Sometimes patients may need to consider surgery if they are having a severe issue with their teeth.

In some adult cases, where there is an issue with the position or proportion of the jaws, Orthognathic/Jaw surgery may be required together with Orthodontic treatment to correct the functional problems that this may cause.

Fixed Appliances

Individuals with severe jaw discrepancies usually present to a maxillofacial surgeon or orthodontist following referral by their general dental, or medical, practitioner. At this stage a diagnosis is made and the patient referred to a multidisciplinary clinic for joint treatment planning with the maxillofacial surgeon and orthodontist.

Please be assured, if you are a surgical case, Dr. Sheils has dealt with many such cases and will be very happy to discuss this process with you along with similar cases that he has successfully treated in the past.

More Information

  • Find out more about Surgical Cases – Click Here

Derek A. Sheils, B.D.S. N.U.I., F.D.S.R.C.S. Eng., MSc. Ulond., M. Orth. R.C.S.Edin.

23 O’Connell Street, Waterford
8 Summerhill, Tramore

T: 051 841 774

© 2017 - Waterford Orthodontics


If you have had any flu like symptoms, cough, shortness of breath, loss of taste or smell, or recently come into contact with a confirmed case of Covid-19, please do not attend for appointment and contact reception.Please do not attend if you have have returned from abroad in the past 14 days.

We aim to reduce numbers of people moving through the practice and to observe social distancing within the premises.
The waiting room and toilets will be closed during this time and patients will enter when a member of staff opens inner door at the appointed time.
Parents should not accompany patient unless they feel there is an urgent matter they wish to discuss with Dr. Sheils or Suzanne the Orthodontic Therapist.
Please use hand sanitiser provided before entering. PLEASE WEAR A MASK UNTIL SEATED IN DENTAL CHAIR. We observe strict cross infection control protocols and adhere to Dental Council code of practice.
Appointment duration will be kept as short as possible but allowing patients treatment to progress.
Patients will be given their next appointment without deliberation but if this is extremely inconvenient then please phone reception to rebook.
We would be grateful if you could work with us on this one and appreciate your understanding.
Patients should attend with clean teeth as our bathroom will be closed until further notice.
Our receptionist is available as usual to deal with any specific queries and can receive payments preferably over the phone.
Thank you for your patience and understanding at this time.