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Complex cases

Surgical Orthodontics

When other orthodontic treatment methods have been ruled out, we'll guide you through every step — diagnosis, planning, and finding the right oral surgeon.

An orthodontist holding a clear jaw model while explaining a bite

In some cases, when other orthodontic treatment methods have been ruled out as viable options, surgery is necessary. We know how daunting that can sound, and we are here for you. Our orthodontic team can diagnose your case, build a treatment plan and help you find the right oral surgeon. We work with your oral surgery team throughout the entire process, and we are with you through every step.

If you have been referred for orthodontic surgery, reach out to us. We will answer your questions and arrange a consultation at our Brooklyn office so we can guide you through your next steps.

What is surgical orthodontics?

Surgical orthodontics — also called orthognathic treatment — combines orthodontic care with corrective jaw surgery performed by an oral and maxillofacial surgeon. Braces and aligners are excellent at moving teeth, but when the underlying jaw position is the source of the problem, tooth movement alone cannot fully correct the bite. In those cases, orthodontics and surgery work together: orthodontic treatment aligns the teeth, and surgery brings the jaws into their proper relationship.

The American Association of Orthodontists recognizes orthognathic treatment as the standard of care for significant jaw discrepancies that cannot be resolved with orthodontics alone.

When is surgery considered?

Most orthodontic patients never need surgery. It is typically considered only when the jaws themselves are significantly misaligned, which may show up as:

  • A pronounced underbite, overbite or open bite that braces alone cannot close
  • Difficulty biting, chewing or speaking related to jaw position
  • Facial asymmetry or jaw-joint strain connected to how the jaws meet
  • A bite relationship that has stopped responding to conventional treatment

Because jaw surgery is generally performed after growth is complete, it is most often part of adult treatment plans — one more reason a thorough evaluation matters before deciding on any treatment path. For children whose jaws are still growing, early treatment can sometimes head the problem off.

Who plans your case

Both of our orthodontists are board certified. Your orthodontist diagnoses and plans the orthodontic side of a surgical case and coordinates directly with your oral surgery team from start to finish — records, digital iTero scans and planning are shared throughout, so nothing falls between the two offices.

Request a call back or call (212) 966-9628. Let’s start your journey together.

How treatment works

  1. Evaluation and diagnosis

    Records, digital iTero scans and a complete bite analysis to confirm whether surgery is truly needed, or whether another path can work.

  2. Pre-surgical orthodontics

    Braces or aligners position your teeth so they will fit together correctly once the jaws are repositioned.

  3. Surgery

    Performed by the oral surgeon we help you select. We share records and planning with their team throughout.

  4. Post-surgical refinement

    Fine-tuning tooth positions as you heal, then retention to protect the result.

Frequently asked questions

Does needing braces mean I might need surgery?

No — surgical cases are the exception, not the rule. Surgery is only discussed when jaw alignment itself is the obstacle and other options have been ruled out.

Do you perform the surgery?

No. Jaw surgery is performed by an oral and maxillofacial surgeon. Your orthodontist handles the orthodontic phases and coordinates your care with the surgical team the whole way through.

Can teens have surgical orthodontics?

Jaw surgery is generally timed after jaw growth is complete, so it is most common in adults and older teens. Younger patients with jaw-growth concerns may be candidates for early interceptive treatment instead, which can sometimes reduce the need for surgery later.

Ready to start your smile?

Call us, or leave your number and we'll call you back within one business day.

738 58th Street, #1 FL, Brooklyn, NY 11220 · Mon – Sun · 9:30am – 5:00pm