Surgical Orthodontics

Some cases have skeletal (bony) problems that aren’t treatable by orthodontics only. Maxillofacial orthognathic surgery will be needed for one or both jaws (depends on the severity), in order to get the jaws to the normal most esthetic and functional position.

We have a unique setup in our hospital where we have a team of orthodontist and surgeons working together on these cases under one roof. This allows for easier and continuous communications and monitoring throughout treatment progression.

After initial diagnostic records (x-rays, pictures, and models) are taken, the team meets to discuss all options available with the patient, then s/he is given ample time to ask and discuss different aspects of the plan and procedure. Once the patient is decided on a specific plan, the orthodontic treatment starts in order to prepare the teeth for surgery, which usually occur within 9-15 months. After the surgery is done, then the orthodontic treatment continues for another 6-9 months in order to finish the bite and occlusion to the best possible position.

Some of the common cases we treat with jaw surgery:

  • Deficient Mandible (called Cl II cases) – usually treated with mandibular BSSO advancement
  • Excess Mandible and/or deficient maxilla (called Cl III cases) – usally treated by either mandibular BSSO setback, or maxillary Le-Fort I osteotomy.
  • For gummy smile and long face cases, it is usually treated by doule jaw surgery, as well as with Genioplasty (chin surgery) to reduce the height of the face.
  • Facial Asymmetry
  • Cleft lip and palate cases
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