September 17, 2014

Can I Have Corrective Jaw Surgery Without Orthodontic Treatment?

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Medically Reviewed By Dr. SL Chan

BDS|MDS|FRACDS|FAMS

Corrective jaw surgery – also called orthognathic surgery – is done to correct jaws that are misaligned or have grown unevenly, causing problems with oral  function and/or appearance. It is generally a collaborative process, involving a Singapore oral and maxillofacial surgeon, an orthodontist and other dental professionals, and typically includes orthodontic treatment both before and after surgery. Among the most frequent questions patients ask as they begin to learn about the treatment process is this: Can I have corrective jaw surgery without orthodontic treatment? The short answer is, generally not, and here we’ll explain why orthodontic care is typically essential to the process.

Why Orthodontic Care Is Important To Your Corrective Jaw Surgery Results

Corrective jaw surgery is a treatment that is done in adult patients. While the need for surgical correction of poor jaw alignment or uneven jaw growth may be evident earlier, best long-term results are achieved if surgery is delayed until jaw growth and development is complete. In the meantime, teeth tend to move into less than optimal positions as the body tries to compensate for the malocclusion  – or incorrect bite. For example, in patients with a significant overbite, the upper teeth may tip inwards and the lower teeth tip outwards, while in patients with a substantial underbite, the lower teeth tend to tip inwards, and the upper ones outward.

In either of these common situations, correcting the positioning of the jaw without addressing the abnormal tooth alignment that poor jaw alignment has caused generally results in upper and lower teeth failing to fit together properly. This leaves the patient with unresolved functional and aesthetic issues, as well as the same risk of long-term complications that was present before surgery – which can include jaw pain, headaches and abnormal tooth wear that can eventually lead to serious dental problems.

Orthodontic treatment before surgery reverses the damage that poor jaw alignment has done in terms of tooth positioning. To prepare your mouth for optimal oral function, comfort and appearance after surgery, your orthodontist will move your teeth back into proper position, ensuring that they will fit together correctly after your Singapore oral and maxillofacial surgeon has resized, reshaped or repositioned your jaws as necessary to correct poor positioning and/or alignment.

While months of orthodontic treatment before corrective jaw surgery may seem like a hassle, in the end, it is well worth the time and trouble. Forgoing that care means leaving the job half done – which means that you won’t get optimal results in correcting the difficulties that your poorly aligned jaws have caused, whether those are functional issues, like poor biting and chewing efficiency or impaired speech, aesthetic ones that affect your self-esteem and self confidence, or some combination of both. The bottom line is this: When it comes to corrective jaw surgery, it just makes sense to do everything possible to make sure it’s done right the first time.

1 thought on "Can I Have Corrective Jaw Surgery Without Orthodontic Treatment?"

  1. davie smith on

    Yes it is possible to have corrective jaw surgery without orthodontic treatment but it depends upon the fit if the teeth when you move the jaw forward. You need to know that the bite won't be worse so if you get some models of the bite one can assess what the bite will look like with the jaw moved forward. We do Invisalign surgery all the time without braces but the teeth have to fit.

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Dr. SL Chan

  • Singapore Oral Surgeon

BDS |  MDS |  FRACDS |  FAMS | 

A Leading Singapore Dental Surgeon specializing in Oral Maxillofacial Surgery, with a special interest in reconstructive & corrective jaw surgery.

Dr Chan has held major leadership position in Singapore Dentistry, including being President of the Association of Oral and Maxillofacial Surgeons (Singapore), Chairman of the Singapore Regional Committee of the Royal Australasian College of Dental Surgeons and President of the College of Dental Surgeons of the Academy of Medicine, Singapore. He has also served in the Singapore Dental Council where he chaired the Credentials Committee and the Aesthetic Facial Procedures Oversight Committee.

  • Bachelor of Dental Surgery (BDS), National University of Singapore (1989)
  • Master of Dental Surgery in Oral and Maxillofacial Surgery (Training under Professor H. Tideman), University In Hong Kong
  • Fellow of the Royal Australasian College of Dental Surgeons
  • Fellow of the Academy of Medicine, Singapore

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