Oral & MaxilloFacial Surgery

An attractive smile makes a lasting impression!

Oral & Maxillofacial Surgery

Oral and maxillofacial surgery is the speciality of dentistry that focusses on the reconstructive surgery of the face, facial trauma surgery, the head, neck, oral cavity, mouth and jaws, as well as facial cosmetic surgery.

Many oral surgery procedures are common and treat conditions that many people experience, such as tooth loss, impacted wisdom teeth, or sleep apnea. Many of these procedures are completed in a few hours’ time and patients can resume work or normal activities within a few days.

TOOTH EXTRACTIONS

EXTRACTION / IMPACTION

Oral and maxillofacial surgery is the speciality of dentistry that focusses on the reconstructive surgery of the face, facial trauma surgery, the head, neck, oral cavity, mouth and jaws, as well as facial cosmetic surgery.

Many oral surgery procedures are common and treat conditions that many people experience, such as tooth loss, impacted wisdom teeth, or sleep apnea. Many of these procedures are completed in a few hours’ time and patients can resume work or normal activities within a few days.

When is extraction necessary?

This happens when tooth decay reaches the centre of the tooth which i.e., the pulp, causing an infection. A root canal procedure (RCT) can help remove the infection. However, if the infection is severe and the tooth cannot be saved, an extraction will prevent the infection from spreading any further.

Periodontal disease also known as periodontitis is a serious gum infection caused by accumulation of bacteria on the teeth and gums over a long period of time. Periodontal disease can be easily prevented by regularly brushing your teeth in the correct way and routine visits to the dentist. Periodontal disease loosens the teeth; therefore, it is best to extract those teeth.

An impacted tooth is a tooth that is blocked from coming out through the gum line and grow in its position on its own, common in the case of wisdom teeth. Extraction of the impacted tooth is recommended by your dentist to prevent any damage to other teeth.

This is recommended when the patient has to undergo an orthodontic treatment and the orthodontist wants to create room for the teeth to move and realign.

When a person experiences an accident, the first option is to save the teeth using veneers, crown and dentures. In situations where the teeth cannot be saved, extraction is the way out.

STEPS OF EXTRACTION / IMPACTION

1
NUMBING YOUR TOOTH
The oral surgeon anaesthetises the tooth, gum and bone tissues surrounding the tooth that is to be extracted.
2
EXTRACTION OF TOOTH
An instrument called forceps are used to grab the tooth and rock it forward and backwards against the socket walls so that the roots disconnect from the connecting tissues. You will feel pressure but no pain.
3
CLOSING THE SPACE VACATED
After the tooth is extracted the oral surgeon will remove any underlying infection, irrigate the socket and give sutures.
4
CONTROL BLEEDING
A clot forms in the socket of the tooth which is extracted. A folded gauze is then placed over the site of tooth extraction and you must bite down on it to create firm pressure, which will control bleeding. No speaking, sucking or spitting allowed for at least 45 minutes.
5
POST OPERATIVE CARE
Once the extraction is completed, healing takes place. This usually takes a few days.

COMMON MYTHS RELATED TO EXTRACTION

While it is advised to extract your wisdom teeth since they do not serve any significant purpose, you might need to extract any tooth for several reasons. For example, your dentist may recommend you to extract a tooth that cannot be saved through an RCT procedure.

Many people confuse pressure with pain. What you might be feeling is the pressure induced by rocking the tooth back and forth to loosen the tooth from the socket.

An extracted tooth must be replaced to avoid further dental complications. Replacing your missing teeth ensures your other teeth remain in their assigned position, your oral cavity is healthy and your face shape does not change dramatically.

Extractions do not cause loss of eyesight or hearing. Extractions are mere removal of infected teeth and tissues. If your oral surgeon knows of any complications that might occur in your case, you will be informed accordingly.

Wisdom Teeth

Wisdom teeth often known as third molars grow in people between the ages of 17 and 21. Instances of eruption in late adulthood are even common. There are 4 sets of wisdom teeth.

 

WHAT PROBLEMS CAN A WISDOM TOOTH CAUSE?

Impacted wisdom teeth i.e. when the teeth do not erupt completely through the gum line can cause several problems such as:

  • Cleaning issues
  • Pain
  • Decay and cysts
  • Increased risks of infections

WHEN SHOULD YOU GET YOUR WISDOM TEETH EXTRACTED?

  • When they cause you pain
  • When it leads to bad breath and taste 
  • When the swelling and tenderness causes infections.

 

THE PROCEDURE FOR WISDOM TEETH REMOVAL

It is easy to extract wisdom tooth if it is fully erupted. However, if the tooth is impacted then it will require an incision in the gums. Usually, the tooth is extracted in parts to minimize the amount of bone required to be extracted for tooth removal.

 

POST WISDOM TEETH REMOVAL INSTRUCTIONS

  • Avoid vigorous rinsing and touching the area
  • If you start feeling discomfort, take the prescribed medicines
  • A certain amount of bleeding is expected, however, if the bleeding exceeds then visit your dentist immediately
  • Swelling around mouth and cheeks is common for a couple of days
  • Follow a liquid diet for a few days. Avoid the use of straw

Frequently Asked Questions

It depends on how they have erupted and grown. In case of overcrowding and impaction, the wisdom teeth need to be removed. If they have grown without any hassle, then there is no need.

Yes, the dentist will put you on local anaesthesia before the wisdom tooth extraction.

Pain may last for at most a couple of days. You should take all the necessary precautions as suggested by the surgeon.

ORAL CANCER

Oral or mouth cancer develops in the tissues of the mouth and throat. It may develop on the tongue, inner cheeks, under the tongue, and back of the tongue and area of the throat.

  • Alcohol and tobacco consumption
  • Infections, especial Human Papilomavirus (HPV)
  • Risk increases with age
  • Excessive exposure to sunlight

It is important to note that oral cancer can also affect non-smokers and drinkers.

It is important to detect oral cancer in the early stages, since it can spread fast. Many dentists conduct the oral cancer examination during your regular dental check-up. He will carefully examine the roof and floor of your mouth, the entire tongue, gums and cheeks. In case the doctor finds any suspicious tumours or growth they will conduct a brush or tissue biopsy.

  • Avoid alcohol and tobacco consumption.
  • Eat healthy and well-balanced meals
  • Limit your exposure to the sun. Use UV-A/B-blocking sunscreen lotion on your skin, as well as your lips.
  • Conduct a self-exam at least once a month.
  • Visit your dentist regularly

tongue tie

Tongue tie is a condition that restricts the motion of the tongue. This happens when the lingual frenulum, a thin strip of tissue that connect the tongue and the floor of the mouth is shorter than usual. In normal conditions, the lingual frenulum will be pushed to the middle of the bottom of the tongue.

SYMPTOMS OF TONGUE TIE

  • Speech impairment
  • Difficulty in swallowing
  • Difficulty in whistling of playing wind instrument
  • Difficulty in touching the roof of your mouth.

HOW CAN YOU TREAT TONGUE TIE?

The condition often resolves itself. If not, it can be treated with surgery. A simple surgical procedure called a frenectomy can be done with or without anaesthesia by an oral & maxillofacial surgeon. Frenectomy can be achieved by routine scalpel technique, electrosurgery or CO2 laser.

Frequently Asked Questions

Dentists all over the world recommend that if your new born/child is truly tongue tied then the benefits of this simple surgery is justified and will provide life changing results

There is no way you can prevent your infant from developing a tongue tie. Proper and early diagnoses and treatment will lead to successful recovery.

It takes the surgeon approximately 10-15 minutes to perform this surgery on infants. Laser frenectomy takes much time than traditional surgery and also the recovery period is lesser.