Among surgical specialties is oral and maxillofacial surgery. It emphasizes facial trauma surgery and reconstructive surgery of the face. The head and neck, jaws, mouth, and oral cavity were all treated by this surgical specialty. Additionally, it covers facial plastic and cosmetic surgery, including cleft lip and palate repair. The RCS Department of Oral and Facial Surgery is a cutting-edge division. Surgeons with extensive training and dedication run it. It comes with cutting-edge technology. The only surgical specialty that demands dual training in both medicine and dentistry is oral and maxillofacial surgery. The practice of maxillofacial surgery is a very uncommon specialty in Pakistan.
Responsibilities of Oral and Maxillofacial Surgeons:
Oral and maxillofacial surgery is a type of surgical specialty. It is devoted to the diagnosis and treatment of diseases affecting the mouth, jaws, face, and neck. This type of surgery is frequently viewed as the link between medicine and dentistry.
The Main Areas of Expertise in Oral and Maxillofacial Surgery:
One or more of the following specialized areas of oral and maxillofacial surgery are available for training and specialization by surgeons:
Head and neck cancer surgical treatment:
It involves the tumours being removed and then rebuilt. The transfer of microvascular free tissue is also a part of it.
Surgery for Craniofacial Facial Deformity:
It is the treatment of facial deformity, either congenital or acquired. used mainly to enhance orofacial function. But it’s also frequently done to overcome facial deformities and improve quality of life.
Oral & Maxillofacial:
This dental surgery (including implants) is being performed. Salivary glands, jaws, temporomandibular joints, and facial skin lesions are also included.
Dental implants are made up of titanium, and they act as artificial dental roots by anchoring the crowns. They do not damage adjacent teeth, maintain the shape and size of the jawbone in which they are placed, and if properly cared for, should last for a lifetime. We also perform advanced bone grafting in those cases, in which after dental loss, the jawbone is too deficient to support a dental implant. Complete dental rehabilitation of the upper jaw with 8 dental implants, in a patient with all upper teeth missing
It entails the diagnosis and treatment of medical conditions that manifest in the cervicofacial structures.
Correction of an asymmetric face
Modern jaw corrective surgical procedures allow one to correct asymmetries on the face by addressing the underlying bones which are at fault.
High and prominent cheekbones often signify beauty. When they are of smaller size and/or underdeveloped, cheekbone implants can be placed to augment cheek prominences. These procedures might or might not be done in conjunction with cheek fat removal.
Injury management for the craniofacial structures, soft and hard tissues.
The skin tends to lose its elasticity with age. In the eyelids, this results in excess skin, which forms folds in the upper lids. It also forms deeper creases in the lower lids. There may also be a loosening of the muscles in the lower eyelid. This allows fat from the eye socket to push forward and produce bags.
Cosmetic Surgery :
Surgery to enhance facial aesthetics and improve quality of life.
Chin Advancement / Recontouring / Reshaping
Chins can be smaller, or larger than normal. They might deviate towards one side. The chin is approached from within the mouth, and the chin is brought to its right position, and more aesthetic position and orientation and held in place with a metal implant. No scars are left on the face. A case of chin advancement, demonstrating the new aesthetic position of the chin and improvement in a double chin.
Cheek fat removal:
Sometimes the cheekbones are adequate in their size but the fat within the cheek does not allow the cheek contours to be appreciated fully. Through a minor surgical procedure, which is done from within the mouth, cheek fat pads are removed to give a more delineated appearance to the cheekbones.
Aesthetic dental treatment can be performed to correct minor flaws in a smile, tooth discolouration, replacement of missing teeth, minor spacing between teeth and an uneven gum line. Restorative dentists manage complex cases that would be difficult to manage in a general dental practice that includes, but are not limited to:
Contact thin veneers fitted directly without grinding, shaving or drilling. An excellent non-invasive option to correct chipped, discoloured and slightly misaligned teeth. First, we take a precise mould of your teeth to ensure Lumineers with an optimal fit
Using mould and shade, lumineers are fabricated and fitted in the second appointment painlessly
Composite Build-ups / Facings/ Fillings
We provide filling that match your tooth to ensure a natural look. Because composite fillings can be done in smaller preparations, less of your tooth structure is lost and less drilling is needed. Composites provide an extremely esthetic option for restoring decayed anterior and posterior teeth.
Esthetic Crowns & Bridges:
Replacement of missing teeth using esthetic bridges and restoration of badly broken teeth using metal-free esthetic crowns are an option which can fulfil all the demands of esthetic-conscious patients.
Treatment with braces is called Orthodontic treatment. About one-third of all children have a demonstrable need of orthodontic treatment and a further third are borderline cases. Braces are used for:
- Removal of dental crowding or closing spaces
- Alignment of the upper and lower dental arches
- Correction of the bite of the teeth so that the front teeth meet on closing and the back teeth mesh together
- Reducing the likelihood of damage to prominent teeth Enhancing facial aesthetics
- Accommodating impacted, unerupted or displaced teeth
- Preparation for advanced dental treatment, such as crowns, bridges or dental implants
- Reversing the drifting of the teeth in older patients who have suffered from advanced gum disease
What are the types?
There is now a wide choice of more discrete brace options for patients of all ages, including:
- Metal brackets – made with different metals having metallic colour
- Ceramic brackets – made in a white or tooth-coloured material
- Lingual braces – placed out of sight on the back of the teeth
- Aligners – removable clear plastic appliances which fit over the teeth and progressively move them to the desired position
Each option has its advantages and disadvantages and specialist advice is essential.
What are the advantages of Braces?
The benefits of orthodontic treatment can include the following:
- Correction of dental crowding and straightening of your teeth.
- Correction of your bite so that the front and back teeth meet together evenly on closing
- Reducing the likelihood of damage to prominent teeth.
- Improving your appearance, including your smile.
- The pictures below show the teeth of a patient before and after orthodontic treatment.
What is the time frame of treatment?
Treatment with braces may take between 6 – 30 months to complete, depending on your orthodontic problem. Very difficult problems may take longer
It is quite common that the basis for a large overbite or underbite is the size of the jaws and not limited to the teeth. For example, behind an underbite, the reason can be a large-sized lower jaw or a smaller-sized upper jaw. The correction would therefore require in addition to dental braces, surgical positioning of the upper and lower jaws to their right position and fixed with the use of special miniaturized titanium bone implants. This basically corrects overbite/underbite.
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