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Oral Dental & Maxillofacial Surgery

What Is Oral And Maxillofacial Surgery?

It is the branch of dentistry in which the diseases around mouth, teeth and jaw are diagnosed through the clinical and radiological examination, and are treated by using medicine and surgical methods.

What Do Oral And Maxillofacial Surgery Operations Include?

  • Tooth extraction
  • Wisdom Tooth extraction
  • Embedded dental surgery
  • Dental implant applications
  • Surgical treatment of mandibular fractures
  • Surgical treatment of jaw tumors
  • Treatment of abscesses and cysts that occur in the chin
  • PThe regulation of jaw tissues before dentures and orthodontic treatment
  • Stem cell PRP treatments
  • PRF applications
  • Surgical laser applications
  • Jaw joint treatment
  • Treating jaw disorders
  • Botox etc.

Advanced applications of dental implant surgery are also included in this section such as placing implants into jaw, planting bone grafts when there is insufficiency of necessary bones, which are used frequently in dentistry.

Another issue maxillofacial surgery deals with is congenital or acquired maxillo-facial malformation. Among these are frequently encountered lip and palate clefts, chewing malfunction and aesthetical deformity due to lower or upper jaw is positioned in forward or back. For this purpose, applications such as orthognathic surgery, osteotomy, distraction osteogenesis, hard tissue and soft tissue augmentations are applied.

Frequently asked Questions

What Is Oral And Maxillofacial Surgery?

It is the branch of dentistry in which the diseases around mouth, teeth and jaw are diagnosed through the clinical and radiological examination, and are treated by using medicine and surgical methods.

What Do Oral And Maxillofacial Surgery Operations Include?

  • Tooth extraction
  • Wisdom Tooth extraction
  • Embedded dental surgery
  • Dental implant applications
  • Surgical treatment of mandibular fractures
  • Surgical treatment of jaw tumors
  • Treatment of abscesses and cysts that occur in the chin
  • PThe regulation of jaw tissues before dentures and orthodontic treatment
  • Stem cell PRP treatments
  • PRF applications
  • Surgical laser applications
  • Jaw joint treatment
  • Treating jaw disorders
  • Botox etc.

Advanced applications of dental implant surgery are also included in this section such as placing implants into jaw, planting bone grafts when there is insufficiency of necessary bones, which are used frequently in dentistry.

Another issue maxillofacial surgery deals with is congenital or acquired maxillo-facial malformation. Among these are frequently encountered lip and palate clefts, chewing malfunction and aesthetical deformity due to lower or upper jaw is positioned in forward or back. For this purpose, applications such as orthognathic surgery, osteotomy, distraction osteogenesis, hard tissue and soft tissue augmentations are applied.

How To Diagnose In Oral And Maxillofacial Surgery?

Not only conventional diagnostic techniques such as X-ray can be used in maxillofacial surgery, but also advanced techniques are used to obtain a full-scale three-dimensional bone model of patients with the support of tomography.

Thanks to a definite diagnosis, a perfect surgery operations plan can be prepared. To succeed in diagnosis and treatment process, orthodontics and prosthetics specialists cooperate with dentists as multi disciplinary.

How Are Oral And Maxillofacial Surgery Operations Done?

Diagnosis and surgical treatment of all illness related to soft tissue (cheek, palate, tongue, lips etc.) and hard tissue (jaw, teeth, bones, jaw joint) located in the cavity are performed in the clinic or operating room environment by applying local anesthesia / general anesthesia or sedation.Patients may need to be kept under observation after major surgical operations in our room-on-lit for a few days.

What Are The Wisdom Teeth?

Wisdom teeth are the last teeth to emerge in the mouth. They are located at the end of the dental arches in the upper and lower jaws. They get this name because they usually appear in the mouth in the 20s.

Why Do Wisdom Teeth Stay Buried?

Most of us have had problems with wisdom teeth. Do wisdom teeth really remain embedded as a result of an evolutionary process as evolutionists claim? Or don’t you need them anymore? Why doesn’t my dentist want to pull out?

Famous orthodontist Raymond Begg, who investigated the sequences of tooth of Stone Age people in 1950s, announced that Australian natives who ate coarse and fibrous foods had the same dentition which rebuted phylogenetic evolution theory regarding wisdom teeth. Begg discovered that Stone Age people and today’s Australian natives had the same tooth series. Common features of the skulls of ancient times and those of modern Australian natives are that all had wisdom teeth smoothly and was no perplexity or cavity. So, what was the formula of having cavity-free white wisdom teeth with no problem?

First of all, I have to inform you that teeth are not adhered into the jawbone but they are attached to jawbone through thousands of fibers. Therefore, while chewing hard food, chewing forces are not transmitted directly to the bone. And thanks to fibers hanging tooth, they flex up and down, left and right a bit as a damper.

Dr. Beggar reported in his studies that teeth of both ancient people and Australian natives consuming rough and fibrous foods were more moving and flexible, and thus a gap was formed between two teeth as a result of degradation and the wisdom teeth coming from behind unearthed easily. It was also observed that there is no perplexity and they are lined up like pearls. Since teeth are formed more flat due to tooth decay and there is absence of residues of food in interface, no missing tooth has been observed.

So, why are our teeth crooked, decayed and our wisdom teeth embedded? The answer is simple: soft bread, meat cooked in the pressure cooker, cream cheese, etc. That means our teeth don’t work well since we consume soft and fabricated foods instead of natural-fiber foods. So, there is no need for the damper since we do not rub our teeth and there is no place behind for the wisdom teeth. This leads to the fact that the wisdom teeth disrupt the balance of the jaw, they cannot get out or get out more behind and needs being pulled out.

Do Wisdom Teeth Cause Joint Disorder?

When wisdom teeth are not pulled out, it may result in serious harm or joint problems. Furthermore, not being able to teethe or semi-tooth may harm the adjacent teeth.

Do Wisdom Teeth Cause Smell?

Wisdom teeth are located at the end of the mouth. Since they are in a region which is difficult to reach and see, it might be more difficult to brush and care them than the other teeth. Wisdom teeth may decay and lead to pain and bad breath easily due to insufficient tooth brushing. If some teeth have gum hood over, food residue accumulation and cyst formation are faster. As a result of bad smell in the mouth and forming cysts in the bone, maxillofacial surgery specialists want to extract this tooth as justified.

When And In What Circumstances Should Wisdom Teeth Be Extracted?

1. When it leads to orthodontic deformity and dental disorders.

2. When there is a cavity where treatment or root canal filling is difficult to make.

3. When there is pain or swelling./p>

4. In cases where the sound comes from the jaw joint.

5. Patients with teeth grinding.

6. Patients with halitosis.

7. In cases of teeth tip and the presence of periodontal problems.

8. In cases where the opposite tooth is pulled and there is no chewing function.

9. At least 6 months before an orthognathic jaw surgery.

10. In cases of cyst formation within the jaw due to wisdom teeth.

11. In all cases which it cannot be lasted./p>

12. In case of stretching.

13. In cases where the root is not completely developed or is inadequate.

14. Persistent pain in the head and neck.

15. In cases where the front teeth are worn.

Can Wisdom Teeth Grow In Case Of Lack Of Space?

In some cases, wisdom teeth cannot go out due to the narrowness of the place in the jaw. They can either be fully embedded (in a way that it cannot be seen in both gums and mouth part under the jaw bone) or can remain as semi embedded under the gums and may have contact with the oral environment.

Do The Wisdom Teeth Cause Infection?

In the case that they remain semi-embedded under the gum, they can cause infection in the area where they are embedded because of stuck and piled food. Swelling and redness of the gums surrounding the wisdom teeth cause severe pain in neck and ears, swelling of lymphglands, pain while opening the mouth or swallowing. This is called as “pericoronitis”.

Do Wisdom Teeth Cause Perplexity Of Teeth?

Fully embedded wisdom teeth can compress the front teeth, and can create perplexity (curvature) on the teeth. They may also cause tooth decay by putting pressure to the adjacent teeth.

Do Wisdom Teeth Cause Cyst?

Fully embedded Wisdom teeth which are not noticed for many years can lead to serious problems by causing large dimensional cysts in the jaw.

Must It Be Extracted Before Orthodontic Treatment?

Although they don’t cause any problem, wisdom teeth may need extracting for orthodontic treatment in order for a proper sequencing of other teeth. For such reasons, wisdom teeth are required to be pulled out with local anaesthesia in which only the area of wisdom teeth is deadened.

Who Should I Have My Wisdom Teeth Pulled Out?

Wisdom teeth should be pulled out by maxillofacial surgeons. After a period of 5 years dentistry education, duration of expertising in Maxillofacial Surgery is approximately 5 years.

Must Wisdom Teeth Certainly Be Pulled Out?

It is not necessary to pull healthy wisdom teeth out which are placed in the correct position.

I Am Not Bothered By My Wisdom Teeth, Should I Have Them Pulled Out?

Even if you are not bothered by your teeth, it is necessary to discuss with your doctor, be examined and check a panoramic Xray. If there are no problems of position, infection, lack of space, bruising or halitosis, it can be considered later. But it should be kept in mind that all of these may cause emerging a lot of pain and suffering unexpectedly. In order to avoid these situations, wisdom teeth can be pulled out for protection reasons.

How Should Oral Care And Nutrition Be After The Surgery?

The very first day after pulling out, spitting, brushing teeth, hard agitation, using straw or mouthwash should be avoided. The first two days warm,non- grainy and soft food should be consumed. After each food consumption and brushing, antiseptic mouthwash recommended by the doctor may be used. Paracetamols and if recommended antibiotics should be used regularly. There must be no smoking for 48 hours since it will impair the healing process.

Does Wisdom Tooth Extraction Cause Too Much Pain?

Not so much pain occurs after a fast and atraumatic surgery made by expert doctors and the pain can easily be controlled with mild painkillers. Disrupting the formation of clot can impair healing and can cause pain.

Will I Have Swelling Face After Tooth Extraction?

The edema in the cheek may vary from person to person according to tooth state. Cold buffer (ice packs) should be applied on the cheek in the first 24 hours to avoid swelling. It is normal to have mild swelling and is required for healing.

Is Wisdom Tooth Extraction More Expensive Than Other Teeth Extraction?

Wisdom tooth extraction is a much more difficult process than the normal tooth extraction and it is recommended to be done by specialists. In some cases where teeth are fully embedded in jaw bone or they are horizontal, a simple surgery with local anesthesia may be needed. In this case, the price of minor surgical procedures is offerred.

Is Oral Cancer A Frequently Encountered Form Of Cancer? How Dangerous Is It?

The incidence of oral cancer is very high. Malignant cancer in the mouth is highly important because of its proximity to vital areas (such as brain) and the potential to spread more easily to other parts of the body.

Is There Pain Of The Oral Cancer?

Initial period is painless. Therefore, it can be neglected and can reach to very large sizes.

Who Are At Risk Of Oral Cancer?

  • Smokers and alcohol consummers
  • Those with poor oral hygiene
  • Improper prostheses (constantly making dents dentures)
  • Those with abnormal formation in the mouth (abnormalities in white and red color, bleeding, sores that do not heal)

What Is The Cancer Risk Of Conversion Of The Abnormal Formation In The Mouth?

It is not right to say that each abnormal formation observed in the mouth will lead to cancer. However, such abnormalities must be examined in detail and should be monitored periodically in the future due to the risk of converting in cancer. Necessary intervention should be made in case of any increase or suspect cases.

Why Is Early Diagnosis Important In Oral Cancer?

The treatments of abnormalities in the mouth are much simpler before they totally turn into cancer or -even if they turn into cancer- in early pace of cancer. With early diagnosis the risk is reduced. Cancer can be cured before it spreads to other parts of the body. The more cancer progresses and spreads,the riskier it is for the life of patients and the more tissue loss will be in the removal of invasive cancer.

How Can The Anomaly Observed In The Mouth And Risky-To-Transform In Oral Cancer Be Diagnosed?

First of all, mouth is examined in detail. If necessary, a biopsy (taking a small amount of tissue in order to analyze) is made to confirm the diagnosis. To see the extent of the cancer and how much bone are effected, X-ray and tomography are used.

What Is Jaw Cysts Surgery?

Tooth borne cysts can occur in any part of the mouth. It may be noticed by the patient due to pain or noticeable swelling or it can reach very large sizes unnoticeably. Although treatments differ according to the region in the mouth and the size of jaw cysts, it must be pulled out by dental and maxillofacial surgeons.

What Kind Of Problems Do Jaw Cysts Cause? Is It Possible To Leave It?

Tooth borne cysts are usually benign and slow-growing type. However, if they are not interfered on time, it can reach a very large size and can damage normal anatomical spaces such as sinus, nasal cavity, nerve or can show malignancy (visible transformation into malignant tumors). The emerging cysts become the focus of focal infection. Any microorganism departing from here can settle in the heart, joints and kidneys through blood. As a result of this settlement, serious illnesses may come about. Therefore, the teeth cyst should be cleaned off absolutely.

How Is The Jaw Cysts Surgery? Can’t It Be Done Deadened?

Root canal treatment is primarily applied to the teeth which are found to be associated with cysts after dental examination. The area of cyst is numbed by anesthesia. Gingiva and the possible least amount of bone are removed from the easiest point to reach cysts. It is cleaned off from all borders and closed with stitches and let the remaining healthy bone heal. If the cyst has not been infected before, tooth powder is used to accelerate healing process. The extracted parts should be examined in the pathology laboratory.

Very large jaw cysts need to be taken out under general anesthesia.

What Is The Price Of Jaw Surgery Cyst?

Pricing varies according to location and size of the cysts found in the mouth. Cysts may be small in size as well as it may be large enough to cover the entire jaw.

Is The Jaw Cysts Surgery Painful?

It is done in a painless way with an effective and adequate anesthesia. After the operation, antibiotics, painkillers and antiseptic mouthwash are used. A comfortable healing process is passed with controls.

What Is Apical Resection?

Infections occurring due to decay or trauma can cause the formation of cysts in the root tip in the future. In such cases, it is not sufficient to do root canal treatment alone to clean this infection which has reached to the bone.

After root canal treatment to problematic teeth, cyst along with infected bone tissue is cleared by opening the root tip of the tooth surgically. This is the treatment option to extend the life of teeth especially anterior ones.

After the treatment, the patient can use the tooth for a long time without any problems.