Severe jaw position discrepancies in adults may require a surgical procedure to align the jaws correctly. In such situations Dr. Reich performs the orthodontics first to perfectly align the teeth. Dr. Reich then refers the patient to a specific oral surgeon with whom he has worked with for many years. The jaw surgery is completed and the patient returns to finalize the orthodontics with Dr. Reich.

The surgical procedure which is performed at a hospital is presently covered by the RAMQ.