🦷 Dental Aftercare

    Jaw Surgery (Orthognathic) Aftercare Instructions

    A day-by-day recovery guide for jaw surgery (orthognathic): what to expect, how to care for yourself, and when to call. Free to read and print.

    Typical recovery: about 60 daysDental

    What to expect

    Nutrition During Recovery

    • •Aim for 2000+ calories daily even on liquid diet
    • •Protein shakes, smoothies with protein powder, pureed soups
    • •Supplement with vitamins if directed by your surgeon

    Jaw Surgery (Orthognathic) recovery, day by day

    Day 0 (Surgery Day)

    Immediate Post-Op

    • You will be in the hospital for 1-2 nights
    • Jaw may be wired or banded; follow surgeon's instructions exactly
    • Swelling will be significant; ice packs on both sides

    Breathing & Nutrition

    • Breathe through your mouth if nose is congested (common)
    • Liquid diet only: protein shakes, broth, smoothies through a syringe
    • Keep wire cutters/scissors nearby at all times (for emergencies with wired jaws)
    Day 1-14

    Swelling & Pain

    • Swelling peaks at days 3-5, then gradually improves
    • Jaw stiffness and numbness are expected
    • Take medications exactly as prescribed
    • Sleep upright or semi-reclined for 1-2 weeks

    Diet

    • Strict liquid diet if jaw is wired
    • Soft, pureed foods if jaw is banded (as directed)
    • Use a syringe or small spoon for feeding
    • High-protein supplements to support healing
    Day 15-42

    Recovery Milestones

    • Bands/wires typically removed at 4-6 weeks
    • Begin jaw opening exercises as directed
    • Transition to soft foods once cleared
    • Numbness in chin/lip may take months to resolve (possibly permanent)
    Week 7-9

    Long-Term Recovery

    • Jaw strength gradually returns over months
    • Resume normal diet as tolerated
    • Orthodontic adjustments continue (if applicable)
    • Full bone healing verified by imaging at 3-6 months

    Medications you may be given

    Ibuprofen 600mg

    Take 1 tablet 3 times daily with food

    Acetaminophen (Tylenol) 500mg

    Take 2 tablets every 6 hours as needed for pain

    Amoxicillin 500mg

    Take 1 capsule 3 times daily until finished

    Chlorhexidine Rinse 0.12%

    Rinse with 15mL for 30 seconds twice daily. Do not swallow.

    Always follow the exact directions your own provider gives you. This is general information, not a prescription.

    When to call your provider or 911

    • •Difficulty breathing
    • •Excessive bleeding from mouth or nose
    • •Hardware (plates/screws) feels loose
    • •Wires break or loosen
    • •Fever above 101°F
    • •Inability to keep liquids down

    When in doubt, call your clinic. For a medical emergency, call 911.

    Recovery milestones

    1. Day 5

      Peak swelling

      Swelling worst at days 3-5 then gradually improves

    2. Day 14

      Soft foods allowed

      Transition from liquid to soft diet if cleared

    3. Day 42

      Bands/wires removed

      Jaw opening exercises begin

    4. Day 60

      Expected recovery

      Jaw strength returns, resume normal diet

    For clinics

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