The objective of this presentation is to compare results and analyse the aspects that should be considered when choosing dental and skeletal devices to improve results in treating maxillofacial trauma. All the facial trauma operated since June 2012 by the Oral and Maxillofacial Department at Adão Pereira Nunes State Hospital in Rio de Janeiro, Brazil are being analysed based on clinical examination, patients complaints, and radiological considerations and relationed to surgical and specifics factors such as: timing, surgical time, amount of teeth, trauma severity. Timing and amount of teeth seem to be essential factors to be considered when electing dental and skeletal devices presenting less post-op. complications. Conventional and old styled means of fixation such as arch bars, wires, MMF are still useful when treating specific but still frequent kinds of facial fractures.