Beginning orthodontic treatment with braces or Invisalign is an exciting step toward a healthier, more confident smile. For some patients, however, achieving the best results may require more than orthodontic appliances alone. In certain cases, oral surgery becomes a necessary part of the process to address specific dental or jaw-related concerns.
If you’re wondering whether you’ll need to see an oral surgeon before or during orthodontic care, this guide will help answer your questions and explain how our team supports your entire treatment journey.
When Oral Surgery May Be Needed in Orthodontics
Most patients complete orthodontic treatment without the need for surgical procedures. However, there are some conditions that require support from an oral surgeon to ensure successful results.
Here are some of the most common scenarios:
1. Impacted Teeth
Sometimes, a permanent tooth does not erupt on its own, most often a canine. Oral surgery may be needed to uncover the tooth so your orthodontist can guide it into proper alignment using braces.
2. Jaw Misalignment
If the upper and lower jaws do not align correctly, braces alone may not be enough. In more complex cases, jaw surgery (also known as orthognathic surgery) may be recommended to improve bite function and facial balance.
3. Tooth Extractions for Crowding
When there is not enough room in the mouth to align the teeth properly, selective tooth extractions may be necessary. This is more common in moderate to severe crowding cases.
4. Soft Tissue Procedures
A thick frenum (the tissue between the front teeth or under the tongue) may interfere with tooth movement or alignment. A simple procedure called a frenectomy can correct this issue and support long-term orthodontic stability.
Your Orthodontist Will Guide You
There is no need to worry or try to determine this on your own. During your consultation, your orthodontist will conduct a thorough evaluation, including digital imaging and diagnostic records. If any surgical intervention is necessary, your doctor will explain why, what to expect, and how it fits into your overall treatment plan.
Every decision is made with your safety, comfort, and long-term results in mind.
In-House Oral Surgery for a Seamless Experience
If oral surgery is part of your treatment plan, we are proud to offer complete care under one roof. Our practice has an experienced team of oral surgeons available, so you will not need to visit a separate office or coordinate care with outside specialists.
Having both orthodontists and oral surgeons in one practice allows for:
- Clear communication and collaboration between specialists
- Consistent follow-up and monitoring of your progress
- A more comfortable and streamlined experience for you as the patient
This integrated approach helps ensure that your care is convenient, personalized, and efficient from start to finish.
Proudly Serving Western North Carolina
Our practice serves patients and families in Asheville, North Asheville, Rutherfordton, and Marion. We provide personalized orthodontic care for children, teens, and adults, including cases that require surgical coordination. Whether you are exploring treatment options or have been told you may need oral surgery, we are here to help you understand your choices and feel confident about your care.
Schedule Your Orthodontic Consultation
If you are wondering whether oral surgery will be a part of your orthodontic treatment, we invite you to schedule a consultation. Our team will take the time to evaluate your needs, explain your options, and design a treatment plan that works for you.
With in-house oral surgeons on our team, we provide a smooth, convenient, and comprehensive experience for every patient.