Orthodontics and oral surgery are often viewed as separate treatments, but in many cases, they work best together. While braces and clear aligners effectively straighten teeth and correct mild bite concerns, they cannot fix structural jaw discrepancies. When the upper and lower jaws are misaligned due to skeletal imbalance, a combined approach — orthodontics plus orthognathic (jaw) surgery — provides a stable and functional solution.
When Braces Alone Aren't Enough
Braces can successfully treat crowding, spacing, and minor overbites or underbites. However, severe overjet, underbite, open bite, facial asymmetry, or airway concerns such as obstructive sleep apnea often indicate a deeper skeletal issue. In these cases, orthodontic camouflage may temporarily mask the imbalance, but does not correct the jaw structure itself.
How the Combined Treatment Process Works
When surgery is required, treatment follows a carefully coordinated plan. Orthodontic care usually begins first to align the teeth within each jaw, preparing them for precise surgical correction. During the procedure, the oral and maxillofacial surgeon repositions the upper jaw, lower jaw, or both to restore proper alignment. Modern digital imaging and 3D surgical planning enhance accuracy.
Functional Benefits Beyond Aesthetics
The benefits of combining orthodontics and oral surgery go far beyond improving appearance. Proper jaw alignment can significantly enhance chewing efficiency, speech clarity, and temporomandibular joint (TMJ) comfort. In many patients, repositioning the jaws also improves breathing and may reduce symptoms of sleep apnea by increasing airway space.
Expert Care Through Interdisciplinary Collaboration
At Steve Bureau Oral & Maxillofacial Surgery, we work closely with orthodontists to develop personalized treatment plans tailored to each patient's needs. If you have been diagnosed with a severe bite issue or jaw imbalance, a consultation can help determine whether a combined orthodontic and surgical approach is the right path toward optimal oral health.