Some bite problems come from jaw position, and braces or aligners alone cannot always correct them. When a jaw discrepancy is significant, orthodontic treatment may be paired with corrective jaw surgery, also called orthognathic surgery, to improve how your teeth and jaws fit and function.
Hambleton Orthodontics is a family-owned practice, and we guide patients in Pasadena through the orthodontic side of this process while working alongside your oral surgeon.
Candidates usually have a bite or jaw concern beyond tooth position, such as a pronounced underbite, overbite, open bite, or an uneven jaw. Trouble chewing, speaking, or closing your lips comfortably can also be signs worth discussing, as can jaw pain or uneven tooth wear. A comprehensive orthodontic evaluation helps us determine whether surgery may be part of your plan or whether orthodontics alone is enough.
Jaw surgery is generally planned after the jaws have finished growing, so younger patients may begin with monitoring and return when the time is right. Because timing depends on your growth and goals, we review your records with you and coordinate the schedule with your surgeon, so we don’t rush the decision.
Most plans follow three stages. First, we place braces to align your teeth so they fit together after your jaw is repositioned. The Mayo Clinic notes that braces are usually worn for 12 to 18 months before surgery. Next, your surgeon repositions the jaw. Finally, we fine-tune your bite with braces once healing allows, and rubber bands may be used to guide how your teeth come together.
Your orthodontist and surgeon plan together, using X-rays, photos, and models of your teeth. We share records, agree on timing, and make sure your braces are placed and adjusted to match the surgical plan. You always know who to call, what comes next, and why each step matters.
Your surgeon gives you healing instructions, including what to eat and how to care for your mouth. Once you are ready, we resume orthodontic care to refine your bite, then provide retainers to help keep your results in place. Our team stays in touch throughout so recovery feels manageable.
Every case is different, and the right plan depends on how your teeth and jaws fit together. During your visit, we explain what we see and which options may apply.
When the lower teeth sit in front of the upper teeth, surgery may help bring the jaws into better balance when braces alone cannot.
A significant overbite can affect chewing and appearance, and jaw surgery may be considered when the upper and lower jaws are out of proportion.
When the front teeth do not meet even with the back teeth closed, a combined approach may improve how your teeth come together.
A jaw that sits off center or a crossbite that involves the bone may call for surgery along with orthodontic care.
Considering jaw surgery raises big questions about safety, timing, and what daily life looks like along the way. Here are answers to the ones we hear most from patients and families.
Often they can, but not always. When the problem lies in the position of the jaw rather than the teeth, braces may only go so far. We tell you honestly which situation applies to you.
The full process is usually longer than standard treatment because it includes time before and after surgery. We give you a clearer estimate once we review your records and plan with your surgeon.
Coverage varies by plan, and some plans treat jaw surgery as a medical benefit instead of a dental one, so it is worth checking with your insurer early. We also explain payment plans for the orthodontic portion on our financial information page.
Jaw surgery is a major procedure, and your surgeon will review the risks and benefits with you in detail. It is generally performed by an experienced oral and maxillofacial surgeon who works closely with your orthodontist.
Three generations of our family have cared for Pasadena-area smiles for more than 70 years. We treat children, teens, and adults with braces, ceramic clear braces, and Invisalign, and we walk you through every step so you always know what to expect.
Hambleton Orthodontics offers a free consultation — a good way to understand your options and get honest answers before making any decisions. Take the first step and contact our office to schedule yours.
