Oral Surgery

At Alamo City Orthodontics, treatments like traditional braces or clear aligners are enough for most patients to straighten their teeth and create a healthy smile. But in some more severe cases, Dr. Roy Gonzalez, Jr. may recommend other services, like oral surgery.

Dental oral surgery can correct irregular jaws, alignment problems, and severe orthodontic cases. Combined with conventional orthodontic treatment, it can lay the groundwork to create a healthy, beautiful smile for a lifetime. When you schedule an initial consultation for oral surgery, we will help you learn more about our office and understand your treatment options.

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Oral Surgery Defined

Our orthodontist specialists perform oral and maxillofacial surgery for those with noticeable issues in their skull, face, jaw, and mouth.

Sometimes, oral surgery can help realign the bite when the jaw protrudes or recedes. An osteotomy is the surgical removal of the bone, in this case, the jawbone. Some types of jaw osteotomies include:

  • A maxillary osteotomy is a corrective oral surgery to correct a protruding, receding, open, or crossbite in the upper jaw.
  • A mandibular osteotomy is a corrective oral surgery to correct protruding or receding lower jaws.
  • A bimaxillary osteotomy is a more complex corrective oral surgery to correct the upper and lower jaws.

On the other hand, a more straightforward type of oral surgery is a dental extraction. Occasionally, removing a tooth or two can create space for the rest of your smile to move into the new, straight position.

The Treatment Process

Alamo City Orthodontics joins forces with two respected San Antonio oral surgery centers and teams: Methodist Hospital and Children’s Hospital of San Antonio (Santa Rosa). Also, Dr. Gonzalez is a board member of the Cleft Palate and Craniofacial Team.  

Generally, oral surgery starts with ensuring that the patient feels safe, comfortable, or nothing at all with appropriate dental sedation methods. Then, our trusted orthodontic specialists perform the surgery with detail and care. Afterward, they will give aftercare information and medications, if necessary.


Visiting a general dentist for dental check-ups and cleanings twice a year is one of the best things you can do for your oral and overall health. Still, you’re always welcome to contact Alamo City Orthodontics for direct consultation with our board-certified orthodontist.

In short, it depends on the type of sedation paired with oral surgery. With mild sedation, like nitrous oxide, patients can drive themselves home. Conversely, for patients who choose oral sedation or IV sedation, a trusted adult must drive the patient home.

Learn More About Orthodontics and Other Services Near Castle Hills, Olmos Park, and San Antonio

If you have any questions about your first appointment, affordable oral surgery, other services, or candidacy, contact us by phone at (210) 344-9295 or message us online. A staff member will be happy to help you get the answers you need.

We hope this information is helpful to you! We look forward to answering any questions and helping you stay on track to achieve the smile of your dreams.