Methods, approach, equipment

What happens behind the door of a consulting room? In most cases, a patient sees results only at the end of the treatment. Meanwhile, work methods and approach which guide this process can be clearly identified as the course of a treatment unfolds. These work methods and principles must lead to success. From a perspective of a patient who consults a maxillofacial surgeon, it cannot be claimed that the end justifies any means. Although a patient is not able to choose and apply the treatment on his own (this is what actually is within doctors’ competences), he can choose an informed decision who that doctor, specialist, and, finally – person – will be, aiming at the expected results together.


Only those methods are selected, which allow to achieve not less than 95% success of operations. These are well known methods applied in leading countries internationally. The approach “I think that if this and that approach is taken, it will work out”. In orthognathic surgery everything that is required is already discovered and therefore there is no room for statements like “I think, that”. Only precise application of knowledge and precise surgical techniques allow achieving good results. While being guided by this approach I was able to minimize the statistics of unsuccessful implantation to 0,4%, complications as a result of sinus-lift surgery and bone transplantation to 1%, and complications as a result of orthognathic surgery to 1%.


In my practice I choose only the most modern equipment, instruments and materials. Out of reusable instruments only those instruments are used which have been proven by history and only those materials, such as bones and membranes which have been well-documented worldwide and the safety of which is proven, are used during the surgery. The patient can choose the manufacturer of an implant, however, most often the implant is selected according to specifics of a clinical case.




Patient stories
Orthognathic SURGERY


Orthognathic surgery is jaw surgery performed by the maxillofacial surgeon. This type of surgery is performed in order correct malocclusion and move one or both jaws to a new position, which ensures the correct relationship between jaws and the possibility to create the correct occlusion by means of orthodontic treatment.

When the jaw is moved forward or backward, up or down, the facial soft tissues, such as chin, lips, cheeks and nose tip, move as well, and the face height changes. Therefore, given the correct jaw position, facial profile becomes straight and harmony of new features is achieved.

Orthognathic treatment lasts for about 2 years, in cooperation with an orthodontist.

When should the patient turn to the maxillofacial surgeon?

Orthognathic surgeries can be performed to 18 years-old patients, so, if there are any occlusion-related problems, it is necessary to turn to doctor orthodontist. If orthodontic treatment is not enough, then it is necessary to wait until the child reached the age of 18, and preparation for orthognathic treatment should commence.

If the patient is 18 years old, and the position of his/her jaws is incorrect, if there is any difficulty when chewing food, or if the patient feels that something is wrong with his/her face, then one must immediately contact the maxillofacial surgeon.

If by reaching 18 years of age, the patient will turn to doctor orthodontist, and it will turn out that our case is exceptionally complicated, and orthodontic treatment will not be enough, the orthodontist will refer the patient to a maxillofacial surgeon.


Oral surgery

About implantation

Implantology is one of the most modern methods which enables us to solve the problem of missing or removed tooth efficiently and reliably. Although the follow-up after treatment of the implant allows the patient’s life almost forgotten about once experienced the problem and does not require special care, the same implantation process can be both relatively simple and complex and include some or all of the following steps.

Single tooth implantation

After local anesthesia, the gums are uncovered and the implant is placed into the bone. The implant is sutured under the gums or a higher cap is placed onto it. The operation takes 10 to 20 minutes. If the implant is sutured under the gums, the procedure for establishing the healing cap is held 3-4 months after the implantation.

Bone augmentation for implants

Implantation with bone augmentation is grafting of the bone with artificial bone tissue or patient’s own bone during implantation. This procedure is performed when despite the atrophy, the amount of the jawbone is sufficient enough to place the implant, however, the bone around the implant is very thin and in the end may become completely atrophied.

Sinus lift surgery

Sinus lift surgery a surgery which is performed in order to increase the sinus floor by augmentation of the lower sinus wall with bone tissue substitute or patient’s own bone. Sinus is a cavity within the upper jaw, which is connected with the nasal cavities and is lined with a mucous membrane.