance
- Difficulty chewing or speaking comfortably
- Excessive tooth wear caused by bite problems
- Jaw strain or discomfort related to alignment
- Airway and breathing concerns associated with jaw position
Because every patient’s needs are different, treatment recommendations are fully customized and discussed in detail before beginning care.
What Are the Benefits of Surgical Orthodontics?
Surgical orthodontics offers both functional and aesthetic improvements that can significantly enhance the quality of life.
Benefits may include:
- Improved bite function and comfort
- Easier chewing and speaking
- Enhanced facial balance and symmetry
- Relief from jaw pain or strain
- Long-lasting correction of complex orthodontic issues
What Can I Expect During My Consultation?
Your consultation is the first step in determining whether surgical orthodontics is right for you. During this visit, we will take the time to understand your concerns and evaluate your smile.
We will:
- Examine your teeth, bite, and jaw alignment
- Review diagnostic images and records
- Discuss whether surgery is recommended
- Explain your treatment plan and timeline
Our goal is to provide clear, personalized guidance so you can make an informed decision about your care.
Frequently Asked Questions
Surgical orthodontics is a more advanced treatment, and it’s normal to have questions about what to expect. These answers are designed to help you feel informed, confident, and prepared throughout the process.
Is Jaw Surgery Safe?
Yes. Orthognathic surgery is a well-established procedure performed by trained specialists. Your care team works closely together to ensure a safe and successful outcome.
Will I Have Braces During Surgery?
Yes. Braces are typically in place during surgery to help guide the positioning of your teeth and jaws.
What Factors Can Affect Surgical Orthodontic Treatment?
Every surgical orthodontic case is unique. Factors such as jaw alignment, bite complexity, overall oral health, and healing response all play a role in the treatment process. During your consultation, our team will explain your personalized treatment plan and what to expect throughout care.
Will Surgery Change My Appearance?
Yes, in a positive way. Correcting jaw alignment often improves facial balance and overall harmony.
When Can I Return to Normal Activities?
Most patients can return to normal daily activities within a couple of weeks, with full healing continuing over time.