ORAL & MAXILLOFACIAL SURGERY

Department of oral & maxillofacial surgery Dr.Muthus Hospitals believes in a holistic approach to health and is committed to excellence. We also believe in patient-centered and personalized care.

The scope of the speciality is extensive and includes, but is not necessarily confined to:

Oral Medicine, Oral Surgery, Peri-Implant Surgery, Facial Pain, Odontogenic / Head and Neck Infections, Cysts and Tumors, Cranio Maxillo Facial Trauma, Temporomandibular Joint Conditions, Salivary Gland Disorders, Facial Deformity, Congenital Malformations, Oral Cancer, Obstructive Sleep Apnea, Aesthetic Facial Surgery, Reconstruction.

Maxillofacial surgery is an operation performed by a highly trained dental surgeon. A variety of maxillofacial procedures can treat diseases, fix injuries or correct defects in your face, jaw or mouth. As with any operation, maxillofacial surgery has certain risks. But the procedures help many reduce pain, fix deformities and restore function.

Oral and maxillofacial surgery is a unique surgical speciality, and is generally considered a bridge between ‘Medicine’ and ‘Dentistry.’ The breadth and scope of the speciality are vast and ever-expanding. We provide consultative, diagnostic and therapeutic services to patients with conditions or diseases affecting the mouth, jaws, face and neck.

The division provides a full range of outpatient and inpatient services. The department treats patients of all age groups and provides comprehensive pathological, functional and cosmetic surgical services to the patients. We collaborate with other specialities when needed.

What is Oral and Maxillofacial Surgery?

Oral and Maxillofacial Surgery refers to a surgical specialty that involves the diagnosis, surgery, and treatment of diseases, injuries, and defects affecting the head, neck, face, jaws, and oral cavity.

Oral and Maxillofacial Surgery (OMFS) is a recognised specialty in dentistry and requires additional years of specialised training beyond dental school. OMFS surgeons are trained to perform a wide range of surgeries, including tooth extractions, corrective jaw surgery, dental implant placement, and treatment of facial trauma. They may also work with other medical specialties to treat more complex cases.

Common procedures

There are certain procedures that are frequently performed by dentists and oral surgeons. These procedures range from routine wisdom teeth extractions to more complex jaw and facial surgeries. Here’s a breakdown of some common procedures you may encounter.

Wisdom teeth extraction
This is a routine procedure where the third molars (wisdom teeth) are removed to prevent overcrowding, infection, and other complications.
Dental implants
This is a surgical procedure where artificial tooth roots are positioned in the jawbone to support replacement teeth.
Jaw surgery
This is performed to correct abnormalities or misalignments in the jaw, which can cause pain, difficulty chewing or speaking, and other issues.
Facial trauma surgery
This procedure is typically performed following facial injuries caused by accidents, falls, or other trauma. It may include repairing fractures, lacerations, or other damage to the facial bones or soft tissue.

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Benefits of Oral and Maxillofacial Surgery

Improved oral health: OMFS can treat a range of oral issues such as impacted teeth, jaw misalignment, and gum disease. By addressing these issues, patients can enjoy better oral health and a reduced risk of future problems.
Improved overall health: OMFS can help treat conditions that may affect other parts of the body.
Enhanced appearance: OMFS can also improve the appearance of the face and jaw, leading to increased confidence and self-esteem.
Increased self-esteem: In addition to the benefits already mentioned, OMFS can help with issues such as facial trauma and reconstructive surgery, further improving self-esteem.
Other benefits: These include improved ability to speak and eat comfortably, as well as relief from chronic pain or discomfort. By addressing both functional and aesthetic concerns, OMFS offers a comprehensive approach to improving oral and overall health.

Pre and post-procedure care

Before your Oral and Maxillofacial Surgery, your surgeon will likely provide you with specific instructions to follow in the days leading up to your procedure. This may include recommendations on what to eat or drink, as well as guidelines on medications you should avoid.

After your surgery, it’s important to take good care of yourself in order to promote healing and prevent complications. You may need to rest, avoid certain foods, and take pain medication as prescribed by your surgeon.

Risks and complications

Bleeding
It is a common risk associated with any surgery. Here, it can be particularly problematic because of the abundance of blood vessels in the mouth and face.
Infection
It can occur if bacteria get into the surgical site. Symptoms of infection include fever, swelling, and redness around the surgical area.
Swelling
It’s a normal part of the healing process after surgery. However, excessive swelling can cause discomfort and difficulty eating or speaking.
Bruising
It can occur after surgery due to the disruption of blood vessels. It typically resolves on its own within a few days to a week.

Numbness
It can occur if nerves are damaged during the surgery.
Pain
Pain after surgery is normal and can be managed with medication. However, severe or prolonged pain may be a sign of complications.
Damage to teeth, nerves, or sinuses
During surgery, there is a risk of damage to nearby teeth, nerves, or sinuses. This can lead to additional procedures to correct the damage.
Anaesthesia complications
Anaesthesia is generally safe, but there is always a small risk of complications, such as an allergic reaction or respiratory problems.
Difficulty opening mouth
After some Oral and Maxillofacial surgeries, patients may have difficulty opening their mouths due to swelling or muscle stiffness.
Scarring
While most surgical scars are small and heal well, some patients may develop noticeable scars after Oral and Maxillofacial Surgery. It is important to discuss any concerns about scarring with your surgeon before the procedure.

Oral Medicine

Oral Manifestations of Systemic Diseases	Oral Diagnosis	Oral Health Screening	Mucosal Disorders	Oral Ulcers
Red and White Lesions	Premalignant Disease	Oral Surgery	Oral Biopsy	Surgical Extraction of Teeth
Surgical Extraction of Wisdom Teeth / Third Molars	Surgical Exposure of Impacted Teeth	Peri Apical Infections and Pathology	Frenectomy	Oro Antral Fistula Repair
Transplantation of Teeth	Removal or Reduction of Tori	Alveoloplasty	Genial Tubercle Reduction	Pre-prosthetic Surgery
Mylohyoid Ridge Reduction	Vestibuloplast	Ridge Augmentation	Ridge Reduction	Bone Grafts

Peri-Implant Surgery

Osseointegrated Implants	Dental Implants	Sinus Lift Procedures	Soft Tissue Procedures in Implant Therapy
Zygoma Implants	Maxillofacial Implants	Bone Grafting	Facial Pain
Dental Pain	Atypical Facial Pain	Myofacial Pain Dysfunction Syndrome	Trigeminal Neuralgia

Odontogenic / Head and Neck Infections

Dental Infections	Periapical Infections	Fascial Space Infections
Ludwig’s Angina	Necrotizing Fasciitis	Osteomyelitis
Osteonecrosis	Osteoradionecrosis	Medication Related Osteonecrosis of the Jaw (MRONJ / BRONJ)

Cysts and Tumors

Radicular Cyst	Developmental Cysts	Odontogenic Keratocyst
Aneurysmal Bone Cyst	Stafne Cyst	Ameloblastoma
Dentigerous Cyst	Benign Fibro-osseous Disease	Giant Cell Lesions
Vascular Malformations	Neurogenic Tumors

Cranio Maxillo Facial Trauma

Contusions, Lacerations, Avulsive Injuries	Bite Injuries	Parotid Duct Injuries	Gun Shot Injuries
Dentoalveolar Fractures	Maxillary Fractures	Mandibular Fractures	Nasal Fractures
Zygoma Fractures	Orbital Fractures	Frontal Sinus Fractures	Naso Orbito Ethmoid Complex Fractures
Pan Facial Fractures	Skull Fractures	Le Fort Fractures	Scar Revision
Post Traumatic Deformity	Mal-Union	Non-Union

Temporo Mandibular Joint Disorders

Temporo Mandibular Joint Dysfunction	Internal Derangement	Degenerative Joint Disease
Hypomobility and Hypermobility of TMJ	Diskoplexy	Arthroscopy
Arthrocentesis	Temporomandibular Joint Dislocation	Temporomandibular Joint Replacement

Salivary Gland Disorders

Dry Mouth	Mucocele	Ranula
Benign Salivary Gland Lesions	Malignant Salivary Gland Lesions	Sialoliths
Salivary Gland Infections	Sjogren’s Syndrome

Facial Deformity

Maxillary Osteotomy	Mandibular Osteotomy	Genioplasty
Facial Asymmetry	Orthomorphic Surgery

Congenital Malformations

Vascular Malformations	Cystic Hygroma
Thyroglossal Duct Cyst

Oral Cancer

Lip Cancer	Tongue Cancer
Buccal Mucosa Cancer	Alveolar Cancer
Floor of the Mouth Cancer	Maxillary Sinus Cancer

Obstructive Sleep Apnea

Genial Advancement

Mandibular Advancement

Maxillomandibular Advancement

Maxillofacial Reconstruction

Soft Tissue Reconstruction	Bone Reconstruction	Local Flaps
Distant Flaps	Bone Grafts	Microvascular Reconstruction
Free Flaps

Aesthetic Facial Surgery

Facial Cancers	Scar Revision	Facial Implants
Blepharoplasty	Brow Lift	Face Lift
Rhinoplasty	Otoplasty	Injectable Cosmetics

Surgical Procedures

Oral Surgery	Maxillofacial Implant Surgery	Craniomaxillofacial Trauma Surgery	Orthognathic Surgery
Salivary Gland Surgery	Temporomandibular Joint Surgery	Oral Cancer Surgery	Maxillofacial Reconstruction
Obstructive Sleep Apnea Surgery	Aesthetic Facial Surgery

Treatments & Procedures

Aesthetic Facial Surgery	Congenital Malformations	Cranio Maxillo Facial Trauma	Cysts and Tumors
Facial Deformity	Facial Pain	Obstructive Sleep Apnea	Odontogenic / Head and Neck Infections
Oral Cancer	Oral Medicine	Peri-Implant Surgery	Reconstruction
Salivary Gland Disorders	Temporo Mandibular Joint Conditions	Jaws Misalignment	Tooth Misalignment
Cleft Lip	Maxillofacial Trauma	Corrective jaw surgery	Cosmetic Dental Surgery
Ridge Expansion	Sinus Lift	Alveolar bone grafts	Frenulectomy
Maxillofacial Surgery

FAQs

What kind of anaesthesia is used during Oral and Maxillofacial Surgery?

Depending on the procedure, various forms of anaesthesia may be used, such as local anaesthesia, general anaesthesia, or sedation.

How long does it take to recover from Oral and Maxillofacial Surgery?

Most patients can return to work or school within a few days to a week. Full recovery can take several weeks to several months.

Can I eat or drink before Oral and Maxillofacial Surgery?

Yes, you will receive specific instructions from your surgeon regarding eating and drinking before surgery. It is important to follow these instructions to avoid complications during and after the surgery.

What should I do if I experience complications after my surgery?

Contact your doctor immediately if you experience bleeding, fever, or severe pain. Follow all post-operative instructions carefully to promote healing and reduce the risk of complications.

Can Oral and Maxillofacial Surgery fix my jaw alignment issues?

Oral and Maxillofacial Surgery can definitely help fix jaw alignment issues. Your surgeon will evaluate your condition and recommend the best treatment plan for you.

How soon after Oral and Maxillofacial Surgery can I resume my normal activities?

It usually depends on the extent of the surgery, but it is important to avoid strenuous activities or heavy lifting for several days after the procedure.

Are there any dietary restrictions following Oral and Maxillofacial Surgery?

Yes, there may be some dietary restrictions following Oral and Maxillofacial Surgery.

What can I do to minimise swelling and bruising after Oral and Maxillofacial Surgery?

To minimise swelling and bruising after Oral and Maxillofacial Surgery, you can apply ice packs to the affected areas for the first 48-72 hours after the surgery. Your surgeon may also prescribe medication to manage swelling and pain.