Orthognathic surgery, also known as orthognathic treatment or dental facelift, is used to address developmental disorders of the jaw bones and facial deformities, such as underdeveloped or misaligned jaws, deep overbites, facial asymmetries, and deformities. Advances in surgical techniques have made it possible to perform orthognathic treatment through intraoral access alone, without disrupting the facial skin’s integrity.


Orthognathic surgery is used in situations where irregularities in the development of the jawbones and bite issues affecting facial aesthetics cannot be corrected through orthodontic treatment alone. At Warsaw Dental Center, we provide advanced diagnostics crucial before performing procedures like dental facelifting, where patients can achieve a completely transformed appearance. Using templates, mock-ups, and 3D visualizations, patients can see the expected results before starting the treatment. The main goal of this procedure is to optimize facial features, improve the bite, ensure proper functioning of the temporomandibular joints, and achieve lasting results.

When is orthognathic surgery recommended?

Among the indications for orthognathic surgery are:

  • Difficulties with biting, chewing, and swallowing food.
  • Chronic jaw and head pain.
  • Excessive tooth wear.
  • Open bite, a gap between upper and lower teeth even when the mouth is closed.
  • Deep bite, where the upper incisors overlap significantly with the lower teeth.
  • Facial trauma or congenital deformities.
  • Malocclusion caused by misaligned teeth, jaw, or both due to different growth rates of the upper and lower jaw.
  • Severely retruded chin or protruding lower jaw.
  • Problems closing the mouth without muscle strain.
  • Breathing through the mouth, nasal congestion, and chronic dry mouth.
  • Sleep apnea, breathing problems during sleep, or snoring.

The decision to perform surgery on a patient is made jointly by the orthodontist and the maxillofacial surgeon. A detailed interview and radiographic images showing the patient’s occlusal conditions allow specialists to realistically estimate the time it may take for the entire process of correcting improper dental arch alignment, often involving a combination of the surgical procedure with orthodontic treatment.

Orthognatics – The treatment process

Facial and jaw deformities, such as underdeveloped maxilla and mandible, deep bite, or facial asymmetry, are treated surgically through orthognathic surgery. This involves intervening in the bone tissues to restore proper alignment and proportions of the facial bones. Swelling of the nose and sinuses usually persists for 5 to 10 days after the procedure. A liquid diet and a reduction in significant physical exertion are necessary for about 6 weeks. After the recovery period, the final stage of orthodontic treatment can be initiated. As a result of the surgery, the patient regains self-confidence, an improved quality of life, and positive effects on health (better oxygenation, easier breathing during sleep, reduced risk of heart and circulatory system diseases).

Preparation for orthognathic surgery

Preparation for orthognathic surgery involves consultations with both the oral and maxillofacial surgeon and the orthodontist. This includes diagnostics, X-rays, intraoral and extraoral facial photographs, as well as indications for orthodontic treatment. Subsequently, based on the consultation results, a treatment plan is devised.

Orthognathic surgery is usually preceded by orthodontic treatment, which can last from 1 to 1.5 years. It allows for the decompensation of malocclusions and prepares the dental arches for the surgical procedure. The surgical procedure itself, part of oral and maxillofacial surgery, typically takes a few hours. Patients usually remain in the hospital for about 2 days for observation, or slightly longer in more complicated cases. Postoperative pain is alleviated with pain relievers, so there are generally no contraindications for a patient to return to school or work within a week or three.

During the first month after surgery, patients should have regular follow-up appointments with the surgeon, typically once a week, and then as recommended by the surgeon. The initial phase of recovery usually lasts for 6 weeks, but complete healing of the jaw can take up to 9 to 12 months.

The final and definitive alignment of the teeth after the surgery, and retention of the achieved outcome, is facilitated by an orthodontic appliance worn for approximately 3 months. It is then replaced with a retainer.

Orthognatics – what are the benefits?

As a result of the conducted orthognathic surgery, patients regain self-confidence, have an improved sense of self-worth, and experience an enhanced quality of life. In the long term, orthognathics reduces the risk of cardiovascular diseases and positively impacts health (better oxygenation of the body, easier breathing during sleep).

How much does orthognathic surgery cost?

The cost of orthognathic treatment varies and largely depends on the individual circumstances of the patient, as well as the necessary length and complexity of the orthodontic treatment. At Warsaw Dental Center, patients are provided with an estimate of the costs and the anticipated duration of the entire treatment during the initial consultation.

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