Orthognathic Surgery

Corrective Jaw Surgery

When teeth don’t meet correctly, the problem may be dental – in which case braces may be the solution. Often there is a discrepancy in jaw growth which leads to a misalignment of the dental arches. The result is both a functional dental deformity and facial unbalance. Orthognathic surgery includes those surgical procedures which attempt to realign jaw bones to correct the dysfunction and also make it easier to achieve a good orthodontic result with braces. The two often go hand-in-hand.

Orthognathic Surgery Presentation

To provide you with a better understanding of orthognathic surgery, we have provided the following multimedia presentation. Many common questions pertaining to orthognathic surgery are discussed.

Who needs orthognathic surgery?

Patients who may benefit from orthognathic surgery include those with an improper bite or with jaws that are positioned incorrectly. Jaw growth is a gradual process and, in some instances, the upper and lower jaws may grow at different rates. Resulting problems may include speech impairment, difficulty eating a normal diet, poor dental health, TMJ problems and facial appearance. Injury to jaw or face or birth defects may contribute to these problems.

Before any treatment begins, a consultation will permit a thorough workup using x-ray films and study models. Once a diagnosis has been reached, you will be informed of the details of the pre- surgical treatment required (usually braces) and the surgery itself.

Difficulty in the following areas should be evaluated:

  • difficulty in chewing, biting or swallowing
  • speech problems
  • chronic jaw or TMJ pain
  • open bite
  • protruding jaw
  • breathing problems

Technology and Orthognathic Surgery

We use thorough diagnostic techniques and three-dimensional models to show you exactly how your surgery will be performed. Such a comprehensive approach will show how your bite will be improved and even give you an idea of how facial contours may change after surgery. Our efforts are directed to helping you understand the surgical process and the extent of the necessary treatment, as well as the benefits of treatment. If you are a candidate for orthognathic surgery, we will work closely with your dentist and orthodontist during treatment.

A patient getting a panoramic x-ray of her jaw

What to Expect

  • Corrective jaw surgery is a significant intervention requiring many months of preparation.
  • The surgery is performed in the hospital and can last between one to four hours.
  • Hospital stays of one to three days are normal.
  • Braces are maintained during surgery and may need to be removed six to twelve months after surgery.
  • The greatest impact of orthognathic surgery is the recovery phase.
  • Patients typically may be off work/school from two weeks to one month after surgery.
  • Return to normal chewing function may take 2 months and full
    function may take one year.
  • Our goal is to ensure you are well taken care of during and after surgery.
  • Weekly appointments are required for up to two months after surgery.

Nelson & Wells Oral and Maxillofacial Surgery

5 out of 5 stars based on 15 Jaw Surgery reviews

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The staff and the Doctor were very helpful and courtesy.

- David A

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Our Latest Patient Testimonials

I had a wisdom tooth pulled. The staff was very friendly which helped me relax. Dr Wells was amazing. He is very kind yet extends a feeling of confidence in his knowledge.

- jenny j

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I would - and have - recommend Dr. Nelson to anyone looking for an outstanding and dependable dental surgeon/practice.

- Sara G

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Our Latest Patient Testimonials

I would recommend this medical practice to anyone. They always treated me with dignity and respect, were so accommodating, made sure I was always informed of what each procedure involved, sent reminders for the appointments, and gave a phone number in case there were difficulties following any procedure. Having dental work done is not the most fun. But this oral surgery practice made very visit something I really looked forward to. Everyone was really wonderful and I am sorry I wont't need to return or see them again. But, I have very positive memories of the entire experience.

- Linda A

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Dr. Nelson is the best oral surgeon I've ever seen. I've been a bit of a challenge and he's always communicated everything to me. Then proceeded to take care of the situation. Dr. Nelson is pretty awesome.

- Bev F

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Would highly recommend. Professional staff. Can't say enough good things. This is my second visit and Dr Nelson was awesome once again. Extraction procedure was done as gently as possible. Experienced minimal discomfort. Thank you so much.

- Tony P

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Our Latest Patient Testimonials

I needed to have a molar extracted, before the extraction I was told the procedure would take half an hour and it did. I took tylenol for a day or so and today it's been a week since surgery and my sutures have dissolved and no pain at all! The staff was friendly and considerate, Dr Wells thoroughly explained everything. Dr. Wells and his staff made the experience as pleasant as it could be.

- Loraine V

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My daughter had her wisdom teeth removed & did very well. She had minimal discomfort & healed quickly. The doctor & staff are highly recommended.

- Kelli A

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Our Latest Patient Testimonials

Dr Wells and his staff were great. They were highly professional, personable, and very caring. I literally had no pain after the surgery. Thanks for everything!

- Dona R

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Our Latest Patient Testimonials

My son was having his wisdom teeth removed, the staff was very friendly and the oral surgery lasted less than an hour. After the oral surgery the information given to me for post operation was very helpful. Thank you to the staff and the doctor for taking good care of my son.

- Kinga W

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I would highly recommend Dr. Nelson to anyone needing oral surgery. His surgical skill and caring manner were exceptional. He explained care options not mentioned by another oral surgeon I consulted. Pricing was more than fair. My recovery was quick and painless.

- Carolyn S

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Our Latest Patient Testimonials

I am very happy that I was referred to this office. I am healing from a wisdom tooth extraction, but I cannot wait to see them next week for a follow up!

- Sheerley S

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Our Latest Patient Testimonials

Dr Nelson has both excellent skills and a good sense of humor. The office is well arranged and has the best Giant Lifesavers ever! With excellent skills and reasonable prices this is definitely a quality combination for patients needing these services. I can highly reccomend their services!

- Art R

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Wonderful staff

- Patricia M

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The entirty of my wisdom teeth extraction was plesant, due to the professionalism and skill from both the doctor(s) and staff. Dr. Nelson performed so well I didn't have any swelling, bruising, nor pain! I was terribly nervous going into this surgery, but all of my anxieties were washed away soon thereafter. I will recommend Nelson, Rollert & Wells Associates to friends and family in the Denver area.

- Akaisha R

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