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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

4.9 ★★★★★ Google
Scott Pauley
Scott Pauley6 months ago
★★★★★

Great Dentist and assistants. Very pleasureable experience.

Michelle Long
Michelle Long1 month ago
★★★★★

Bridget is amazing, goes over everything in detail, gives clear answers to my questions and…

Gloria Evangelista
Gloria Evangelista5 months ago
★★★★★

Thanks to Dr. Dana for fixing my tooth

Jake Smith
Jake Smith5 months ago
★★★★★

Always professional, friendly, and efficient. Clean office, great staff, and a fantastic experience every visit….

Jesse Downing
Jesse Downing4 months ago
★★★★★

Cleaning very professional and answered all questions

Andrea
Andrea2 months ago
★★★★★

Great place! Everyone was very kind and helpful and they explained each service before performing.

cassie mauldin
cassie mauldin4 weeks ago
★★★★★

The Dr’s are great, my son had such a pleasant experience!! Office is beautiful and…

Debbie Hopper
Debbie Hopper1 month ago
★★★★

The dental assistant was very nice and caring the exam rooms dont provide much privacy…

Jessica Denhof
Jessica Denhof4 weeks ago
★★★★★

Just moved here from out of state and I am so happy we decided to…

Lori Bringsosen
Lori Bringsosen1 month ago
★★★★★

Liz and Dr. Dana were very helpful by explaining each step they were doing. Bridget…

sparkly cupcakes
sparkly cupcakes4 months ago
★★★★★

My hygienist was so nice, and both her and the dentist were very good at…

Dan Bella
Dan Bella5 months ago
★★★★★

Big time anxiety here when it comes to dental work. Took the extra steps to…

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.

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