Surgical Orthodontics
Surgical orthodontics, also known as orthognathic surgery, is used to correct jaw alignment issues that cannot be treated with braces alone. At Embrace Orthodontics, Dr. Dima Kalakech works closely with an oral and maxillofacial surgeon to improve both function and appearance.
By combining orthodontic treatment with jaw surgery, we can correct complex issues related to the teeth, jaws, and facial structure while helping patients achieve a healthier, more balanced smile.
What Conditions May Require Surgical Orthodontics?
Orthognathic surgery may be recommended for patients with moderate-to-severe jaw misalignment. Common signs include:
- Difficulty chewing or biting
- Trouble swallowing
- Chronic jaw pain or TMJ discomfort
- Excessive tooth wear
- Open bite (space between upper and lower teeth)
- Facial imbalance or asymmetry
- Receding chin or protruding jaw
- Difficulty closing lips comfortably
- Chronic mouth breathing or dry mouth
- Sleep apnea or breathing issues during sleep
If these concerns are present, a consultation can help determine if surgical orthodontics is the right solution.

How Does Surgical Orthodontic Treatment Work?
Surgical orthodontics is completed in phases to ensure proper alignment and long-term stability.
Pre-Surgical Orthodontics
Before surgery, braces or aligners are used to position the teeth so they will fit together correctly after the jaw is repositioned. This phase typically lasts 6 to 18 months.
During this time, your bite may temporarily feel less aligned as teeth are prepared for surgery.
Jaw Surgery Procedure
Orthognathic surgery is performed by a trained oral and maxillofacial surgeon in a hospital or surgical center. The procedure may involve repositioning the upper jaw, lower jaw, or both to improve alignment and function.
Most incisions are made inside the mouth, so visible scarring is minimal or avoided entirely.
Post-Surgical Orthodontics
After surgery, orthodontic treatment continues to refine your bite and ensure proper alignment. This phase helps achieve the final result and long-term stability.
What Is Recovery Like After Jaw Surgery?
Recovery varies depending on the procedure, but most patients can return to normal activities within a couple of weeks.
- Initial healing typically takes about 6 weeks
- Complete healing may take 9 to 12 months
- Follow-up visits are important to monitor progress
- Good oral hygiene is essential during recovery
Your orthodontist and surgeon will guide you through each stage to ensure proper healing and results.
What Are the Benefits of Surgical Orthodontics?
Surgical orthodontic treatment can provide both functional and aesthetic improvements, including:
- Improved bite alignment and chewing function
- Relief from jaw pain or discomfort
- Enhanced speech and breathing
- Better facial balance and appearance
- Long-term stability of results
Frequently Asked Questions
Surgical orthodontics can feel complex, but understanding the process can help you feel more confident about treatment.
Do I Always Need Surgery for Jaw Alignment Issues?
No. Many orthodontic problems can be treated with braces or aligners alone. Surgery is only recommended for more severe jaw discrepancies.
How Long Does Surgical Orthodontic Treatment Take?
The full process typically takes 1.5 to 2 years, including pre-surgical orthodontics, surgery, and post-treatment adjustments.
Is Jaw Surgery Safe?
Yes. Orthognathic surgery is a well-established procedure performed by trained specialists. Your care team will review all safety measures and expectations with you.
Will There Be Visible Scars After Surgery?
In most cases, incisions are made inside the mouth, so there are no visible external scars.
Will My Appearance Change After Surgery?
Yes. Jaw surgery can improve facial balance and symmetry, often resulting in a more harmonious appearance.