Jaw (Orthognathic) Surgery

Jaw surgery is needed when jaws don’t meet correctly and/or teeth don’t seem to fit with jaws. Teeth are straightened with orthodontics, and corrective jaw surgery repositions misaligned jaws. This not only improves facial appearance, but also ensures that teeth meet correctly and function properly.

Who Needs Jaw Surgery?

People who can benefit from jaw surgery include those with an improper bite or jaws that are positioned incorrectly. Jaw growth is a gradual process and, in some instances, the upper and lower jaws may grow at different rates. The result can be a host of problems that can affect chewing function, speech, long-term oral health, and appearance. Injury to the jaw and birth defects can also affect jaw alignment. While orthodontics alone can correct bite problems if only the teeth are involved, orthognathic surgery may be required if the jaws also need repositioning.

Difficulty in the following areas should be evaluated:

• difficulty in chewing, biting or swallowing
• speech problems
• chronic jaw
• open bite
• protruding jaw
• breathing problems
• obstructive sleep apnea
• receded Jaw

Any of these can exist at birth or may be acquired after birth as a result of hereditary or environmental influences or, trauma to the face. Before any treatment begins, a consultation will be held to perform a complete examination with x-rays. During the pre-treatment consultation process, feel free to ask any questions that you have regarding your treatment. When you are fully informed about the aspects of your care, you and your dental team will make the decision to proceed with treatment together.

Technology and Jaw Surgery

Our doctors uses modern computer techniques and three-dimensional models to show you exactly how your surgery will be approached. Using comprehensive facial X-rays and computer video imaging, we can show you how your bite will be improved and even give you an idea of how you’ll look after surgery. This helps you understand the surgical process and the extent of the treatment prescribed, and to see the benefits of jaw surgery.

If you are a candidate for Corrective Jaw Surgery, our doctors will work closely with your dentist and orthodontist during your treatment. The actual surgery can move your teeth and jaws into a new position that results in a more attractive, functional and healthy dental-facial relationship.

Frequently Asked Questions About Jaw Surgery:

1. What can I expect during my hospital stay after jaw surgery?

After jaw surgery, you will typically stay in the hospital for 1–2 nights, depending on the complexity of the surgery and your recovery. During this time, you’ll be monitored closely by medical staff to manage pain, swelling, and any potential complications. You may be given medication to control discomfort, and your vital signs will be checked regularly. You’ll also receive guidance on how to care for your mouth, manage your diet, and follow post-surgery instructions for a successful recovery.

2. How long does the recovery from jaw surgery take?

Recovery from jaw surgery can take several weeks to months, depending on the complexity of the surgery. Initially, most patients experience swelling, bruising, and discomfort, which usually improves within 2–3 weeks. Full recovery, including the healing of the bone and soft tissues, can take up to 6–12 months. During this time, you may need to follow a special diet and avoid certain physical activities.

3. What are the risks and potential complications of jaw surgery?

Like any surgery, jaw surgery carries some risks, including infection, nerve damage (which can result in numbness), blood clots, or issues with healing. However, these risks are relatively low when the surgery is performed by an experienced surgeon. Our surgeons will discuss any potential complications specific to your case and take steps to minimize these risks.

4. Will I need braces before or after jaw surgery?

Yes, most patients will need to wear braces both before and after jaw surgery. Braces are used to align the teeth in preparation for the surgery and to maintain proper tooth positioning after the surgery. The duration of time you’ll need to wear braces will vary, but it can range from 6 to 18 months before surgery, and several months afterward for final adjustments.

5. How long will I be out of work or school after jaw surgery?

The time you need to take off from work or school will depend on the complexity of the surgery and your individual recovery process. Most people need to take about 1–2 weeks off for rest and initial recovery. If your job or schoolwork involves physical activity or requires a lot of talking, you may need a bit more time off. Our surgeons will guide you on when it’s safe to return to normal activities.