What Is Orthognathic Surgery Combined with Orthodontics? Procedures, Costs, and Aftercare

For individuals with facial structural imbalances-such as a protruding chin, noticeable facial asymmetry, or misaligned teeth that affect daily life-orthodontic treatment alone is often not sufficient to address the root cause of the problem. In such cases, the recommended treatment by dental specialists is Orthognathic Surgery combined with orthodontics, also known as jaw surgery with braces. This approach simultaneously corrects both the position of the jawbones and the alignment of the teeth. The goal is to achieve not only improved facial aesthetics but also optimal function, including better chewing, speaking, and overall oral health. Here is essential information you should know about orthognathic surgery combined with orthodontic treatment:

 

Why Must Orthognathic Surgery Be Combined with Orthodontics?

     Many people wonder whether it’s possible to have jaw surgery alone or braces alone. The answer is no especially in cases involving structural jaw abnormalities. When the jawbone is repositioned during surgery, the original alignment of the teeth will no longer match properly. This means the upper and lower teeth will not fit together correctly after the bone has been adjusted. Therefore, combining Orthognathic Surgery with orthodontic treatment is essential. This ensures that, once the jaw is in its new position, the teeth can be properly aligned to achieve a balanced bite, improved function, and optimal long-term results.

 

Who Is a Suitable Candidate for This Treatment?

This treatment is recommended for individuals with the following conditions:

 - Those with a skeletal underbite (protruding lower jaw) or overbite (receding chin)
 - Individuals with noticeable facial asymmetry or uneven jaw size
 - Those experiencing difficulty chewing or having conditions such as snoring or airway obstruction that affect breathing

 

The process of jaw surgery combined with orthodontic treatment, from start to finish.

 

 

The process of jaw surgery combined with orthodontic treatment is a long-term treatment that requires close collaboration between an orthodontist and an oral and maxillofacial surgeon. The main steps are as follows

1. Treatment Planning
   The doctor will perform 3D facial scanning, dental impressions, and X-rays to simulate the most suitable jaw position.

2. Pre-Surgical Orthodontic Treatment
   This step usually takes about 1-2 years to align the teeth into positions that match the new jaw structure before surgery. It is like repositioning the teeth to support the new facial structure after the operation.

3. Surgical Procedure
   Once the teeth are in the proper position to support the new facial profile, the surgeon will perform the jaw surgery in the operating room under general anesthesia. All incisions are made inside the mouth, so there is no need to worry about visible external scars.

4. Post-Surgical Orthodontic Treatment
   After allowing the teeth and jaw to recover for about 1-3 months following surgery, the final stage of orthodontic treatment begins to fine-tune the bite for the most precise result. This stage usually takes another 6-12 months.
 

How much does jaw surgery combined with orthodontic treatment usually cost?

 

 

Budget is an important factor that should be planned in advance, as the cost of jaw surgery combined with orthodontic treatment is generally divided into two main parts:

 - Orthodontic treatment cost: This depends on the type of braces used, such as metal braces or Damon braces. The average cost is around 50,000-90,000 THB.

 - Surgery cost: If only one jaw is operated on, either the upper or lower jaw, the price usually starts at around 80,000-150,000 THB. If both the upper and lower jaws require surgery (two-jaw surgery), the cost may range from 200,000-350,000 THB, depending on the hospital and the technology used in the treatmen

 

Self-Care After Jaw Surgery Combined with Orthodontic Treatment

The first two weeks after jaw surgery combined with orthodontic treatment are the most critical period. Patients must take very careful care of themselves to help the surgical wounds heal properly and reduce the risk of infection. The recommended self-care guidelines are as follows

 

Diet

During the early stage of recovery, patients should eat liquid or soft foods that do not require chewing, in order to avoid disturbing the recently operated jawbone. Hard-textured foods should be strictly avoided during this period.

Oral Hygiene

Rinse your mouth frequently with saline solution or a mouthwash prescribed by your doctor, as brushing your teeth may be difficult during the initial stage after jaw surgery and orthodontic treatment.

 

Swelling Reduction

Apply a cold compress during the first 48 hours, then switch to a warm compress afterward to help improve circulation and reduce swelling.

 

Choosing jaw surgery combined with orthodontic treatment is a worthwhile investment in yourself, because your facial structure and appearance will stay with you for life. In addition to creating a more balanced, attractive, and noticeably improved facial appearance, this treatment can also help resolve long-term health problems. If you are considering this treatment option, it is recommended that you consult the specialists at Pasook Dental Clinic to receive the most suitable treatment plan for your needs. Expert consultation and treatment are available at Pasook Dental Clinic branches near you.

 

 

Source : 

Pasook Dental Clinic

Arokago Providers Pasook Dental Clinic