Dentofacial Deformities Surgery Unit

Specialists in orthognathic surgery and the surgical correction of dentofacial malformations

The Dentofacial Deformities Surgery Unit at the Publio Cordón Memorial Hospital is a highly specialised unit dedicated to the surgical correction of complex dento-skeletal abnormalities and advanced orthognathic surgery.

It focuses on the treatment of structural discrepancies of the jaws that may affect the bite, facial harmony and, in certain cases, respiratory function. Its approach requires precise diagnostic planning, structured orthodontic coordination and sound surgical judgement, with treatment plans tailored to the anatomical and functional characteristics of each individual patient.

Surgical correction of maxillomandibular abnormalities

A specialist assessment is particularly recommended for patients with severe malocclusions, significant facial asymmetries, maxillomandibular discrepancies or respiratory disorders linked to bone position.

The unit treats both adult and paediatric patients, adapting its protocols to the patient’s stage of growth and specific clinical situation.

Where orthodontic treatment alone is insufficient to restore structural balance, orthognathic surgery enables the skeletal base to be corrected and overall function to be optimised.

Dentofacial deformities requiring specialist assessment

Each dentofacial deformity has its own anatomical and functional characteristics. Consequently, the treatment plan is determined following a thorough assessment of the case.

The unit routinely treats:

• Class II and Class III skeletal malocclusions

• Structural facial asymmetries

• Open bite or crossbite of skeletal origin

• Maxillomandibular discrepancies with functional implications

• Respiratory disorders associated with maxillary or mandibular hypoplasia

• Cleft lip and palate and associated developmental sequelae

Each case is assessed taking into account the expected functional benefit, structural stability and the available treatment options.

Diagnostic assessment and personalised 3D digital planning

The process begins with a specialist consultation in maxillofacial surgery, which includes a detailed clinical examination, facial analysis and an assessment of the bite.

Planning is based on three-dimensional radiological studies and 3D digital simulation, tools that enable the precise design of the necessary bone movements and allow the structural outcome to be anticipated.

Close coordination with specialist orthodontists is an essential pillar of the treatment. The treatment sequence — the pre-surgical phase, the procedure itself and follow-up — is defined jointly and in a structured manner.

Orthognathic surgery to restore facial function and harmony

Procedures are carried out using established surgical techniques adapted to each patient’s specific anatomy. The decision to proceed is made when there is a reasonable functional benefit and an expectation of long-term stability.

The therapeutic aim is not limited to the aesthetic aspect, but seeks to restore the functional balance of the maxillofacial system, optimising mastication, speech and, where appropriate, breathing.

Advanced planning contributes to precise execution and a standardised, controlled post-operative process.

A specialist team and a coordinated care model

The unit comprises maxillofacial surgeons and orthodontists who specialise specifically in orthognathic surgery and complex craniofacial conditions. The care model is based on multidisciplinary coordination and evidence-based decision-making.

The process allows sufficient time to provide clear information on the diagnosis, the stages of treatment and realistic expectations. Clinical support is provided at every stage, from initial planning through to follow-up care.

This approach combines technical excellence, expert judgement and a structured care organisation that prioritises safety, precision and continuity of care.