{"id":1289,"date":"2026-05-22T05:00:00","date_gmt":"2026-05-22T08:00:00","guid":{"rendered":"https:\/\/sevenresiduosaude.com.br\/blog\/?p=1289"},"modified":"2026-05-22T05:00:00","modified_gmt":"2026-05-22T08:00:00","slug":"pgrss-clinica-ortognatica-cirurgia-maxilar-rss","status":"publish","type":"post","link":"https:\/\/sevenresiduosaude.com.br\/blog\/pgrss-clinica-ortognatica-cirurgia-maxilar-rss\/","title":{"rendered":"PGRSS cl\u00ednica ortogn\u00e1tica \u2014 cirurgia maxilar 3D"},"content":{"rendered":"<h2>Por que ortogn\u00e1tica tem perfil espec\u00edfico<\/h2>\n<p>Cirurgia ortogn\u00e1tica combina <strong>osteotomia Le Fort I\/II\/III (maxila)<\/strong> + <strong>osteotomia sagital mandibular (SSO)<\/strong> + <strong>mentoplastia \u00f3ssea<\/strong> + <strong>planejamento 3D pr\u00e9-operat\u00f3rio (TC + software CAD\/CAM)<\/strong> + <strong>guias cir\u00fargicos impressos<\/strong> + <strong>fixa\u00e7\u00e3o interna com placas\/parafusos tit\u00e2nio<\/strong>. Procedimento maior, geralmente em hospital com equipe multidisciplinar (CTBMF + ortodontista). Opera sob RDC 222 + RDC 50 + Resolu\u00e7\u00e3o CFO 14\/2001 + RDC 36\/2008.<\/p>\n<h2>Tabela 5 fluxos<\/h2>\n<table>\n<thead>\n<tr>\n<th>Fluxo<\/th>\n<th>Grupo<\/th>\n<th>Volume mensal<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Fragmento \u00f3sseo (osteotomia Le Fort)<\/td>\n<td>A2 (anatomopatol\u00f3gico)<\/td>\n<td>1-3 kg<\/td>\n<\/tr>\n<tr>\n<td>Material ortogn\u00e1tico (placas tit\u00e2nio retiradas)<\/td>\n<td>A1 RA + reciclagem metal<\/td>\n<td>0,5-1,5 kg<\/td>\n<\/tr>\n<tr>\n<td>Material cir\u00fargico (broca, serra reciprocante)<\/td>\n<td>E + A1 RA<\/td>\n<td>1-3 kg<\/td>\n<\/tr>\n<tr>\n<td>Frasco anest\u00e9sico+opi\u00f3ide vencido<\/td>\n<td>B (controlado SNGPC)<\/td>\n<td>0,5-1,5 kg<\/td>\n<\/tr>\n<tr>\n<td>Guia cir\u00fargico 3D descart\u00e1vel (PLA, resina)<\/td>\n<td>D ou A1 (se contaminado)<\/td>\n<td>0,3-1 kg<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Volume t\u00edpico: <strong>3-10 kg\/m\u00eas<\/strong> (centro especializado).<\/p>\n<h2>Cap\u00edtulo placa tit\u00e2nio retirada<\/h2>\n<p>Placas e parafusos de tit\u00e2nio retirados p\u00f3s-cicatriza\u00e7\u00e3o (1-2 anos):<\/p>\n<ul>\n<li><strong>Est\u00e9reis (n\u00e3o-infectadas)<\/strong>: podem ser <strong>recicladas<\/strong> (tit\u00e2nio = metal valioso)<\/li>\n<li><strong>Infectadas\/contaminadas<\/strong>: descarte como A1 RA + manifesto MTR<\/li>\n<li>Documentar paciente de origem (rastreabilidade)<\/li>\n<li>Em caso de explana\u00e7\u00e3o por infec\u00e7\u00e3o: cultura + an\u00e1lise<\/li>\n<\/ul>\n<h2>3 perfis<\/h2>\n<p><strong>Perfil 1 \u2014 Consult\u00f3rio CTBMF b\u00e1sico:<\/strong> R$ 130-280\/m\u00eas. Setup R$ 2-4k.<\/p>\n<p><strong>Perfil 2 \u2014 Centro com cirurgia ambulatorial:<\/strong> R$ 380-800\/m\u00eas. Setup R$ 6-14k.<\/p>\n<p><strong>Perfil 3 \u2014 Centro avan\u00e7ado (planejamento 3D + cirurgia ortogn\u00e1tica hospitalar):<\/strong> R$ 800-1700\/m\u00eas. Setup R$ 14-30k.<\/p>\n<h2>3 erros frequentes<\/h2>\n<ol>\n<li>Fragmento \u00f3sseo Le Fort no Grupo A1 \u2014 \u00e9 A2 (anatomopatol\u00f3gico)<\/li>\n<li>Placa tit\u00e2nio infectada como sucata metal \u2014 exige A1 RA espec\u00edfico<\/li>\n<li>Guia 3D contaminado no Grupo D \u2014 pode ser A1<\/li>\n<\/ol>\n<p><strong><a href=\"https:\/\/sevenresiduosaude.com.br\/orcamento\/\">Solicite cota\u00e7\u00e3o cl\u00ednica ortogn\u00e1tica<\/a><\/strong> \u2014 cap\u00edtulo Le Fort + placa tit\u00e2nio + guia 3D.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>RSS de medicina ortogn\u00e1tica: cirurgia maxilar, planejamento 3D, osteotomia Le Fort, fixa\u00e7\u00e3o interna.<\/p>\n","protected":false},"author":3,"featured_media":1288,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[2216,2217,2215,22],"class_list":["post-1289","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-compliance-legislacao","tag-cirurgia-maxilar","tag-le-fort","tag-ortognatica","tag-rdc-222"],"_links":{"self":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/1289","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/comments?post=1289"}],"version-history":[{"count":1,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/1289\/revisions"}],"predecessor-version":[{"id":3886,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/1289\/revisions\/3886"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/media\/1288"}],"wp:attachment":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/media?parent=1289"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/categories?post=1289"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/tags?post=1289"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}