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Orthognathic (jaw) surgery is never a single decision or a one-day event. It’s a carefully planned process that unfolds over time—requiring precision, collaboration, and multiple checkpoints along the way.

At Moshiri Orthodontics, surgical cases are approached with exceptional intention. Dr. Moshiri works closely with an oral surgeon and a multidisciplinary care team, using advanced digital planning and multiple rounds of virtual surgical simulations (VSPs) to guide treatment at every stage.

This layered approach allows surgical plans to evolve thoughtfully—ensuring accuracy, predictability, and long-term stability.

Why Surgical Planning Matters So Much

Jaw surgery affects far more than the appearance of a smile. It plays a critical role in:

  • Bite function and comfort
  • Jaw balance and stability
  • Airway and breathing considerations
  • Long-term dental health

Because of this, surgical planning cannot rely on a single snapshot in time. Teeth move, alignment changes, and treatment goals are refined as orthodontic preparation progresses.

That’s why surgical planning happens in phases, with careful reassessment at key milestones.

A Collaborative, Team-Based Approach

Surgical orthodontic care is inherently interdisciplinary. From the earliest stages, Dr. Moshiri coordinates closely with the oral surgeon and other dental specialists to ensure orthodontic movement and surgical goals are fully aligned.

This collaboration allows the team to:

  • Anticipate challenges early
  • Sequence treatment appropriately
  • Adjust plans proactively as teeth move

Rather than reacting late in the process, decisions are revisited intentionally as treatment evolves.

This philosophy reflects our broader commitment to individualized, patient-centered care, which you can learn more about on our Patient Care page.

What Is Virtual Surgical Planning (VSP)?

Virtual Surgical Planning (VSP) is a digital process that allows jaw surgery to be simulated in advance using detailed imaging and 3D models.

With VSP, the care team can:

  • Visualize jaw movements before surgery
  • Evaluate bite relationships with precision
  • Assess facial balance and symmetry
  • Explore multiple surgical scenarios digitally

Importantly, VSP is not a one-time step. It’s a tool that is revisited as orthodontic treatment progresses.

Why Multiple VSPs Are Often Needed

As orthodontic treatment prepares the teeth for surgery, alignment changes can directly influence how the jaws should ultimately be positioned.

Because of this, Dr. Moshiri often completes multiple rounds of digital workups and VSPs at different stages, such as:

  • Initial feasibility and planning
  • Mid-treatment alignment verification
  • Final pre-surgical confirmation

Each phase builds on the previous one, allowing for refinement and accuracy rather than rushed decisions.

This multi-stage approach helps reduce surprises and ensures that surgical movements are based on where the teeth will be, not just where they started.

Digital Workups at Key Milestones

Digital planning may include:

  • Advanced imaging
  • 3D digital scans
  • Bite simulations
  • Alignment and symmetry verification

These tools allow Dr. Moshiri and the surgical team to plan proactively—looking ahead rather than reacting late in treatment.

For complex cases, these details matter. Millimeters can make a meaningful difference in comfort, function, and long-term outcomes.

Planning for Function First

While facial aesthetics are an important consideration, surgical planning always prioritizes function and stability.

Thoughtful coordination helps support:

  • A balanced, comfortable bite
  • Proper jaw positioning
  • Optimized airway support and breathing function Long-term dental and periodontal health
  • Predictable orthodontic finishing after surgery

This approach helps protect the investment patients are making—not just in surgery, but in their overall oral health.

What This Means for Patients

For patients, this level of planning means:

  • Clear communication throughout treatment
  • Fewer unexpected changes late in the process
  • Confidence that decisions are being revisited thoughtfully
  • A care team that is fully aligned and prepared

It also means that treatment timelines may include intentional pauses for reassessment. These moments are not delays—they are safeguards designed to ensure the best possible outcome.

Support Throughout the Surgical Journey

Surgical orthodontic care can feel overwhelming, which is why education and communication are built into every phase.

Patients are supported through:

  • Pre-surgical orthodontic preparation
  • Surgical coordination
  • Post-surgical orthodontic refinement

Financial planning is discussed transparently, with flexible options available through OrthoFi / Financing when applicable.

Taking the First Step

If you’ve been told you may need jaw surgery—or are exploring whether surgical orthodontics could improve function, comfort, or long-term health—the first step is a comprehensive consultation.

During your visit, Dr. Moshiri will:

  • Review your goals and concerns
  • Evaluate bite and jaw relationships
  • Discuss whether surgical planning may be appropriate
  • Explain the process clearly and thoughtfully

You can request a consultation anytime through Consultation Scheduling.

Precision, Collaboration, and Care—At Every Stage

Surgical orthodontic treatment is not about rushing to an outcome. It’s about planning carefully, reassessing intentionally, and collaborating closely at every step.

Through advanced digital tools and a disciplined planning process, Dr. Moshiri helps guide surgical patients forward with clarity, confidence, and trust—every step of the way.