A retrospective analysis of case histories of 110 patients subjected to reconstructive surgery for occlusion abnormalities was carried out. The data indicate that complete correspondence of teleroentgenography to planned treatment was observed in only 34.5% cases; this correspondence was partial in 48.3% cases, and in 17.2% patients planned treatment did not correspond to the pathogenesis of the abnormality at all. The majority of patients in whom the diagnosis was in complete disagreement with planned treatment were subjected to maxillary osteotomy for mesial occlusion. This choice was based on esthetic preferences of the patient and stability of the results.