Severe jaw misalignment can affect the way the teeth meet and may also influence functions such as chewing, swallowing, and breathing. In these cases, jaw surgery in Los Angeles may be part of a comprehensive treatment plan when braces or Invisalign cannot fully address the underlying skeletal problem.
When Braces or Invisalign May Not Be Enough
Braces and clear aligners move teeth into better positions. But they cannot always change the position of the jaw bones. Surgery can be considered when the jaw problem is more severe.
This can include:
- Severe underbite, overbite, or crossbite
- Major open bite or jaw imbalance
- A lower jaw that is too far forward or too far back
Jaw Problems That Can Require Surgery
A serious jaw imbalance can affect more than tooth alignment. It can affect daily functions such as chewing, swallowing, and speaking. The practice also discusses surgery for certain concerns linked to:
- Breathing, snoring, or sleep apnea related to jaw position
- Jaw discomfort and some TMJ concerns
- Facial imbalance caused by injury, trauma, or congenital conditions
How Orthodontics Prepares the Jaw for Surgery
Jaw surgery is part of a larger treatment plan. Before surgery, braces or Invisalign can position the teeth for the planned jaw correction. Pre-surgical orthodontic treatment can take 9 to 18 months, depending on the case.
What Happens During Orthognathic Surgery
During surgery, the jawbone is cut and moved into a new position. Bone can be removed or added when needed. Screws or plates then hold the jaw in place. Initial healing generally takes 3 to 6 weeks.
Why Jaw Surgery Is Combined With Orthodontic Care
Orthodontic care continues after the jaw heals. This stage focuses on the final bite and tooth position.
The process can include:
- Orthodontic preparation before surgery
- Jaw repositioning by an oral surgeon
- Orthodontic finishing after healing
Nikaeen Orthodontics works closely with oral surgeons during this process.
Understanding the Cost of Orthognathic Surgery in Los Angeles
The stated estimated cost is $20,000 to more than $40,000. This is not a fixed price. Several factors can change the final amount.
| Cost factor | What can affect the price |
| Jaw problem | More complex cases can require more care |
| Pre-surgery orthodontics | Treatment needs differ |
| Post-surgery orthodontics | Final bite needs vary |
| Complications | Extra care can increase costs |
Some insurance plans can cover part of the treatment when surgery is considered medically necessary. Coverage depends on the individual plan.
How Dr. Nikaeen Plans Complex Jaw Treatment
Dr. Atoosa Nikaeen has more than 20 years of orthodontic experience. She also completed specialty training at Columbia University. During the consultation, she evaluates the patient’s needs and discusses options such as braces, Invisalign, appliances, or surgery.
Explore Jaw Surgery Options With Dr. Nikaeen
Patients considering jaw surgery in Los Angeles can begin with a complimentary, no-obligation consultation. Dr. Nikaeen reviews the case, explains treatment choices, and provides a written cost estimate with a customized payment plan.
FAQs
When is jaw surgery needed instead of braces?
Jaw surgery is considered when a serious skeletal problem cannot be corrected with orthodontics alone. Examples include severe jaw misalignment, certain open bites, and major bite problems.
Can Invisalign be used before jaw surgery?
Yes. Invisalign can sometimes position the teeth before surgery. The right treatment depends on the patient’s jaw structure, bite, and specific orthodontic needs.
How long does jaw surgery treatment take?
Pre-surgical orthodontic care can take 9 to 18 months. Initial healing takes about 3 to 6 weeks. Total treatment time varies based on each case.
Does insurance cover jaw surgery?
Some insurance plans can cover part of medically necessary orthognathic surgery. Coverage differs between plans, so patients should check their benefits with their insurance provider.
