In adult patients with significant jaw discrepancies—such as severe overbites or underbites (prognathism)—orthodontic treatment alone is often insufficient, as no further jaw growth can be stimulated.

In such complex cases, a combined orthodontic-surgical approach may be necessary. This interdisciplinary collaboration between the orthodontist and oral and maxillofacial surgeon enables a comprehensive correction of both dental and skeletal misalignments to achieve optimal functional and aesthetic results.

Treatment typically begins with fixed braces or clear aligners to align the teeth over a period of approximately 12 to 15 months. This is followed by a surgical procedure performed by an oral and maxillofacial surgeon to correct the jaw position. Once the bite and tooth alignment are optimized post-surgery, the braces are removed, and standard retention measures are implemented to maintain the results.