Orthodontics Defined
Orthodontics may be the specialty of dentistry that's concerned using the study and treatment of malocclusion (improper bites), which may be a result of tooth irregularity, disproportionate jaw relationships, or both. Orthodontic therapy can focus on dental displacement only, or can deal using the control and modification of facial growth. In the latter case it is better defined as "dentofacial orthopedics". Orthodontic therapy can be carried out for purely aesthetic reasons with regards to improving the general appearance of patients' teeth. Nevertheless, you will find orthodontists who work on reconstructing the whole face rather than focusing exclusively on teeth. Therapy is also frequently prescribed for practical reasons for example providing the patient having a functionally improved bite (occlusion).
Not to debate the diagnosis of the general dentist, but get an opinion from an orthodontist regarding the severity of your son’s condition. A great deal can be accomplished from braces alone, especially if you start treatment immediately. The orthodontist may be able over the next few years to reduce the overbite enough that surgery isn’t warranted.
If surgery is indicated it would certainly be done under general anesthesia. Also, the jaw is not “broken” to correct the problem: it is very carefully cut and repositioned.
Regarding insurance: health insurance very, very, very rarely pays for this type of surgery as it is considered purely dental and not covered by medical insurance. There are, however, some things you can try. Try to find an oral surgeon who is both an MD as well as a DDS. (There are more and more oral surgeons out there with dual degrees.) Such surgeons can bill your medical insurance whereas a surgeon with only a DDS can not. You can also look for an ear-nose-throat (ENT) surgeon with training in this procedure. Again, more and more ENTs are doing this work now. They too may be able to bill your medical insurance.
Finally, check with your insurance company and see if they have a “participating” DDS or MD who can do this work. If the surgeon participates with your insurance company then the work is covered by your policy.
The orthodontist should be able to help you with all of this.
Good luck.
Jay,
Michel D. gave some valid points. Have a qualified opinion from a qualified orthodontist.
He/she has the most experience in difficult case such as your sons. Good luck.