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What is the waiting time for BSSO after wisdom tooth removal?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I got a lower third molar (wisdom tooth) extraction. It was a bit more complicated than usual. How long after these wisdom teeth extractions is it necessary to wait before lower jaw surgery? After how long can BSSO be done?

Thanks.

Answered by Dr. Ahmed Afify

Education:

Doctorate in Orthodontics

Professional Bio:

Dr. Ahmed Afify is a highly skilled Orthodontist dedicated to the diagnosis, prevention, and correction of dental and facial irregularities. With strong expertise in advanced orthodontic techniques, he focuses on improving oral function, enhancing facial aesthetics, and supporting long-term dental health. His patient-centered approach ensures comfortable, precise, and personalized treatment for every smile he shapes.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

I can understand your concern.

You are asking about how long after these wisdom teeth extractions is necessary to wait before lower jaw surgery, bisagittal split osteotomy can be done. What I understood from your query is that you are going to have a surgical orthodontic operation in your lower jaw, and from the X-ray included, you are still having the orthodontic braces.

Unfortunately, we have to wait for a while before the surgical procedure. I am wondering why your orthodontist, during treatment planning and before bonding the braces, did not recommend wisdom tooth extraction?

We usually perform this procedure before the start of the pre-surgical orthodontic phase, unless you prefer otherwise.

This could save time. Usually, we wait around six months before surgical intervention to allow complete healing and bone formation. We may do an X-ray to follow and ensure that proper healing has been done already. This will guarantee proper sagittal split of the ramus of your mandible, as you pointed out in your query.

I hope this information will help you.

Thanks.

Patient's Query

Hi doctor,

Thanks for the reply.

My orthodontic treatment has been completed for more than a year, and I am now prepared for bimaxillary surgery. Before undergoing orthodontic treatment, my orthodontist recommended extractions, but the surgeon refused to perform them. Now I went to another hospital, which is cooperating with my orthodontist. But my orthodontist told me that it is necessary to wait eight months after lower wisdom teeth extraction for BSSO, and a week later, he sent me a message that I should ask for the date of bimaxillary surgery 10 months after these extractions. And I do not understand why this much long. Can it be done early?

Thank you.

Answered by Dr. Ahmed Afify

Education:

Doctorate in Orthodontics

Professional Bio:

Dr. Ahmed Afify is a highly skilled Orthodontist dedicated to the diagnosis, prevention, and correction of dental and facial irregularities. With strong expertise in advanced orthodontic techniques, he focuses on improving oral function, enhancing facial aesthetics, and supporting long-term dental health. His patient-centered approach ensures comfortable, precise, and personalized treatment for every smile he shapes.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome back to icliniq.com.

I can understand your concern.

I also know that you are extremely in need to pass these days and finish the surgery. Please try to be patient and wait for six months.

I hope this information is helpful to you.

Thanks.

Medically reviewed by iCliniq medical review team
Published At April 10, 2026
Reviewed At April 10, 2026

Education:

Doctorate in Orthodontics

Professional Bio:

Dr. Ahmed Afify is a highly skilled Orthodontist dedicated to the diagnosis, prevention, and correction of dental and facial irregularities. With strong expertise in advanced orthodontic techniques, he focuses on improving oral function, enhancing facial aesthetics, and supporting long-term dental health. His patient-centered approach ensures comfortable, precise, and personalized treatment for every smile he shapes.

This doctor is not available for online consultations on the platform anymore.

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Prep / Recovery Guide

BSSO After Wisdom Tooth Removal Prep and Recovery Guide

How it works

Bilateral Sagittal Split Osteotomy (BSSO) is a common jaw surgery. If you've had wisdom teeth removed, there's a specific waiting period before BSSO. Understanding this timeline is key for a smooth process.

1

Extraction
Context

2

BSSO
Surgery

3

Waiting
Period

4

Typical
Waiting

5

Healing
X-rays

6

Patience
Key

This information is based on general medical guidance. It is not a substitute for professional medical advice; consult a qualified clinician.

Always consult a doctor before taking medication; self-medication carries serious health risks. Take exact prescribed doses, and never start, change, or stop treatment without medical supervision.

Education:

Doctorate in Orthodontics

Professional Bio:

Dr. Ahmed Afify is a highly skilled Orthodontist dedicated to the diagnosis, prevention, and correction of dental and facial irregularities. With strong expertise in advanced orthodontic techniques, he focuses on improving oral function, enhancing facial aesthetics, and supporting long-term dental health. His patient-centered approach ensures comfortable, precise, and personalized treatment for every smile he shapes.

This doctor is not available for online consultations on the platform anymore.

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