Surgical Orthodontics

Surgical orthodontics, also known as orthognathic surgery, is used to correct significant jaw discrepancies that cannot be treated with braces or aligners alone. At A Smile by Design, Dr. Phillis works closely with trusted oral and maxillofacial surgeons to create coordinated treatment plans that improve bite function, facial balance, and long-term stability.

When jaw alignment affects chewing, speech, breathing, or facial harmony, a combined orthodontic and surgical approach may provide the most effective solution.

When Is Surgical Orthodontics Recommended?

Surgical orthodontics is typically considered for adults with:

• Severe overbite or underbite
• Open bite
• Facial asymmetry
• Jaw growth discrepancies
• Significant bite misalignment that braces alone cannot correct

Because jaw growth must be complete before surgery, this treatment is generally recommended after the late teen years.

How Do I Know If I Need Orthognathic Surgery?

Dr. Phillis will perform a comprehensive evaluation, including digital imaging, bite analysis, and facial assessment. If your jaw alignment cannot be corrected with orthodontics alone, surgical treatment may be discussed as part of your plan.

Not all severe cases require surgery, and many bite issues can still be managed orthodontically. Your consultation will determine the most predictable and stable option.

How Does the Surgical Orthodontic Process Work?

Treatment typically occurs in three phases:

First, orthodontic treatment prepares the teeth for proper jaw repositioning. This stage may last several months.

Next, an oral and maxillofacial surgeon performs the corrective jaw surgery in a hospital setting. The procedure repositions the jaw to improve alignment and balance.

After healing, orthodontic treatment continues to refine the bite and finalize alignment. Braces are often removed within 6 to 12 months following surgery, depending on the case.

A retainer is then provided to maintain the final results.

What Is Recovery Like After Jaw Surgery?

Orthognathic surgery requires a recovery period. Most patients need approximately two weeks away from work or school for initial healing. Swelling and temporary dietary modifications are expected, and full healing occurs gradually.

Dr. Phillis coordinates closely with your surgeon to monitor progress and ensure a smooth transition back into orthodontic refinement.

What Are the Benefits of Surgical Orthodontics?

When properly planned, surgical orthodontics can:

• Improve chewing efficiency
• Enhance facial symmetry
• Correct severe bite discrepancies
• Support airway function
• Reduce long-term jaw strain
• Improve overall facial balance
• Beyond aesthetics, the primary goal is functional stability and long-term oral health.

Are There Risks?

As with any surgical procedure, orthognathic surgery carries some risks. However, it is a well-established and carefully planned treatment performed by specialized surgeons. Dr. Phillis will review all considerations with you in detail so you feel informed and confident before moving forward.