Reviewed by Dr. Jason Fluckiger, DMD

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Orthognathic surgery, also known as corrective jaw surgery, is a specialized surgical procedure aimed at correcting jaw and facial structure issues to improve chewing, speaking, and breathing. 

This operation, performed by skilled maxillofacial surgeons, can significantly improve the function and aesthetics of a patient’s facial skeleton.

In this blog, we will explore the various aspects of orthognathic surgery, including its benefits, procedure, recovery, and risks.

Table of Contents

What is Orthognathic Surgery?

Orthognathic surgery involves surgical procedures that correct dentofacial deformities and misalignments involving the upper teeth, jaw bone, and facial bones.

These surgeries can address a range of issues, including jaw imbalances, birth defects, facial injuries, and even temporomandibular joint disorders.

Who Performs Orthognathic Surgery?

Orthognathic surgery is performed by oral and maxillofacial surgeons—specialists trained in both medicine and dentistry. They collaborate with general dentists and orthodontists to provide comprehensive treatment for jaw and facial structure issues.

These surgeons undergo extensive training and education to develop skills in diagnosing, treating, and preventing various dental conditions related to the oral cavity and adjacent structures. This specialized knowledge allows them to perform intricate surgeries with precision.

Benefits of Orthognathic Surgery

Orthognathic surgery can improve both functional and aesthetic aspects of a patient’s appearance. Some of the benefits include:

  • Improved bite: Correcting jaw misalignments can greatly improve a patient’s ability to chew food properly.
  • Better speech: Jaw deformities can affect how someone speaks and pronounces words. Surgery can help correct these issues, leading to clearer speech.
  • Improved breathing: Jaw problems can also impact how someone breathes, especially during sleep. Surgery can improve airway obstruction and promote better breathing.
  • Facial symmetry: Correcting jaw and facial structure issues can improve the symmetry of a patient’s face.
  • Improved self-confidence: Addressing dental and facial deformities through orthognathic surgery can boost a person’s self-esteem and confidence in their appearance.

Computer-Assisted Surgery

In recent years, computer-assisted surgery has become widely used in orthognathic procedures. This technology allows for:

  1. Precise planning: Detailed imaging and simulation allow surgeons to plan the surgical steps meticulously.
  2. Accurate execution: Advanced tools and software help in achieving precise cuts and skeletal movements, which lead to better alignment and function.
  3. Predictable outcomes: With computer-assisted planning, both the surgeon and patient can have a clearer understanding of the expected results.

The Surgical Journey

Pre-Surgery Preparations

Before having surgery, patients typically go through a period of orthodontic treatment:

  1. Initial consultation: The oral surgeon and orthodontist collaborate to assess the patient’s needs and to create a treatment plan.
  2. Imaging: Detailed scans of the facial skeleton, jaw bone, and temporomandibular joint are taken.
  3. Braces: Patients wear braces to align the teeth in preparation for the surgery.

The Surgery

The actual surgery may include various procedures such as:

  • Maxillary Osteotomies: To reposition the upper jaw.
  • Mandibular Osteotomy: For mandibular surgery involving the lower jaw.
  • Combined Maxillary and Mandibular surgery:  Corrects both jaws.
  • Chin Surgery (Geniplasty): Combined with mandibular osteotomy, used to correct the position of the chin.

Post-Surgery Recovery

The recovery period after varies from individual to individual. However, some common aspects of the recovery process are:

  1. Hospital stay: Patients typically stay in the hospital for a few days after the surgery.
  2. Swelling and bruising: Some swelling and bruising around the face and jaw is normal and usually subsides gradually.
  3. Jaw fixation:  In some cases, the jaw may be wired shut for 1-6 weeks after surgery to allow proper healing.
  1. Liquid diet: A liquid or soft food diet may be recommended initially, followed by slowly reintroducing solid foods.
  2. Follow-up appointments: Regular follow-up appointments with the oral surgeon and orthodontist are necessary to monitor healing and make any needed adjustments.

Partner With AZ Max for the Best Results

Orthognathic surgery is a highly specialized procedure that can greatly improve a patient’s quality of life by correcting jaw and facial structure issues. With advanced technology and skilled surgeons, this surgery has become more precise, predictable, and effective in achieving desired results.

If you have concerns about your jaw or facial structure, talk to an oral and maxillofacial surgeon to see if orthognathic surgery may be right for you. To book an appointment with one of our oral surgeons, call or text (480) 830-5866 or complete the online inquiry form.

We have locations in Mesa, North Mesa, Queen Creek, Show Low and Tempe.  Call or text (480) 830-5866 to book an appointment at one of our locations.

If you live in Scottsdale, AZ, book an appointment at our Tempe or Mesa locations. 

If you live in Chandler, AZ, book an appointment at our Tempe or Queek Creek locations. 

If you live in Gilbert, AZ, book an appointment at our Mesa, Queek Creek or Tempe locations.

If you live in Phoenix, AZ, book an appointment at our Tempe or Mesa locations.

FAQs About Orthognathic Surgery

Is orthognathic surgery a major surgery?

Yes, orthognathic surgery is a major surgical procedure that often involves repositioning the jaw bones. It is performed under general anesthesia and may require a hospital stay.

Is orthognathic surgery expensive?

The cost of orthognathic surgery varies depending on the complexity and extent of the procedure, as well as location and other factors. Our team at AZ Max can provide a detailed breakdown of costs during your consultation.

Will I have visible scars after orthognathic surgery?

Most incisions for orthognathic surgery are made inside the mouth to minimize visible scarring. However, there may be some minor external incisions that typically heal well and are barely noticeable over time.

What are the disadvantages of orthognathic surgery?

Some potential disadvantages of orthognathic surgery may include:
Temporary difficulty with speech and eating during the recovery period.
Potential nerve damage or numbness in the face, although this is rare and usually temporary.
Possible need for additional corrective procedures if initial results are not satisfactory.

It is important to discuss any concerns or questions with your surgeon before undergoing the procedure.  Overall, orthognathic surgery has a high success rate and can greatly improve jaw function and appearance.  With advancements in technology and skilled surgeons, the risks associated with this procedure have significantly decreased.

What is the difference between orthognathic surgery and maxillofacial surgery?

Orthognathic surgery is a type of maxillofacial surgery that specifically focuses on correcting the alignment and position of the jaws. Maxillofacial surgery, on the other hand, encompasses a broader range of procedures related to issues with the face, jaw, and mouth. This may include corrective surgeries for cleft lips or palates, facial trauma reconstruction, cosmetic facial procedures, and treatment for temporomandibular joint disorders. While orthognathic surgery falls under the category of maxillofacial surgery, not all maxillofacial surgeries involve orthognathic procedures.