Health

Severe Cases

Complex jaw discrepancies require specialized treatment. We're equipped to handle the most challenging cases.

When Standard Treatment Isn't Enough

Some orthodontic cases involve significant skeletal discrepancies — problems with the jaw bones themselves, not just the teeth. These severe cases can affect not only appearance but also function, breathing, and quality of life. They require specialized expertise and often a multi-disciplinary approach.

Types of Severe Cases

Severe Skeletal Class II

A significantly recessed lower jaw causing a weak chin profile, potential airway restriction, and difficulty biting.

Severe Skeletal Class III

An underdeveloped upper jaw or overdeveloped lower jaw causing an underbite and concave facial profile.

Skeletal Open Bite

A vertical discrepancy where the jaws don't meet properly, often causing the front teeth to not touch.

Facial Asymmetry

When the jaws have grown unevenly, causing the face to appear crooked or off-center.

Health Impacts of Severe Cases

Severe jaw discrepancies can cause:

Breathing Problems: Recessed jaws can restrict the airway, contributing to sleep apnea
TMJ Disorders: Improper bite can strain the jaw joints
Difficulty Eating: Inability to chew food properly
Speech Issues: Jaw position affects tongue placement and speech
Psychological Impact: Facial appearance can affect confidence and mental health
Accelerated Tooth Wear: Improper bite causes uneven forces on teeth

Treatment Options

For severe cases, we may recommend:

For Growing Patients

Growth Modification: Appliances like the Herbst can redirect jaw growth in children
Palatal Expansion: Widening a narrow maxilla early can prevent more severe problems
Early Intervention: Starting treatment during growth can reduce the need for surgery later

For Adults

MARPE: Non-surgical palate expansion for adults with narrow jaws
Orthognathic Surgery: Jaw surgery combined with orthodontics for major skeletal issues
Camouflage Treatment: In some cases, we can achieve acceptable results without surgery

The Surgical Option

When jaw surgery is recommended, you can expect:

Pre-surgical Orthodontics: 12-18 months of braces to position the teeth
Surgery: Performed by an oral surgeon under general anesthesia
Recovery: 2-4 weeks of initial recovery, 9-12 months for complete bone healing
Post-surgical Orthodontics: 6-12 months to perfect the bite

While this is a significant process, the results are often life-changing — improved breathing, eating, speaking, and appearance.

Our Expertise

Dr. Graf has extensive experience with complex cases. We use advanced 3D imaging and digital planning to design precise treatment plans. When surgery is needed, we work with experienced oral and maxillofacial surgeons to ensure seamless care.

Get Evaluated

Schedule a consultation to discuss your options.

Free Consultation Call (801) 765-9990