Oral and Maxillofacial Surgery


Oral and maxillofacial surgery covers the specialties related to the diagnosis and treatment of diseases affecting soft and hard tissues. Maxillofacial specialists provide diagnosis and treatment of craniofacial disorders, maxillofacial fractures, tumors of the mouth, face, head and neck, salivary glands, plastic surgery of the face, internal deformities of the face, and glandular diseases.

The major of oral surgery is one of the dentistry specializations which includes many accurate subspecialties including:

  • Teeth extraction and minor oral surgery like the extraction surgery of the wise teeth embedded under the bone
  • Treating the facial structure fractures resulted from accidents and other injuries.
  • Treating the inflammations resulted from dental problems like swelling of the face due to teeth abscesses formation.
  • Treating the cysts, tumors, and the tumors of the salivary glands in the oral and maxillofacial region
  • Orthognathic facial surgery: editing the jaw’s positions surgically with orthognathic surgery either through traditional methods or through bone lengthening.
  • Treating the congenital distortions in maxillofacial region like the cleft lip and the palate’s distortions.
  • Orthopedic and teeth implanting.
  • Jaw joint surgery.
  • Reconstructive surgery to compensate the missing tissues in the mouth, face, and jaws.
Wisdom teeth pain, wisdom teeth extraction, and treatment methods:

Wisdom teeth may be very disturbing while appearing in the mouth, and also painful sometimes.

Why wisdom teeth pains are very severe?

There are many reasons that make the emergence of the wisdom tooth very painful, the real reason for pain is the difficulty of the emergence of this tooth due to the lack of sufficient space in the jaw and because of its small volume in addition to teeth overlapping, therefore, the tooth can’t emerge or it emerges partially, the tooth may be incorrectly tilted what leads it to collide adjacent tooth while emerging.

How can we get rid of the wisdom tooth pains?

The pain resulting from the wisdom tooth emergence can usually be relieved with pain killers and the traditional anti-inflammatory drugs.

When does the wisdom tooth should be extracted?

If the tilt of the emerged tooth is incorrect or has no enough space for emergence partially or completely, then the tooth should be extracted.

If the embedded tooth forms a cyst around it, and started to damage the adjacent teeth, or started to absorb the surrounding bone.

Sometimes, the wisdom tooth extraction could be one of the good options for the dentist in the major of the orthognathic treatment, cause of the space the wisdom tooth offers when is extracted, which gives the dentist a larger space to move the teeth to their proper positions.

Oral ulcers and inflammations:

The oral ulcers and inflammations (stomatitis) vary in appearance and size, they can affect any part of the mouth, including the lips. The patient may suffer from swelling and redness in the liner of the mouth, or from individual and painful ulcers. The ulcer is an abrasion in the liner of the mouth caused by the destruction of the upper layer of the cells. Many ulcers may appear red; however, some ulcers may be white due to the dead cells and food residences that accumulate in the center of the ulcer.  Some ulcers are slightly raised and filled with a liquid (in this case they are called vesicles or bubbles according to their volume), in rare cases, the mouth may appear normal even though the patients have the symptoms of stomatitis (burning mouth syndrome).

The treatment of the jaws’ cysts and tooth’ abscess

What is the difference between dental cysts and abscesses?

Teeth cyst is surrounded with abnormal separate and non-infectious cells, where the teeth abscess is filled with pus and infections, it usually happens due to bacterial or fungal infection. The main difference between the symptoms of those two diseases is that the teeth' cyst grows slowly and it’s not usually painful unless it grows. Where the tooth's abscess occurs suddenly and it’s usually very painful. The teeth cyst is removed by making a small incision in it then cleaning and drying the remaining space. If the cyst is very large.

Jaws’ distortions treatment: the jaws distortions are from the subtle and multi effective distortions because their effects start from the inside of the mouth and extend to the external aesthetic appearance.

The jaw's distortions are internal and invisible distortions and are represented in malocclusion of the jaws on each other, which is reflected in the aesthetic consistency of the face.

There are several reasons for the distortion; Some are congenital and some are evolutionary.

Bone thickening surgeries (artificial bones formations)

Periodontal diseases, teeth extraction, and the frequent infections without treating them for a long period of time cause jaw bone erosion and a decrease in their volume. In the appropriate cases, the lost bone can be reconstructed, the same person’s bones (Autogenous bone graft), artificial bones, or bony membranes, can be used for this purpose, they are obtained from several sources (humans- animals) with the used grafts and membranes, the lost bone then is obtained and the jaw bone should be appropriate for the implanting treatment.

 

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