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Oral and Maxillofacial Surgery |
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Removal of impacted teeth, surgical corrections of jaw related defects.
Oral and Maxillofacial Surgery is surgery to correct a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region.
Surgical procedures
Treatments may be performed on the mouth, jaws, face, and/or neck, and include:
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Dentoalveolar surgery (surgery to remove impacted teeth, difficult tooth extractions, extractions on medically compromised patients, or preprosthetic surgery to provide better anatomy for the placement of dentures or other dental prostheses) |
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Diagnosis and treatment of benign pathology of the region (cysts, tumors etc.) |
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Diagnosis and treatment of malignant pathology of the region (oral, head, and neck cancer) |
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Diagnosis and treatment of congenital malformations such as cleft lip and palate and cranial vault malformations such as craniosynostosis |
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Diagnosis and treatment of chronic facial pain disorders |
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Diagnosis and treatment of temporomandibular joint (TMJ) disorders |
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Diagnosis and treatment of dysgnathia (incorrect bite), and orthognathic (literally "straight bite") reconstructive surgery |
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Diagnosis and treatment of soft and hard tissue trauma of the oral and maxillofacial region (jaw fractures, cheek bone fractures, nasal fractures, frontal bone fractures and eye socket fractures |
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Diagnosis and treatment of cutaneous malignancy (skin cancer surgery on the head and neck) |
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Surgery to insert osseointegrated (bone fused) dental implants |
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Cosmetic surgery limited to the head and neck |
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Splint and surgical treatment of sleep apnea (in conjunction with sleep labs or physicians) |
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| ORTHOGNATHIC SURGERY |
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What is orthognathic surgery?
Orthognathic surgery is surgery performed on the bones of the jaws to change their positions. Orthognathic surgery is corrective facial surgery where deformities of the jaw exist. It may be indicated for functional, cosmetic, or health reasons. It is surgery commonly done on the jaws in conjunction with orthodontic treatment, which straightens the teeth.
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Who need orthognathic surgery?
Facial imbalances are often present and sometimes recognized by the untrained eye. People with large jaws, or chins, or small jaws or chins, teeth which don't fit together, eyeballs which appear bulging, and flat cheekbones are examples of facial characteristics, which require may be improved by orthognathic surgery. |
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How long does recovery last?
Orthognathic surgery Surgery usually lasts three to four hours during which time you will be completely asleep. While you are asleep, incisions are made on the inside of your mouth to expose the bones to be cut. The procedures are then carried out. Screws are used to hold the bones and the teeth are not usually wired together at all. The incisions are closed with sutures, and you are ready for recovery. |
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| Orthognathic Surgery Case Examples : |
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Jaws Not Coming Together
The Patient had a skeletal problem where his front jaws would not come together, as well as his teeth. Left untreated, this condition can pose strains on the jaw joint and make chewing difficult. He also desired having his weak chin improved to balance the facial profile.
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After his surgery there was a cosmetic improvement and his teeth fit nicely together. |
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| Large Lower Jaw |
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This patient was interested in obtaining jaws and teeth that worked, and she was also interested in the cosmetic gains for her face. |
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Her lower jaw was set back with a slight lengthening of the chin. Her upper jaw was advanced, and she had cheekbone implant grafts placed to obtain her modelesque results. |
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| Small Lower Jaw |
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This patient needed to have her lower jaw advanced in order for the orthodontist to get her teeth to fit together to improve health, and function, as well as esthetics. |
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After her surgery to lengthen the jaw the objectives were achieved. |
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| Small Upper Jaw |
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Crystal needed to have her upper jaw brought forward so the teeth would meet, and so that she could chew. |
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After bringing the upper jaw down and forward her teeth fit together and there was a secondary significant gain in her appearance. |
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