Surgical orthodontics offers a combined approach that corrects jaw alignment, improves bite function, and enhances facial balance for patients with complex orthodontic needs. This treatment pairs orthodontic care with jaw surgery to address concerns that braces or clear aligners alone cannot resolve. A careful evaluation helps determine whether surgical orthodontics offers the safest and most predictable path to a healthier, more stable bite.
Surgical orthodontics, also known as orthognathic treatment, brings the teeth and jaws into better alignment. An orthodontist uses braces or clear aligners to position the teeth, while an oral and maxillofacial surgeon adjusts the upper jaw, lower jaw, or both. This partnership allows the team to improve chewing, speech, and facial balance at the same time.
Treatment typically starts with orthodontic preparation, during which the teeth move into positions that match the planned jaw surgery. After the surgical phase, orthodontic care continues to refine the bite and ensure that upper and lower teeth meet in a stable, comfortable relationship. The goal centers on long-term function and appearance.
Good candidates for surgical orthodontics often have jaw positions that cause more than crooked teeth. Common signs include difficulty biting into certain foods, frequent biting of the cheeks or lips, or a noticeable gap when the back teeth touch. Some patients experience chronic jaw fatigue, uneven tooth wear, or speech challenges because of the way the jaws meet.
Facial proportions also play a role. A receding chin, a very prominent lower jaw, a long or short face, or an open bite that leaves the front teeth apart even when the mouth closes may indicate a skeletal issue. When these patterns arise from jaw growth rather than from tooth position alone, surgical orthodontics can provide more complete and stable correction than orthodontic treatment alone.
Timing matters for surgical orthodontics. Most candidates have finished major jaw growth, which often occurs in the late teenage years or early adulthood. An orthodontist monitors growth patterns and may recommend waiting until growth plates close before planning surgery. This approach helps prevent changes that could shift the bite after treatment.
General health also influences candidacy. Patients who manage medical conditions such as diabetes, high blood pressure, or bleeding disorders with the help of a physician often still qualify for treatment, but they require careful coordination between providers. Non-smoking status, good oral hygiene, and a commitment to follow home care instructions support smoother healing and more predictable results.
Surgical orthodontics requires time, consistency, and clear expectations. Candidates need to feel comfortable with wearing braces or aligners, attending frequent appointments, and following pre- and post-surgical guidelines. The team explains the anticipated treatment duration, the steps involved in surgery, and the recovery process, including temporary dietary changes and activity modifications.
Patients who benefit most from surgical orthodontics understand that the process aims to correct functional concerns, not just cosmetic issues. Improved chewing efficiency, better jaw comfort, and healthier tooth wear patterns often provide lasting benefits long after treatment ends. When jaw alignment problems limit function or significantly affect facial balance, surgical orthodontics can offer a powerful, long-term solution guided by a specialized orthodontic team. For more information or to schedule an appointment, call our office.
To schedule a consultation, please request an appointment on our website at https://www.friscofamilyorthodontics.com or call Frisco Family Orthodontics at (214) 771-7178 to arrange an appointment at our Frisco office.
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