Orthognathic (Jaw) Surgery

Orthognathic surgery is performed to correct developmental growth abnormalities of the jaws and facial bones. Patients with these abnormalities usually present with an imperfect positioning of the teeth when the jaws are closed. These problems can affect not only chewing but speech and the overall health of the individual as well as the esthetic appearance of the face. Surgical treatment is usually conducted in combination with orthodontics. 

At Weill Cornell Medicine, our team of oral and maxillofacial surgeons are specialists in orthognathic/corrective jaw surgery for overbites, underbites, and crossbites. Our goal with orthognathic surgery is to correct these conditions, as they may be the root causes for improper chewing, facial dysfunction, speech issues, joint pain, and sleep disorders.  

Why Choose Weill Cornell Medicine?

Convenient, individualized care: As a patient, you will receive personalized care that is comprehensive and compassionate. We are sensitive to your needs, and create a supportive, comfortable environment while being able to offer highly specialized care.

Multidisciplinary care from leading experts: Orthognathic surgeries require comprehensive, collaborative care from both orthodontics and surgery. This unique multidisciplinary approach coordinates complex care, providing you with focused support — before, during and after your surgery.

Surgical Correction of Maxillofacial Skeletal Deformities

Surgical correction of maxillofacial skeletal deformities includes the reconstructive procedures that correct deformities of the jaws, facial skeleton, and associated soft tissues. These abnormalities may be caused by one or more of the following:

·      Genetic

·      Environmental

·      Developmental

·      Functional

·      Pathologic aberrations apparent at birth

·      Manifested in subsequent growth and development

·      Acquired through trauma

·      Neoplastic processes

·      Degenerative diseases

Musculoskeletal deformities of the facial bones can occur in all three planes of space (anteroposterior, vertical, and transverse) or any combination of the three, unilaterally or bilaterally, and in either one or both jaws. The surgical procedures involve repositioning and recontouring the facial bones to correct functional and/or pathologic problems. The principal goal of surgical correction of these skeletal deformities is restoration and/or improvement in function and prevention of potential sequelae.

What to Expect Before Surgery

At Weill Cornell Medicine and NewYork-Presbyterian, we do everything we can to support our patients and their loved ones before, during and after treatment. Your first visits to Weill Cornell Medicine will focus on determining exactly if and what jaw surgery you need. We will collect data in the form of radiographs, measurements of the face and teeth, clinical photographs, and health history. We will answer any questions you or your family members may have, analyze the data and create models of your bite, and develop a comprehensive plan to correct the problem. Sometimes surgery involves repositioning only the upper jaw and lower jaw and sometimes both must be realigned. In either case we will work with you to develop a detailed timeline and plan.

Before the actual surgery occurs, you will need to work with your orthodontist to move your teeth into the correct position within the jawbone. This typically involves six to twelve months of braces, during which time your surgeon will check on you periodically. When your teeth are close to alignment, we will schedule a date for your surgery.

What to Expect After Surgery

When your teeth are alighted, new diagnostic records are obtained, and computer assisted digital surgical planning is performed. You will be given detailed instructions for the days leading up to the and the day of your surgery. Surgery will take place at NewYork-Presbyterian Hospital, Cornell Campus, one of the top ranked hospitals in the country by US News and World Report. You expect to stay in the hospital for one to two nights.

Approximately six weeks after surgery you will return to your orthodontist to finish aligning your teeth to the new jaw potion. For the first six to eight weeks after surgery your bones will be healing into their new location. You will be restricted to a diet of liquids and soft foods and your activity will be limited. You and your surgeon will discuss your return to full activity.

Cost of Evaluation 

We do not participate with Commercial dental insurance but participate with many medical insurances for your Oral Surgery care. Please contact us for more information.

Make an Appointment

Whether you visit us virtually through a video visit or you see us in person, you can be assured that we will deliver the highest standards of care with compassion. Our team has taken every step to keep our facilities safe for you to continue your care. Learn more about our safety measures and the changes we’ve made to enhance your patient experience. 

If you would like a remote second opinion, we can connect you directly with expert physicians and specialists at the Weill Cornell Medicine Dentistry, Oral and Maxillofacial Surgery. They will review your situation, answer your questions and provide you with information you can share with your primary care physician. Learn more at WCM OnDemand Second Opinion.

Meet Our Surgeons

The physicians at the Weill Cornell Medicine division of Dentistry, Oral and Maxillofacial Surgery offer patients the highest level of safety and care. As a top-ranked academic medical center, you have access to our extensive network of specialists who provide seamless care throughout your treatment — to promote long-term physical and mental health.