Surgical Orthodontics in Roseville, CA for Complex Bite and Jaw Correction

When the upper and lower jaws do not fit together the way they should, braces alone are not always enough. In more severe cases, surgical orthodontics can be the treatment that improves bite function, facial balance, and long-term oral health in a way that orthodontics by itself cannot fully achieve. At Holt Orthodontics, we help patients understand whether jaw surgery belongs in the treatment plan and guide that process with detailed digital planning, specialist oversight, and a free smile assessment that includes digital X-rays, photos, and a full digital scan with simulation.

What is surgical orthodontics?

Surgical orthodontics, also called orthognathic treatment, combines orthodontic care with corrective jaw surgery to fix problems that come from jaw position as well as tooth alignment. It is usually recommended when the jaws are significantly out of balance and the bite cannot be corrected with braces or clear aligners alone. The goal is not only straighter teeth. It is a healthier bite, better jaw function, improved facial harmony, and a result that is more stable over time.

Who is a good candidate for surgical orthodontics?

Surgical orthodontics is usually considered for patients with more severe jaw and bite issues. It is not the first choice for routine orthodontic correction, but it can be the right choice when the underlying problem is skeletal rather than dental.

It may be worth exploring if you have:

a bite that feels significantly off
upper and lower jaws that do not line up properly
trouble chewing or biting comfortably
facial asymmetry linked to jaw position
a very narrow or imbalanced smile
a case where braces alone are unlikely to create the right result

What does the surgical orthodontics process look like?

This kind of treatment takes planning, coordination, and patience. The process is longer than routine orthodontic treatment because it includes both orthodontic preparation and surgical correction.

Smile assessment and diagnosis

The first step is a full orthodontic evaluation with digital records, X-rays, photos, and scanning. This helps determine whether the problem is mainly dental, mainly skeletal, or a combination of both. Holt Orthodontics includes a complete digital scan with simulation as part of the free smile assessment.

Pre-surgical orthodontic treatment

Once a patient is approved by medical insurance or the surgeon, orthodontic treatment begins. The practice states that patients are typically in active orthodontic treatment for 9 to 12 months before surgery. This stage prepares the teeth and bite for the surgical correction.

Jaw surgery

The surgical phase is performed by an oral and maxillofacial surgeon, with orthodontic planning coordinated around it. The surgery addresses the jaw position in a way braces alone cannot.

Post-surgical orthodontic treatment

After surgery, orthodontic treatment continues to refine the bite and settle the teeth into their final positions. Holt Orthodontics notes that this stage is typically about 6 months after surgery.

Retainers and follow-up

Like other orthodontic patients, surgical orthodontic patients finish with retainers and follow-up care to protect the result.

Why do some patients need surgery instead of braces alone?

Braces move teeth. Surgery repositions jaws.

That difference matters. If the core problem comes from jaw structure, trying to solve it with braces alone can leave too much unresolved. Surgical orthodontics is considered when the bite, facial balance, or jaw position needs correction that orthodontic appliances cannot fully provide on their own.

For the right patient, that can mean:

better bite function
improved chewing comfort
improved facial proportions
more stable long-term correction
a result that feels more complete rather than compromised

Why do patients choose our office for surgical orthodontics in Roseville?

Patients considering surgical orthodontics usually want a team that can handle complex planning with clarity and confidence.

They choose Holt Orthodontics because we offer:

specialist-led orthodontic care
advanced digital planning and imaging
experience with more complex cases
a free smile assessment with digital records and simulation
a team with more than 60 years of collective orthodontic experience
treatment across Roseville and surrounding Sacramento-area communities

That level of planning matters in surgical cases because jaw surgery success depends heavily on orthodontic preparation, coordination, and precision at every stage.

What affects the cost of surgical orthodontics?

The cost depends on several moving parts, including:

the complexity of the jaw and bite problem
the length of pre-surgical orthodontic treatment
the surgical procedure itself
post-surgical orthodontic finishing
insurance coverage
payment arrangements for the orthodontic portion of care

Because surgical orthodontics is more involved than routine treatment, the clearest cost discussion comes after diagnosis and treatment planning. A smile assessment is the best place to understand what the orthodontic phase may involve and how the treatment sequence is likely to unfold.

Meet the doctors

Your treatment is guided by an experienced orthodontic team with strong specialist credentials and a wide range of clinical experience. Dr. Mark Holt, DDS, MS, Dr. Tyler Holt, DDS, MS, Dr. Miriam Behpour, DMD, MBA, and Dr. Greg Pavlos, DDS, MSD are all part of the doctor team at Holt Orthodontics. Their backgrounds include advanced orthodontic training, board certification or board-level credentials, research, and years of experience treating a wide range of orthodontic cases.

That kind of team matters in surgical orthodontics because jaw-related cases require more than routine braces planning. They call for diagnosis, sequencing, coordination with a surgeon, and a clear understanding of how bite function and facial structure work together.

Getting to our Roseville office

For patients in Roseville, the local office makes surgical orthodontic treatment easier to keep up with during the longer planning and follow-up process.

Holt Orthodontics – Roseville

1421 Secret Ravine Pkwy., STE 121

Roseville, CA 95661

Phone: (916) 786-9282

A local office matters with surgical orthodontics because treatment usually involves many appointments over time, both before and after surgery.

Frequently Asked Questions

How long does surgical orthodontics usually take?

The orthodontic phase before surgery is typically 9 to 12 months, followed by about 6 months of treatment after surgery,though timing varies by case.

Does surgery replace braces?

No. Surgical orthodontics usually includes braces or another orthodontic system before and after surgery. The orthodontic treatment prepares the bite for surgery and then refines it afterward.

Is surgical orthodontics only about appearance?

No. It can improve appearance, but it is also used to improve bite function, jaw balance, and long-term oral health.

Who performs the jaw surgery?

The jaw surgery itself is performed by an oral and maxillofacial surgeon, while the orthodontic planning and braces treatment are handled by the orthodontic team.

Can teenagers get surgical orthodontics?

Some can, but it depends on growth and case specifics. The timing of surgery is important, especially in patients who may still be developing.

What happens after surgery?

Orthodontic treatment continues after surgery to refine the bite, and treatment finishes with retainers and follow-up care.

Ready to find out whether surgery belongs in your treatment plan?

Surgical orthodontics is not for every patient, but for the right case it can make a major difference in bite function, facial balance, and long-term smile stability. If braces or aligners alone are unlikely to solve the full problem, the next step is not guesswork. It is a detailed orthodontic evaluation.

At Holt Orthodontics, we use digital planning, specialist expertise, and coordinated treatment design to help patients understand whether surgical orthodontics is the right answer. If you are considering surgical orthodontics in Roseville, CA, start with a free smile assessment and get a clear look at what your case may require.

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