Corrective Jaw Surgery
Corrective jaw surgery not only enhances facial appearance but also ensures the teeth meet and function properly.
Corrective jaw surgery, also known as orthognathic surgery, is a procedure used to realign the upper and/or lower jaws when they do not meet correctly or are out of proportion with the rest of the face. At Carolina Oral & Facial Surgery, board certified surgeon Dr. Bart D. Williams III, is one of the most experienced surgeons in Upstate South Carolina and Western North Carolina to perform this specialized surgery to improve the function and appearance of the jaw. This surgical procedure can address issues such as difficulty chewing, breathing, speaking, as well as chronic jaw pain and facial asymmetry in teens and adults.
Orthognathic surgery is performed to correct jaw growth abnormalities that cause the teeth and jaws to be misaligned. Orthodontic treatment is first used to straighten and align the teeth within each jaw, and corrective jaw surgery then repositions the jaws for improved bite, balance, and function. This not only enhances facial appearance but also ensures the teeth meet and function properly.
Who Needs Corrective Jaw (Orthognathic) Surgery?
People who may benefit from orthognathic surgery include those with an improper bite or jaws that are out of position. Jaw growth is a gradual process, and sometimes the upper and lower jaws develop at different rates. Injuries, birth defects, and hereditary or environmental factors can also contribute to jaw misalignment.
Orthodontics alone can correct bite problems when only the teeth are involved, and mild skeletal discrepancies can sometimes be managed through orthodontic camouflage. However, more severe skeletal imbalances typically require jaw surgery to reposition one or both jaws for ideal alignment and function.
When Corrective Jaw Surgery May Be Recommended
Difficulty in the following areas are commonly evaluated by Dr. Bart D. Williams III, a board certified oral and maxillofacial surgeon:
- Chewing, biting, or swallowing
- Speech or articulation
- Chronic jaw or TMJ pain
- Open bite
- Obstructive sleep apnea
- Misalignment of the jaw, chin or nose.
These conditions may be present at birth, develop over time due to growth patterns, or result from facial trauma.
Consultation and Treatment Planning
Before any treatment begins, a comprehensive examination—including imaging and 3D scans—will be performed. During your consultation, Dr. Williams will discuss and review your imaging, orthodontic treatment or recommended treatment, diagnosis, and discuss treatment options. Planning and consultation for corrective jaw surgery can occur years before surgery if due to a birth defect or one to three years as orthodontics is started.
Surgical Options for Upper and Lower Jaw Alignment
Upper Jaw (Maxillary) Surgery
The most common upper jaw procedure is the LeFort I osteotomy, in which the upper jaw is carefully separated from the surrounding midfacial bone and repositioned. It is then stabilized with small plates and screws. The procedure is performed entirely inside the mouth, and resorbable sutures are used for closure.
Lower Jaw (Mandibular) Surgery
The most common lower jaw procedure is the bilateral sagittal split osteotomy (BSSO). In this surgery, the tooth-bearing portion of the lower jaw is separated from the back portion of the jaw with the joint through small incisions inside the mouth. The lower jaw is then repositioned and secured with screws through the intraoral incisions or a small external stab incision beneath each side of the jaw. Resorbable sutures are used for closure.
Additional Procedures:
Chin Surgery (Genioplasty)
Also called a geniotomy, this procedure can reduce, enlarge, or reposition the chin for improved balance and profile. The surgery is performed through the mouth, and the chin segment is fixed in place with small plates and screws.
Technology & Treatment Coordination
Dr. Williams uses advanced CBCT 3D imaging and modeling to plan each surgery precisely. Whether through traditional dental impressions or intraoral scanning, the data is used with computer-guided planning software to fabricate custom surgical guides and splints.
If you are a candidate for corrective jaw surgery, Dr. Williams will collaborate closely with your orthodontist and dentist to ensure a coordinated treatment plan. This multidisciplinary approach allows your teeth and jaws to be aligned into a more functional, balanced, and healthy relationship.
Frequently Asked Questions About Orthognathic (Jaw) Surgery
Thinking about jaw surgery or wondering if it might be right for you? At Carolina Oral & Facial Surgery in Greenville, SC, and Brevard, NC, we understand that deciding to have orthognathic surgery—also known as corrective jaw surgery—is a big step. Below are answers to the most common questions patients ask Dr. Bart D. Williams III and our team about treatment, recovery, and results.
What is orthognathic surgery?
Orthognathic surgery (corrective jaw surgery) repositions the upper and/or lower jaw to correct alignment problems and improve bite function. The procedure enhances both facial balance and oral health, helping patients chew, speak, and breathe more comfortably.
Who needs corrective jaw surgery?
Jaw surgery is recommended for patients who have difficulty chewing, speaking, or breathing, or who experience TMJ pain, open bite, or facial asymmetry. It is often needed when orthodontic treatment alone cannot correct the issue.
What causes jaw misalignment?
Jaw misalignment can result from genetics, uneven growth patterns, injuries, or birth defects. When the upper and lower jaws develop at different rates, it can affect function and appearance.
Am I a candidate for jaw surgery?
If you experience chronic bite problems, jaw pain, or facial imbalance, you may be a candidate. During your consultation at Carolina Oral & Facial Surgery, Dr. Williams will evaluate your bite and jaw alignment using advanced 3D CBCT imaging to determine if surgery is the best solution. Dr. Williams works in collaboration with your orthodontist to coordinate all treatment.
Will I need braces before and after surgery?
Orthodontic treatment is usually necessary both before and after surgery to properly align your teeth and ensure a stable, long-lasting bite. Dr. Williams will work closely with your orthodontist to coordinate your care.
How long does jaw surgery take?
Most procedures take between two and four hours, depending on complexity. Dr. Williams will provide a detailed surgical plan and estimated time during your pre-surgical consultation.
What is recovery like after jaw surgery?
Initial recovery typically takes two to three weeks, with full healing over several months. Swelling, mild discomfort, and a temporary change in diet are common. Most patients return to normal activities within a few weeks. A patient should have a caregiver for both day and night for the first several days following surgery to assist with daily tasks, nutrition, oral hygiene, and encouragement to get up and move around.
Is jaw surgery painful?
Most patients describe recovery as more “sore or tight” than painful. Discomfort is managed with prescribed medication, and swelling improves steadily during the first few weeks.
Will I have visible scars?
No. All incisions are made inside the mouth, leaving no visible scars. In rare cases, an extremely small incision under the jawline may be needed, which typically heals discreetly.
How long will I be in the hospital?
Most patients stay overnight for observation and return home the next day. Some less complex cases may be done on an outpatient basis.
What can I eat after surgery?
You will follow a soft or liquid diet during the early healing phase. As recovery progresses, Dr. Williams will guide you in transitioning back to solid foods safely.
How long until I see final results?
Most major swelling resolves within 2 weeks, but residual swelling will continue to resolve over a couple of months. Complete healing and final jaw alignment can take 6 to 12 months. Improved bite function and facial balance are noticeable much sooner.
What are the risks of orthognathic surgery?
Although uncommon, potential risks include infection, bleeding, changes in nerve sensation, or minor jaw relapse during healing. Dr. Williams uses advanced 3D planning and refined techniques to greatly reduce these risks and achieve accurate outcomes.
Will insurance cover jaw surgery?
If surgery is performed to correct a functional problem—such as chewing, breathing, or speaking difficulties—your medical insurance may cover part or all of the procedure. Our office team will verify coverage and any exclusions on your insurance policy prior to your decision to proceed with surgery. We will assist you with all insurance claims and financial questions.
What are the long-term benefits of jaw surgery?
Corrective jaw surgery provides long-lasting improvements in bite function, speech, breathing, and facial harmony. Many patients also experience greater comfort and confidence in their appearance.
We Are Here to Help You Prepare
At Carolina Oral & Facial Surgery, we are committed to providing the highest level of care and treatment for every patient. See helpful information to guide you before and after your surgery.