Oral and Maxillofacial surgery is used to treat many diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral (mouth) and Cranio-maxillofacial (jaws and face) region. It is an internationally recognised surgical specialty.
Our oral surgery services include
- Extraction of wisdom teeth
- Dental implants
- Treatment of Temporomandibular Joint problems
- Sinus lifts
- Facial pain
- Facial skin lesions and cancer
- Oral mucosal conditions
- Dento-alveolar surgery
- Cancer of the head and neck
- Facial injuries and the management of post-traumatic facial deformity
Extraction of Wisdom Teeth
Wisdom teeth are the molar teeth that grow at the back of your mouth, and usually come through between 18 to 24 years of age. Some people never develop wisdom teeth, others have up to four– one in each back corner of the mouth. Wisdom teeth do not usually cause problems but if there is not enough space for them to grow they can cause pain, swelling, infection or damage to other teeth. Surgical removal (extraction) of one or more wisdom teeth can help to resolve these problems.
Normally, teeth are extracted by loosening them with surgical instruments until they can be lifted out of the socket. However, different techniques are frequently used to remove wisdom teeth, particularly those in the lower jaw. This is because lower wisdom teeth are often partially buried by bone and gum. Once the anaesthetic has taken effect, your surgeon will usually make a small cut in the gum over the wisdom tooth, and remove some bone so that the tooth can be lifted out. The cut is closed with stitches.
Following the operation, you may have occasional bleeding from the gums, lasting 12 hours or more. You may also have some facial swelling, jaw stiffness, bruising and pain for up to two weeks. A patient information sheet will be provided prior to any surgery to fully explain the procedure and any potential risks.
Dental implants are metal anchors put inside the jawbone underneath the gumline. Small posts are attached to the implants, and artificial teeth or dentures are fastened to the posts. Most patients need two surgical procedures to install the implants. The first procedure involves drilling small holes into the jawbone and placing the anchors. A temporary denture may be worn for a few months while the anchors bond with the jawbone and the gums and bone heal. The second procedure will uncover the implants to allow for attachment of the posts. After the posts are in place, the replacement teeth, in the form of a fixed or removable bridgework or denture, are fastened to the posts. Depending upon the condition of the mouth, bone grafting or guided tissue regeneration may also be necessary to install the anchors and posts. The potential benefits of this procedure include the replacement of missing natural teeth or supporting dentures. For more information on Dental Implants click here.
When a tooth is badly decayed, has a large filling or receives a blow, for example, in an accident, the soft tissues within it (the pulp) may die. This dead tissue must be removed to prevent infection and this is undertaken by a procedure called root canal treatment. Sometimes, this treatment is unsuccessful or not possible and the infection persists at the tip of the root. This may sometimes cause pain and may also result in discharge of pus from the gum above the tooth which is sometimes called a gumboil.
An apicectomy is the operation designed to remove this infected part of the root tip. It gives an alternative to having the tooth extracted or where it will prove difficult to try and redo the root filling. It is a minor surgical procedure to remove the top of the root of a dead tooth and then seal the end with a filling.
A sinus lift is surgery that adds bone to your upper jaw in the area of your molars and premolars. It’s sometimes called a sinus augmentation. The bone is added between your jaw and the maxillary sinuses, which are on either side of your nose. To make room for the bone, the sinus membrane has to be moved upward, or “lifted.” A sinus lift is done when there is not enough bone height in the upper jaw, or the sinuses are too close to the jaw, for dental implants to be placed.