Eight cats with stable impaction fractures of the maxilla, sufficient to cause malocclusion, were treated by mandibular symphyseal realignment. The mandibular symphyseal realignment allowed occlusion to be restored with a minimal amount of dental work (e.g., enameloplasty, endodontics, or tooth extraction) in a majority of the cases. Enameloplasties were performed in two cats, one of which had a vital pulpotomy. Tooth extractions (range, two to five teeth; mean, 3.3 teeth) were performed in four cats. All cats were doing well at the time of in-hospital follow-up at one month to four years (mean, 2.1 yrs) postoperatively. Further telephone follow-up was obtained, from 1.5 to five years (mean, 3.4 yrs) after surgery, from all but one owner, with no change from the in-hospital evaluations. All owners contacted were pleased with the long-term outcome.