Combined orthodontic and surgical therapy

When jaws and teeth do not match: correction through the interplay of orthodontics and surgery.

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Two specialist fields, one treatment plan

Inherited and acquired malformations in the jaw and facial region frequently have an unfavourable influence on the harmony of facial aesthetics. In most cases speech and chewing ability as well as breathing are noticeably impaired.

Panoramic X-ray of both jaws as a basis for planning

Correction by means of a surgical procedure

In the case of pronounced skeletal discrepancies between the jaws, correction is only possible by means of a surgical procedure. In orthodontics the dental arches are prepared in such a way that the surgeon can set an optimal occlusion.

Such misalignments can often be corrected satisfactorily by means of combined orthodontic and maxillofacial surgical treatment: after orthodontic preparatory treatment, the misalignment is corrected surgically by an oral and maxillofacial surgeon – for example by advancing or setting back the jaw.

The most important points at a glance

  • In the case of pronounced skeletal discrepancies between the jaws, purely orthodontic correction is not sufficient.
  • Orthodontics prepares the dental arches; the oral and maxillofacial surgeon then repositions the jaw.
  • Chewing function, speech and breathing are often affected – not just the appearance.
  • The treatment is planned jointly and takes longer overall than a purely dental correction.

Frequently Asked Questions

How can I tell that surgery might be necessary?
Indications are a lower jaw that clearly protrudes or recedes, an open bite, pronounced asymmetries as well as difficulties with chewing, speaking or breathing. Certainty only comes from an orthodontic analysis with X-rays and models.
How does a combined treatment proceed?
First the orthodontic phase aligns the dental arches so that the jaws fit together optimally after the operation. The surgical procedure follows. Afterwards the bite is fine-tuned orthodontically and the result is secured.
Who performs the operation?
The surgical part is carried out by an oral and maxillofacial surgeon. We coordinate the planning closely with the surgical team so that the orthodontic preparation and the procedure mesh together.
Does health insurance cover the costs?
For a medically justified skeletal malposition, the German statutory health insurers generally cover the costs of the combined treatment. We clarify the exact requirements together with you in advance.