Sometimes jaw issues that can’t be resolved by orthodontic treatment alone may require jaw surgery. Jaw surgery corrects irregularities of the jawbones, realigning the jaws, teeth, and soft tissue so they function together.
Issues that may require jaw surgery include:
Jaw surgery is considered an option once growth has ended, typically around 14-16 years for females and 17-21 years for males. Maxillomandibular advancement (MMA), described below, is the double-jaw surgery used for this treatment.
Maxillomandibular Advancement (MMA) is a jaw surgery that repositions both the upper jaw (maxilla) and lower jaw (mandible) more forward.
Advancing both jaws forward can:
For patients with:
MMA surgery is one of the most effective surgical treatments for improving airway structure and long-term breathing health. Please ask your doctor about success rates vs. cure rates for surgery and sleep apnea.
Step 1. Referral and consultation with the oral and maxillofacial surgeon for surgical planning, imaging, and medical clearance.
Step 2. Pre-Surgical orthodontic preparation with braces or aligners to align the teeth and idealize the bite for surgery. This can take approximately 8-12 months, but is patient-specific.
Step 3. Surgical procedure (performed in a hospital with the surgeon). An overnight hospital stay is typical.
Step 4. About 6 - 10 weeks after surgery will be your first orthodontic adjustment.
Step 5. Post-surgical orthodontic treatment with braces or aligners continues to refine and finalize the bite. This can take around 6-12 months, but is patient and bite-specific.
Step 6. If you started with a pre-op sleep study, we will ask that you obtain a post-op sleep study.
Estimated Total Treatment Time: Approximately 24 months, but this is patient specific.
Orthodontic treatment will continue after surgery to ensure a stable, balanced, and functional final result.
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Please do not hesitate to reach out with any questions. We look forward to partnering with you on this transformative journey.
For all detailed questions related to the surgery, including risks, post-operative instructions and restrictions, and insurance coverage, please contact your oral surgeon.
Contact UsThe before-and-after examples below are surgically facilitated orthodontic therapy (SFOT) cases, not jaw surgery. SFOT is periodontal surgery that helps teeth move during braces or aligner treatment. It is a different procedure from maxillomandibular advancement, which repositions the jaws.
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