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ORAL &
MAXILLOFACIAL SURGERY

It is a branch of dentistry that deals with the removal of decayed teeth and impacted teeth, diagnosis and treatment of the various lesions, injuries and pathologies involving oral cavity, jaw bones, face and neck.

1.Extractions

Extraction is the painless removal of the tooth which is grossly decayed that cannot be restored by any means.
Surgical extraction is a minor oral surgical procedure which involves the removal of the tooth which has either decayed or broken beyond the gum line.

Indications of Extractions:

Severe tooth decay or infections

Teeth blocking the eruption of permanent teeth


Teeth in line of fracture


Orthodontic extraction


Teeth before the start of any radiotherapy


Teeth before the start of any prosthetic rehabilitation


Teeth associated with pathologies


Removal of teeth prophylactically

2.Removal of impacted tooth

Due to dietary changes and evolution over time, the jaws sometimes does not offer adequate space for the third molars followed by the canines and they get embedded either in the jawbones or the soft tissues. If these teeth are not in the right place they can cause pain, infection and swelling. Infection from tooth can invade the jaw bones. They may also damage the adjacent tooth roots and may also impinge on nerve and other adjacent vital structures. These teeth do not contribute in chewing or any day to day functions. Therefore, early removal of impacted tooth is recommended.

3.Management of oral pathologies

Cysts are the fluid, semi fluid, gaseous or mixture of these substances in a hollow cavity which may or may not be associated with tooth. Cysts of oral cavity can be diagnosed and treated with methods like enucleation and marsupialization. At dentem , we have successfully treated oral pathologies with minimum discomfort to the patient .

4.Biopsy of the oral lesions

Various oral lesions (white patches, red patches, and abnormal hard or soft tissue swellings) can be diagnosed about their nature with biopsies. Biopsy is removal of small part from the most dominant part of the lesion or in case of small lesions whole of the lesion and then is sent for the labortary testing to identify the lesion. We here use LASERS for the soft tissue biopsies which is less invasive compared to the conventional procedure and is relatively painless and a bloodless procedure.

5.Maxillofacial trauma

Injuries to teeth, jaw bones, other facial bones and soft tissues inside the oral cavity and the face.
Treatment often ranges from the restoration of broken teeth, replacement of the avulsed teeth, airway management, control of bleeding, prevention of infection, reduction of swelling and repair of soft tissue and bone fractures. Bone fractures can be treated either using closed reduction which involves intermaxillary fixation using arch bars and wires or open reduction which involves fixation using bone plates and screws or both.

6.Temporomandibular Joint disorders

These may vary from pain in the joint, clicking or popping sound while opening or closing mouth, deviation on opening and closing mouth or stiffness in muscles associated with the joint. Treatment using oral medications, physical therapy or splint therapy or combination of any is used depending on the extent of the problem. Local injection therapy to the joint can be used for the treatment of advances cases. At Dentem , Patients with TMJ problems are treats successfully with laser physiotherapy. In 5-7 Visits , the patient gets almost relieved from the symptoms .

7.Preprosthetic surgery

Management of sharp bony spicules or soft tissue growths which may cause dislodgement of the dentures. Soft tissues which affect the orthodontic treatment outcome is treated using LASERS.

Cases Of ORAL & MAXILLOFACIAL SURGERY

Case 1:

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