Orthognathic (Jaw) Surgery in Cheshire & Southington, CT

When a bite problem is driven by the jaws — not just the teeth — orthognathic (jaw) surgery may be the right solution. At Daniels Orthodontics, we evaluate, plan, and co-manage these cases with trusted oral and maxillofacial surgeons. Our role is to make the process clear and coordinated, from your first records to your final retainer.

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Orthognathic surgery repositions the upper jaw, lower jaw, or both to improve how your teeth meet and how your face functions and looks. Because moving the jaws also moves the teeth, braces are paired with surgery to place teeth in the right positions before and after the procedure.

Benefits of Orthodontic Surgery

Better Function

Surgery can improve chewing, speaking, and breathing by aligning the jaws and teeth to help them work together.

Facial Balance

Jaw position can influence your facial profile. Correcting the skeletal foundation often creates a more harmonious appearance.

Stable Results

When your jaw foundation is right, your bite is easier to maintain with orthodontics and retainers.

Who Is a Candidate for Corrective Jaw Surgery?

We consider a surgical consult for older teens and adults who have finished growing, have significant bite concerns (open bite, severe overbite/underbite, asymmetry), or want to address facial balance. Typically, jaw growth is complete around 16 for girls and 18 for boys. Pre-surgical orthodontics can begin in the year or two leading up to those ages when appropriate.

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Could Early Treatment Help Avoid Surgery?

For growing patients, timely interceptive orthodontics (also called Phase 1 treatment) can guide jaw growth and create space, sometimes reducing or removing the need for jaw surgery later. This approach — often called dentofacial orthopedics (growth guidance) — uses a child’s growth window to widen arches, guide jaw relationships, and support healthy development.

Examples of care include palate expansion for crossbites or narrow arches, growth-guidance appliances for developing bite issues, and habit correction that supports normal jaw development. Not every case can be solved this way without surgery, but an early look lets us choose the least-invasive path that still delivers a healthy, stable bite.

Age 7 is a smart age for a first check-in. This visit helps us spot growth patterns early and decide whether to monitor or step in with a focused plan.

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The Co-Managed Treatment Process

  1. Evaluation & Planning

Photos, X-rays, and a 3D scan help us confirm whether surgery or orthodontics alone will meet your goals. We review timing, costs, and insurance coordination, then introduce you to a partner surgeon when indicated.

  1. Pre-Surgical Orthodontics (Braces)

Braces align the teeth in preparation for surgery, and this phase often lasts 6–18 months. As teeth move, your bite may feel “worse” before it gets better; that’s normal when we’re setting up for jaw correction.

  1. Surgery With an Oral & Maxillofacial Surgeon

Your procedure is hospital-based and can take several hours depending on the movements needed. Upper jaws can be moved forward/backward or raised/lowered; lower jaws are repositioned forward or backward. Your surgeon will review specifics, anesthesia needs, and potential risks beforehand.

  1. Initial Recovery

Most patients return to work or school in about two weeks. You’ll follow your surgeon’s instructions for diet and activity while we monitor healing together.

  1. Post-Surgical Orthodontics (Fine-Tuning)

After 4–8 weeks of healing, we resume adjustments to dial in the bite. In many cases, braces are removed 6–12 months after surgery once the bite is stable.

  1. Retainers

As the final step, you’ll receive a set of custom retainers. Your retainers are essential as they protect your results for the long run.

I could not be happier with the treatment that I have received from Dr. Daniels and his staff. Having had braces and retainers three times during childhood/teen years, it took a lot for me to make the decision to go back into braces as an adult. The first orthodontist that I consulted with stated that I would need jaw surgery to achieve a functional, non-painful bite, which was not an option for me. The minute I walked into Dr. Daniels' office I knew it was the right place for me. His passion for orthodontics is noticeable immediately. He worked together with me to come up with a treatment plan that worked with my schedule (up to 6 months out of the country at a time) and one that was functional. I was placed in Invisalign with buttons and attachments. I'm now a little over a year into my treatment and the difference in the functionality of my bite and my smile is noticeable to myself and everyone else around me. Having dealt with other orthodontists in the Cheshire area I can say that Dr. Daniels is unequivocally the BEST orthodontist in the Cheshire area. I cannot recommend his services enough.

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Can braces or aligners fix my bite without surgery?

Sometimes, yes, especially for mild to moderate issues. When the jaws themselves are the main concern, surgery plus orthodontics provides the most predictable, stable result. We’ll help you decide what is right for you at your first evaluation.

What age is appropriate for jaw surgery?

Surgery is reserved for patients who have completed jaw growth (roughly 16 for girls, 18 for boys). Pre-surgical orthodontics can begin in the year or two leading up to those ages when appropriate.

How long does the whole jaw surgery process take?

It varies by case, but a common timeline is 6–18 months of pre-surgical orthodontics, surgery with a partner surgeon, then 4–8 weeks of healing before we fine-tune. Braces are often removed 6–12 months after surgery.

Where is jaw surgery performed and by whom?

Your surgery is performed in a hospital or accredited surgical center by an oral and maxillofacial surgeon. We refer only to trusted, high-quality specialists.

How much time will I need off school or work for orthognathic surgery?

Most patients return to school or work about two weeks after surgery, per the surgeon’s guidance.

What about insurance and costs with jaw surgery?

We’ll help coordinate benefits between our office and the surgeon’s office and provide clear estimates up front.

Will I need retainers when I’m done with braces and orthognathic surgery?

Absolutely! Retainers hold your new bite and smile in place after braces come off.

Our Role & Partner Surgeons

We’ll take records, map the orthodontic plan, and refer you to a vetted oral and maxillofacial surgeon for the procedure. Throughout the journey, we share plans and progress so your surgeon and our office are working from the same playbook.

We’ll confirm with you if surgery is truly necessary, coordinate with a trusted surgeon, and build a clear plan from start to finish. You’ll know what’s happening at every step and why.

Ready to talk through options? Get started with a free consultation!

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