When is Corrective Jaw Surgery Performed?

Prior to adolescence, surgery is almost exclusively for children who have congenital deformities or problems related to trauma. For children with severe growth distortions, guiding growth, if possible, is better than surgery. Surgery is rarely indicated before the adolescent growth spurt ends. That doesn’t mean treatment has to wait until all growth has ended. If the problem is deficient growth of the mandible {Class II} or maxilla {Class III}, it may be possible to advance the deficient jaw soon after the growth spurt ends.  Surgery can be performed as soon as we can tell what the final jaw positions should be and possibilities for effective growth modification have disappeared.