Surgical Orthodontics in Rocklin, CA

Some bite problems are not caused by tooth position alone. When the upper and lower jaws do not line up properly, braces or aligners may improve the teeth, but they may not fully correct the way the bite functions. That is where surgical orthodontics may become part of the conversation.

At Holt Orthodontics in Rocklin, we evaluate complex bite and jaw alignment concerns carefully before recommending any treatment path. Dr. Mark Holt, Dr. Tyler Holt, Dr. Miriam Behpour, and our team help patients understand whether orthodontic treatment alone may be enough or whether coordinated surgical orthodontic care should be considered.

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What Is Surgical Orthodontics?

Surgical orthodontics, also known as orthognathic orthodontics, is a treatment approach that combines braces with corrective jaw surgery. The orthodontist prepares the teeth before surgery, coordinates with the oral and maxillofacial surgeon, and then fine-tunes the bite after surgery.

The surgery itself is performed by an oral surgeon. Holt Orthodontics manages the orthodontic side of care, including diagnosis, tooth movement, bite preparation, and post-surgical finishing.

The purpose is not cosmetic alone. Surgical orthodontics may help improve the way the teeth, jaws, and bite work together.

Surgical team performing jaw surgery for surgical orthodontics

Signs You May Need a Surgical Orthodontic Evaluation

 Surgical orthodontics may be worth discussing if you have:

  • a severe underbite or overbite
  • an open bite that makes it hard for teeth to touch
  • jaw asymmetry or uneven facial balance
  • difficulty biting into food or chewing comfortably
  • teeth that meet poorly even after previous orthodontic treatment
  • excessive tooth wear related to bite imbalance
  • jaw position concerns that affect function or appearance

Some patients come in because they already know their bite feels “off.” Others are referred after a dentist notices that the jaw relationship may be contributing to the problem.

Does Every Severe Bite Problem Need Surgery?

No. A severe-looking bite problem does not always mean surgery is required.

Some patients can still be treated with braces, Invisalign, elastics, expanders, or other orthodontic tools depending on age, growth, bite pattern, and treatment goals.

he important question is whether the problem is mainly dental or skeletal.

Concern Often Dental May Involve Jaw Position
Mild crowding Yes Not usually
Small gaps Yes Not usually
Severe underbite Sometimes Often
Open bite Sometimes Possible
Jaw asymmetry Not usually Often
Bite not fitting after prior treatment Possible Possible
Difficulty chewing due to jaw position Not usually Often
A careful evaluation helps avoid both extremes: recommending surgery when it is not needed, or trying to force a non-surgical option when the jaw relationship is the real issue.

How Orthodontics Supports Jaw Surgery

Orthodontics plays a major role before and after corrective jaw surgery. The teeth must be positioned so the bite can fit properly once the jaws are corrected.

Before Surgery

Pre-surgical orthodontics usually focuses on aligning the teeth within each jaw. This stage may involve braces, and in some cases the bite may temporarily feel less ideal before it gets better. That is because the teeth are being prepared for the new jaw position.

During this stage, our team explains what is happening and why each step matters. 

During Surgical Coordination

If surgery is part of the plan, your orthodontic care is coordinated with an oral and maxillofacial surgeon. The surgeon handles the jaw procedure, while Holt Orthodontics continues guiding the tooth movement and bite planning.

Clear communication is important because surgical orthodontics involves more than one provider and more than one phase of care.

After Surgery

Once the jaw has healed enough, orthodontic treatment continues. This stage focuses on refining the bite, settling the teeth, and supporting a stable final result.

Retainers are used after treatment to help maintain the corrected tooth position.

What Happens at the First Consultation?

Your first visit is meant to answer a basic but important question: what is causing the bite problem?

During your first orthodontist appointment, our team may take photos, digital scans, and X-rays to evaluate your teeth and jaw relationship. We will also talk with you about your concerns, symptoms, treatment history, and goals.

You may leave with one of several possible recommendations:

    • orthodontic treatment without surgery
    • more monitoring before starting treatment
    • braces or aligners to correct tooth position
    • a surgical orthodontic workup
    • referral or coordination with an oral surgeon
    • a staged plan that explains what happens first

Why Rocklin Patients Choose Holt Orthodontics

Surgical orthodontic cases require more than appliance selection. They require diagnosis, planning, timing, and coordination. Patients need a team that can explain complex information in a way that feels understandable.

Rocklin patients choose Holt Orthodontics because our practice offers:

  • free smile assessments for new patients
  • care from Dr. Mark Holt, Dr. Tyler Holt, and Dr. Miriam Behpour
  • digital scans, photos, and X-rays for treatment planning
  • braces, clear braces, Invisalign, and surgical orthodontic guidance
  • coordinated support for complex bite and jaw cases
  • multiple locations across the greater Sacramento area
  • a team that explains treatment visually and clearly

What Our Patients Say

“I had experienced significant shifting of my teeth through middle age. My dentist encouraged me to think about orthodontic care to align and stabilize my teeth for the remainder of my life. It was not an easy decision to do so, but I’m so glad I did. And I’m so glad I chose Holt Orthodontics. They have been so thorough, professional, reasonable and pleasurable in their services. And the results have been phenomenal, truly. I recommend them unequivocally.”
— William S.
“This was my first time visiting Holt Orthodontics office and I had such a great experience! The staff was very friendly and welcoming, which made us feel comfortable right away. The doctor was kind, patient, and took the time to explain everything clearly so I understood the treatment plan. I really appreciate how thorough they were, and I left feeling confident about the care my son will be receiving. I’m excited to start his orthodontic journey with this team!”
— Erika D.

Surgical Orthodontics Near You in Rocklin

Holt Orthodontics sees patients at our Rocklin office at 6526 Lonetree Blvd #100, Rocklin, CA 95765. You can reach the Rocklin office at (916) 435-8000.

Our Rocklin location is convenient for patients from:

  • Rocklin
  •  Roseville
  • Granite Bay
  • liLoomis
  • Lincoln
  • Citrus Heights and nearby Placer County communities.

Holt Orthodontics also has offices in Sacramento, Roseville, Folsom, and Granite Bay for patients who need flexible access across the greater Sacramento area.

Frequently Asked Questions

Start With Answers Before Assuming Surgery

If your bite feels uneven, your jaws do not seem aligned, or previous orthodontic treatment did not fully correct the problem, surgical orthodontics may be worth discussing.

At Holt Orthodontics, Dr. Mark Holt, Dr. Tyler Holt, Dr. Miriam Behpour, and our team help Rocklin patients understand whether braces, aligners, surgical coordination, or another treatment path is most appropriate. If you are searching for surgical orthodontics in Rocklin, CA, schedule a free smile assessment and get a clearer plan for your bite and jaw alignment.

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Surgical orthodontics consultation in Rocklin CA