Surgical Orthodontics

Orthodontic Surgery

Orthognathic surgery is a type of dental treatment used in conjunction with orthodontics to correct severe cases that include bad bites, jaw bone abnormalities, and malocclusion. Oral and Maxillofacial Surgery is one of the nine recognized dental specialties, and it focuses on treating complex craniofacial cases that involve the mouth, jaw, face, and skull. If you need surgical orthodontics, your orthodontist will work with an oral and maxillofacial surgeon to ensure that you receive the best care possible.

When might surgical orthodontics be needed?

Surgical orthodontics may be used to treat adults with improper bites or other aesthetic concerns. Typically, jaw growth stops by age 16 in females and 18 in males. In order to receive orthognathic surgery, the jaw must be done growing. The need for surgical orthodontics occurs when the jaws do not line up correctly, and a proper bite cannot be achieved with orthodontic treatment alone. Orthognathic surgery will help properly align the jaw, and orthodontic braces or aligners will then be used to move the teeth into their proper position.

How does orthognathic surgery work?

An oral and maxillofacial surgeon will perform your orthognathic surgery, and the surgery will take place in a hospital. Orthognathic surgery can take several hours depending on each individual case. Once the surgery is complete, you will have about a two-week rest period. Since orthognathic surgery is a major treatment, we recommend that you schedule some time away from work and school during the healing process. After your jaw has healed, your orthodontist will once again “fine-tune” your bite. After surgery, you will have to wear braces or aligners for about six to 12 months following surgery. After your active orthodontic treatment is complete, you will wear a retainer to help maintain your new smile.

What are the rewards of having orthognathic surgery?

For many patients, the most important reward of having orthognathic surgery is achieving a beautiful, healthy smile that lasts a lifetime. Whether you need orthodontic treatment to correct a bad bite, malocclusion, or jaw abnormality, orthognathic surgery can help restore your confidence and leave you smiling with confidence for many years to come.

Surgically Facilitated Orthodontic Treatment

Also known as periodontically assisted osteogenic orthodontics (PAOO), surgically facilitated orthodontic treatment (SFOT) is a combination of gum and bone grafting that allows Dr. Van Allen to orthodontically and safely move teeth with inadequate bone and gum support, thin gums, or gum recession. It can also help avoid the extraction of teeth in some cases.

This minimally invasive surgery is usually done by a periodontist (gum specialist) or oral surgeon.