Does Jaw Surgery Hurt After 1 Week?

The first week is the most intense part of recovery. Here is what pain levels are like after seven days.

By day 7 after orthognathic surgery, most patients experience significantly less pain. Here is a typical timeline.

  • Days 1–3 (peak discomfort):
  • Moderate to significant pain
  • Prescription pain medication needed
  • Most uncomfortable period
  • Days 4–7 (rapid improvement):
  • Pain decreases significantly each day
  • Many patients switch to over-the-counter pain relievers by day 4–5
  • Discomfort shifts from "pain" to "soreness"
  • Swelling starts to decrease, reducing pressure-related pain
  • After 1 week:
  • Most patients describe the pain as mild or a dull ache
  • Over-the-counter medication (ibuprofen, acetaminophen) is usually sufficient
  • Some discomfort from elastics and the splint (if used)
  • Pain when trying to eat or during oral hygiene is normal
  • Factors that affect pain at 1 week:
  • Type of surgery (double jaw > single jaw)
  • Individual pain tolerance
  • How well you follow the medication schedule
  • Use of ice packs (significantly reduces pain)
  • Whether you are resting enough

When Pain Persists

  • If you still have significant pain after 1 week, contact your surgeon. Persistent severe pain can be a sign of:
  • Infection
  • A problem with the bone or hardware
  • Improper elastic placement

Clinical Guidance

By day 7 after jaw surgery, most patients have transitioned from prescription pain medication to over-the-counter options. A week of significant discomfort is normal, but you should see clear improvement each day.