Orthognathic Surgery

Realigning the Jaws. Restoring Balance. Transforming Lives.

When the jaws don’t align properly, the results can go far beyond just a misaligned bite—they can affect your breathing, speech, appearance, and overall quality of life. For some patients, the discrepancy between jaw size and position is just too great to correct with orthodontics alone. That’s where orthognathic surgery (corrective jaw surgery) comes in.

At Braces520, we work closely with several experienced oral and maxillofacial surgeons in Tucson and Phoenix to create seamless, integrated treatment plans that combine orthodontics and jaw surgery to deliver lasting, dramatic results. We are the top surgical office in Southern Arizona, with Dr. Decker and Dr. Rosen combining cutting edge orthodontic techniques such as 3D printed digitally planned braces, MSE/MARPE appliances, TAD’s, and digital Ortho-OS combination surgical planning to ensure you have the absolute best result possible from your surgery. We will even do surgical cases in combination with Invisalign, utilizing TAD’s for the post-surgical stabilization.


What Is Orthognathic Surgery?

Orthognathic surgery is a procedure that surgically repositions the upper jaw (maxilla), lower jaw (mandible), or both. Braces will align the teeth, then surgery corrects the underlying skeletal structure, improving function, aesthetics, and airway health.

This procedure is typically performed after growth is complete, making it ideal for older teens and adults with jaw discrepancies that cannot be corrected with braces alone.


Conditions That May Require Orthognathic Surgery

  • Underbite or overbite
  • Open bite (front teeth don’t touch)
  • Severe crowding due to jaw size mismatch
  • Severe crossbites
  • Facial asymmetry or imbalance
  • Chronic jaw pain (TMJ)
  • Obstructive sleep apnea caused by a small jaw
  • Older adults with severe crowding or severe narrow jaws

The Treatment Journey

Orthognathic surgery isn’t a quick fix—it’s a journey we guide you through every step of the way. Dr. Rosen and Dr. Decker are passionate about their surgical cases, and work around the clock to fight for what’s best for you and ensure you get the best result possible.

  1. Orthodontic Preparation
    Braces or aligners are used to align the teeth in each jaw independently in preparation for surgery.
  2. 3D Planning & Surgical Coordination
    We use digital imaging, 3D scans, and bite simulations to coordinate with your oral surgeon and plan the exact skeletal movements needed.
  3. Surgical Procedure
    Performed in a hospital setting under general anesthesia. Bone cuts are made, the jaws are repositioned, and plates/screws are used to stabilize the new alignment.
  4. Healing & Post-Surgical Braces
    After a few weeks of recovery, final orthodontic adjustments are made to perfect your bite.

Life After Surgery

Patients often report:

  • Easier chewing and speaking
  • Relief from jaw pain or popping
  • Improved breathing and sleep quality
  • A much improved facial appearance
  • A huge boost in confidence

The results are not only functional—but often transformational.


Is Orthognathic Surgery Right for You?

Not everyone with jaw concerns needs surgery—but if your jaw position is significantly off and impacting your bite, appearance, breathing or health, it may be the most effective long-term solution.

At Braces520, our doctors are highly experienced in diagnosing complex skeletal issues and will give you an honest assessment of whether surgery should be part of your treatment plan.


We’re With You Every Step of the Way

Orthognathic surgery is a big decision, but you won’t be going through it alone. From digital diagnostics to surgeon referrals and post-surgical care, our team will coordinate every detail to make the process as smooth, safe, and successful as possible.

Schedule a consultation with us today to find out if corrective jaw surgery is the right next step in your orthodontic journey.

Reviews

Braces520 has over 850 5-star reviews, more than any orthodontist in Southern Arizona!

By far best customer service experience for any dentist, doctor or professional setting. From the start they acknowledge you as soon as you walk in and speak to you with respect. I have been to many dentists and wish I would have come here from the start. You will not regret this office. Also office is very clean which is always a big deal.

Enael B.

My daughter has been a patient of Dr. Rosen for just over 2.5 years . The staff is always so helpful, kind and attentive no matter how busy they are! She always feels comfortable and cared for.

Ashlee M.

Both my daughter and husband have had their orthodontics done by Dr. Rosen. We have had great experiences every time. They’ve worked with my husband's work schedule many times and we are always in and out in a timely manner. If we ever have anymore orthodontic needs, we will definitely go back to Rosen Orthodontics.

Sarah P.

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Today is the perfect day to start your journey to a beautifully healthy and radiant smile! We’d love to walk you through what we offer to get you to that confident and beautiful smile you desire.

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