Jaw Surgery
Jaw misalignment can affect more than just your appearance—it can disrupt your ability to chew, speak, and even breathe comfortably. Jaw surgery, also known as orthognathic surgery, offers a permanent solution to complex bite issues and facial asymmetry. At Smile Makers Dental Center, our dental team works closely with oral and maxillofacial surgeons to guide patients through the process of jaw realignment surgery for both functional and aesthetic improvements.
What Is Jaw Surgery? (Orthognathic Surgery)
Jaw surgery is a corrective procedure performed by oral and maxillofacial surgeons to realign the upper jaw (maxilla), lower jaw (mandible), or both. This type of oral and maxillofacial surgery is used when orthodontics alone cannot correct significant jaw discrepancies.
Common issues treated with orthognathic surgery include:
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Underbite, Overbite, Crossbite, and Open Bite - Misaligned bites that impact chewing, speaking, or facial symmetry.
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Facial Asymmetry - Uneven jaw growth that affects appearance and balance.
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TMJ Disorders
- Chronic jaw pain or locking due to joint dysfunction.
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Breathing Issues - Conditions like sleep apnea caused by jaw position. |
In many cases, jaw surgery is part of a combined treatment plan that includes braces or aligners before and after the operation to fine-tune bite alignment.
Who Needs Jaw Surgery?
Not every jaw misalignment requires surgery—but when braces alone can’t achieve proper function, surgical orthodontics may be the best path forward.
Signs you may be a candidate for jaw surgery include:
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Difficulty Chewing or Biting - Trouble breaking down food or pain when eating.
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Speech Problems - Lisping or difficulty pronouncing certain words due to jaw position.
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Chronic TMJ Pain - Ongoing jaw discomfort, clicking, or limited movement.
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Facial Imbalance - Noticeable asymmetry or receding/chin prominence.
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Sleep Apnea or Breathing Problems - Obstructed airways linked to jaw positioning. |
A full evaluation includes dental imaging, X-rays, and 3D surgical simulations to determine if corrective jaw surgery is right for you.
Types of Jaw Surgery
The exact procedure depends on which part of the jaw needs realignment. Some patients require a single jaw correction, while others benefit from double jaw surgery.
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Le Fort I Osteotomy - Repositions the upper jaw (maxilla) to correct open bites or midface retrusion.
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Bilateral Sagittal Split Osteotomy (BSSO) - Adjusts the lower jaw (mandible) to fix overbites, underbites, or jaw recession.
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Genioplasty - Chin surgery to enhance facial profile and harmony, often done in combination with other jaw procedures.
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Double Jaw Surgery - Simultaneously repositions both upper and lower jaws for complex bite and aesthetic corrections. |
Each type of jaw correction procedure is tailored to the patient's anatomy and treatment goals.
The Jaw Surgery Process – From Consultation to Recovery
Consultation & Pre-Surgical Planning
The first step is a comprehensive consultation at Smile Makers Dental Center. During this phase, our dental team collaborates with oral surgeons to:
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Capture Detailed Imaging - X-rays, CT scans, and 3D models are used for planning.
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Initiate Orthodontic Treatment - Braces or clear aligners are typically worn for 12–18 months before surgery.
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Create a Surgical Blueprint - Virtual simulations show the expected jaw repositioning and post-surgical outcome. |
This planning ensures precise results and allows patients to visualize their future facial profile.
The Day of Surgery
Corrective jaw surgery is typically performed in a hospital or surgical center under general anesthesia. Depending on the complexity, surgery usually takes 2–5 hours.
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Hospital Stay - Some patients go home the same day; others may stay overnight.
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Minimal External Scars - Most incisions are made inside the mouth.
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Jaw Stabilization - Temporary fixation (rubber bands or plates) is used to support healing. |
Patients are monitored closely and provided with detailed post-op care instructions.
Recovery Timeline & What to Expect After
Healing from jaw surgery happens in phases:
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First Few Weeks - Swelling, numbness, and a soft-food diet are expected.
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6–8 Weeks - Most patients return to work or school.
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3–6 Months - Full bone healing and completion of orthodontic treatment.
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1 Year - Final results are visible with full bite correction and improved facial symmetry. |
Follow-up visits are essential to monitor healing and progress.
Risks and Side Effects of Jaw Surgery
Like any surgical procedure, jaw surgery involves potential side effects and risks. Most are temporary and manageable.
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Swelling and Bruising - Peaks within 48–72 hours post-op, then gradually subsides.
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Numbness - Common around the chin and lips; may take months to resolve.
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Infection or Bleeding - Rare but monitored closely during recovery.
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Nerve Injury or Relapse - Uncommon complications mitigated by skilled surgeons. |
Choosing a board-certified oral and maxillofacial surgeon reduces risks and ensures the safest outcomes.
Jaw Surgery Results – Functional & Aesthetic Outcomes
Successful jaw realignment surgery enhances both oral health and facial appearance.
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Improved Bite and Chewing - Restores proper contact between upper and lower teeth.
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Clearer Speech - Speech patterns often normalize post-surgery.
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Better Breathing - Wider airways may alleviate snoring or sleep apnea.
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Facial Balance - More harmonious profile and jawline symmetry.
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Psychological Benefits - Improved self-esteem and confidence. |
Digital before-and-after simulations are often used to help patients visualize changes ahead of time.
Cost of Jaw Surgery
Several components affect the total jaw surgery cost, including:
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Surgical Fees - Surgeon, anesthesia, and hospital costs.
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Orthodontic Care - Pre- and post-surgery braces or aligners.
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Imaging and Simulations - 3D scans, X-rays, and surgical planning tools.
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Follow-Up Appointments - Regular visits to monitor healing. |
If deemed medically necessary (e.g., for sleep apnea or severe bite dysfunction), insurance may cover part or all of the procedure. Coverage varies, so it's best to call (540) 882-0421 to verify your plan.
Finding the Right Surgeon
Choosing a qualified professional is key to the success of your orthognathic surgery.
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Experience - Look for oral surgeons with extensive training in jaw correction procedures.
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Technology - Ensure the use of modern planning tools like virtual surgical simulations.
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Collaborative Approach - Coordination between your orthodontist and surgeon is crucial.
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Before-and-After Portfolio - Ask to see photos of previous patients with similar conditions. |
Schedule a consultation to ask questions and assess your comfort level with the surgical team.
Ready to Take the Next Step?
Jaw surgery can be life-changing—restoring comfort, confidence, and long-term oral health. If you're experiencing jaw misalignment or ongoing pain, our team at Smile Makers Dental Center is here to help.
Call (540) 882-0421 to schedule a consultation and begin the evaluation process for corrective jaw surgery.
FAQs
How long does it take to recover from jaw surgery?
Most patients return to daily activities within 6–8 weeks, though full bone healing may take 3–6 months. Swelling and numbness are common initially but improve over time.
Is jaw surgery painful?
Discomfort is typically manageable with prescribed pain medications. Most patients report more soreness than sharp pain. The use of general anesthesia ensures a pain-free procedure.
Will insurance cover jaw surgery?
If the surgery is considered medically necessary—for example, to correct a bite issue or treat sleep apnea—many insurance plans offer partial or full coverage. Verification with your provider is essential.
Do I need braces before jaw surgery?
Yes, most patients wear braces or clear aligners before and after surgery to align the teeth and ensure the best post-surgical bite relationship. |