Vix Face is a specialist oral and maxillofacial surgery clinic located at Rua Jose Alexandre Buaiz, 300, Sala 1109, Edificio Work Center, Enseada do Sua, Vitoria, Espirito Santo. The clinic operates with a tri-partner specialist team: two board-certified oral and maxillofacial surgeons and a prosthodontist with Master's-level training and an active PhD research programme. Dr. Raphael Coser (CRO-ES 5565) holds a Master's degree from UERJ and has performed over 2,300 orthognathic surgeries — a clinical volume that establishes him as one of the most experienced orthognathic surgeons in Espirito Santo. He is an active staff surgeon at Santa Casa Hospital Vitoria, Santa Rita de Cassia Hospital, and Vila Velha Hospital, and is a member of the AOCMF Foundation (AO Craniomaxillofacial), an elite international surgical training organization. Dr. Ramon Gavassoni (CRO-ES 5334) completed his dental surgery degree at UFES and his CTBMF residency at Hospital Meridional (ES), with additional postgraduate training in pain management at Hospital Albert Einstein (Sao Paulo). He specializes in TMJ dysfunction, orofacial pain, implantology, bone reconstruction, and orthognathic surgery. Dr. Lucas Campagnaro Maciel (CRO-ES 5556) holds a Master's degree in prosthodontics from UFES, is a PhD candidate in prosthodontics at Universidade de Taubate, and is a university lecturer in prosthodontics at Multivix Vitoria with 17+ research publications. The clinic is equipped to perform procedures under in-office IV sedation with an anesthesiologist on-site, as well as hospital-based procedures under general anesthesia for more complex cases.
Orthognathic Surgery
Cirurgia ortognatica (orthognathic surgery) is the most complex surgical specialty offered at Vix Face and the area in which the clinic has the deepest documented expertise. Orthognathic surgery corrects skeletal discrepancies between the upper and lower jaws — conditions that cannot be resolved by orthodontics alone — including mandibular prognathism (underbite), maxillary deficiency (class III skeletal pattern), open bite, asymmetry, and other craniofacial misalignments. The procedures involve precisely planned bone cuts and repositioning of the jaws (Le Fort I osteotomy of the maxilla, bilateral sagittal split osteotomy of the mandible, or genioplasty of the chin), stabilized with titanium plates and screws. Treatment is coordinated with orthodontic treatment that aligns the teeth within each jaw before and after surgery. Dr. Raphael Coser's experience of 2,300+ orthognathic surgeries represents an exceptional clinical volume; outcomes at this volume are associated with high procedural predictability and refined management of even complex anatomical presentations.
Dental Implants and Bone Reconstruction
Implantes dentarios (dental implants) and bone reconstruction are offered within the specialist surgical framework of the clinic. Titanium implant fixtures replace missing teeth by integrating with the jawbone through osseointegration, providing a stable foundation for ceramic crown or bridge restorations fabricated by Dr. Lucas Campagnaro. When insufficient bone volume is present for implant placement — due to bone resorption following tooth loss, trauma, or periodontal disease — bone grafting procedures reconstruct the deficient area before or simultaneously with implant placement. Bone graft options include autogenous block grafts (from the chin or mandibular ramus), guided bone regeneration membranes, and synthetic bone substitutes, selected according to the volume and anatomical characteristics of the deficiency. The combination of two trained CTBMF surgeons and a specialist prosthodontist within a single practice enables comprehensive implant treatment planning from the surgical phase through the final prosthetic restoration.
TMJ Dysfunction and Orofacial Pain
Temporomandibular dysfunction (DTM/TMD) and orofacial pain management represent a distinct specialist area at Vix Face, with Dr. Ramon Gavassoni's additional postgraduate training in pain management from Hospital Albert Einstein particularly relevant to this specialty. TMJ disorders encompass a spectrum of conditions affecting the temporomandibular joint and its associated muscles: disc displacement, arthritis, internal derangement, masticatory muscle pain, and orofacial pain syndromes that may include headache, ear pain, and jaw locking. Diagnosis involves clinical examination, imaging, and pain mapping; treatment may include occlusal splints, physical therapy referral, pharmacological management, intraarticular injection, and in cases of structural joint pathology, arthroscopy or open joint surgery. Dr. Gavassoni's combination of CTBMF surgical training and orofacial pain specialization enables management of the full spectrum of TMD cases from conservative through to surgical intervention within the same specialist practice.
Minor Oral Surgery and Pathology
Cirurgias orais menores (minor oral surgeries) at Vix Face include third molar (wisdom tooth) extractions — including impacted and surgically complex cases — biopsies of suspicious oral mucosal lesions, removal of cysts and benign tumors of the oral and jaw regions, and management of oral trauma including dental and alveolar fractures. The surgical capabilities extend to oral and maxillofacial pathology: cysts and tumors of the jaws require precise diagnosis, surgical planning, and often specimen histopathology to determine appropriate treatment. The hospital affiliations of both surgeons ensure that cases requiring inpatient anesthesia or postoperative monitoring can be transferred seamlessly to a full hospital environment.
Sleep Apnea Surgery
Cirurgia de apneia do sono (sleep apnea surgery) addresses obstructive sleep apnea with surgical interventions aimed at expanding the airway. In the context of oral and maxillofacial surgery, the most relevant procedure is maxillomandibular advancement — an orthognathic surgery procedure that moves both jaws forward to enlarge the pharyngeal airway and reduce upper airway collapse during sleep. This procedure has the highest success rates of any surgical sleep apnea treatment and is offered by Dr. Coser and Dr. Gavassoni within Vix Face's orthognathic surgery expertise. Surgical treatment is typically considered when CPAP therapy is not tolerated or when there is a clear skeletal anatomical basis for the obstruction that responds better to surgical correction than to device therapy.
Prosthodontics and Cosmetic Dentistry
Protese dentaria (prosthodontics) at Vix Face is managed by Dr. Lucas Campagnaro Maciel, whose Master's degree and PhD-level research in prosthodontics underpin the prosthetic rehabilitation component of the clinic's surgical work. Fixed prosthetics — crowns, bridges, and implant-supported restorations — complete the restorative phase following surgical procedures, restoring function and aesthetics to the rebuilt oral structures. Cosmetic dentistry services including teeth whitening and porcelain veneers or dental contact lenses are available within the same specialist environment. The academic depth of the prosthodontic team at Vix Face — active university lecturer, researcher, and PhD candidate — ensures that material selection, occlusal design, and prosthetic planning reflect current evidence-based best practice.
