{"id":2344,"date":"2025-12-04T21:47:34","date_gmt":"2025-12-04T21:47:34","guid":{"rendered":"https:\/\/jawsurgerynj.com\/?page_id=2344"},"modified":"2026-08-13T16:17:48","modified_gmt":"2026-08-13T16:17:48","slug":"double-jaw","status":"publish","type":"page","link":"https:\/\/jawsurgerynj.com\/es\/double-jaw\/","title":{"rendered":"Maxilofacial"},"content":{"rendered":"\n
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Double Jaw Surgery<\/h1><\/header>\n\n\n\n

Rebalancing the upper and lower jaws for optimal alignment and function<\/p><\/div>\n<\/div><\/div>\n\n\n\n

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What Is Double Jaw Surgery?<\/h2><\/div>\n\n\n\n
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Understanding Double Jaw Surgery<\/h3><\/div>

Double jaw surgery involves the precise repositioning of both the upper (maxilla) and lower (mandible) jaws. This allows the surgeon to move the jaws forward, backward, upward, downward, or rotate them to correct bite issues, improve facial balance, and support breathing and chewing function.

By addressing both jaws together, the procedure restores proper coordination, enhances facial harmony, and provides reliable long-term functional and aesthetic improvement.<\/p><\/div><\/div>\n<\/div>

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What Patients Find Most Helpful to Know About Double Jaw Surgery<\/h3><\/div>\n\n\n\n
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Your jaws will not be wired shut<\/h4><\/div>

Small plates and screws stabilize the jaws, often with light guiding elastics rather than full immobilization.<\/p><\/div><\/div>\n<\/div>\n\n\n\n

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Sensation returns slowly over time<\/h4><\/div>

Temporary numbness or tingling in lips, cheeks, or tongue is common, usually resolving over time.<\/p><\/div><\/div>\n<\/div>\n\n\n\n

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The first week is the most challenging<\/h4><\/div>

Swelling, tightness, and dietary limitations are most noticeable early on, with steady improvement after the first week.<\/p><\/div><\/div>\n<\/div>\n\n\n\n

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Recovery is often similar to single-jaw surgery<\/h4><\/div>

Even though both jaws are treated, the recovery is typically not much different from single jaw surgery, with a similar overall experience.<\/p><\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n

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When Is Double Jaw Surgery Performed?<\/h2><\/div>\n\n\n\n
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Indications for Double Jaw Surgery<\/h3><\/div>

Double jaw surgery is advised when misalignment of both jaws impacts chewing, speaking, breathing, or facial appearance. Often, it is planned in combination with orthodontic treatment for maximum stability and results.

Typical situations include:<\/p><\/div><\/div>\n\n\n\n

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<\/path><\/svg><\/span>Severe overbite, underbite, or open bite<\/span><\/div>\n\n\n\n
<\/path><\/svg><\/span>Uneven or asymmetrical facial appearance<\/span><\/div>\n\n\n\n
<\/path><\/svg><\/span>Difficulty chewing or speaking clearly<\/span><\/div>\n\n\n\n
<\/path><\/svg><\/span>Airway or breathing difficulties<\/span><\/div>\n\n\n\n
<\/path><\/svg><\/span>Excessive tooth exposure or gummy smile<\/span><\/div>\n\n\n\n
<\/path><\/svg><\/span>TMJ discomfort or strain<\/span><\/div>\n<\/div><\/div>\n<\/div><\/div>\n<\/div>\n\n\n\n
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Benefits Of Double Jaw Surgery<\/h2><\/div>

This procedure provides comprehensive functional and cosmetic improvements, enhancing bite, facial proportions, and overall well-being.<\/p><\/div><\/div>\n\n\n\n

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Optimized bite and chewing function for both jaws<\/h3><\/div><\/div><\/div>\n\n\n\n
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Improved speech articulation<\/h3><\/div><\/div><\/div>\n\n\n\n
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Improved airway and breathing
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Reduced TMJ strain<\/h3><\/div><\/div><\/div>\n\n\n\n
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Balanced facial proportions<\/h3><\/div><\/div><\/div>\n\n\n\n
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Improved lip support and smile aesthetics<\/h3><\/div><\/div><\/div>\n<\/div>\n<\/div>\n<\/div><\/div>\n\n\n\n
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Virtual Surgical Planning<\/h2><\/div>

Precision-Guided Surgical Planning with 3D Analysis and Simulation.<\/p><\/div><\/div>\n\n\n\n

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Digital Records<\/h3><\/div>

CBCT and intraoral scans capture bone and tooth anatomy and support surgical planning with sub-millimeter precision.<\/p><\/div><\/div><\/div>\n\n\n\n

0.1 mm<\/strong> Accuracy<\/sup><\/sub><\/div><\/div>\n<\/div>\n\n\n\n
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Virtual Surgical Planning<\/h3><\/div>

Surgeons collaborate with biomedical engineers in real time to simulate and perfect the surgical plan, visualizing movements from every angle before surgery.<\/p><\/div><\/div>\n\n\n\n

360\u00b0<\/strong> Simulation<\/sup><\/sub><\/div><\/div>\n<\/div>\n<\/div>\n<\/div><\/div>\n\n\n\n
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Custom Surgical Splints<\/h4><\/div>

Patient-specific surgical splints guide the jaw into the exact planned position during surgery.
100%<\/strong> Custom Fit<\/sub><\/sup><\/p><\/div><\/div>\n<\/div>\n<\/div>\n\n\n\n

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Custom Cutting Guides<\/h4><\/div>

Custom osteotomy guides ensure bone cuts are made precisely as planned, maximizing accuracy.
<1 mm<\/strong> Precision<\/sub><\/sup><\/p><\/div><\/div>\n<\/div>\n<\/div>\n\n\n\n

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Custom Titanium Plates<\/h4><\/div>

Patient-specific titanium fixation plates are contoured to the patient’s anatomy for optimal stability and healing.
Ti-6Al-4V<\/strong> Medical-Grade<\/sup><\/sub><\/p><\/div><\/div>\n<\/div>\n<\/div>\n<\/div><\/div>\n<\/div>\n\n\n\n

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How Is Double Jaw Surgery Performed?<\/h2><\/div>

Double jaw surgery is carefully planned and performed to reposition both jaws safely, restoring function and facial harmony.<\/p><\/div><\/div>\n\n\n\n

\t\t\t\n\t\t\t\t\t\t\t\t<\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\tComprehensive Planning<\/strong><\/span><\/div>

Before surgery, a detailed analysis of both jaws and the facial skeleton is conducted using clinical photographs, dental models, and CT imaging. This data is used to build a three-dimensional virtual model of the patient’s anatomy, allowing precise planning of the degree and direction of movement for both the upper and lower jaw simultaneously. Coordinating both jaws in the virtual environment ensures that bite alignment, facial symmetry, airway, and profile are all optimized as part of a single integrated plan. Custom cutting guides and patient-specific plates are fabricated in advance based on this plan, ensuring that what is designed virtually is executed accurately in the operating room.<\/p><\/div><\/div>

\t\t\t\n\t\t\t\t\t\t\t\t<\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\tIncision Placement<\/strong><\/span><\/div>

Two sets of incisions are made, both entirely inside the mouth. The upper jaw incision is made in the fold of tissue between the upper lip and gum, extending from the first molar on one side to the first molar on the other. The lower jaw incisions are made in the space between the inner cheek and lower gum on each side. This approach leaves no visible scars on the face.<\/p><\/div><\/div>

\t\t\t\n\t\t\t\t\t\t\t\t<\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\tBone Repositioning<\/strong><\/strong><\/span><\/div>

The upper and lower jaws are mobilized and repositioned in a precise sequence. Using custom 3D printed cutting guides, the upper jaw is separated above the tooth roots, moved to its planned position, and fixated in place. The lower jaw is then sectioned through the back portion on each side, allowing the tooth-bearing segment to be moved and secured in its corrected position. Moving both jaws together allows for corrections that would not be achievable by operating on either jaw alone.<\/p><\/div><\/div>

\t\t\t\n\t\t\t\t\t\t\t\t<\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\tFixation<\/strong><\/span><\/div>

The upper jaw is secured with custom titanium plates and screws designed specifically for the patient’s anatomy. The lower jaw is secured with titanium plates and screws that are either custom fabricated in advance or contoured during surgery depending on the case. All hardware is low-profile, biocompatible, and remains in place permanently.

In most cases, titanium fixation does not interfere with MRI examinations or trigger airport security screening devices. However, because individual circumstances may vary, patients should consult their surgeon regarding any questions about implanted hardware.<\/p><\/div><\/div>

\t\t\t\n\t\t\t\t\t\t\t\t<\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\tClosure<\/strong><\/span><\/div>

All incisions are closed with absorbable sutures that dissolve on their own. No suture removal is needed.<\/p><\/div><\/div>

\t\t\t\n\t\t\t\t\t\t\t\t<\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\tRecovery and Monitoring<\/strong><\/span><\/div>

Patients typically go home the morning after surgery. During the first week, patients can expect swelling, bruising, and temporary numbness. Most patients feel significantly better after that, and the majority are feeling much more like themselves by the second week. A soft diet is maintained during the healing period. Temporary numbness or altered sensation in the lips, chin, and palate is normal and typically improves as healing progresses.<\/p><\/div><\/div><\/div><\/div>

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Double Jaw Surgery<\/h2><\/div>\n\n\n\n
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