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Oral Maxillofacial Surgery and Cosmetic Dental Surgery – An Outline

Oral Maxillofacial Surgery is a unique discipline that marries medicine and dentistry. It entails a whole wide range of diseases and procedures from simple ones like impacted wisdom tooth and wisdom tooth surgery to complex complicated ones like jaw abnormalities and corrective jaw surgery. Complex reconstructive work like in a fibula free transfer graft also falls under the arm of oral maxillofacial surgery and may be done with the proper support and expertise.

Oral maxillofacial surgery as the name suggests refers to disease and procedures of the oral cavity and the region immediately surrounding it. It may even stretch as far up as the eyes and as low down as the neck. Simple diseases that falls under the branch of oral maxillofacial surgery includes tooth decay warranting tooth extraction and impacted wisdom tooth or an impacted or buried tooth that requires wisdom tooth surgery in the case of a wisdom tooth or just dento- alveolar surgery in the case of other teeth.

Soft tissue lesions such as a lump on the lip e.g. mucocele and the management also falls under the care of oral maxillofacial surgery. The excision of the mucocele or any other soft lesions is done under local anesthesia and sometimes general anesthesia. And very often, the tissue is sent to the pathology lab for a routine histology to confirm the diagnosis. Biopsies be it an incisional biopsy or excisional biopsy is also done.

Bigger lesions and pathologies like a dentigerous cyst, odontogenic keratocyst or an ameloblastoma are also routinely managed under oral maxillofacial surgery. Managements includes simple enucleation of the cyst to resection of the pathology.

Facial trauma also falls under the management and care of oral maxillofacial surgery. Lacerations of the lips and face and fracture of the jaw bones and facial bones are common place in the hospital and the management is normally handled by the oral maxillofacial department. Toilet and suture of the lacerations may be done under local anesthesia or general anesthesia depending on the extent of the injury. And more often than not, if there is an associated fracture, the open reduction and internal fixation of the jaw or facial bones are done together with the lacerations under general anesthesia.

Dental and oral maxillofacial implants are another area where oral maxillofacial surgery is involved in. The placement of dental implants to replace missing teeth in the jaw is gaining popularity and is offered by oral maxillofacial surgery. Besides dental implants, the oral maxillofacial surgical team also do maxillofacial implants such as orbit implants and otic or ear implants. They also offer answers to complicated or difficult cases such as those with bone deficiencies.

Temporomandibular joint disorders (TMD) also falls under the care and management of oral maxillofacial surgery. Jaw joint pain is a common problem and is normally attributed to stress or trauma. It may even be due to normal physiological wear and tear. But whatever the cause, it can be a worry for the patient. Most of the time though, the jaw joint pain or TMD pain is caused by myalgia which involves the inflammation of the muscles of mastication.

Dental infection or facial infection leading to swelling is also commonly treated by oral maxillofacial surgery. Many a times the swelling of the face is attributed to a dental cause and the prompt identification of the cause and removal of the source together with antibiotic therapy is adequate treatment. Incision and drainage (I&D) is also commonly instituted.

Corrective jaw surgery and reconstructive jaw surgery is also commonly carried out by the oral maxillofacial surgical team. In cases of jaw abnormalities requiring corrective jaw surgery, the oral maxillofacial surgical team will work together with the orthodontist to co manage the patient. In reconstructive surgery, after a major trauma or pathology removing surgery, the oral maxillofacial surgical team will decide the graft to be used and place it appropriately and reconstruct the face.

Cosmetic surgery and plastic surgery are also commonly done. Treatments such as botox administration for the treatment of wrinkles and use of fillers for the facial region is gaining popularity and more and more oral maxillofacial surgeons are venturing into this department due to the demand. Other treatments offered are rhinoplasty and blepharoplasty.

This article is written by an oral surgeon in government practice. Click on the links to learn more about wisdom tooth surgery, corrective jaw surgery and Beverly Hills cosmetic dental surgery.

19 comments

Review of BracesReview.com

Like a horse and carriage, braces go with jaw surgery. For me, they were one of the more frustrating and seemingly never-ending parts of the process, but a necessity nonetheless.

And before I scare you off, they really weren’t that bad, just being melodramatic.

I was lucky enough to have a smooth and relatively painless surgery, which helped the braces achieve their least-favorite-part-of-the-process award.

While this site covers every aspect of Jaw Surgery, from start to finish, there are also a lot of resources out there that specialize in just specific parts of the process.

BracesReview.com is one such site, encompassing everything there is to know about mouths of metal (and yes, even invisible aligners too).

They cover everything from braces cost, braces insurance, and an awesome forum to talk with tons of other brace-faces from around the world.

If forums aren’t your thing, BracesReview.com has a library of articles covering all the most frequently asked questions.

There’s even an orthodontist directory to help you get started and find a doctor in your area.

So, whether you’re just thinking about getting braces, you already have them, or you’ve been there done that and just want to help those following in your footsteps, BracesReview.com is an excellent resource that you should check out.

http://www.bracesreview.com

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After Jaw Surgery – Week 57: Picked up the dental retainers…

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After Upper and Lower Jaw Surgery – Month 13: Braces are GONE baby!

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Orthognathic Jaw Surgery – 1 Year Anniversary – Braces coming off!

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After Maxillofacial Surgery – Month 11: Almost 1 YEAR since the surgery!

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After Orthognathic Surgery – Month 10: Broken power chain on braces…

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After Jaw Surgery – Week 37: Tug of war with braces and bands…

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After Dental Surgery – Week 33: Getting closer to braces liberation…

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Corrective Jaw Surgery – Week 30: Please excuse the shirtlessness… AGAIN… AGAIN

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