Orthodontists have tremendous control over teeth and developing skeletal structures.  When a patient has ceased skeletal development and they still would benefit from dramatic improvements, surgical treatment may be indicated.  Surgery may be indicated when an upper jaw has grown down vertically too much and an excess amount of gum tissue is visible.  In other scenarios a lower jaw may be too far forward or too far back.  Rarely an upper jaw may be too far back or too narrow and surgical intervention can help restore a skeletal harmony.



A typical orthodontic-surgical case begins with about 12 months of braces to line up the teeth and place them in a position where they do not interfere when a surgeon moves the skeletal structures into proper relationships.  Once the surgeon has performed their task (typically an outpatient procedure and sometimes not even performed in a hospital), a patient will undergo a healing and stabilization period followed by another 6 to 9 months of further orthodontic treatment.   This last period of treatment is typically to "dial-in" any necessary tooth movements and assist in perfecting the incredible changes already brought about by the surgeon.  We collaborate with some of the best surgeons in the region to bring about these changes.  Ask us if this type of treatment is right for you!