Surgical orthodontics, also known as orthognathic surgery, combines orthodontic treatment with jaw surgery to correct severe jaw discrepancies and related skeletal problems. This specialized approach addresses issues that cannot be resolved with braces or aligners alone, improving both function and facial aesthetics.
Surgical orthodontics is typically recommended for adult patients with severe jaw misalignments that affect their ability to chew, speak, or breathe properly. These skeletal discrepancies may include significant overbites, underbites, open bites, asymmetrical jaw growth, or airway issues. While conventional orthodontics can address many alignment problems, some skeletal issues require surgical intervention to achieve optimal results. Candidates for surgical orthodontics have usually finished growing (typically age 16+ for women and 18+ for men), as jaw surgery is only performed once skeletal growth is complete. During your comprehensive evaluation, our orthodontic team will determine if surgical orthodontics is necessary for your specific case.
Surgical orthodontic treatment typically follows a multi-phase approach. First, pre-surgical orthodontics with braces or aligners positions your teeth in alignment with your current jaw structure, often making your bite seem temporarily worse as teeth are moved into their proper positions relative to each jaw. This phase usually lasts 12-18 months. Next, orthognathic surgery is performed by an oral and maxillofacial surgeon to reposition the jaws. Modern techniques often allow for surgery to be performed from inside the mouth, leaving no visible external scars. After a recovery period, post-surgical orthodontics fine-tunes your bite and completes the alignment process, typically lasting 6-12 months. Finally, retainers maintain your new smile and bite relationship.
At Ottawa Orthodontics, we utilize state-of-the-art technology for surgical orthodontic planning and treatment. 3D cone beam computed tomography (CBCT) provides detailed images of your facial structure, allowing for precise diagnosis and treatment planning. Virtual surgical planning software enables our team and your surgeon to simulate different surgical approaches and visualize expected outcomes before any procedure takes place. This technology-driven approach results in more predictable results, improved surgical precision, and enhanced communication between all members of your treatment team. Throughout your surgical orthodontic journey, you'll have access to digital previews of your expected results, helping you understand the transformative changes being planned.
Recovery from orthognathic surgery varies by individual and the specific procedures performed. Initial healing typically requires 2-4 weeks away from work or school, with a liquid or soft food diet during this time. While most visible swelling subsides within the first few weeks, complete healing and final settling of your bite may take several months. Throughout the recovery process, our team works closely with your surgeon to monitor healing and make any necessary adjustments to your orthodontic treatment. The results of surgical orthodontics are often dramatic and life-changing. Patients typically experience significant improvements in facial balance and symmetry, chewing function, speech clarity, and even breathing and sleep quality. These comprehensive improvements in both function and aesthetics make surgical orthodontics a transformative treatment option for those with severe skeletal discrepancies.
Successful surgical orthodontics requires a collaborative approach between multiple specialists. At Ottawa Orthodontics, we work as part of a coordinated team that includes your oral and maxillofacial surgeon, general dentist, and sometimes other specialists such as speech pathologists or sleep medicine physicians. This interdisciplinary approach ensures that all aspects of your care are carefully coordinated for optimal results. Throughout your treatment, we maintain clear communication between all providers and serve as your primary point of contact for questions and concerns. Our experienced team has guided many patients through the surgical orthodontic process and understands the unique clinical and emotional support needed during this significant treatment journey.
Our team of orthodontic specialists is ready to help you achieve the smile you've always wanted. Contact us today to schedule a consultation and learn more about how surgical orthodontics can benefit you.
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