Book Appointment

Adult orthodontics & jaw surgery coordination.

— complex cases handled with precision and care

Some orthodontic goals require more than aligners. Whether you want faster cosmetic results through accelerated techniques or need orthodontic care coordinated with orthognathic jaw surgery, Old Oaks Dental manages complex adult cases with the experience and seamless coordination they require.

Complex adult cases welcome — coordinated surgical care from start to finish

Part A • Targeted Pathways

Accelerated Treatment Modalities
For adults who want orthodontic results on a compressed timeline — or who need targeted tooth movement in preparation for restorative or cosmetic work — accelerated and limited orthodontic options provide precision results without full comprehensive treatment timelines.

Accelerated Invisalign

For patients with mild to moderate cases, optimized aligner protocols and more frequent tray changes can compress treatment timelines. Some cases achievable in 6–9 months rather than 12–18.

Pre-restorative alignment

Uprighting tipped or drifted teeth before implant placement, bridge work, or crown lengthening. Targeted tooth movement that creates the ideal restorative foundation without full orthodontic treatment.

Limited / focused treatment

Treatment of a specific area — typically upper or lower anterior teeth — to address a cosmetic concern or functional issue without treating the entire dentition. Faster and less expensive than comprehensive care.

Part B • Multidisciplinary Track

"When the jaw relationship cannot be corrected with orthodontics alone"

Some severe bite discrepancies — such as skeletal underbites, extreme overbites, open bites, and pronounced facial asymmetries — are structural in origin. Because these challenges are rooted directly within the bone geometry rather than tooth positions, they cannot be adequately resolved through standalone tooth alignment movement.

Orthognathic surgery repositions the jaw(s) to restore healthy function and facial balance. This comprehensive path requires close, structured cooperation between our orthodontic team and an oral and maxillofacial surgeon, spanning pre-surgical alignment phases, the surgical window, and post-surgical tooth refinement.

Surgical Timelines & Metrics

Pre-Surgical Braces: 12–18 months of precise alignment

Corrective Surgery: Performed in-hospital by a maxillofacial surgeon
Post-Surgical Tracking: 6–12 months of detailed bite refinement
Total Care Horizon: 2–3 years for complete correction
Insurance Standard: Medical insurance often covers the surgical hospital component
Financing Accessibility: Flexible payment tracks and care financing available
Pragmatic Screening

Is Orthognathic Surgery Truly Required?

Likely requires jaw surgery

Severe underbite profiles where the lower jaw protrudes significantly beyond the upper teeth.

A significant open bite gap that cannot be safely closed through localized tooth movements alone.

Major skeletal facial asymmetry that clearly compromises chewing function and facial balance.

Severe overbites featuring a distinct skeletal discrepancy component beyond basic tooth angles.

Adult patients whose jaw bases have completely stopped growing (typically mid-to-late teens and older).

May NOT require jaw surgery

Mild to moderate overbite, underbite, or crossbite issues that can be managed through dental compensation.

Growing pediatric or adolescent patients — jaw guidance treatments during growth can reduce or eliminate surgical needs.

Bite challenges where the patient accepts a slight compromise in final occlusion to achieve a completely non-surgical timeline.

Many cases that appear severe on superficial inspection but can be successfully corrected with advanced aligner mechanics alone.

Our role: honest assessment and coordinated care

“We assess whether your case can be managed orthodontically, would benefit from surgery, or genuinely requires it. If surgery is recommended, we coordinate every phase of your orthodontic treatment with the oral surgeon — we don’t refer you out and leave you on your own.”

 
Clinical Workflow Sequence
The Coordinated Surgical Journey

01

Diagnosis & planning

Cephalometric X-rays, photos, and models are compiled. We analyze the jaw relationship and build the surgical sequence in direct consultation with the oral surgeon.


02

Pre-surgical braces

Spans 12–18 months. Braces are used to align the dental arches within each individual jaw, preparing them to fit together perfectly when the bones are repositioned.


03

Orthognathic surgery

Performed by the maxillofacial surgeon. The jaws are safely repositioned to correct the skeletal discrepancy. Recovery ranges from 2–6 weeks, and we align all timing windows with the surgical team.


04

Post-surgical braces

Spans 6–12 months. Fine-tunes your final bite relationship now that the jaws are properly aligned. Followed by long-term retainer wear to protect your results.


Complex adult orthodontics—including jaw surgery coordination—managed under one roof

Active inter-office coordination

We don't simply pass you to a surgical facility and step away. We stay in close, active communication with the surgical team — aligning mechanics, timelines, and records throughout.

Established surgical relationships

We collaborate directly with premier, highly experienced oral and maxillofacial surgical groups, working within established, proven protocols for complex cases.

Insurance & financing support

Medical policies frequently cover the surgical components of orthognathic care. We help you navigate coverage channels, coordinate documentation, and provide clear financing paths for the orthodontic phases.

Real Patient Feedback

Google reviews

Trusted by local families

4.8 ★★★★★ Google
Emilie Eppensteiner
Emilie Eppensteiner2 months ago
★★★★

I chatted with hygienist and dentist. Both were nice and knowledgeable. I had a filling…

Debby Dear
Debby Dear3 months ago
★★★★★

I couldn’t be happier with Crystal River Dental. Everyone from the front desk to the…

Tracy Karabelas
Tracy Karabelas1 month ago
★★★★★

Love this place & the Dentist! They are efficient, friendly and realistic! They work with…

Cindy Cate
Cindy Cate2 months ago
★★★★★

I thought she is very kind and gentle! Gave me good advice for future care!

Heather Meyer
Heather Meyer4 months ago
★★★★★

This dentist made me feel BEYOND comfortable! I have never had a dentist so forward,…

Dale Hazard
Dale Hazard6 months ago
★★★★★

Even being late everyone was pleasant

Debbie Altenburg
Debbie Altenburg5 months ago
★★★★★

Friendly Staff and the dentist is the best dentist I’ve ever been to 😊

Cindy Buenning
Cindy Buenning5 months ago
★★★★★

As a first time patient, I was very happy with the hygienist and the dentist.

Patricia steinbarth
Patricia steinbarth3 months ago
★★★★★

Very competent and friendly people. Angela did a great job cleaning my teeth.

b c (BC)
b c (BC)1 month ago
★★★★★

Very through and honest dentist. Sugested but did not try 2 push expensive improvements.

Karen Galske
Karen Galske5 months ago
★★★★★

Dr. Lap Nguyen was the dentist I saw today, and I was very impressed. I…

Nancy Anderson
Nancy Anderson6 months ago
★★★★★

Very happy with the crown Color was perfect and so was the fit.Thank you!

Mark Forseth
Mark Forseth6 months ago
★★★★★

Excellent care in a friendly and professional manner.

Kathy Baker
Kathy Baker6 months ago
★★★★★

Hygienist, Angela, very thorough, does an excellent job explaining teeth and toothbrush issues. Reminding me…

Steve and Linda
Steve and Linda5 months ago
★★★★★

They have always done a great job with my regular teeth cleaning. got same day…

dirk williams
dirk williams4 weeks ago
★★★★★

I had my first visit. I had to miss my first appointment….The staff was very…

Lynn Anderson
Lynn Anderson6 months ago
★★★★★

I highly recommend Crystal River Dental. Everyone there is professional and kind. I have been…

Ruth Hanson
Ruth Hanson2 months ago
★★★★★

Very thorough exam and nice people!

Del Volpel
Del Volpel6 months ago
★★★★★

Outstanding care. Professional and compassionate.

desiree lucena
desiree lucena2 months ago
★★★★★

A perfect place with super-professional people who provide excellent service. I was extremely satisfied with…

LRSchuelke
LRSchuelke1 month ago
★★★★★

Dentist, associates, & all office staff are absolutely awesome. They don’t treat their patients as…

Dorene Knolle
Dorene Knolle2 months ago
★★★★★

Every was nice and helpful.

Lois Richter
Lois Richter4 weeks ago
★★★★★

The staff at Crystal River Dental is very professional, friendly & efficient. I am so…

Paul Hanneman
Paul Hanneman4 weeks ago
★★★★★

I appreciate their honest work and explanation of what is going on when I get…

Joyce Greenholdt
Joyce Greenholdt5 months ago
★★★★★

Dr. Nguyen and all the staff have been friendly, helpful, very skilled, and very good…

Nancy Anderson
Nancy Anderson4 months ago
★★★★★

I had a wonderful experience. The dental hygienist was very nice and was also encouraging…

Becca Lewis-Clifton
Becca Lewis-Clifton1 month ago
★★★★★

After starting in 2022, at CRD, I was happy the practice finally settled down with…

Barbara
Barbara5 months ago
★★★★★

I always feel very cared about. 😊 I am cared about as a person compassionately…

Sherry Nushart
Sherry Nushart6 months ago
★★★★★

My Hygienist, Angela, was very friendly and thorough. She has nice conversation and lets me…

Gary Prochnow
Gary Prochnow3 months ago
★★★★★

I had work done in both Waupaca and Wausau locations over the past year. Doctors…

Chuck Wieland
Chuck Wieland1 month ago
★★★★★

Tina was excellent in what she was doing with my teeth. Was able to get…

Judith Gudex
Judith Gudex5 months ago
★★★★★

Great experience at Crystal River Dental. My Hygienist, Angela did an outstanding job and I…

Brittany Durrant
Brittany Durrant3 months ago
★★★★★

Great experience! Made me feel very comfortable and wanted to make sure I was okay…

Michael Messing
Michael Messing4 weeks ago
★★★★★

The new dentist was very friendly and good and the hygienist was great.

Linda Kubczak
Linda Kubczak3 months ago
★★★★★

Very sad to see Doctor Lap Nguyen had left sure enjoyed going to have him…

Timothy Lemerand
Timothy Lemerand5 months ago
★★★★★

CRD stands behind its work and products Rarely do you see a company that has…

Lynn Eberly
Lynn Eberly5 months ago
★★★★★

I had my bottom teeth removed. I had no bruising, swelling or any pain, just…

Vicki Sommers
Vicki Sommers5 months ago
★★★★★

Very friendly and efficient, best dentist I've ever had. Due to exposed roots teeth are…

Alyssa Schauer
Alyssa Schauer4 months ago
★★★★

Dr. B was thorough and I am glad that my son had his chipped tooth…

Sherry Werner
Sherry Werner3 months ago
★★★★★

She was awesome. She was concerned and listened to me

Kay Konen
Kay Konen2 months ago
★★★★★

Hygienist was great,and Dr.'s explanation of teeth matters explained throughly.

Russell Delgado
Russell Delgado6 months ago
★★★★★

A very good dentist and very nice and friendly

Jim Tomasko
Jim Tomasko5 months ago
★★★★★

Everyone is very polite and helpful. I had to make a last minute appointment because…

Deb Ostrander
Deb Ostrander5 months ago
★★★★★

Jan, their dental hygienist did a fabulous job cleaning my teeth. Very knowledgeable and thorough.

Anna Gallegos-Hunt
Anna Gallegos-Hunt3 months ago
★★★★★

Dr Nguyen is a very knowledgeable and caring person..he explains options and the why of…

Mark wheaton
Mark wheaton5 months ago
★★★★★

Great attention to detail.

Christal Berg
Christal Berg6 months ago
★★★★★

I feel very comfortable there

Josh Jahnke
Josh Jahnke6 months ago
★★★★★

Doc was great. Got one tooth pulled didn't feel a thing. Doc was very informative…

Tami French
Tami French5 months ago
★★★★★

First experience went awesome & I look forward to my future visits! I broke my…

MJB
MJB2 months ago
★★★★★

Good experience! Dr.Saad, assistant Lisa, and hygienist Angela have all been very professional and helpful….

Darrell Bartel (Flatlineyourbird)
Darrell Bartel (Flatlineyourbird)3 months ago
★★★★★

Amazing from when you first walk in the door until you leave. Everyone treats you…

Lisa Kasner
Lisa Kasner6 months ago
★★★★★

Crystal River Dental is a very professional and caring establishment. The atmosphere is relaxing. I…

Bpontzloff Bigboyss
Bpontzloff Bigboyss3 months ago
★★★★★

Very friendly and professional staff.They are honest and do a great job.

Cliff
Cliff5 months ago
★★★★★

Glad to be here: good listeners, good attention to detail, and hospitable. All make you…

Joel Altenburg
Joel Altenburg6 months ago
★★★★★

I found a diamond of a dentist office in Waupaca, WI . From the reception…

Linda Mueller
Linda Mueller6 months ago
★★★★★

Every time I’m here the entire staff is friendly, helpful, kind and on top of…

Mary Robinson
Mary Robinson5 months ago
★★★★★

Great dentist and coworkers!

Gator G
Gator G4 months ago
★★★★★

Great and helpful always listens to my concerns

Rodney Frankovis
Rodney Frankovis4 months ago
★★★★★

Very good. On time and thorough.

Sharrey Kalbus
Sharrey Kalbus3 months ago
★★★★★

Very professional and friendly.

All-Time Greatest Music
All-Time Greatest Music3 months ago
★★★★★

The young lady that cleaned my teeth was very thorough and had a very pleasant…

Stacy
Stacy3 months ago
★★★★★

All employees are very nice and listen to ymy issues and explain what needs to…

Linda Hughes
Linda Hughes6 months ago
★★★★★

The receptionists, the hygienist, Nicole and Dr. Nguyen were all very communicative, professional, efficient and…

Gwynn Schroeder
Gwynn Schroeder4 weeks ago
★★★★★

The appointment was right on time. My cleaning was great without discomfort. Dr. did a…

Nate Kahler
Nate Kahler2 months ago
★★★★★

First visit to Crystal River Dental. The staff was very accommodating and helpful.

Marlene Germundson
Marlene Germundson5 months ago
★★★★★

The assistants and the doctor are very nice and explains things very well.

Dave N
Dave N4 months ago
★★★★★

Very friendly and great service

Janet Kitzrow
Janet Kitzrow5 months ago
★★★★★

I had an exam with Dr Nguyen, that was very thorough. I appreciate his comprehensive…

Cara Frias
Cara Frias6 months ago
★★★★★

Friendly, professional, took the time to answer my questions.

martine mancini
martine mancini4 months ago
★★★★★

Service was on time and very friendly.

Aaron Mueller
Aaron Mueller2 months ago
★★★★★

Very pleased! As an itinerant substitute dentist she did a fantastic and thorough job.

Denny Schroeder
Denny Schroeder5 months ago
★★★★★

Always a pleasant experience Thank you

Randy Thern
Randy Thern1 month ago
★★★★★

The cleaning was done in a relatively painless way. The exam was thorough and I…

bonnie banaszak
bonnie banaszak2 months ago
★★★★★

Thank you for getting me in today you made my day.

Mary Lindenmeyer
Mary Lindenmeyer4 weeks ago
★★★★★

You really care about your clients!!! More than the one I had after40 plus years…

Dennis Marten
Dennis Marten4 weeks ago
★★★★★

Very nice, I was totally comfortable. Thanks.

Kevin Killeen
Kevin Killeen6 months ago
★★★★★

Great care, friendly staff. Hard to find a dentist this good and caring but this…

Marcia Lieske
Marcia Lieske4 months ago
★★★★★

Great experience! Very thorough, friendly & gentle. They provide detailed explanations of procedures and upfront…

John Charleston
John Charleston5 months ago
★★★★★

Professional and sensitive to patients needs.

Kathy Wagner
Kathy Wagner4 months ago
★★★★★

Everything they did was pain free. Thank you

Bonita Erdmann
Bonita Erdmann4 months ago
★★★★★

I was very pleased with the staff and Dr. Matte. Thank you.

Cindy Roberts
Cindy Roberts5 months ago
★★★★★

All of the staff are so very friendly. They always get to me on time….

Timothy Hein
Timothy Hein3 weeks ago
★★★★★

Crystal River Dental is a top notch practice from top to bottom. Highly competent and…

Tonette Decker
Tonette Decker5 months ago
★★★★★

I like Dr. Nyugen my dentist here at Dental Crystal River – Waupaca very professional…

Ben Schroeder
Ben Schroeder6 months ago
★★★★★

Great customer service and friendly staff! Outstanding dentist!

Brenda Sedlar
Brenda Sedlar4 months ago
★★★★★

Everyone there is friendly. The office is spotless and the hygenists are very thorough. Office…

Anthony Brzozowski
Anthony Brzozowski2 months ago
★★★★★

Had a crown done today, always professional and painless work done by the dentist here…

Beth Ann Zellmer
Beth Ann Zellmer2 months ago
★★★★★

Today, I had a cleaning of my teeth at Crystal Dental. The service I received…

Jeanine Kes Bode
Jeanine Kes Bode6 months ago
★★★★★

Always on time. Always very friendly.

David Golke
David Golke4 months ago
★★★★★

I've been with crystal river for about a year now and they have been nothing…

Debra Olsen
Debra Olsen2 months ago
★★★★★

For the first time in my life I am not afraid to go to the…

Chad
Chad5 months ago
★★★★★

It was a great experience, they were very unstanding and very kind.

Edward McCardell
Edward McCardell6 months ago
★★★★★

Crystal River Dental does a fantastic job. Hygienist Angela is very thorough and takes the…

Jesus isLord
Jesus isLord3 months ago
★★★★★

The dentist is very cordial and respectful. I appreciate the care she gives.

Patrick Kelly
Patrick Kelly5 months ago
★★★★★

They are very friendly an efficient

Christopher Gudex
Christopher Gudex2 months ago
★★★★★

Very professional and thorough.

Julie Johannes
Julie Johannes4 months ago
★★★★★

Met Hygienist Angela today for the first time. She was extremely thoughtful, thorough and educational….

Karin Nieubuurt
Karin Nieubuurt6 months ago
★★★★★

Staff is always upbeat and friendly.

Avilomah Ridge
Avilomah Ridge6 months ago
★★★★★

I had dental phobia, but everyone here is so kind, patient and understanding. Dentist does…

Christine Galyardt
Christine Galyardt4 months ago
★★★★★

Love the dentist! They are very caring and efficient.

doc finn
doc finn2 months ago
★★★★★

I'm very pleased with the service and the professionalism at Crystal River dental. I felt…

Heather Krueger
Heather Krueger4 months ago
★★★★★

They were very nice and took care of me right from the start

Darrell Bartel
Darrell Bartel3 months ago
★★★★★

Amazing Dental Care. From the Receptionist, throughout the whole process, Everyone makes you feel special….

Jan Niemuth
Jan Niemuth3 weeks ago
★★★★★

Routine 6 mo cleaning and exam today. Punctuality is appreciated. Comfortable, painless procedures done in…

Marilyn Lange
Marilyn Lange6 months ago
★★★★★

Dr. Nguyen and staff are great. I'm very happy with the excellent care and the…

Pauline Suhs
Pauline Suhs5 months ago
★★★★★

Very kind and efficient. Friendly staff.

Stephen L Manske
Stephen L Manske4 months ago
★★★★★

I've been really impressed with the service and the quality of work. This visit provides…

Frequently Asked Complex Adult Alignment Questions
A definitive diagnosis requires a formal clinical evaluation incorporating cephalometric radiographs and an extensive facial skeletal analysis. Severe skeletal underbites, pronounced open bites, and severe skeletal asymmetries typically require surgical correction in adults, whereas milder variations can often be managed with orthodontics alone.
 
Corrective jaw surgery is frequently covered by medical insurance plans when documented as medically necessary to correct documented functional impairments, such as severe chewing dysfunction, breathing obstructions, or speech clear impairments. We compile all prerequisite documentation to help you maximize benefits.
 
Most patients can resume light, sedentary desk work within 2 to 3 weeks after surgery. A full recovery and transition back to an unrestricted diet typically spans 6 to 8 weeks. While nominal swelling can continue to resolve over a few months, your post-operative recovery is monitored closely by the oral surgeon.
 
In certain complex cases, traditional braces are preferred because they provide more precise anchoring control during surgical planning and stabilization. However, select surgical cases can be prepared using Invisalign. We evaluate your unique dental anatomy to determine the most effective approach.
Related services

Scaling & root planing

Treating underlying subgingival infections and plaque biofilms before or alongside grafting is essential — grafts placed on actively infected roots will fail.

Osseous surgery

For patients managing combined bone loss and root exposure, tissue modifications can be coordinated alongside osseous corrections.

Periodontal maintenance

Supportive cleaning therapy every 90 to 120 days protects your graft investment and monitors for any recurrence of recession.

Open for Appointments

Schedule your visit with our friendly dental team today.