What is Surgical Orthodontics?
Surgical orthodontics combines braces with corrective jaw (orthognathic) surgery to fix severe bite and jaw problems that braces alone cannot. Your orthodontist aligns the teeth before and after surgery while working closely with an oral and maxillofacial surgeon. It is usually recommended only after jaw growth is complete.
Medically reviewed by Dr. Aimee Zakaluzny, DMD, MS · Updated October 2026
What to expect, step by step
- Step 1
Evaluation
Records and 3D imaging show whether surgery is needed.
- Step 2
Surgeon consult
We coordinate a plan with an oral surgeon.
- Step 3
Pre-surgical braces
Teeth are aligned so the jaws fit after surgery.
- Step 4
Surgery & recovery
Performed by the surgeon; we follow up closely.
- Step 5
Finishing & retainers
Fine-tuning the bite, then retainers.
How it compares
| Surgical orthodontics | Braces alone | |
|---|---|---|
| Fixes jaw position | Yes | No |
| Severe skeletal bites | Yes | Limited |
| Hospital procedure | Yes | No |
Cost and financing
Our team will go over the cost of your treatment and every payment option before you start. We accept most major credit cards and insurance plans, offer interest-free in-house financing, low down payments and monthly plans, and Medi-Cal/Denti-Cal is accepted — come in for an evaluation to see if treatment could be covered. Jaw surgery is billed by the surgeon and is often partly covered by medical insurance.
- Free consultation
- Interest-free in-house financing
- Most insurance accepted
- Medi-Cal / Denti-Cal accepted
Find out if Surgical Orthodontics is right for you.
Free evaluations for kids 7+, interest-free payment plans and seven offices across the Sacramento Valley.
Surgical Orthodontics FAQs
How do I know if I need jaw surgery?
Only an in-person evaluation with X-rays can tell. Many bites that look severe can be treated without surgery.
Is jaw surgery covered by insurance?
Medical insurance often covers part of it when there is a functional problem. The surgeon’s office will verify.
How long is recovery?
Most people return to school or work in about 2–3 weeks. The surgeon will give specific guidance.
Can kids have surgical orthodontics?
It is usually done after growth ends. Early treatment can sometimes reduce the need for it.
Will my face change?
Often, yes — usually for better balance. Your team will show you what to expect.
Who performs the surgery?
A board-certified oral and maxillofacial surgeon. We coordinate every step with them.
Ask Legendary about Surgical Orthodontics
Your first visit is a free consultation.
Free evaluations for kids 7+, interest-free payment plans and seven offices across the Sacramento Valley.