Orthognathic Maxillofacial Surgery


Orthognathic maxillofacial surgery

June 14, 2022

Orthognathic Maxillofacial Surgery |, ,

Orthognathic maxillofacial surgery is aimed at correcting the problems caused by the incorrect relationship between the mandible, the maxilla, and the bite. This surgery also restores the harmony and balance of the face.


Class II malocclusion: also called retrognathia. This term is used when the maxilla (upper jaw) is more protruded than the mandible (lower), and therefore out of position.

Class III malocclusion: also called mandibular prognathism. This means that the lower jaw is advanced with respect to the maxilla (upper), and out of position.

Open bite: this is a condition that occurs when it is impossible, or very difficult, for the patient to close the anterior or posterior teeth correctly.

Facial asymmetry is an alteration that occurs when there is disharmony between both sides of the face. This can create an odd, or unsymmetrical look to the overall face.

Orthognathic maxillofacial surgery


Orthognathic maxillofacial surgery is a surgical procedure that corrects dento-cranio-maxillofacial deformities. These surgeries are performed on the maxilla, or the mandible, or both. the reasons for this type of surgery may include:

  • When the maxilla or mandible are very large
  • When the maxilla or mandible are very small
  • They are in the wrong position.

This maxillofacial correction occurs through maxillary and mandibular bone movements. As a result, the harmony of the face is restored and a correct relationship is established between the teeth and the facial bones.

Orthognathic maxillofacial surgery


Maxillofacial problems not only produce aesthetic problems, but functional problems too. These can be uncomfortable or even dangerous for the patient.

These maxillofacial alterations cause malocclusions and alignment issues, which in turn affects the functionality of the bite.

Additionally, they can cause sleep apnea, TMJ disorders, skeletal disharmony, facial assymmetry, and other issues with the bite.

For this reason, orthognathic maxillofacial surgery is used to help the patient correct the above mentioned issues, symmetry, and improve their overall health.


First of all, it is important to attend the consultation and evaluation with our Specialist, Dr. Alfredo Zuiko. The appointment has a value of 350 soles and includes 3D x-rays (a tomography) to evaluate the defects and required treatments.

Dr Alfredo Zuiko is our Specialist in Maxillofacial surgery

Most importantly, get a correct evaluation! Maxillofacial surgery is a process that almost always requires two parts: (i) orthodontics and (ii) surgery. Therefore, it requires joint work between our orthodontist, Dr Remo Ángeles, and the maxillofacial surgeon, Dr Alfredo Zuiko.

Second, pre-surgical orthodontics.

Before the operation, the patient will likely be asked to wear braces for a period determined by the specialist. This is for the purpose of correcting the position, alignment, and leveling of the teeth.

Third, orthognathic maxillofacial surgery.

In this operation, the surgeon will make intraoral incisions in order not to leave visible scars.

The correction of maxillofacial issues will occur through maxillary and mandibular bone movements. When the bones are in the correct positions, it will be fixed with titanium plates and screws. Don’t worry, titanium is a totally safe and biocompatible material for the body which has been tried and tested over many decades.

Fourth, postoperative orthodontics

In many cases, it is important to continue orthodontic treatment after orthognathic maxillofacial surgery. This establishes the proper final occlusion (bite).

Finally, the bite, mandible, and maxilla are correctly positioned and you are now ready to enjoy each day like never before!

Sounds good? Schedule with us today

Please contact us for appointments and more information. We are also on WhatsApp so that it is quick and easy to get in touch.


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