Maksilofacialna kirurgija

Maxillofacial surgery

extractions and implant placements to complex orthognathic surgeries and temporomandibular joint reconstructions.

We combine medical and dental expertise, work with minimally invasive techniques, and ensure both functional and aesthetic restoration of the face, oral cavity, and jaws.

About the service

Our maxillofacial team handles everything from simple outpatient procedures to highly specialized facial skeleton surgeries.

Oral surgery includes simple and complex tooth extractions, removal of wisdom teeth and supernumerary teeth, apicoectomies, treatment of cysts in the oral cavity, and the placement of titanium or ceramic implants with bone augmentation or sinus lift. We also remove skin and mucosal tumors, provide histopathological examinations, and ensure long-term follow-up.

We also specialize in orthognathic surgery and perform all types of procedures in this field (Le Fort I osteotomies, BSSO, SARPE, genioplasty). These procedures correct occlusion, improve the airway, and ensure facial symmetry, with careful consideration of all aesthetic parameters. The surgeries are performed under general anesthesia with a short hospital stay.

All of the mentioned procedures are based on precise digital 3D planning, the use of guides, and minimally invasive techniques, which shorten operating time, reduce the risk of complications, and accelerate recovery.

Maxillofacial Surgery Procedures

Oral and Maxillofacial Surgery

Changes in the oral cavity, teeth, and jaws can cause pain, inflammation, or functional problems. With minimally invasive techniques, we ensure quick and safe problem resolution for both adults and children.

Simple Extraction – painless tooth removal without drilling; the wound heals within a few days.
Complicated Extraction / Surgical Removal of Wisdom Tooth – flap elevation, root separation, and bone drilling for safe removal of deeply impacted or supernumerary teeth.
Apicoectomy – removal of infection at the root tip, shortening of the root, and retrograde filling; preserves the tooth and removes chronic infection.
Frenulotomy – release of the lingual or labial frenum in infants, children, or adults to improve speech, prevent gum recession, or support orthodontic stability.
Crown lengthening – removal of excess bone and gum tissue to enable proper prosthetic restoration of a damaged or previously carious tooth.

Implantology and Bone Reconstruction

In cases of tooth loss or bone deficiency, we combine titanium/ceramic implants with regenerative techniques to restore both function and aesthetics of the bite.

Dental implant placement – insertion of a titanium or ceramic screw that, after osseointegration, supports a crown, bridge, or denture, replacing a missing tooth, segment, or complete edentulism.
Bone augmentation – horizontal or vertical ridge augmentation using autogenous or synthetic bone combined with PRP derivatives for enhanced healing.
Sinus lift – maxillary sinus trepanation, elevation of the sinus membrane, and placement of bone graft material with PRP derivatives to achieve stable implant anchorage in the posterior maxilla where ridge height is insufficient.

Orthognathic and Skeletal-Aesthetic Surgery

Includes procedures for the treatment of dentofacial deformities and OSAS. Surgeries may be performed individually or in combination, depending on the extent of the skeletal deformity and aesthetic considerations. They are carried out under general anesthesia with hospitalization usually lasting one to two nights.

Le Fort I osteotomy – osteotomy, mobilization, and repositioning of the maxilla; fixation with plates/screws.
BSSO (Bilateral Sagittal Split Osteotomy) – osteotomy, mobilization, and repositioning of the mandible forward/backward or correction of asymmetry; fixation with plates/screws.
Genioplasty – osteotomy, mobilization of the chin segment (forward, backward, downward, or shortening) to improve facial profile; fixation with plates/screws.
SARPE – osteotomy of the maxilla and placement of a distractor to expand the upper jaw in cases of transverse deficiency.
Placement of orthodontic anchors – mini-screws in the chin or palate as stable anchorage for complex orthodontic-surgical treatments.

Skin and Mucosal Lesions of the Face and Neck

We safely remove lesions with both aesthetic and oncological considerations, ensuring minimal scarring and histological confirmation of the diagnosis.

Excision of skin lesions – pigmented nevi, keratoses, or suspicious lesions on the face and neck; reconstruction with local flaps if necessary.
Removal of oral cavity tumors / cysts – excision with a safety margin, specimen sent for histopathological examination.

Diagnostic and Supportive Procedures

For precise surgical planning, we use advanced imaging and digital techniques.

Oromaxillofacial examination + CBCT/OPG – comprehensive 3D analysis of the facial skeleton, TMJ, and dental roots.
Transoral or percutaneous CBCT-guided biopsy – targeted sample collection from a cyst or tumor for rapid histopathological confirmation.
Placement of orthodontic anchors – mini-screws in the chin or palate as stable anchorage for complex orthodontic-surgical treatments.

Book an appointment

Mojca Knez, dr.med., dr.dent. med.

specialist in maxillofacial and oral surgery

She performs specialist examinations and the full range of procedures: from simple and complex oral surgery and implantology to orthognathic operations.

Opinions of satisfied customers

Our patients' opinions testify to the trust, professionalism, and personal approach that we implement in our work every day.

MD Medicina has friendly and, above all, professional staff. The anesthesiologists make sure you feel really safe. The surgeon gives you all the information and does his job professionally, taking care of you until you leave and of course afterwards. The nurses, physiotherapist and others make sure you don't miss anything, even if you really can't do anything at that time. Professionalism, friendliness, homeliness. This is probably all that we as patients want and deserve when we need surgery. And that's how I felt too, because everything, from the preparation for the procedure, the surgery and the postoperative care, was carried out superbly. Thank you to the entire team and all the best!

Katarina Sinkovec

Thank you to all of you who use the latest medical devices, methods and forms of work in your medical work. At the same time, you are training a new generation of doctors because you are personally convinced that a collaborative approach with the patient is not only beneficial for you, but also for us. This makes us feel "important".

Alenka Čurin Janžekovič & Marijan Janžekovič

When you enter the MD medicine building, you feel more comfortable than not, because you don't immediately have that familiar and unpleasant feeling and smell of a hospital. You are greeted by a friendly nurse who greets you kindly and explains everything you are interested in. Everything has a relaxing effect, so that that last feeling of anxiety before a doctor's examination or surgery really goes away. The doctor you visit is a top expert who devotes himself entirely to you, really listens to you, has time for you and, in the end, gives you professional advice. I always leave the premises of MD medicine calm and with a clear picture that there are people here who will always take care of you. Therefore, a sincere thank you to all of you.

Neda Fabrizio

I have had a personal doctor at MD medicine since 2017. From the very first visit, I entered the above-standard world of the health concession: a polite reception at the clearly arranged main entrance, a bright waiting room without crowds, an examination time at the agreed time in a modern and pleasantly equipped clinic, a friendly nurse who knows me by name, a relaxed and highly professional doctor who has time both to listen and to treat me. In the same building, I can also have a laboratory and many other health services performed. I can arrange orders, referrals, prescriptions, advice via email or by phone, which someone always answers... The high-quality system of MD medicine works not only for the benefit of the patient's health, but also dignity.

Maja Ivanic

Frequently asked questions

Do you have questions? Here you will find answers to the most frequently asked questions related to our services and procedures. If you cannot find the answer, please contact us - we are happy to help you.

Most outpatient oral procedures (extractions, biopsies) are performed under local anesthesia, so you only feel pressure, not pain. Larger surgeries – such as orthognathic surgery, reconstructions, and sinus lift – are usually done under general anesthesia with anesthesiologist supervision, ensuring a completely painless procedure.

Simple/complicated extraction, biopsy: swelling for 2–3 days, return to work usually in 1–2 days.

Implant placement or sinus lift: mild swelling 5–7 days, stitches removed after 7 days; full loading after 2 weeks.

Orthognathic surgery (Le Fort I, BSSO): hospitalization 1–2 days, swelling up to 2 weeks, return to light activities after 10–14 days; final bite stability after 6 weeks.

The vast majority of incisions are inside the oral cavity, so scars are not visible externally. For skin lesion removal, we use plastic-surgical sutures and align the incision along natural folds, making scars minimally noticeable. After about 6 months, they usually soften and fade.

After oral extractions or implants, we recommend soft food for the first 24 hours, with a full diet possible after 7 days.

Sports activities should be avoided for one week. Following orthognathic surgery, a liquid or soft diet is required for about 2 weeks (as instructed), with a gradual return to solid foods after 4–6 weeks. Intense exercise is permitted after 6 weeks, once the bones are fully stabilized.

During wisdom tooth extractions, apicoectomies, and orthognathic osteotomies, there is a small risk of temporary numbness of the lower lip, chin, or tongue due to proximity to nerve structures. We use 3D-CBCT navigation and piezosurgical instruments, which significantly reduce the likelihood of nerve injury. In more than 95% of cases, any disturbance is only temporary and resolves within a few weeks. Permanent sensory changes are very rare.

Maxillofacial surgery

About the service

Maxillofacial Surgery Procedures

Book an appointment

Expert team

Opinions of satisfied customers

Frequently asked questions

Are the procedures painful and what type of anesthesia do you use?

How long will it take me to recover after different procedures?

Will there be visible scars after the surgery?

When can I eat and exercise normally again?

What are the risks of nerve injury or loss of sensation?