**Abstract**

Orthognathic surgery with reconstruction of the temporomandibular joint (TMJ) addresses conditions where dentofacial deformity (DFD) is present along with damage to the temporomandibular joint. A stable TMJ without signs of pathology is a basic prerequisite for successful orthognathic surgery. If pathology is present, it is necessary to first address the condition of the TMJ (through conservative, miniinvasive and surgical methods). Only after the condition of the TMJ is stabilized is it possible to surgically address DFD. Orthognathic surgery in conjunction with TJR is performed in a single operation, where precise planning of these surgical procedures is vital for their successful execution.

**Keywords:** temporomandibular joint, orthognatic surgery, TMJ replacement, total joint prosthesis, dentofacial deformity, temporomandibular disorders
