🦷 Surgical Orthodontics (Surgery to Assist Orthodontics)
Oral & Maxillofacial Surgery and Orthodontics often work together to ensure that your teeth, jaws, and bite alignment are not only aesthetically pleasing but also fully functional. Dr. Krishna Regmi collaborates closely with orthodontists to provide comprehensive care when orthodontic treatment alone is insufficient
Disclaimer: All rates are tentative and in Nepalese Rupees (NPR). Final pricing is determined after clinical evaluation. Costs may vary based on complexity, anesthesia, imaging, and facility fees.
Comprehensive Surgical Orthodontic Procedures
Dr. Regmi provides a range of surgical procedures that may be performed before, during, or after orthodontic treatment, depending on each patient's unique needs
Procedures & Tentative Rate List
| Procedure | Description | Tentative Rate (NPR) |
|---|---|---|
| Diagnostic & Planning Phase | ||
| Consultation & Orthodontic-Surgery Treatment Planning | Comprehensive evaluation including imaging (X-rays, CBCT), dental models, and coordinated planning with your orthodontist |
5,000 – 10,000 |
| Tooth-Related Procedures | ||
| Simple Tooth Extraction (for orthodontic purpose) | Removal of teeth to create space for proper alignment |
5,000 – 8,000 |
| Surgical Exposure & Bond (Impacted Tooth) | Exposure of blocked teeth (e.g., canines), placing a bracket/chain for orthodontic guidance into proper position |
25,000 – 45,000 |
| Anchorage & Accelerated Techniques | ||
| Placement of TAD (Temporary Anchorage Device) | Small titanium screws placed in bone to act as stable anchors for tooth movement |
8,000 – 15,000 |
| Removal of TAD | Simple removal of anchorage devices once treatment is complete | 3,000 – 6,000 |
| Dentoalveolar Corticotomy / Accelerated Tooth Movement | Selective bone cuts to facilitate faster tooth movement | 30,000 – 60,000 |
| Corrective Jaw Surgery (Orthognathic Surgery) | ||
| Segmental Osteotomy | Repositioning parts of the jaw to correct localized discrepancies | 70,000 – 120,000 |
| Surgically Assisted Rapid Palatal Expansion (SARPE) | Surgical widening of the upper jaw when the palate is fused in adults | 150,000 – 250,000 |
| Maxillary (Upper Jaw) Osteotomy | Repositioning the upper jaw to correct functional and aesthetic issues |
180,000 – 300,000 |
| Mandibular (Lower Jaw) Osteotomy | Correcting lower jaw position to improve bite and facial balance |
200,000 – 350,000 |
| Bimaxillary Orthognathic Surgery (Both Jaws) | Comprehensive correction involving both upper and lower jaws |
350,000 – 500,000 |
Conditions Treated with Surgical Orthodontics
Surgical orthodontics may be recommended for various functional and aesthetic concerns
- Difficulty chewing or biting food due to jaw misalignment
- Chronic jaw pain or TMJ disorders
- Open bite (space between upper and lower teeth when closed)
- Facial asymmetry or unbalanced facial appearance
- Protruding or receding jaw affecting profile and function
- Impacted teeth that cannot erupt properly
- Obstructive sleep apnea related to jaw positioning
- Congenital conditions like cleft lip/palate
The Surgical Orthodontics Process
Treatment typically follows a coordinated approach between Dr. Regmi and your orthodontist
1. Pre-Surgical Orthodontics (6-18 months)
Teeth are moved into optimal position before surgery, which may temporarily make occlusion worse before improvement.
2. Surgical Procedure
Dr. Regmi performs the planned surgery, which may take 1-6 hours depending on complexity. Procedures are typically performed under general anesthesia
3. Recovery & Healing (4-8 weeks)
Initial healing takes approximately 6 weeks, with swelling and discomfort managed through medication. Most patients return to normal activities within 2-3 weeks
4. Post-Surgical Orthodontics (6-12 months)
Fine-tuning of bite and tooth positions continues after surgery to achieve optimal results.
What to Expect During Treatment
Your treatment journey will include
- Comprehensive assessment of dental and skeletal relationships
- Advanced imaging (X-rays, CT scans) for precise planning
- Coordinated care between surgical and orthodontic teams
- Personalized treatment plan addressing your specific needs
- Detailed preparation for surgery and recovery process
- Long-term follow-up to ensure stable results
Schedule Your Consultation
If you're considering surgical orthodontics, contact us to schedule a comprehensive evaluation with Dr. Krishna Regmi.
Phone: 9855064961 | Website: www.drkrishnaregmi.com.np
Orthodontic Procedure (OP) Rates
| Procedure | Type / Complexity | Price (NPR) |
|---|---|---|
| Removable | A | 10,000 |
| B | 20,000 | |
| Fixed Single Arch | Simple | 30,000 |
| Complex | 50,000 | |
| Fixed Both Arch | Simple | 60,000 |
| Complex | 80,000 | |
| Deposit | 15,000 | |
| Monthly Payment | Simple Case | 1,000 |
| Complex Case | 2,000 | |
| Aligners | Simple | 180,000 |
| Complex | 280,000 | |
| Removable Retainer | A | 5,000 |
| B | 8,000 | |
| C | 10,000 | |
| Fixed Retainer | 15,000 |