ORAL & MAXILLOFACIAL SURGERY 

 

Jaw Deformity Correction Orthognathic

Orthognathic surgery is performed on the jaw bones to transform their position and size. It involves repositioning of upper and lower part of jaw or chin in alignment. In some cases, bone is added, removed or reshaped. When the jaws are moved forward or backward, up or down, the soft tissues in the chin, lips, cheeks and tip of the nose move accordingly. Once the jaws are correctly positioned, the structure of the facial Skelton is changed and a harmony between the facial features is achieved.

If the upper jaw is bigger than the lower jaw, it may lead to gummy smile. More gum tissue may be visible which may not augment your beauty. The differences in the size and shape of the jaw bones can be corrected by Orthognathic surgery. The jaw size is reduced and is placed in a normal position to improve smile and appearance.

Nose shape is influenced by the shape of the upper jaw. In few cases, the sharpness of the nose is not visible as the upper jaw is too big. In such cases, correcting the size, shape and position of the upper jaw can give the nose a sharp look.

Jaw discrepancies are caused due to many reasons. These not only affects your facial appearance but also your bite, speech and chewing.

A detailed assessment and analysis of the face and facial bones is done before starting the treatment. Orthognathic surgery can give out immediate results and no external scars can be formed in this surgery.

Jaw correction surgery aligns the teeth and jaw into proper position for better health and appearance. In some cases, the surgery can enhance appearance, self esteem and facial appearance.

 

Maxillofacial Trauma Care

Any injury occurred on to the face or jaws are defined as the maxillo –Facial Trauma. Facial Trauma can be identified by the presence of burn, skin laceration, and obstruction in the nasal cavity or sinuses, broken or missing teeth. The accidents are the main cause for the Maxillo Facial Trauma.

The various symptoms of maxilla facial trauma includes pain, swelling, bruising, numbness, bleeding. If there are fractures on the face it may even cause difficulty in breathing, speaking and seeing. The maxillofacial trauma is also diagnosed from the life threatening symptoms like brain injury, excessive bleeding, and airway obstruction.

The treatment for the Maxillo-Facial Trauma is performed on the basis of the severity of the injury. The treatment includes a careful diagnosing which may use various comprehensive physical exams and various procedures to solve the detected issues. The treatment for maxilla facial trauma will require controlling the bleeding, airways, and prevention of infections repair of lacerations or soft tissue injury, repairing of bone fracture.

Tooth bonding procedure

The issues caused due to maxilla facial trauma might require treatment for various complex issues that is dependent on the patient’s situations. The situation involving a Maxillo facial trauma is mostly critical in nature and has to be treated with much intensity and faster. The advance technology has provided the options like CT scan and 3D CBCT scan that can improve the diagnosing process. And it will help the dentist to formulate the most effective treatment plan for the patient’s situation.

 

Wisdom Teeth Removal

Oral and maxillofacial surgeons can remove a wisdom tooth. If you have infections, surgery will be delayed till the infection has cleared up. Before performing the treatment, your dentist will give you a local anesthetic to numb the area where the treatment will be performed. A general anesthetic will be used if all your wisdom teeth will be removed at the same time. This prevents pain and can make you sleep throughout the procedure. You should not eat or drink after midnight on the night prior to surgery to be prepared for the anesthetic.

Wisdom tooth extraction procedure

In order to remove the wisdom tooth, your dentist will open the gum tissue of the tooth and take out bone that is covering the tooth. Your dentist will isolate the tissue connecting the tooth to the bone and then remove the tooth. In some cases, the dentist will cut the tooth into smaller pieces to make it easy to remove. You may need stitches in some cases. Some stitches dissolve over time while some have to be taken out after a few days. A folded cotton gauze pad is placed over the wound to help stop the bleeding.

Why Wisdom tooth extraction?

A wisdom tooth extraction is performed due to following reasons:

Your jaw may not be large enough and they may become impacted and unable to break through your gums. Your wisdom teeth may break through your gums and cause a flap of gum tissue to grow. Foods and germs can get accumulated under the flap and cause your gums to become swollen, red and painful. These are some of the signs of infection. More serious concerns will develop from impacted teeth such as infection and damage to teeth or cyst. One of your wisdom teeth may come at awkward angle with the top of the tooth facing backward, forward and on either side. Wisdom tooth removal prevents crowding of back teeth and a wisdom tooth becoming stuck in the jaw and breaking through the teeth

 

Blood Laser Surgeries Fibroma Epulis Ranula

In order to provide treatment for soft tissues, dental lasers are the ideal tools. Bloodless surgical procedures are also pain free due to the coagulation effect caused by the interaction of tissues and lasers. The laser acts as a cutting tool in surgeries abolishing the need for dental drills. Complications like bleeding, pain and infection are also avoided. Carbon dioxide laser is the most common laser used in oral surgery. The laser cuts through the tissues and seals off the small blood vessels and nerve endings present nearby the affected area. So, the surgery is pain free and bloodless. Diode lasers, Nd-Yg lasers are the other types of lasers that are used for cutting soft tissues.

Mostly, lasers are used in biopsy to remove cancerous cells and tissues and removal of ablations to make sure that the cells are not cancerous. Fibroma is the most common form of cancer in oral cavity. A fibroma can be removed through surgery only. Local anesthesia is used to made the area numb and the fibroma is removed with laser. A biopsy is performed to make sure the elimination if cancerous cells. The procedure takes 15 minutes and heals within a week.

Lasers are used for the treatment of mucous cysts. They are painless thin sacs of clear liquid formed on the inner side of the lips. These are not harmful and disappear gradually, but if not treated at an early stage they solidify and form permanent bumps on the lips. When the cysts are formed on the mouth, the condition is termed as ranula and when they are formed on the gums they are called epulis. They are caused when the lip membranes are sucked between the teeth near the dental jewelry and piercings. Laser treatments are less likely to pose risks when compared with conventional surgical procedures.

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