Cleft Jaw Surgery

Children with clefts have a greater chance of having their upper jaw grow less than their lower jaw. This ‘underbite’ or malocclusion is treated surgically with a Le Fort I or upper jaw advancement procedure to line up the upper teeth with the lower teeth. Prior to surgery your child will require orthodontic preparation with braces.


-To correct the malocclusion or underbite so the upper teeth fit together with the lower teeth like puzzle pieces.

-To provide improved facial appearance with fuller features in the mid-face.

-To alleviate breathing issues by creating more airway space in the throat.


Dr. Bradley works with the cleft orthodontist as a team approach and uses virtual surgical planning with 3D imaging and model surgery. In addition, he has been one of the first to use pre-milled precise plating for intraoperative accuracy.


  • Why should I get the Le Fort I surgery done?

If an upper jaw growth problem exists, the maxillary advancement surgery will correct your malocclusion, relieve tension on your TMJ (joint), and help you keep your teeth longer.

  • What does the full process involve?

The full process involves orthodontic preparation for 9 months; followed by the surgery; followed by finishing orthodontics which may take 3 more months. At times, third molar or other teeth extraction(s) are necessary.