805-682-8462 Referring Doctors Request an Appointment


Orthognathic surgery is the treatment of facial, airway and bite discrepancies by moving the jaws (gnathic) into the correct (ortho) position for proper esthetics and function.

Orthognathic surgery can involve the upper jaw or maxilla (LeFort osteotomy) and/or the lower jaw or mandible (bilateral sagittal split osteotomies).

"On a recent round at the hosptial, my patient who had orthographic surgery yesterday commented, 'my breathing is amazing! I can't believe how much better it is, its so obvious!' This is not an uncommon experience but I am always impressed by the comments of orthographic surgery patients about their positive breathing changes. What a great field to work in where I can have such a positive effect on the face, airway and bite, all at the same time. Its been a good week! Thanks team."
—Dr. Michael Gunson

Case Study: Esthetic Treatment Planning

A. 21-year-old male patient with rheumatoid arthritis - showing lack of mandibular projection, width, and definition. Joint disease was controlled with condyle-sparing medications, including Enbrel tumor necrosis factor alpha inhibitor.

B. Seven-step cephalometric treatment plan (CTP) - showing surgical movements needed to correct face, airway, and bite (FAB). Significant bimaxillary counterclockwise advancements were required: ANS, 0mm; maxillary incisor tip, 9.5mm; mandibular incisor tip, 9.4mm; pogonion, 23.6mm.

C. Three and a half years after bimaxillary counterclockwise advancement surgery - note definition of mandibular position in all planes of space. Occlusion was intentionally left Class III at surgery as overcorrection. On Enbrel and other medications, occlusion has remained stable.

Read More about Esthetic Treatment Planning for Orthognathic Surgery in Drs. G. William Arnett and Michael J. Gunson published article in The Journal of Clinical Orthodontics, April 2010.