In BIMS hospital, Oral and maxillofacial surgery department is very well developed and mainly focused on facial reconstructive surgery, facial trauma surgery, and dental procedures involving like jawbone (Like wisdom tooth extractions and dental implants).
Some people regard oral and maxillofacial surgery as an “upgraded” form of dental surgery, but the practice extends far beyond what a dentist can perform.
WHO IS AN ORAL AND MAXILLOFACIAL SURGEON?
Oral and maxillofacial surgeons combine their expertise in dentistry, surgery, and anaesthesia to treat a variety of diseases and conditions.
WHEN SHOULD YOU SEE AND ORAL AND MAXILLOFACIAL SURGEON?
Consider seeking care from an experienced oral and maxillofacial surgeon as recommended by your dentist or healthcare provider. Oral and maxillofacial surgeons care for people with these symptoms or conditions affecting the mouth, teeth, gums, jaw and face:
- Ear ache, headache and jaw pain
- Impacted wisdom teeth
- Inflammation or swelling
- Jaw cracking or grinding
- Lumps, growths, and masses
- Missing teeth
- Poor sleeping associated with snoring or interrupted breathing
- Protruding chin
- Trauma or injury to the mouth, teeth, jaw and facial area
WHAT CONDITIONS AND DISEASES DOES AN ORAL AND MAXILLOFACIAL SURGEON TREAT?
- The wisdom tooth usually erupts in oral cavity between the age of 18-25 years and because of lack of enough space in jaw, it lends up being impacted in
- This condition leads to reduced mouth opening, continuous throbbing pain in the localized area of jaw bone and TMJ bone and tingling sensation in ears.
- Sometimes the long lasting impacted wisdom tooth leads to residual cyst formations and tumors, thus it should be pulled out at its earliest.
Its a fluid filled cavity developing inside the jaw in relation to erupting teeth , it can be developmental , traumatic and due to any bacterial or fungal infection.
MAXILLARY SINUS PATHOLOGY
Maxillary sinusitis is the result of some infection or inflammation caused by some virus, bacteria or fungus.
FACIAL AND ORAL DEFECTS AND DEFORMITIES
Including cleft lip and palate
FACIAL PAIN DISORDERS
Including pain caused by infection, jaw problems, tumors, nerve disease, and systemic disease.
CORRECTING JAW (ORGHOGNATHIC) SURGERY
- Removing bone in the upper jaw to correct open.
- Moving the lower jaw back to correct a protruding lower jaw.
- Moving the lower jaw forward to correct a recessed lower jaw.
COSMETIC SURGICAL TREATMENTS
- Including facial contouring surgery, neck fat removal, chin augmentation, blepharoplasty (eyelid surgery).
– SALIVARY GLAND SURGERY
- Including submandibular gland removal, parotidectomy, and sublingual gland
– PREPROSTHETIC SURGERY
- To prepare the mouth for dentures or other prosthetic.
- These surgeries include bone smoothing and reshaping; removal of excess bone; bone ridge reduction; removal of excess gum issue; and skin, bone or gum grafting.
– MAXILLOMANDIBULAR OSTEOTOMY
- Surgical excision of outgrowth of any suspected lesion for the diagnosis of oral.
Surgical removal of abnormal growths and masses, both malignant and benign.
– MICROVASCULAR RECONSTRUCTIVE SURGERY
- Used to reroute blood vessels after the removal of a tumor in people with head and neck cancer.
– FACIAL TRAUMA TREATMENTS
- Road accidents, injury due to fall or fight situations, include treatment of facial fractures, cuts and
– MAXILLOFACIAL TRAUMA
- Due to accidents, injury or due to any type of fall when there is fracture of mandible or maxilla , it needs to be immobilized in regard to repair it by doing intermaxillary fixation and plating of the jaw bones.
– INTERMAXILLARY FIXATION
- The jaw is immobilized by fixing arch bars and wires from 15 to 1.5 months.
- When fracture is more displaced or deviated it needs to be fixed by plating .
GUN SHOT INJURY:
- A gunshot wound is a physical trauma caused by a projectile from a firearm.
- Major gunshot trauma surgeries are operated by oral and maxillofacial surgeon at BIMS.
- Including dental, oral, and craniofacial implants.
TEMPOROMANDIBULAR JOINT (TMJ) DISORDER
- Temporomandibular joint surgery is performed to correct the painful jaw conditions. including disc repositioning, discectomy, joint recountouring, and partial or total jaw joint replacement.
- When the TM joint pain persists for the long time, a needle is injected inside the joint to inject the fluid that lubricates the joint and reduces friction to relieve.
- In this procedure a scope is inserted to look at your joint cavity which includes disc , muscles, and condyle of mandible to remove scar tissue and smoothen the bone.
- It is an open joint surgery which is performed to repair structural problems and disc surgery.
- For the treatment of severe TMJ disorder, implants can be surgically placed in the jaw to replace either part or all the temporomandibular joint.
- This approach is intended for people who have severe pain or extremely limited function and have not responded to other treatments.
ORAL SUBMUCOUS FIBROSIS (OSMF)
- Oral Sub mucous Fibrosis is a condition characterized by stiffness of oral cavity or inability to open the mouth or inability to eat.
- Burning sensation in oral mucosa, progressive restriction in mouth opening, blanching of the mucosa, depapillation of the tongue and loss of pigmentation are other classic features.
- This condition can be corrected by operating the patients by removing all the stiffed muscles and grafting it with nasolabial flap by oral and maxillofacial surgeon.
- This is called the mouth opening surgery, frequently operated at BIMS by one of the oral and maxillofacial surgeon of the state.
- This mouth opening surgery is a major surgery where the intraoral fibrosed, stiffed muscles are removed and the skin from outer side of the face is grafted inside the oral cavity, followed by harsh mouth opening exercises to be done by patients for over a period of time.
- More than 150 mouth opening surgeries are done by oral and maxillofacial surgeon Dr.Hiren Dungrani at BIMS.
- Mucormycosis is a type of fungal infection. It’s relatively rare, but these days it is majorly seen in post covid-19 patients.
- Signs and symptoms of mucormycosis are diffuse pain in jaw and outer side of face, Mobility of teeth, Swelling and pus discharge on gums and palete and sometimes on lower jaw.
TREATMENT OF MUCORMYCOSIS
- Treatment of mucormycosis needs to be fast and aggressive.
- Most patients will require both surgical and medical treatments.
- Aggressive surgical debridement of the infected area followed by antifungal medications.
- Recently at BIMS, during post COVID-19 mucormycosis condition, our oral and maxillofacial surgeon and its team had operated many mucormycosis patients with a remarkable success rate.