How Surgical Orthodontics Works: A Step-by-Step Guide

Orthodontics is often associated with braces and aligners, but sometimes, jaw irregularities and severe misalignments need more than just traditional treatments. That’s where surgical orthodontics—also known as orthognathic surgery—comes into play. This specialized procedure is designed for patients with skeletal discrepancies that cannot be corrected with braces alone. But what exactly is surgical orthodontics, and how does the process work?

Let’s break it down step by step so you know what to expect and when it might be the right choice for you.

What is Surgical Orthodontics?

Surgical orthodontics refers to a combination of orthodontic treatment and corrective jaw surgery. It aims to align the teeth and jaws for optimal function and facial balance. This approach is typically recommended for adult patients whose jawbones have stopped growing and who suffer from conditions like:

• Severe bite problems (underbite, overbite, crossbite)

• Difficulty in chewing, biting, or speaking

• Sleep apnea due to jaw positioning

• Facial asymmetry caused by jaw misalignment

Unlike braces or aligners that only shift the teeth, surgical orthodontics addresses the jaw structure itself, offering a more comprehensive and lasting solution.

Who Needs Surgical Orthodontics?

This procedure isn’t for everyone. Your orthodontist will determine if you’re a candidate after a detailed consultation, imaging, and diagnostic review. Some signs that you may need this form of treatment include:

• Chronic jaw pain or TMJ disorders

• Speech difficulties not solved by standard orthodontics

• Open bite where the front teeth don’t touch

• Noticeable facial imbalances

For adults with these conditions, surgical orthodontics can be life-changing—not just for aesthetics, but for improving overall oral health and comfort.

Step 1: Initial Consultation

The first step is a thorough consultation with an orthodontist who specializes in complex cases. This appointment typically includes:

• Clinical evaluation

• Digital X-rays and 3D imaging

• Impressions or digital scans

• Bite analysis

The goal here is to assess your jaw alignment, teeth positioning, and facial structure. Based on this evaluation, the orthodontist will outline a personalized treatment plan.

Step 2: Pre-Surgical Orthodontic Treatment

Before any surgery takes place, you’ll undergo 6–18 months of orthodontic treatment using braces or aligners. This pre-surgical phase is crucial because it prepares your teeth for their ideal alignment post-surgery.

Interestingly, during this time, your bite may appear to worsen rather than improve. Don’t worry—this is intentional. The orthodontist is positioning your teeth so that the surgeon can correctly align your jaws during surgery.

Step 3: The Surgical Procedure

Once your teeth are ready and your jaw alignment is mapped out, it’s time for the surgery. An oral and maxillofacial surgeon will perform the procedure in a hospital under general anesthesia. Depending on your condition, the surgery may involve:

• Moving the upper jaw (maxillary osteotomy)

• Repositioning the lower jaw (mandibular osteotomy)

• Adjusting the chin (genioplasty)

The jaws are then secured in their new positions using plates, screws, or wires. While this sounds intense, modern surgical techniques have made the process much safer and recovery quicker than you might expect.

Step 4: Recovery and Healing

Post-surgery, most patients spend 1–3 nights in the hospital. Swelling and mild discomfort are expected for the first few weeks, but pain is typically manageable with medication. A liquid or soft food diet is recommended for the first few weeks while your jaw heals.

During recovery, you’ll also be working closely with your orthodontist and surgeon to monitor progress. At this stage, many people search for Orthodontics near you to ensure they're getting reliable, close-to-home follow-up care.

Step 5: Post-Surgical Orthodontics

Once healing is underway, your orthodontist will continue adjusting your braces or aligners for fine-tuning. This phase usually lasts another 6–12 months. The final adjustments help bring your bite into perfect alignment, ensuring long-term stability and comfort.

It’s at this point that the full results start to show—improved facial symmetry, better bite function, and often a significant boost in self-confidence.

Step 6: Retention Phase

After your braces come off, the retention phase begins. You’ll be fitted with a retainer to maintain the results. Regular follow-up appointments will be scheduled to monitor your bite and ensure everything remains in place.

At Symmetry Orthodontics, we guide our patients through every step of this complex journey. Our experienced team has helped countless individuals find relief and confidence through Surgical Orthodontics in Calgary.

Benefits of Surgical Orthodontics

• Enhanced facial balance and aesthetics

• Improved ability to chew, speak, and breathe

• Relief from chronic jaw pain or discomfort

• Long-term correction of bite issues

• Boost in self-esteem and confidence

Surgical orthodontics is truly a transformative procedure that impacts both function and appearance. While it does require commitment and time, the benefits are often life-changing.

Is It the Right Choice for You?

Choosing surgical orthodontics is a big decision, and it’s important to feel informed and supported throughout the process. At Symmetry Orthodontics, we’re here to answer your questions, evaluate your needs, and create a custom treatment plan that fits your lifestyle and goals.

Whether you’ve been told that traditional braces aren’t enough, or you’re simply looking to correct jaw imbalances for better health, our team of professionals is ready to help. We specialize in Orthodontics in Calgary, and we pride ourselves on delivering exceptional care with a personalized approach.

Final Thoughts

Surgical orthodontics isn't just about achieving a perfect smileit's about restoring balance, health, and comfort to your life. If you’ve been struggling with jaw pain, bite issues, or facial asymmetry, it might be time to explore this option.

The process may seem lengthy, but with the right team by your side, like the experts at Symmetry Orthodontics, you’ll receive the support and expertise needed to achieve lasting results. When you’re ready to explore Orthodontics near you, trust a clinic that understands the journey from start to finish.