In some cases, the bite problem is largely due to malpositioned or poorly related jaw bones. These conditions may or may not present with associated facial deformities. In growing children or adolescents, some conditions, if treated early enough, may lend themselves to orthopedic correction with appliances that serve to redirect growth and possibly enable us to avoid surgery. In non-growing patients or adults, orthopedic correction is not possible and surgery may be necessary for best results. Under these circumstances, Dr. Sperber will discuss what can be expected with or without surgery and possibly refer to an oral and maxillofacial surgeon for further consultation.