Orthodontic Treatment with Jaw Surgery in Thailand

Are you an expat living in Thailand considering orthognathic surgery? CDC Dental offers quality treatment with English-speaking staff to ensure clear communication throughout your treatment journey.

Surgical Orthodontics Fee at CDC Dental

For expats looking for quality orthognathic surgery in Thailand, CDC Dental offers exceptional value with transparent pricing. Our comprehensive fee structure for surgical orthodontics is comprised of three major parts:

PART 1: Complete Assessment Package - 3,000 THB

• This covers pre-treatment records including comprehensive initial evaluation, X-rays, dental photography, and digital dental scanning
• Additional costs that may apply:
  • CBCT scan at hospital - approximately 4,500 THB (not included in package)
  • Sleep test at private hospital (if needed) - approximately 10,000-15,000 THB (not included in package)

PART 2: Orthodontic Treatment - 78,000 THB

• Convenient monthly payment plan directly to clinic:
  • First two months: 15,000 THB per month
  • Remaining months: 3,000 THB per month (16 months)

PART 3: Jaw Surgery - 250,000-300,000 THB

Jaw surgery at hospital performed by board-certified oral and maxillofacial surgeons:

• Single jaw surgery: 150,000 - 200,000 THB
• Double jaw surgery (upper and lower): 250,000 - 300,000 THB
• Chin surgery (additional): 50,000 - 70,000 THB
• This portion requires one-time payment

• Operating room fees (at either Dental Hospital, Faculty of Dentistry, Mahidol University, or Masterpiece Hospital)
• Surgeon's fees
• Anesthesiologist's fees
• Hospital stay (1-3 nights)
• Post-surgical care

TOTAL TREATMENT INVESTMENT: 331,000-381,000 THB

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What is Orthodontic Treatment with Jaw Surgery?

Orthodontic treatment with jaw surgery, commonly known as "jaw surgery" (Orthognathic Surgery), is a treatment that combines orthodontics and jaw bone surgery to correct severe abnormalities in facial structure and bite problems.

"For patients with severe bite abnormalities that cannot be corrected with orthodontic treatment alone, combining orthodontics with jaw surgery is the most effective solution."

This treatment requires collaboration between an orthodontic specialist and an oral and maxillofacial surgeon.

Difference from Regular Orthodontic Treatment

Regular orthodontic treatment focuses on moving teeth into proper position but cannot correct abnormal jaw bone structures. In contrast, orthodontic treatment with jaw surgery can correct both tooth position and jaw bone structure.

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Reasons for Combining Orthodontics with Jaw Surgery

• Jaw Bone Abnormalities
  • Protruding/receding chin (mandibular prognathism/retrognathism)
  • Maxillary protrusion causing protruding upper lips
  • Open bite, deep bite, or facial asymmetry
• Breathing Issues
  • Narrow airways causing breathing difficulties
  • Sleep apnea and loud snoring
• Functional Problems
  • Speech difficulties and inefficient chewing
  • Abnormal tooth wear from improper bite
• Quality of Life Impact
  • Reduced social confidence and daily life challenges
  • Teasing due to abnormal facial features
• Orthodontic Limitations
  • Cases beyond tooth movement correction
  • Inability to correct bone abnormalities without surgery

Examples of Bite Problems Requiring Surgery

Protruding Chin or Mandibular Prognathism
Characteristics: Protruding chin, lower front teeth ahead of upper teeth, elongated lower face	Correction: Cutting the lower jaw bone and moving it backward. In some cases, the upper jaw may also need to be moved forward.
Short Chin or Mandibular Retrognathism
Characteristics: Protruding upper front teeth, full upper lips, convex facial profile	Correction: Moving the lower jaw forward to create balance in facial structure.
Open Bite
Characteristics: Gap between upper and lower front teeth when biting	Correction: Orthodontic treatment combined with jaw surgery provides more stable results than orthodontic treatment alone.
Facial Asymmetry
Characteristics: Uneven left and right sides of the face, crooked chin, abnormal bite	Correction: Using 3D technology to plan surgery for adjusting bones on both sides to create symmetry.
Gummy Smile
Characteristics: Excessive gum showing when smiling (more than 3-4 mm)	Correction: Cutting the upper jaw bone and moving it upward (Le Fort I impaction).

 

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Orthodontic Treatment and Surgery Steps at CDC Dental

Step 1: Initial Consultation with Orthodontist

• Comprehensive evaluation and records
• X-ray, photo, and dental scan bundle is available for 3,000 baht

Step 2: Surgical Consultation

• Our orthodontist will refer you to a board certified oral and maxillofacial surgeon
• Our staff will provide directions and help coordinate your appointment

Step 3: Advanced Imaging

• CBCT scan at hospital (approximately 4,500 THB)
• Some cases may require bone scan to assess jaw bone resorption
  • Bone scan is important for patients with abnormal jaw bone resorption (condylar resorption) because operating while the bone is still resorbing may lead to unstable treatment results

Step 4: Begin Orthodontic Treatment

• Installation of braces
• Pre-surgical alignment of teeth (usually 12-18 months)
• During pre-surgical orthodontic treatment, teeth may appear worse than before because the orthodontist aligns teeth with their true bone structure, not the current abnormal structure. This differs from regular orthodontic treatment which tries to make teeth look better from the beginning.

Step 5: Jaw Surgery

• Performed by board certified oral and maxillofacial surgeons at Dental Hospital Mahidol University or Masterpiece Hospital
• Hospital stay of 1-3 nights

Step 6: Post-Surgical Orthodontics

• Continues approximately 6-12 months after surgery
• Fine-tuning of bite and alignment

Step 7: Retainer Phase

• Long-term retention to maintain results
• Regular follow-up appointments

Surgery First Approach

CDC Dental also offers the innovative "Surgery First Approach" for suitable candidates. This technique involves performing jaw surgery before or shortly after beginning orthodontic treatment, allowing patients to see facial changes immediately without waiting for pre-surgical orthodontics. Benefits include faster results, shorter overall treatment time, and reduced psychological impact. However, this approach requires complex planning and isn't suitable for all cases.

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Jaw Surgery Case Examples

CDC Dental: Professional Orthodontic and Jaw Surgery Services

CDC Dental provides comprehensive orthognathic surgery services for expats and international patients in Thailand. With locations in Saphan Khwai and Ladprao, we offer convenient access to quality treatment with our professional team.

Why Choose CDC Dental for Orthognathic Surgery

Professional Team

• Experienced orthodontists and surgeons
• Staff who can communicate in English
• Clear explanations of your treatment plan

Quality Care

• State-of-the-art technology
• Treatment plans designed for your specific needs
• Professional standards of care

Convenient Locations

• CDC Dental Chatuchak Center near BTS Saphan Khwai
• CDC Dental Ladprao 109 branch near The Mall Bangkapi, MRT Ladprao 101

Ready to Transform Your Smile with Braces in Bangkok?

Orthodontic treatment with jaw surgery is an appropriate option for those with severe jaw structure and bite problems that cannot be corrected with regular orthodontics. Although it's a complex, time-consuming, and costly treatment, the functional and aesthetic results are worth the investment.

If you're an expat in Thailand considering this treatment, CDC Dental is ready to provide consultation and care throughout your treatment process.

Contact Us

LINE official: @BangkokDentist

Email: [email protected]

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Chatuchak Dental Center Branch Near BTS Saphan Khwai, close to Chatuchak, Ari, Phahonyothin, Pradiphat, Sutthisan
Tel: 097-925-2424

Google Maps - Chatuchak Branch

Ladprao 109 Branch (Formerly Parinya Dental Clinic) Near Bang Kapi, Ladprao 109, Ladprao 107, Ladprao 101, RBAC, Ramkhamhaeng
Tel: 097-925-2442

Google Maps - Ladphrao Branch

References

1. Proffit WR, White RP, Sarver DM. Contemporary treatment of dentofacial deformity. St. Louis: Mosby; 2013.
2. Hasebe D, Kobayashi T, Hasegawa M, Iwamoto T, Kato K, Izumi N, Takata Y, Saito C. Changes in oropharyngeal airway and respiratory function during sleep after orthognathic surgery in patients with mandibular prognathism. Int J Oral Maxillofac Surg. 2011 Jun;40(6):584-92.
3. Bergamo AZ, Andrucioli MC, Romano FL, Ferreira JT, Matsumoto MA. Orthodontic-surgical treatment of Class III malocclusion with mandibular asymmetry. Braz Dent J. 2011;22(2):151-6.
4. Brandtner C, Hachleitner J, Rippel C, Krenkel C, Gaggl A. Long-term skeletal and dental stability after orthognathic surgery of the maxillo-mandibular complex in Class II patients with transverse discrepancies. J Craniomaxillofac Surg. 2015 Oct;43(8):1516-21.
5. Choi JW, Lee JY. Current concept of the surgery-first orthognathic approach. Arch Plast Surg. 2021 Mar;48(2):199-207.

Article by

Dr. Pitipat Tunksook (Dr. Jam)

Orthodontist