Do You Need Braces For Orthognathic Surgery?

Do You Need Braces For Orthognathic Surgery?

TeamOral Surgery

Orthognathic surgery refers to surgery that repositions or reshapes the jaw. In some situations, orthodontic treatment alone is not effective for aligning the bite. When the upper row of teeth don’t meet together properly with the lower row of teeth, surgical orthodontics is sometimes the most effective treatment. 

If your orthodontist has recommended orthognathic surgery for you or your child, you may be wondering what to expect. Are braces required for orthognathic surgery? Here’s what orthodontists and oral surgeons recommend for best results. 

Orthodontic Treatment Before Orthognathic Surgery

Orthognathic surgery is most effective when orthodontic treatment begins first. Your orthodontist will typically want you to wear braces before surgery so that your teeth can be adjusted to the ideal position. Braces can straighten your teeth and align your bite as much as possible without surgery, then surgery can make the additional necessary adjustments. 

Braces Provide Stability While You Heal 

Another benefit of having traditional braces on your teeth is that the brackets can be used to stabilize your jaw while you heal. In some cases it is in your best interest to have your jaw wired shut while the bones heal, and braces provide the necessary equipment to do that. You may need to follow a mostly liquid diet for about 6 weeks while you heal, but you can avoid some of the negative side effects that may come with other stabilization methods. 

Orthodontic Treatment May Continue After Surgery 

After your orthognathic surgery, your teeth may still need some adjustments to help you achieve optimal bite alignment. Orthodontic treatment before surgery will reduce the extent and length of the treatment you willneed afterwards. You can expect to still be in braces for a few months following your surgery while the position of your teeth is fine-tuned. 

Can I Get Orthognathic Surgery Without Braces?

It is possible to get orthognathic surgery without braces, but it is not recommended. Most orthodontists and oral surgeons would not advise it because surgery alone can not perfectly align your teeth and bite. You may find that you still have dental problems following surgery. You may also be dissatisfied with your appearance without orthodontic treatment. 

Can Invisalign Treatment Work With Orthognathic Surgery?

An alternative orthodontic treatment to braces is Invisalign. Invisalign consists of clear plastic aligners that you wear over your teeth. They are removable like retainers and are virtually invisible when you are wearing them. If you want a more discreet option for straightening your teeth, Invisalign can also work with orthognathic surgery in some cases. 

Your orthodontist can evaluate your teeth and determine whether or not Invisalign would be effective for you. Your oral surgeon will also have to approve the use of Invisalign because your jaw will need to be stabilized in a different way for healing after surgery. 

Get Started With an Orthodontic Evaluation

If you or your child may be in need of orthognathic surgery, the process should begin with orthodontic treatment. Demko Orthodontics provides orthodontic treatment and works closely with your oral surgeon to help you achieve the best possible results for your dental health and smile. 


Contact us today to learn more and schedule an appointment at the location that is most convenient for you.