Orthognathic surgery, also known as corrective jaw surgery, is a transformative procedure that improves bite alignment, jaw function, and facial balance. While the surgery delivers life-changing results, post-operative careespecially maintaining oral hygieneis crucial to prevent infection, protect surgical sites, and support healing.
At McLevin Dental Clinic, we understand that patients often have concerns about cleaning their teeth safely after jaw surgery. This guide offers practical, gentle, and effective tooth brushing tips post orthognathic surgery to maintain oral health without compromising recovery.
Why Oral Hygiene Is Essential After Jaw Surgery
Prevents bacterial buildup that can lead to infection.
Supports healthy gum and soft tissue healing.
Reduces the risk of plaque buildup, bad breath, and gum inflammation while mouth movement is limited.
Protects the surgical incisions and internal sutures from irritation.
When to Resume Tooth Brushing After Orthognathic Surgery
Day 12: Focus on gentle mouth rinsing only.
Day 3 onward: Begin brushing the non-surgical areas gently.
Brush around the surgical sites only when the surgeon or dentist confirms its safe, typically after 57 days, depending on healing progress.
Safe Tooth Brushing Tips After Orthognathic Surgery
1. Use a Soft or Surgical Toothbrush
Choose a soft-bristled or extra-soft surgical toothbrush designed for sensitive gums and healing tissues.
This minimizes pressure on sore areas while effectively removing plaque.
2. Brush Gently with Minimal Pressure
Use small, circular motions with light pressure.
Avoid scrubbing or brushing vigorously, especially near the surgical areas.
3. Focus on Non-Surgical Areas First
Begin by thoroughly cleaning teeth away from incision sites.
As healing progresses, slowly incorporate brushing around surgical areas based on your dentists guidance.
4. Rinse with Warm Saltwater
Use warm saltwater rinses (½ teaspoon salt in 1 cup warm water) 23 times daily, especially after meals.
This helps reduce bacteria and soothes soft tissues without mechanical brushing.
5. Avoid Powered or Electric Toothbrushes Temporarily
Stick with manual brushing until your jaw has healed enough to tolerate vibrationstypically after 46 weeks, depending on the type of surgery.
6. Use Antibacterial Mouth Rinses if Prescribed
Chlorhexidine mouth rinse may be recommended to help control bacteria.
Follow usage instructions carefully to avoid staining or overuse.
7. Take Extra Care Around Sutures or Splints
Avoid direct brushing over sutures, wires, or splints.
Clean adjacent teeth with extra caution to prevent irritation.
8. Use a Small Mirror
A handheld mirror helps you visually check which areas are safe to brush and ensures thorough cleaning without disturbing healing areas.
Toothpaste Selection Tips
Use fluoride toothpaste for enamel protection.
Avoid whitening toothpaste or abrasive formulations that could irritate sensitive tissues.
Desensitizing toothpaste can help if your teeth feel sensitive post-surgery.
Common Challenges and How to Handle Them
Limited mouth opening: Use a child-sized toothbrush or an orthodontic toothbrush for easier maneuvering.
Jaw stiffness: Brush in sections, resting in between to avoid jaw fatigue.
Soreness or swelling: Focus on rinsing and gentle brushing until swelling reduces.
Foods to Support Healing While Maintaining Oral Hygiene
Stick to:
Smoothies (without straws)
Mashed potatoes
Yogurt
Soups (lukewarm)
Applesauce
Avoid sticky, spicy, crunchy, or hard foods that could harm healing gums.
When to Contact McLevin Dental Clinic
Call us if you experience:
Persistent swelling that worsens after 3 days.
Pain that increases instead of decreasing.
Bleeding that continues after brushing or rinsing.
Signs of infection:
Pus
Foul odor
Fever
Gum discoloration or redness
Healing Timeline After Orthognathic Surgery
Days 13: Focus on rinsing only; swelling peaks.
Days 47: Begin gentle brushing of non-surgical teeth.
Week 2: Gradually resume brushing around the surgical areas if cleared by your dentist.
Week 46: Most soft tissue healing completes; resume full brushing routine carefully.
Long-Term Oral Care After Jaw Surgery
Maintain twice-daily brushing with gentle technique.
Floss with care; consider a water flosser if manual flossing is difficult.
Attend follow-up appointments with McLevin Dental Clinic to monitor healing and overall oral health.
Consider using a mouthguard or splint as prescribed to protect your bite during recovery.
Protect Your Smile and Support Smooth Healing
Proper oral hygiene after orthognathic surgery is a key part of the recovery journey. With gentle brushing, warm saltwater rinses, and avoiding pressure on sensitive areas, youll help prevent infection and maintain a clean, healthy mouth throughout healing.
At McLevin Dental Clinic, our team is always here to support your recovery and guide you toward a healthy, confident smile.
Schedule Your Post-Surgery Check-Up Today
Have questions about oral hygiene after jaw surgery or need a follow-up? Contact McLevin Dental Clinic today. Our experienced dental professionals are ready to help you heal comfortably and protect your smile.