A small number of severe bite or jaw-size discrepancies need surgery alongside orthodontic treatment. Here's an honest look at when this applies and what the combined process involves.
The overwhelming majority of Invisalign patients — including most crowding, spacing, and moderate bite cases — never need surgery. Surgical-orthodontic (orthognathic) treatment is reserved for a small subset of cases where the underlying jaw bones, not just tooth position, are significantly misaligned.
Signs Your Case May Involve a Surgical Discussion
How the Combined Process Typically Works
Surgery is never recommended lightly. At TDS, this pathway is only proposed after a thorough clinical and imaging assessment confirms tooth movement alone cannot achieve a stable, functional result.
Frequently Asked Questions
Will I be told upfront if my case needs surgery?+
Yes — this is discussed honestly at your consultation, based on clinical examination and imaging, before any treatment begins.
How long does the combined Invisalign-surgery process take in total?+
It varies by case, but combined treatment typically spans 18–30 months including pre-surgical alignment, the surgical recovery period, and post-surgical refinement.
Does TDS perform the jaw surgery itself?+
Orthognathic surgery is performed by a qualified oral & maxillofacial surgeon; our orthodontic team manages the pre- and post-surgical Invisalign phases and coordinates timing with your surgeon.
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