„On the Appropiate Timing for Intervention in Orthognathic Surgery“

Together with the introduction of new orthodontic techniques and minimally invasive surgery protocols, the emergence of modern patient prototypes has given way to novel timing schemes for the handling of dento-maxillofacial deformities. The aim of this lecture is to define, justify, and systematize the appropriate timing for orthognathic surgery. Six timing schemes are defined: ‘surgery first’, ‘surgery early’, ‘surgery late’, ‘surgery last’, ‘surgery only’, and ‘surgery never’.  The skilful management of dento-maxillofacial deformities requires a comprehensive analysis of patient-, orthodontist-, and surgeon-specific variables. Each timing approach has well-defined indications, treatment planning considerations, and orthodontic and surgical peculiarities.



Prof. Hernández-Alfaro studied medicine and dentistry and specialized in Oral and Maxillofacial Surgery in Barcelona, Spain.
He obtained his PhD at International University of Catalonia , and is Diplomate by the European Board of Oral and Maxillofacial Surgery.
He is currently Chief of the Department of Oral and Maxillofacial Surgery at Teknon Medical Center, the largest private facility in Spain.
He is also Professor and Chairman of Oral and Maxillofacial Surgery at Universitat Internacional de Catalunya (Barcelona, Spain).
Dr. Hernández Alfaro’s main interest is Orthognathic and Preprosthetic Surgery and has published, and lectured worldwide in these fields.