Seventeen patients underwent total mandibular subapical osteotomies and orthodontics as part of their treatment to improve a variety of dentofacial deformities. Minimal incisor and point B movements were noted as well as some vertical incisor instability. A favorable clinical result in 12 of 13 patients indicates that orthodontic treatment can compensate for most postsurgical changes. One patient who did not complete orthodontic treatment had a mild open bite at longest followup. Exposing the neurovascular bundle but leaving it undistrubed in the canal during the subapical osteotomy procedure can minimize neuropathy of the mental nerve. Healing occurred without difficulty in all patients, and no postoperative endodontic treatment was needed. Although the indications for this operation are limited and the surgical procedure requires close attention to detain, favorable esthetic and stable occlusal results justify its use.