Will I Have Wires or Just Elastics After Jaw Surgery?
The idea of having your jaw wired shut is a common fear. Here is the reality about how jaws are stabilized after surgery.
In modern orthognathic surgery, wires (jaw wiring) are rarely used. Instead, surgeons use elastics (rubber bands) and internal fixation to stabilize the jaw.
What is used today:
- 1. Titanium plates and screws (internal fixation):
- All patients have these β they hold the bone in the new position
- They are placed during surgery and remain permanently
- They provide the main stabilization
- 2. Orthodontic elastics (rubber bands):
- These guide the bite and keep your teeth in the correct position
- They are attached to your braces
- You can usually remove them to eat and clean (depending on your surgeon's instructions)
- They are adjusted over time as healing progresses
- 3. Temporary elastics (immediate post-op):
- Right after surgery, light elastics may hold your teeth together most of the time
- You may be able to open your mouth a small amount for liquids
When are wires still used?
Very rarely, in complex cases where the bite needs to be rigidly fixed. However, this is uncommon with modern plate-and-screw fixation.
Why This Is Better
- You are not "wired shut" β you can open your mouth and speak
- You can take the elastics off to eat and clean
- Recovery is more comfortable
- You can manage your airway if you need to cough or sneeze
Clinical Guidance
For most patients, jaw wiring is a thing of the past. You will have titanium plates and screws holding the bone, and orthodontic elastics guiding the bite. You will be able to open your mouth slightly, speak, and take in liquids.