How Does Oral Surgery Contribute to Teeth Alignment?

Many use different dental treatments to appreciate a more confident smile and a healthier oral cavity. Oral surgery is an important treatment modality that significantly contributes to teeth alignment. Let’s dive deeper into this fascinating field.

The Link Between Oral Surgery and Teeth Alignment

Oral surgery plays a significant role in orthodontics and teeth alignment. While orthodontic treatments like braces and clear aligners are often the primary methods for correcting misaligned teeth, there are situations where oral surgery becomes an essential part of the overall treatment plan. Here are some key connections between oral surgery and teeth alignment:

1. Extraction of Overcrowded Teeth

  • Purpose: Overcrowding occurs when there is insufficient space in the dental arch for all the teeth to align properly. This can result in crooked or misaligned teeth. In such cases, orthodontists may recommend the removal of one or more teeth to create the necessary space for alignment.
  • Procedure: Dental extraction is a common oral surgery procedure performed to remove teeth. Oral surgeons or general dentists with surgical training can perform this procedure. Typically, premolars are extracted because they are less critical for overall dental function.

2. Jaw Expansion or Reduction

  • Purpose: Abnormal jaw size or shape can significantly impact teeth alignment. Oral surgery can be used to modify the jawbone by expanding it (to correct a narrow upper jaw) or by reducing its size (to treat an overlarge jaw).
  • Procedure: These surgical procedures are known as orthognathic surgery. They involve precise cuts and repositioning of the jawbone to improve the alignment of both teeth and the bite. Orthodontic treatment is often used with orthognathic surgery to fine-tune the alignment.

3. Correction of Jaw Irregularities

  • Purpose: Severe jaw discrepancies, such as a misaligned jaw or skeletal deformities, can lead to malocclusion (a bad bite) and misalignment of teeth. Orthognathic surgery can correct these structural issues.
  • Procedure: Orthognathic surgery can involve repositioning the upper jaw (maxilla), lower jaw (mandible), or both to achieve a harmonious bite and facial appearance. Orthodontic treatment is often used before and after surgery to ensure optimal results.

4. Impacted Wisdom Teeth

  • Purpose: Wisdom teeth, or third molars, often do not have enough space to erupt properly and can become impacted. Impacted wisdom teeth can lead to crowding and shifting of adjacent teeth.
  • Procedure: Oral surgeons typically extract impacted wisdom teeth, often under local anesthesia or sedation. Removing these teeth can prevent future misalignment issues and alleviate discomfort.

5. Cleft Lip and Palate Repair

  • Purpose: Individuals born with cleft lip and palate conditions have facial and dental deformities. A series of oral surgeries are often required to repair these conditions and align the dental arches.
  • Procedure: Surgical procedures to repair cleft lip and palate involve closing the gaps in the lip and palate, reconstructing tissues, and aligning the dental arches. Orthodontic treatment is integral to coordinating and optimizing the alignment of teeth in these cases.

6. Temporary Anchorage Devices (TADs)

  • Purpose: TADs are small implants placed into the jawbone to provide additional anchorage for orthodontic forces. They can aid in the movement and alignment of teeth in cases where traditional braces alone may not suffice.
  • Procedure: Oral surgeons or trained general dentists can place TADs through minimally invasive surgical procedures. These devices can be strategically used to achieve precise tooth movements during orthodontic treatment.

7. Orthodontic Exposure of Impacted Teeth

  • Purpose: Sometimes, teeth may become impacted within the jawbone, meaning they fail to erupt properly into the dental arch. This can include canines (“eye teeth”) and other teeth. These impacted teeth need to be exposed and guided into their proper positions to facilitate their alignment.
  • Procedure: An oral surgeon can perform a surgical procedure known as “orthodontic exposure” to uncover the impacted tooth. After exposure, an orthodontist can use braces or other orthodontic appliances to correctly guide the tooth to align within the dental arch.

8. Gingivectomy and Gingivoplasty

  • Purpose: Sometimes, issues with gum tissue can interfere with teeth alignment. Excessive or uneven gum tissue can make teeth appear shorter or create irregular gum contours. Surgical procedures like gingivectomy (removal of excess gum tissue) and gingivoplasty (reshaping of gum tissue) can help improve the alignment and aesthetics of the teeth.
  • Procedure: These oral surgery procedures are performed by periodontists or oral surgeons. Adjusting the gum tissue can create a more harmonious and balanced appearance of the teeth, enhancing overall teeth alignment and the smile’s aesthetics.

Aside from its immediate impact on teeth alignment, oral surgery offers a range of benefits. It can improve oral function, promoting easier eating and speaking. It can also improve oral health by reducing the risk of overcrowded teeth, leading to cavities and gum disease.

Choosing the right specialist for your dental needs is paramount. An oral surgeon is uniquely qualified to perform surgeries related to the mouth and jaw. If you are in Texas, an oral surgeon in Fort Worth, Texas, would be an excellent option. They possess the necessary training to treat various conditions and implement treatments that help improve teeth alignment.

Importance of Dental Implants in Teeth Alignment

In cases where a tooth is missing or must be removed due to decay or damage, dental implants play a significant role in maintaining alignment. These artificial tooth roots provide a permanent base for a replacement tooth. If you want to know more about this topic, click here. Ensuring all teeth spaces are filled prevents the remaining teeth from shifting out of place, thus preserving alignment.

A Peek into Periodontics

An essential branch of dentistry is periodontics. It centers on the structures that support and surround the teeth, including the gums and bone. Periodontics offers valuable insight into diagnosing, preventing, and treating gum diseases. The role of periodontal care for all ages cannot be understated. From the early detection of gum ailments in children to managing periodontal disease in seniors, periodontics ensures oral health across different age groups.


In closing, oral surgery is indispensable to dental health and teeth alignment. It enables various other dental procedures and directly benefits patients, improving their smiles and overall health. It’s essential to consult with a qualified oral surgeon or periodontist when considering such procedures to ensure you receive the best care possible.