Surgical Orthodontics and Braces: A Complete Guide by Atlanta Oral and Facial Surgery

Orthodontic treatment often focuses on straightening teeth, but some cases require more than just traditional braces. For patients with severe jaw misalignments, skeletal abnormalities, or bite issues, surgical orthodontics—also known as orthognathic surgery—provides a comprehensive solution. Combining the expertise of orthodontists and oral surgeons, surgical orthodontics ensures optimal alignment of both teeth and jaw, improving function, aesthetics, and overall oral health.

At Atlanta Oral and Facial Surgery (AOFS), we specialize in advanced surgical orthodontic procedures, offering patients a seamless, expert-led treatment journey. This comprehensive guide explores the causes of jaw misalignment, the role of surgical orthodontics, and how AOFS provides world-class care to restore beautiful, functional smiles.


What Is Surgical Orthodontics?

Surgical orthodontics involves the correction of jaw irregularities through a combination of orthodontic treatment (braces) and surgical intervention. It is typically recommended for patients whose jaw alignment cannot be corrected through braces alone.

Common issues addressed by surgical orthodontics include:

  • Severe overbites or underbites
  • Crossbites and open bites
  • Jaw asymmetry (uneven jaw growth)
  • Difficulty chewing, speaking, or breathing due to jaw misalignment

Surgical orthodontics enhances both function and appearance, providing long-term improvements in oral health and facial aesthetics.


Why Surgical Orthodontics?

Some orthodontic cases extend beyond the capabilities of braces alone. Surgical orthodontics becomes necessary when the underlying problem stems from the skeletal structure of the jaw, not just the positioning of the teeth.

Key Benefits:

  1. Improved Jaw Function: Corrects issues that interfere with chewing, speaking, and breathing.
  2. Enhanced Facial Appearance: Balances facial symmetry, enhancing aesthetics.
  3. Optimal Bite Alignment: Ensures a stable, long-term correction of bite issues.
  4. Long-Term Stability: Provides lasting results by addressing the root cause of misalignment.

Conditions Treated by Surgical Orthodontics

Several conditions necessitate the integration of surgery with orthodontics. Some of the most common include:

1. Severe Overbite (Class II Malocclusion)

An overbite occurs when the upper jaw significantly overlaps the lower jaw. Surgical orthodontics can reposition the jaws for improved bite alignment.

2. Underbite (Class III Malocclusion)

An underbite results when the lower jaw protrudes beyond the upper jaw. Surgical intervention moves the jaws into a balanced position.

3. Open Bite

An open bite occurs when the upper and lower teeth do not meet properly, often due to jaw misalignment or habits like thumb-sucking.

4. Crossbite

A crossbite occurs when the upper teeth sit inside the lower teeth. Surgical correction ensures proper alignment and jaw positioning.

5. Jaw Asymmetry

Jaw asymmetry, where one side of the jaw grows more than the other, can cause facial imbalance. Surgical orthodontics restores symmetry and harmony to the face.


The Surgical Orthodontics Process

The treatment process for surgical orthodontics involves three primary phases:

1. Pre-Surgical Orthodontics (Braces Phase)

  • Initial Consultation: At Atlanta Oral and Facial Surgery, patients undergo a detailed evaluation, including X-rays, 3D imaging, and dental impressions.
  • Braces Placement: Traditional braces are placed to align the teeth in preparation for surgery. This phase typically lasts 12 to 18 months.
  • Collaboration: Our oral surgeons work closely with orthodontists to ensure precise planning for optimal surgical outcomes.

2. Surgical Phase (Orthognathic Surgery)

  • Hospital Setting: The surgery is performed in a hospital or surgical center under general anesthesia.
  • Procedure Duration: The surgery can take 2 to 5 hours, depending on the complexity of the case.
  • Jaw Realignment: The surgeon repositions the jaw by making precise incisions in the jawbone, securing it with plates, screws, or wires.
  • Minimal Scarring: Most incisions are made inside the mouth, ensuring no visible scars.

3. Post-Surgical Orthodontics (Recovery Phase)

  • Braces Adjustment: After surgery, patients continue with orthodontic treatment for 6 to 12 months to fine-tune the alignment.
  • Healing and Monitoring: Regular follow-up visits ensure proper healing and alignment.
  • Dietary Modifications: Soft foods are recommended initially, with a gradual return to normal eating habits.

Recovery and Post-Operative Care

Recovery from orthognathic surgery is a gradual process. At Atlanta Oral and Facial Surgery, we provide detailed post-operative care instructions to ensure a smooth recovery.

Key Recovery Tips:

  1. Pain Management: Use prescribed pain medication and cold compresses to manage swelling and discomfort.
  2. Oral Hygiene: Maintain oral hygiene with a gentle rinse or soft toothbrush to prevent infection.
  3. Dietary Guidelines: Stick to soft foods and avoid hard, crunchy items during the initial healing period.
  4. Rest and Activity: Allow sufficient time for rest and avoid strenuous activity for several weeks.
  5. Follow-Up Visits: Attend all scheduled follow-ups to monitor progress and make necessary adjustments.

Innovative Technologies at Atlanta Oral and Facial Surgery

At Atlanta Oral and Facial Surgery, we utilize cutting-edge technology to enhance the surgical orthodontics process:

  1. 3D Imaging and Planning: Advanced CBCT (Cone Beam Computed Tomography) provides detailed 3D images for precise surgical planning.
  2. Virtual Surgical Planning (VSP): Digital simulations allow for accurate pre-surgical planning, ensuring predictable outcomes.
  3. Minimally Invasive Techniques: Modern surgical techniques reduce recovery time and enhance patient comfort.

Why Choose Atlanta Oral and Facial Surgery?

Choosing the right surgical team is critical to the success of your treatment. Here’s why patients trust Atlanta Oral and Facial Surgery for their surgical orthodontic needs:

1. Expertise in Complex Cases

Our board-certified oral and maxillofacial surgeons have extensive experience in handling complex jaw alignment issues.

2. Comprehensive, Collaborative Care

We work closely with orthodontists, ensuring a coordinated approach for optimal results.

3. State-of-the-Art Facilities

Our advanced technology and surgical techniques provide patients with the highest standard of care.

4. Patient-Centered Approach

We prioritize patient comfort, clear communication, and personalized care throughout the treatment journey.


Surgical orthodontics offers a transformative solution for patients with severe jaw misalignments, enhancing both function and aesthetics. At Atlanta Oral and Facial Surgery, our team is dedicated to delivering expert care, ensuring optimal outcomes through advanced technology and personalized treatment plans.

If you are experiencing jaw misalignment or have been recommended for surgical orthodontics, contact Atlanta Oral and Facial Surgery today to schedule a consultation. Together, we can help you achieve a healthier, more confident smile.

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