Airway management in patients with maxillofacial trauma remains one of the most challenging tasks for anesthesiologists. This is not only because the trauma directly involves the airway itself, but also the shared airway between the anesthsiologist and the surgeon, the associated injuries, and conditions often limit the options for management. The disruption of normal anatomy makes laryngoscope and ET intubation technically difficult or even hazardous. Each patient represents a unique challenge. This essay will focus on techniques and instrumentations currently applicable for handling the airway problems so oftenly faced during difficult airway situations in dentistry.