Surgical Orthodontics for Jaw Alignment

Surgical orthodontics, also known as orthognathic surgery, is a specialized treatment used to correct more complex orthodontic concerns that cannot be addressed with braces or Invisalign® alone. At Troy City Orthodontics in Fall River, MA, Dr. Katherine Moynihan works closely with trusted oral and maxillofacial surgeons to provide comprehensive, coordinated care for patients who need advanced correction.

This type of treatment focuses on improving the alignment of the jaws, which can significantly enhance how you chew, speak, and breathe, while also improving facial balance and overall appearance. For many patients, surgical orthodontics can be life-changing, both functionally and aesthetically.

Who May Benefit from Surgical Orthodontics?

Surgical orthodontics is typically recommended for adults whose jaw growth is complete and who are experiencing:

  • Bite issues that cannot be corrected with orthodontics alone
  • Jaw misalignment or facial asymmetry
  • Difficulty with chewing, speaking, or breathing
  • A desire for long-term improvement in both function and appearance

In many cases, orthodontic treatment with braces or aligners begins 1–2 years before surgery to properly position the teeth. Dr. Moynihan will determine if surgery is the right part of your treatment plan based on a detailed evaluation.

How Does the Process Work?

Orthognathic surgery is performed by an oral and maxillofacial surgeon, typically in a hospital or surgical setting. Depending on your needs, the procedure may involve:

  • Repositioning the lower jaw forward or backward
  • Adjusting the upper jaw for better alignment
  • Reshaping or stabilizing bone for improved balance
  • Refining facial structure for optimal harmony

Every case is carefully planned using advanced imaging technology to ensure precise, predictable results. Initial recovery usually takes about two weeks, with full healing over several weeks. Most patients are able to return to their normal routines relatively quickly.

After healing, orthodontic treatment continues for several months to fine-tune your bite. Once treatment is complete, a retainer is provided to maintain your results.

Understanding the Benefits

While surgical orthodontics is a more involved treatment, the benefits can be significant. Patients often experience:

  • Improved bite function and comfort
  • Better ability to chew and speak
  • Enhanced facial balance and symmetry
  • Long-term oral health improvements
  • Increased confidence in their appearance

Our team will guide you through every step of the process, making sure you feel informed and supported along the way.

Conditions That May Require Surgical Care

Surgical orthodontics can be part of treatment for a variety of conditions, including:

  • Corrective Jaw Surgery: Repositions the jaws to improve function and facial balance
  • Impacted Teeth (such as canines): Surgical exposure may help guide teeth into proper alignment
  • TMJ (Jaw Joint) Concerns: In more advanced cases, surgical care may be recommended
  • Facial Asymmetry or Developmental Concerns: Addressing structural imbalances for improved function

Each treatment plan is customized based on your specific needs and long-term goals.

Ready to Take the Next Step?

If you’ve been told you may need jaw surgery or are experiencing symptoms related to jaw misalignment, we’re here to help. At Troy City Orthodontics, Dr. Moynihan will guide you through your options and coordinate your care every step of the way.

Contact us today to schedule a consultation and learn more about achieving a healthier, more balanced smile.

Frequently Asked Questions

Surgical orthodontics can feel like a big step, and it’s completely normal to have questions. At Troy City Orthodontics, we’re here to guide you through every detail so you can feel informed, confident, and supported throughout your treatment.

How do I know if I need jaw surgery or just braces?

The only way to know for sure is through a comprehensive evaluation. Some bite issues can be corrected with braces or Invisalign® alone, while others require a combined orthodontic and surgical approach. Dr. Moynihan will assess your bite, jaw alignment, and overall goals to determine the best path forward.

In many cases, jaw surgery may be partially covered by medical insurance if it is considered medically necessary (such as for breathing, chewing, or jaw function issues). Coverage varies, and our team will help you understand your benefits and assist with the process.

Costs can vary depending on the complexity of your case, the type of surgery required, and your insurance coverage. We provide clear, personalized estimates and work with you to explore all available financial options.

Most patients take about one to two weeks off to recover after surgery. Many are able to return to normal daily activities relatively quickly, depending on how they feel and the type of procedure performed.

You may experience some discomfort and swelling after surgery, especially during the first few days. However, this is carefully managed with medication and proper care instructions. Most patients find the recovery more manageable than expected.