Significant jaw discrepancies can cause functional and aesthetic problems that cannot be corrected with orthodontics alone.

Early recognition of skeletal imbalance allows appropriate surgical and orthodontic planning.

Referral is advised when:

• There is a noticeable discrepancy between upper and lower jaw position.

• The patient presents with an open bite, crossbite, or severe underbite/overbite.

• The orthodontist identifies the need for combined surgical-orthodontic treatment.

Oral and maxillofacial surgeons work in coordination with orthodontists to perform full orthognathic assessments, including 3D imaging and cephalometric analysis.

This allows accurate diagnosis, simulation of surgical movements, and planning for ideal function and aesthetics.

When to refer to AWOMS Oral and Maxillofacial Surgery: Any patient with a skeletal discrepancy affecting occlusion or facial balance - early consultation streamlines multidisciplinary treatment.