I chatted with hygienist and dentist. Both were nice and knowledgeable. I had a filling…
Adult orthodontics & jaw surgery coordination.
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.
Part A • Targeted Pathways
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.
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.
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.
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.
“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.”
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.
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.
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.
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.
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.
We collaborate directly with premier, highly experienced oral and maxillofacial surgical groups, working within established, proven protocols for complex cases.
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.
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Treating underlying subgingival infections and plaque biofilms before or alongside grafting is essential — grafts placed on actively infected roots will fail.
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