Dr. Hoss Abar
Surgical orthodontics is often recommended when jaw position affects chewing, speaking, facial balance, or long-term bite stability. For many patients, the idea of jaw surgery can feel overwhelming, especially when they are unsure about the benefits, risks, and full treatment process.
At Abar Orthodontics in Pinole, surgical orthodontic treatment is approached with careful diagnosis, education, and coordinated planning. The goal is not to rush patients into treatment, but to help them understand why surgical orthodontics may be considered, what it can improve, and what risks should be reviewed before moving forward. A clear conversation helps patients make informed decisions about their smile, bite, and jaw function.
Surgical orthodontics, also known as orthognathic orthodontic treatment, combines orthodontic tooth movement with corrective jaw surgery. It may be recommended when the upper and lower jaws do not align properly and braces alone cannot create a stable bite. Orthodontics helps position the teeth, while surgery helps reposition the jaws for better function.
This treatment is usually considered for adults or older teens whose jaw growth is complete. Common concerns may include underbite, overbite, open bite, crossbite, facial asymmetry, or difficulty closing the teeth together. Some patients also experience chewing challenges, speech concerns, or jaw strain because the bite does not fit comfortably.
Surgical orthodontic treatment can provide benefits that go beyond straight teeth. Because the treatment addresses both tooth position and jaw alignment, it may help improve function, balance, and long-term bite stability. Patients often seek this care because they want a solution that addresses the root cause of their bite problem, not just the visible tooth position.
Possible benefits may include:

The benefits of surgical orthodontics depend heavily on diagnosis and planning. Before treatment begins, your orthodontist evaluates the teeth, bite, jaws, facial profile, and growth status. Digital scans, X-rays, photographs, and bite records may be used to understand how the teeth and jaws relate to one another. This planning stage helps determine whether surgical orthodontic treatment is appropriate.
A strong treatment plan also requires communication between the orthodontist and oral and maxillofacial surgeon. The orthodontist focuses on aligning the teeth before and after surgery, while the surgeon focuses on jaw repositioning. When both providers coordinate carefully, the treatment can be more organized and predictable.
Like any surgical or orthodontic treatment, surgical orthodontics has risks that should be discussed before treatment begins. These risks do not mean the treatment is unsafe for every patient, but they do mean that careful evaluation and informed consent are important. Each patient’s health history, bite condition, jaw structure, and treatment goals must be reviewed individually.
Some risks are related to the surgical phase, such as swelling, discomfort, bleeding, infection, temporary numbness, or changes in jaw movement during healing. Other risks are related to orthodontic treatment, such as tooth soreness, root changes, gum irritation, or the need for consistent oral hygiene. Recovery time can vary, and patients must follow post-surgical instructions closely.
There may also be emotional and lifestyle considerations. Surgical orthodontic treatment can take time, and patients may need to adjust their diet, work schedule, school schedule, or daily routine during recovery. Understanding these realities early helps reduce frustration later.

Surgical orthodontic treatment may be considered for patients with jaw-related bite problems that cannot be fully corrected with orthodontics alone. The goal is not simply to create a straighter smile, but to improve the relationship between the teeth and jaws. This makes candidacy different from routine braces treatment.
Patients may benefit from an evaluation if they have:
According to the American Association of Orthodontists, orthodontists are trained specialists who diagnose, prevent, and treat dental and facial irregularities, including concerns involving tooth and jaw alignment
The risks and benefits of surgical orthodontic treatment in Pinole should be understood before any patient moves forward. This treatment may help improve bite function, jaw alignment, facial balance, and long-term orthodontic stability, especially when braces alone cannot fully correct the problem. At the same time, patients should understand the possible risks, recovery expectations, and time commitment involved. With careful diagnosis, clear communication, and coordinated planning, surgical orthodontics can offer a structured path for complex bite and jaw concerns.
Contact your Orthodontist today in Pinole, at ABAR Orthodontics, to learn more about the Risks and Benefits of Surgical Orthodontic Treatment.