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Facial Trauma Care

Evaluation and surgical repair of jaw and facial fractures with a focus on restoring bite alignment, function, and facial balance.

Illustration of jaw fracture fixation with plates and screws

What we treat

Facial trauma can involve the jaw (mandible), upper jaw (maxilla), cheekbone region, or teeth. Not every injury needs surgery—but when a fracture affects your bite, stability, or function, prompt evaluation matters.

Common causes of jaw and facial fractures

  • Sports injuries and falls
  • Motor vehicle collisions
  • Workplace accidents
  • Assault-related trauma
  • Rarely, fractures can occur after complex dental extractions or other oral surgery when bone is already weakened

Why bite alignment matters

Unlike many other bones, the jaw is part of a moving system. A successful repair is not just “bones lined up”—it’s how your teeth meet and how your jaw functions when you chew and speak. Our training is built around restoring both skeletal position and dental occlusion.

How facial fractures are corrected

Treatment depends on the fracture pattern and your symptoms. Options may include:

  • Closed treatment (no incisions): carefully guiding your bite with temporary elastic support in select cases
  • Open reduction and internal fixation (ORIF): repositioning the fracture and stabilizing it with titanium plates and screws
  • Tooth and soft-tissue care: managing chipped or displaced teeth and repairing lacerations when present

When surgery is recommended, the goal is stable fixation so you can heal safely while we protect your airway, nutrition, and comfort.

Diet and recovery

Even with plates and screws, the bone needs time to heal. A liquid or very soft diet is usually required early on to avoid stressing the fracture site. As healing progresses, we’ll help you advance your diet gradually.

Typical day-by-day expectations

  • Days 1–3: swelling usually increases, bruising may appear, and you’ll rely on liquids/very soft foods.
  • Days 4–7: swelling begins to level off and slowly improve; comfort typically improves with steady care.
  • Weeks 2–6: early bone healing occurs—diet is advanced cautiously based on stability and symptoms.
  • After 6 weeks: many patients begin returning toward a more normal diet; full bone remodeling continues for months.

How long does healing take?

Early bone healing is often around 6 weeks, with continued strengthening over the next 3 months (and beyond). The exact timeline depends on fracture type, location, and overall health.

Hardware and long-term expectations

Titanium plates and screws are typically designed to remain in place. Hardware is usually not removed unless it causes an issue such as irritation or infection.

References

Request a consultation

If you’ve had an injury and feel your bite has changed, or you’re experiencing jaw pain, numbness, or difficulty chewing, we can help determine the safest next steps.

Request appointment

Frequently asked questions

When should I seek care for facial trauma?

If you have a change in your bite, jaw pain with chewing, numbness, loose teeth, trouble opening, or facial swelling after an injury, you should be evaluated promptly. Many fractures are treated best when addressed early.

Will my jaw be wired shut?

Not always. Many fractures can be stabilized with plates and screws while we maintain your bite alignment. In some situations—depending on the fracture pattern and tooth support—temporary jaw immobilization may still be recommended for safety.

What can I eat after jaw fracture repair?

Most patients start with a liquid or very soft diet while the bone begins to heal. We’ll give clear instructions and gradually advance your diet as it becomes safe—usually over several weeks.

How long does healing take?

Early bone healing is often around 6 weeks, with continued strengthening over the following months. Many patients feel better well before full healing is complete, but the timeline depends on the fracture type and your overall health.

Does the hardware need to be removed?

Plates and screws are usually designed to stay in place permanently. They’re removed only if they cause a problem such as irritation, infection, or if your surgeon recommends removal for a specific reason.