UPDATE: We’ve relocated our Silver Spring office across the street onto Randolph Road.

Surgical Orthodontics for Jaw Alignment Treatment

For some patients, achieving a healthy, functional smile requires more than braces alone. We offer surgical orthodontics, also known as orthognathic surgery, to correct severe jaw misalignments and bite problems that can’t be resolved with braces alone.

This specialized treatment combines the expertise of Dr. Jean Hong and a trusted oral and maxillofacial surgeon to improve jaw function, oral health, and facial appearance.

What Is Surgical Orthodontics?

Surgical orthodontics involves repositioning the jaw to correct structural irregularities that affect chewing, speaking, breathing, or facial balance. It’s typically used when:

  • The upper and lower jaws don’t align properly

  • The patient has significant facial asymmetry

  • Bite problems (malocclusion) are too severe for braces alone

In addition to restoring jaw function, surgical orthodontics can enhance the overall harmony of facial features, giving patients both functional and aesthetic benefits.

At our practice, we use the latest in digital imaging technology, including ICAT 3D radiographic imaging and SureSmile® planning software, to map your procedure in detail. This state-of-the-art approach helps us reduce treatment time, improve surgical precision, and support faster healing.

Who Is a Candidate for Orthognathic Surgery?

Surgical orthodontic treatment is usually recommended for adult patients who have:

  • Completed jaw growth (typically age 16+ for females, 18+ for males)

  • Significant bite issues or jaw misalignment

  • Functional problems related to chewing, speaking, or breathing

  • Facial aesthetic concerns tied to jaw position

Even though surgery isn’t performed until jaw growth is complete, pre-surgical orthodontic treatment (braces) often begins earlier to align the teeth in preparation.

How Surgical Orthodontics Works

In some cases, braces alone may worsen the bite due to an underlying skeletal problem. When this occurs, Dr. Hong may recommend orthognathic surgery to properly align the jaws.

Here’s how the process works:

  1. Braces are placed before surgery to begin aligning the teeth.

  2. As the bite appears to worsen, it’s actually being prepared for surgical correction.

  3. Surgery is performed by an oral surgeon to reposition the jaw(s) for proper alignment.

  4. Braces remain on for several months after surgery to fine-tune the bite.

Common procedures may involve:

  • Moving the upper or lower jaw forward, backward, or upward

  • Removing or adding bone for improved balance and symmetry

  • Using advanced materials like titanium plates and miniature screws for stability, strength, and long-term predictability

These advances help minimize post-surgical recovery time and allow patients to return to their normal routines sooner.

Recovery Timeline and What to Expect After Surgery

Recovering from surgical orthodontics is a gradual but manageable process. Most patients return to normal activities within a few weeks. Here’s what you can expect:

  • Initial recovery: 2 weeks to resume school or work

  • Full healing: Usually 4 to 8 weeks

  • Braces stay on for 6 to 12 months post-surgery to complete alignment

  • Retainer use: After braces are removed, a retainer helps maintain the results

Dr. Hong will monitor your progress closely and make precise adjustments throughout your treatment to ensure a healthy, functional, and beautiful result.

Surgical orthodontics can be a life-changing solution, improving not only your appearance but also your comfort, health, and daily function. Contact us today to learn if this advanced treatment is right for you.