(920) 667-0038 [email protected] 2805 Libal Street Suite B, Green Bay, WI 54301
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Adult orthodontics & jaw surgery coordination.

— complex cases handled with precision and care

Some orthodontic goals require more than aligners. Whether you want faster cosmetic results through accelerated techniques or need orthodontic care coordinated with orthognathic jaw surgery, Green Bay Smiles Dental manages complex adult cases with the experience and seamless coordination they require.

Complex adult cases welcome — coordinated surgical care from start to finish

Part A • Targeted Pathways

Accelerated Treatment Modalities

For adults who want orthodontic results on a compressed timeline — or who need targeted tooth movement in preparation for restorative or cosmetic work — accelerated and limited orthodontic options provide precision results without full comprehensive treatment timelines.

Accelerated Invisalign

For patients with mild to moderate cases, optimized aligner protocols and more frequent tray changes can compress treatment timelines. Some cases achievable in 6–9 months rather than 12–18.

Pre-restorative alignment

Uprighting tipped or drifted teeth before implant placement, bridge work, or crown lengthening. Targeted tooth movement that creates the ideal restorative foundation without full orthodontic treatment.

Limited / focused treatment

Treatment of a specific area — typically upper or lower anterior teeth — to address a cosmetic concern or functional issue without treating the entire dentition. Faster and less expensive than comprehensive care.

Part B • Multidisciplinary Track

"When the jaw relationship cannot be corrected with orthodontics alone"

Some severe bite discrepancies — such as skeletal underbites, extreme overbites, open bites, and pronounced facial asymmetries — are structural in origin. Because these challenges are rooted directly within the bone geometry rather than tooth positions, they cannot be adequately resolved through standalone tooth alignment movement.

Orthognathic surgery repositions the jaw(s) to restore healthy function and facial balance. This comprehensive path requires close, structured cooperation between our orthodontic team and an oral and maxillofacial surgeon, spanning pre-surgical alignment phases, the surgical window, and post-surgical tooth refinement.

Surgical Timelines & Metrics

Pre-Surgical Braces: 12–18 months of precise alignment

Corrective Surgery: Performed in-hospital by a maxillofacial surgeon
Post-Surgical Tracking: 6–12 months of detailed bite refinement
Total Care Horizon: 2–3 years for complete correction
Insurance Standard: Medical insurance often covers the surgical hospital component
Financing Accessibility: Flexible payment tracks and care financing available
Pragmatic Screening

Is Orthognathic Surgery Truly Required?

Likely requires jaw surgery

Severe underbite profiles where the lower jaw protrudes significantly beyond the upper teeth.

A significant open bite gap that cannot be safely closed through localized tooth movements alone.

Major skeletal facial asymmetry that clearly compromises chewing function and facial balance.

Severe overbites featuring a distinct skeletal discrepancy component beyond basic tooth angles.

Adult patients whose jaw bases have completely stopped growing (typically mid-to-late teens and older).

May NOT require jaw surgery

Mild to moderate overbite, underbite, or crossbite issues that can be managed through dental compensation.

Growing pediatric or adolescent patients — jaw guidance treatments during growth can reduce or eliminate surgical needs.

Bite challenges where the patient accepts a slight compromise in final occlusion to achieve a completely non-surgical timeline.

Many cases that appear severe on superficial inspection but can be successfully corrected with advanced aligner mechanics alone.

Our role: honest assessment and coordinated care

“We assess whether your case can be managed orthodontically, would benefit from surgery, or genuinely requires it. If surgery is recommended, we coordinate every phase of your orthodontic treatment with the oral surgeon — we don’t refer you out and leave you on your own.”

 
Clinical Workflow Sequence

The Coordinated Surgical Journey

adult accelerated orthodontics and jaw s at Green Bay Smiles Dental

01

Diagnosis & planning

Cephalometric X-rays, photos, and models are compiled. We analyze the jaw relationship and build the surgical sequence in direct consultation with the oral surgeon.


02

Pre-surgical braces

Spans 12–18 months. Braces are used to align the dental arches within each individual jaw, preparing them to fit together perfectly when the bones are repositioned.


03

Orthognathic surgery

Performed by the maxillofacial surgeon. The jaws are safely repositioned to correct the skeletal discrepancy. Recovery ranges from 2–6 weeks, and we align all timing windows with the surgical team.


04

Post-surgical braces

Spans 6–12 months. Fine-tunes your final bite relationship now that the jaws are properly aligned. Followed by long-term retainer wear to protect your results.


Complex adult orthodontics—including jaw surgery coordination—managed under one roof

Active inter-office coordination

We don't simply pass you to a surgical facility and step away. We stay in close, active communication with the surgical team — aligning mechanics, timelines, and records throughout.

Established surgical relationships

We collaborate directly with premier, highly experienced oral and maxillofacial surgical groups, working within established, proven protocols for complex cases.

Insurance & financing support

Medical policies frequently cover the surgical components of orthognathic care. We help you navigate coverage channels, coordinate documentation, and provide clear financing paths for the orthodontic phases.

Real Patient Feedback

Google reviews

Trusted by local families

4.9 ★★★★★ Google
Steve Perry
Steve Perry5 months ago
★★★★★

Great getting me in waiting list All is good. Great staff Friendly 👍🏻

Jan Charles
Jan Charles1 month ago
★★★★★

You were ALL very professional, kind, knowledgeable, etc, etc. I appreciate entrusting my smile to…

S Bjar
S Bjar6 months ago
★★★★★

Great dentist great staff great hygenist! Friendly personable helpful!

Edwin Miller
Edwin Miller6 months ago
★★★★★

Great place to get your teeth fixed/cleaned.

Rebeca Mejia
Rebeca Mejia5 months ago
★★★★★

(Translated by Google) An excellent place, everyone is friendly and very attentive. I especially felt…

John Mandl
John Mandl4 months ago
★★★★★

Excellent service, everyone was friendly and the dentist knew her profession. I’am happy to be…

Payton Weires
Payton Weires3 months ago
★★★★★

Great experience awesome people. Have been coming here for almost 10 years now and I…

Roxanne Cole
Roxanne Cole5 months ago
★★★★★

This was a great office visit. I got more information in the first 15 minutes…

Geneva Macco
Geneva Macco4 months ago
★★★★★

Had a very friendly visit every time I go in to have any dental work…

Joann Wanek
Joann Wanek3 months ago
★★★★★

Very thorough, and friendly, but they listened to what I wanted after I explained what…

Monica Golomski
Monica Golomski2 months ago
★★★★★

Great team work – all levels. Office, dental associates and of course, Dr. Casey. A…

Melony Killian
Melony Killian4 months ago
★★★★★

Excellent service and friendly staff

Lisa Dillhunt
Lisa Dillhunt5 months ago
★★★★★

Really kind people who do their best to make each experience a good one.

Leda
Leda3 months ago
★★★★★

Thank you so much for the outstanding care and professionalism. I truly appreciate how detailed…

Michael Messer
Michael Messer4 months ago
★★★★★

I had a great experience. Everyone is so friendly and Casey did great with all…

Patti Van Eyck
Patti Van Eyck4 months ago
★★★★★

The employee was very nice. She listened to what I was saying was wrong.

Paula Colling
Paula Colling1 month ago
★★★★★

Is it possible to say that you look forward to the dentist?? YES. Love Green…

Brandon Schwarz
Brandon Schwarz5 months ago
★★★★★

Dr. Messer and staff are always friendly, professional and knowledgeable at Green Bay Smiles. They…

Randy Van Goethem
Randy Van Goethem4 months ago
★★★★★

Jena is awesome. Best of luck with your new born!

JANETTE DREWS
JANETTE DREWS3 months ago
★★★★★

Dr Messer is excellent.

Karen Geiger
Karen Geiger4 months ago
★★★★★

Great dental office. Staff is professional, kind and efficient.

Janet Wickman
Janet Wickman6 months ago
★★★★★

Awesome dental office with friendly staff who really care about your concerns. They fit me…

Robert Kadrlik
Robert Kadrlik6 months ago
★★★★★

Outstanding job, very happy with his work.

Thijs Dewey
Thijs Dewey3 months ago
★★★★★

Great atmosphere and customer service all the staff was very friendly and helpful

Tim Sass
Tim Sass2 months ago
★★★★★

The friendly staff at Green Bay Smiles were a delight to work with, providing a…

Steve Endter
Steve Endter6 months ago
★★★★★

The assistant was very nice, 5 star!

Nic Wessely
Nic Wessely1 month ago
★★★★★

The staff at Green Bay Smiles was incredibly professional, friendly, and gentle in their approach,…

Pam Supa
Pam Supa4 months ago
★★★★★

Everyone in the office was very nice and made me feel at ease. It is…

Alan Holewinski
Alan Holewinski6 months ago
★★★★★

Relaxing and friendly atmosphere. Don’t mind stopping there at all!

Richard Reimer
Richard Reimer3 months ago
★★★★★

My appointment was on time and the people that worked on me were great and…

Steve Seyler
Steve Seyler4 months ago
★★★★★

Always a great place to visit. Staff is always friendly and helpful.

Wayne Richardson
Wayne Richardson5 months ago
★★★★★

I always have a good experience with the people there . They are professional and…

Meredith Obry
Meredith Obry1 month ago
★★★★★

The staff at Green Bay Smiles demonstrated exceptional professionalism, providing a consistently polite and courteous…

kevin petasek
kevin petasek2 months ago
★★★★★

Dental staff was exceptionally friendly and helpful!

julio
julio5 months ago
★★★★★

Very happy, everyone very nice and helpful, answered all my questions, and explained procedures and…

Laurie Caebe
Laurie Caebe5 months ago
★★★★★

Finding a provider that could work with my insurance was challenging, but luckily my search…

Jill Baeten
Jill Baeten5 months ago
★★★★★

Love Dr. Messer! She's speedy, fun, kind and does quality work. Will never go anywhere…

Kelly Nelson
Kelly Nelson4 months ago
★★★★★

Dr. Messer & her dental care team are very knowledgeable and have taken excellent care…

Kevin O'Connor
Kevin O'Connor5 months ago
★★★★★

Everything was on time and handled very professionally.

Rita Schroeder
Rita Schroeder5 months ago
★★★★★

Professional, friendly and very detailed from when you enter the office till you leave. Dr…

Samantha Tamayo
Samantha Tamayo5 months ago
★★★★★

Dr. Casey and her team are truly the best!

Craig Satori
Craig Satori3 months ago
★★★★★

On time, down to business, good care and conversation with my hygienist!

Brittany Schmidt
Brittany Schmidt4 months ago
★★★★★

Very welcoming staff. The hygienist was patient, kind, and explained everything that was occurring. The…

David Tellock
David Tellock4 months ago
★★★★★

I was in for a 6 month routine checkup and cleaning. As always, Dr Messer…

Kathleen Warren
Kathleen Warren6 months ago
★★★★★

Very professional and friendly

Brenda Beyer
Brenda Beyer6 months ago
★★★★★

Emily was very good at her job

Jeff Hall
Jeff Hall6 months ago
★★★★★

Dental care made easy. I actually enjoy going!

Peter Anderson
Peter Anderson3 months ago
★★★★★

It was very pleasant and they got me in 5 minutes ahead of my scheduled…

Norma Olivier
Norma Olivier3 months ago
★★★★★

I trust Dr. Messer. Dr. Messer, and the Green Bay Smiles staff are totally awesome!…

Patricia Love
Patricia Love5 months ago
★★★★★

I mistakenly went on the wrong day and Green Bay Smiles graciously worked me in….

Bonnie Plouff
Bonnie Plouff4 months ago
★★★★★

My first experience with Green Bay Smiles. I felt very comfortable with Dr. Messer, the…

Katherine Smits
Katherine Smits4 months ago
★★★★★

I arrived for my appointment in a state of very high anxiety. I was given…

Linda Havlicek
Linda Havlicek5 months ago
★★★★★

My questions were answered in a patient and caring manner.

Laura Alar
Laura Alar1 month ago
★★★★★

Green Bay Smiles is timely, thorough and always has a relaxing environment.

Evan Miller
Evan Miller4 months ago
★★★★★

Efficient and friendly service

Mariss Cook
Mariss Cook4 months ago
★★★★★

All staff at Green Bay Smiles in Green Bay were very friendly & personable. I…

Jesse Greene
Jesse Greene6 months ago
★★★★★

Dr. Messer exemplifies what outstanding dental care should be. The approach is thoughtful, precise, and…

Brian D
Brian D5 months ago
★★★★★

Green Bay Smiles is a great place for dental work. Dr Messer is a credit…

Cathy Hedrick
Cathy Hedrick2 months ago
★★★★★

The team at Green Bay Smiles went above and beyond with their friendly, helpful, and…

Michael Sule
Michael Sule4 months ago
★★★★★

Courteous, explains thoroughly and timely.

Sue L
Sue L6 months ago
★★★★★

I took my 95 year old mom to the dentist. First visit in 7 years….

Paula Culligan
Paula Culligan6 months ago
★★★★★

Took me on time. Good results. No pain. This place is great! I always feel…

susan casper
susan casper6 months ago
★★★★

An hour after I got home I developed a toothache which still persists tonight. Did…

Kathleen E
Kathleen E4 months ago
★★★★★

My Dental Hygenist was so friendly, professional, knowledgeable, positive, and caring. She shared information relating…

Mike
Mike2 months ago
★★★★★

Very understanding and informative to my own situation.

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Carolyn Maritato2 months ago
★★★★★

The GBS clinic was prompt in confirming appointments and the staff was extremely courteous ….

Bailey Hintz
Bailey Hintz4 months ago
★★★★★

I used to go to Green Bay Smiles, but after moving, I started seeing a…

Sarah Miller
Sarah Miller3 months ago
★★★★★

The dentist and staff at Green Bay Smiles were professional, friendly, and gentle, making me…

Mary Reiter
Mary Reiter4 months ago
★★★★★

Very friendly people. They make it easy and explain everything very clearly. Will be back.

LYNN MOORE
LYNN MOORE3 months ago
★★★★★

I’m so happy with Dr Messer in her care and friendliness. She knows what she…

Holly Wegner
Holly Wegner3 months ago
★★★★★

Had a wonderful first time there. Felt very welcomed and my concerns were addressed very…

Tim Ahtonen
Tim Ahtonen3 months ago
★★★★★

At Green Bay Smiles, the dentist and staff provided a friendly and professional experience, putting…

Maureen Steiner
Maureen Steiner5 months ago
★★★★★

Always a great experience! Fantastic teeth cleaning – very thorough, detailed, and considerate! Highly recommended.

Emily Boneff
Emily Boneff5 months ago
★★★★★

Always a pleasure with great staff and dentist!

Rob Themeister
Rob Themeister5 months ago
★★★★★

I've recently had major restorative dental work completed at GB Smiles, and can't speak highly…

Pat Vanden Bergh
Pat Vanden Bergh4 months ago
★★★★★

Very efficient and courteous

Jessica Hamer
Jessica Hamer4 months ago
★★★★★

I needed a lot of dental work and chose Green Bay Smiles as they had…

Barb Wickham
Barb Wickham3 months ago
★★★★★

They are amazing! All the staff are super efficient and very professional! I would highly…

Bonnie VanDeHey
Bonnie VanDeHey3 months ago
★★★★★

Love this dental office! I've been going for a few years now and the staff…

Jack Vial
Jack Vial5 months ago
★★★★

Counter staff are friendly and informative. Hygienist was gentle, informative and had a great bedside…

Frequently Asked Complex Adult Alignment Questions
A definitive diagnosis requires a formal clinical evaluation incorporating cephalometric radiographs and an extensive facial skeletal analysis. Severe skeletal underbites, pronounced open bites, and severe skeletal asymmetries typically require surgical correction in adults, whereas milder variations can often be managed with orthodontics alone.
 
Corrective jaw surgery is frequently covered by medical insurance plans when documented as medically necessary to correct documented functional impairments, such as severe chewing dysfunction, breathing obstructions, or speech clear impairments. We compile all prerequisite documentation to help you maximize benefits.
 
Most patients can resume light, sedentary desk work within 2 to 3 weeks after surgery. A full recovery and transition back to an unrestricted diet typically spans 6 to 8 weeks. While nominal swelling can continue to resolve over a few months, your post-operative recovery is monitored closely by the oral surgeon.
 
In certain complex cases, traditional braces are preferred because they provide more precise anchoring control during surgical planning and stabilization. However, select surgical cases can be prepared using Invisalign. We evaluate your unique dental anatomy to determine the most effective approach.

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Scaling & root planing

Treating underlying subgingival infections and plaque biofilms before or alongside grafting is essential — grafts placed on actively infected roots will fail.

Osseous surgery

For patients managing combined bone loss and root exposure, tissue modifications can be coordinated alongside osseous corrections.

Periodontal maintenance

Supportive cleaning therapy every 90 to 120 days protects your graft investment and monitors for any recurrence of recession.