Surgical Orthodontics

Surgical Orthodontic treatment or corrective jaw surgery (orthognathic surgery) corrects abnormalities of the facial bones, specifically the jaws and the teeth. Often, these abnormalities cause difficulty associated with chewing, talking, sleeping and other routine activities. Orthognathic surgery corrects these problems and, in conjunction with orthodontic treatment, will improve the bite and overall appearance of the facial profile.

Using the latest in digital imaging technology, Dr Holman ( in conjuntion with an oral surgeon) will demonstrate the overall functional and aesthetic benefits of surgical orthodontic treatment. Computerized treatment planning minimizes treatment times, recovery periods and the overall efficacy of your surgery. State-of-the-art materials such as titanium plates and miniature screws provide stability, strength and predictability to your treatment. These advances in technology, procedures and equipment reduce post-surgical recovery time, thus allowing patients to return to their normal routines soon after the surgery.

Orthognathic surgery may be unnecessary if orthodontic treatment can correct the problem. With the latest advances in orthodontics treatment available today, this is sometimes the case. Dr Holman will determine if orthognathic surgery is the correct treatment option for you.

Conditions that may indicate the need for corrective jaw surgery:

  • difficulty chewing, or biting food
  • difficulty swallowing
  • chronic jaw or jaw joint (TMJ) pain and headache
  • excessive wear of the teeth
  • open bite (space between the upper and lower teeth when the mouth is closed)
  • unbalanced facial appearance from the front, or side
  • facial injury or birth defects
  • receding chin
  • protruding jaw
  • inability to make the lips meet without straining
  • chronic mouth breathing and dry mouth
  • sleep apnea (breathing problems when sleeping, including snoring)

How does orthodontic surgery work?

An oral and maxillofacial surgeon will perform your orthognathic surgery, and the surgery will take place in a hospital. Orthognathic surgery can take several hours depending on each individual case. Once the surgery is completed, you will have about a two-week rest period. Since orthognathic surgery is a major treatment, we recommend that you schedule some time away from work and school during the healing process. After your jaw has healed, Dr. Holman will once again “fine-tune” your bite. After surgery, you continue to wear braces and most braces are removed within six to 12 months following surgery. Once your braces are removed, you will wear a retainer to help maintain your new smile.

What are the rewards of orthognathic surgery?

For many patients, the most important reward of having orthognathic surgery is achieving a beautiful, healthy smile that lasts a lifetime. Whether you need orthodontic treatment to correct a bad bite, malocclusion, or jaw abnormality, orthognathic surgery can help restore your confidence, and leave you smiling for many years to come.