Oral Maxillofacial Surgery

Oral Maxillofacial Surgery treats a variety of diseases, injuries, and defects in the head, neck, jaw, as well as hard and soft tissues of the oral (mouth) and Cranio-maxillofacial (jaws and face) region.

Patient safety is always our priority, prior to any treatment, our oral surgeon will ensure each patient are healthy enough to undergo surgery as well as general anesthesia. It is important and mandatory to disclose full medical history especially chronic conditions, such as high blood pressure, diabetes, lung disease, and heart disease and mentioning any prescription medication, vitamin or mineral supplements you are taking prior to surgery.

Our surgeons are dedicated to treating each patient with great care, ensuring procedures are as comfortable and pain-free as possible.

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Apex Resection

Root apex resection is a procedure intended to remove the unhealthy tip of the tooth root with the surrounding abnormal tissue, when conventional endodontic treatment is powerless, not sufficient to save the infected tooth or no longer possible.

Root apex resection is performed under local anesthesia, so the patient does not feel any pain. The stitches of the plague are done with non-absorbent sutures which will be removed after 6-7 days. After the resection, the teeth will be protected for a period by avoiding tough foods and increased mastication effort. Following the surgery, our oral and maxillofacial surgeon will prescribe antibiotics and painkillers to ensure the proper healing process.

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Cysts and Tumors

A cyst is a sac or pouch that contain fluid and lined with a kind of tissue called epithelium. A cyst is non-cancerous lesion. Oral cysts can be found in the jawbone, or in soft tissues such as the salivary glands, skin or inside the mouth. Sometimes a cyst in the jawbone is lined with epithelium that normally forms teeth, called an odontogenic cyst.

The most common cyst found in the mouth is the apical periodontal cyst, which develops as a result of an infection in the tooth pulp, or nerve.

Although cancers can form cysts, most cysts are noncancerous (benign). A tumor is any abnormal mass of tissue or swelling. Like a cyst, a tumor, benign or cancerous (malignant), can form in any part of the body.

Should you find any uncommon manifestation appearing in the oral tissue, immediately consult your doctor for an appropriate treatment.

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Abscess

A dental abscess is a bacterial infection of the mouth that originates as a tooth infection or cavity and spreads to the surrounding tissue. Bacteria from dental caries may extend into the gums, the cheek, the throat, beneath the tongue, or even into the jaw or facial bones. As tissues become inflamed or due to the pressure within the abscess, a dental abscess might be very painful. A gum or gingival abscess is the result of infection or trauma to the surface of the gum tissue.

Dental abscesses are often painful, but sometimes it causes little or no pain. It is mandatory to remedy it, as abscesses do not go away on their own, can damage the surrounding bone as well as teeth, and eventually might spread to other parts of the body causing serious illnesses to other organs, including the heart. A large abscess are treated by draining away the pus that will help reducing the risk of further spread.

As with other conditions, the best way to prevent a development of dental abscesses is by taking good care of your teeth and gum: Cleaning your teeth and gums properly and regularly as well as consuming a healthy diet with less sugary foods and drinks, and limit between-meal snacks.

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Jaw Fracture

A jaw fracture is a common facial trauma that usually causing pain, swelling, bleeding, broken or missing teeth, difficulty in opening the mouth and speaking clearly. One might experience numbness, sunken eyeball, or double vision if the fracture are in the middle of the face. The physical examination involves a general inspection of the face for obvious deformity, fractures, bruising, or swelling. X-rays are taken or computed tomography (CT) is done to support diagnosis. Depending on the nature and location of the fracture, the fracture may have to be treated with surgery.

Some fractures do not require surgery and are best managed with diet changes and pain control. Jaw wires are usually left in place for 6 to 8 weeks. Small rubber bands (elastics) are used to hold the teeth together. Following surgery, the jaws may be immobilized but often for only a few days during which patients are recommended to eat only soft foods for several weeks. After a few weeks, some of the elastics are removed to allow motion and reduce joint stiffness.

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Odontectomy

Wisdom teeth are known to be the last teeth to erupt and oftentimes they may grow sideways, partially emerge from the gum, or even remain trapped beneath the gum and bone and knows as impacted teeth. When they are partially erupted, the opening around the tooth allows bacteria to grow and will eventually cause an infection resulting swelling, stiffness, pain and illness.

Odontectomy is the surgical removal of impacted tooth or tooth that fails to erupt into the dental arch within the expected time. With an oral examination and panoramic x-rays of the mouth revealing characteristics of the third molars or wisdom teeth, jawbone, and adjacent nerves, our surgeon can evaluate the position of the wisdom teeth and prescribe the appropriate treatment.

The procedure involves separating and opening the gums and removing the bone surrounding the tooth. The surgery is performed under appropriate anesthesia to maximize patient comfort and the patient discharged from the office within an hour. Analgesics may be prescribed to minimize post-operative discomfort.

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Orthognathic Surgery

This treatment is done by doing reposition either the upper, lower, or both jaws, in individuals who have a large discrepancy between the size of the jaws in relation to each other, or in whom the jaws are abnormally positioned in relation to the base of skull. It is performed in collaboration between an oral and maxillofacial surgeon and an orthodontist. Orthognatic surgery is a predictable treatment option to complex dental/facial problems to ensure the best possible results, both functionally and esthetically.

Orthognathic Surgery or Corrective Jaw Surgery is a procedure to reposition either the upper, lower, or both jaws, in individuals who have a large discrepancy between the size of the jaws in relation to each other. The treatment corrects a wide range of minor and major skeletal and dental irregularities including jaw and teeth misalignment, sleep apnea, TMJ disorders, malocclusion problems, or other orthodontic conditions that might not be easily treated with braces. Orthognathic surgery is a reliable solution to complex dental and facial problems to ensure the best possible results, both functionally and aesthetically.

The treatment, which might probably include orthodontics before and after surgery, may take several years to complete. When treatment is successfully done, it will dramatically improve chewing (mastication), speaking, breathing, even enhances patient’s appearance.

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Temporomandibular Joint Disorders

Temporomandibular Joint Disorders (TMD) , also refer as “myofascial pain disorder” is a problem affecting the ‘chewing’ muscles and the joints between the lower jaw and the base of the skull. The condition itself is not severe and in most cases, patients respond well to simple home remedies and relaxation techniques. However, these symptoms can significantly lower quality of life, and specialist treatment by oral and maxillofacial specialist might be required if they’re severe.