surgical orthodontics

Surgical orthodontic coordination

For additional patient information, review the American Association of Oral and Maxillofacial Surgeons’ corrective jaw surgery overview and clinical indications document. Candidacy, risks, recovery, and surgical recommendations must be individualized by the treating specialists.

Surgical orthodontics, also called orthognathic treatment, combines orthodontic care with corrective jaw surgery for selected patients whose upper and lower jaws have a significant skeletal difference. It may be considered when jaw position contributes to difficulty biting or chewing, facial imbalance, speech concerns, or another functional problem that orthodontic tooth movement alone cannot adequately address.

Candidacy cannot be determined from symptoms or photographs alone. Evaluation may include the bite, facial and jaw relationships, growth status, imaging, dental health, medical history, and the patient’s priorities. Many alignment and bite concerns can be treated without surgery; referral is recommended only when the findings warrant a surgical opinion.

Citrus Grove Orthodontics provides the orthodontic evaluation and coordinates care with an oral and maxillofacial surgeon. The surgeon determines surgical candidacy, explains procedural choices and risks, and performs the operation.

  1. Joint evaluation and planning: The orthodontist and surgeon review records and agree on treatment goals and sequencing.
  2. Presurgical orthodontics: Braces or another appliance may position the teeth so the jaws can be aligned appropriately during surgery.
  3. Corrective jaw surgery: The oral and maxillofacial surgeon performs the planned procedure and directs surgical recovery.
  4. Postsurgical orthodontics: After the surgeon permits, orthodontic treatment may continue to refine the bite.
  5. Retention: Retainers may be prescribed after active orthodontic treatment.

The exact sequence, risks, recovery, and duration vary considerably. Insurance coverage varies by plan, and benefits are subject to verification. The treating offices can help patients understand authorization requirements without promising coverage. Patients considering this care can visit our adult orthodontics page or request an evaluation.