How Long Do I Need Braces Before Surgery?

The timeline for pre-surgical orthodontics is an important part of planning. Here is what to expect.

Most patients need braces for 12–18 months before their jaw surgery. This phase is called "pre-surgical orthodontic decompression."

Timeline breakdown:

Case ComplexityPre-Surgical Braces Time
Simple (mild misalignment)6–9 months
Moderate12–15 months
Complex (significant crowding, rotations)18–24 months
Already have straight teeth3–6 months
  • Factors that affect duration:
  • How much the teeth need to move (decompensation)
  • Age (younger patients' teeth move faster)
  • Compliance with wearing rubber bands
  • The specific type of bite problem
  • Whether extractions are needed first
  • What happens during this time:
  • Regular orthodontic visits every 4–8 weeks
  • Teeth are moved into their ideal positions within each jaw
  • The bite may temporarily look worse
  • Progress X-rays and photographs are taken

After Surgery

After surgery, you will need braces for an additional 4–6 months to fine-tune the bite. Total orthodontic treatment time is typically 18–24 months including both pre- and post-surgery.

Clinical Guidance

Plan on 12–18 months of braces before your jaw surgery. The exact time depends on your individual case. Your orthodontist will give you a personalized timeline during your consultation.