Oral and maxillofacial surgery is the specialty providing care to the patients that require treatment with regards to impacted wisdom teeth, cleft lip and palate, facial reconstruction, trauma to the facial structures, cysts and tumours in the facial region, and also facial cosmetic surgeries.
We at Shams Dental Clinic have oral and maxillofacial surgeons who are highly trained and come with rich experience of managing and treating these complex conditions affecting the head and neck region using the state of the art diagnostic and surgical equipment.
We use 3D CBCT scan to diagnose the cases that require oral surgeries.
It is recommended that one should remove their wisdom tooth as soon as it starts to create problems, especially if the dentist suggests that the tooth might create complications in the longer run. Another important factor to be considered is the position of the wisdom teeth in relation to the adjacent structures. If they are out of arch or are causing cheek bite and other related problems they should be extracted. Lastly the most important factor is when it is decayed or there is peri apical infection around the tooth.
Most of the procedures are performed under local anaesthesia. The area to be operated on is completely numb. General anaesthesia or conscious sedation is also sometimes used depending on the requirement of the case.
One should expect pain, discomfort or a slight swelling in the operated region. This usually starts subsiding after the first 3 days. In some cases tenderness can last upto 7 to 10 days. Painkillers are prescribed after the procedure which takes care of the pain and inflammation. For the first few days after the procedure, it is advised to limit any kind of strenuous activity. Smoking is never recommended, but if the patient is a smoker we recommend they refrain from smoking at least 72 hours or 3 days after their surgery.The surgeon gives a detailed list of post operative instructions to be followed which aids in faster and smooth healing.
Orthognathic surgeries are performed to correct skeletal deformities. If there is an underbite or an open bite or any kind of malocclusion due to the skeletal malformation, it cannot be corrected by orthodontic braces alone. A surgery is required to align the facial bones to aid in achieving correct occlusion. It results in overall improvement of health with improved facial appearance and speech.
Uncontrolled diabetes is a major limiting condition before any surgical procedure. Diabetes should be under control with the required medications. Hypertension should also be controlled before any surgery. If the patient is on blood thinners, the dose of those medications might have to be altered before surgery, after consultation with your general practitioner.
It is advisable to have your meal before surgery since after the surgery and under local anaesthesia it is difficult to chew and mostly the patient is advised to follow a liquid diet. If you are under medications you need to inform the surgeon beforehand as the dosage of some medications have to be altered before surgery. You should also inform your surgeon, if you are allergic to certain medication or anaesthesia.
The infection around the apices of the teeth can spread to the adjacent spaces. It can also damage the surrounding gums and bones. In some instances, although rare, it can lead to formation of cysts or cause space infection and sepsis.