Advanced Surgeries
Our Advanced Surgeries
Our dental hospital in Tadepalli ,Guntur specialises in oral and maxillofacial surgery. There are a wide range of diseases that comes under oral dentistry such as tooth loss, wisdom toothremoval, dental implants, unequal jaw growth(malocclusion),extraction of teeth, treatment of endodontal disease,adjunctive treatments etc. Oral and maxillofacial surgeons hold expertise in:
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Cosmetic surgery related to jaws face and neck.
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Facial Reconstructive surgery.
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Extraction of wisdom tooth or diseased tooth.
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Dental implant surgery
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Unequal jaw growth treatment
Jaw corrective surgery which is also known as orthognathic surgery is done to correct some major or minor skeletal and dental irregularities. This type of surgery is performed by maxillofacial surgeon. This surgery corrects the functioning of the jaw and aligns it with teeth. This also improve the facial impression of a person. our hospital is considered one of the best for any kind of maxillofacial surgeries. Jaw surgery helps in removing various kinds of defects
- It repairs birth defects and facial injuries.
- Corrects the biting and chewing.
- Improves the problem of speech and swallowing.
- Improves facial imbalances.
- Removes the jaw pain problems
- Chronic jaw or jaw joint (TMJ) pain
- Involuntary mouth breathing
- Inability of your lips to come together without straining
Breaking of the bones of face and mouth are called as facial fractures. This includes lower jaw, upper jaw, nose, and bones surrounding the eyes.
Causes of Facial Fractures
- Sports injuries
- Rail or Road accidents
- Fight or violence
- Falling from a height
- Dental cysts and tumours
Treatment of facial Fractures
There are basically two types of treatments available for facial fractures
- Conservative method- used in normal injuries when fractures are non-displaced and bones have not moved from there place.Intermaxillary Fixation (IMF) is used.
- Surgical method-In this type of method Open Reduction and Internal fixation (ORIF)is done.This method is done in more serious and life threatning injuries.
FAQ S
I have a facial fracture, how long will it take to heal?
Healing depend on treatment you have undergone.It generally takes 2 to 3 weeks for to settle after a facial fracture treatment.However complete healing differs from person to person and body to body.
My face is numb or feels odd, after a facial injury, how long will this take to heal?
After a facial injury facial muscles gets damaged.face muscles and tissues take time to heal sometime even months.A person might experience numbness or zero sensation on the affected area.
What are plates used to treat facial fractures?
To repair the facial fractures stainless steel titanium miniplates and biodegradable resorbable plates are used.Titanium plates are fully compatable and very easy in application.These plates can also be used in children treatment.
Will I have to have the plates removed?
These plates are generally left inside the body as they help in providing a good structure and support.They are removed only in a case of infection.
Will the plates set off metal detectors at airports?
These plates do not set of the metal detectors at the airports because they are made up of titanium.
Do I need to tell anyone that I have a metal plate in my face/jawsis necessary to tell beforehand while undergoing a magnetic resonance imaging(MRI) and computerised tomography(CT).
Why have I been told that I shouldn’t blow my nose for the next few days?
IT is suggested not to blow nose for next few days after having a facial injury.This can escalate the problem which can result in swelling in face and around the eyes.The person might feel pain in the facial area.
If I have had a facial fracture, what other things should I avoid for the next few weeks?
These instructions need to be followed-
- Not to get involved into any type sports activities
- Avoid hard food
- Taking full rest for recovery
- Maintaining good oral hygiene
- Not to blow the nose.
What is TMJ Treatment?
The temporomandibular joint (TMJ) acts like a sliding hinge, connecting your jawbone to your skull. You have one joint on each side of your jaw. TMJ disorders a type of temporomandibular disorder or TMD — can cause pain in your jaw joint and in the muscles that control jaw movement.
Factors that may increase the risk of developing TMJ disorders include
- Jaw injury
- Long-term grinding or clenching of teeth.
- Certain connective tissue diseases that cause problems that may affect the temporomandibular joint.
- Poor posture in the neck and upper back muscles may lead to neck strain and abnormalities of jaw muscle function.
- Patients with other chronic inflammatory arthritis have increased risk.
- People with jaw trauma or poorly positioned teeth have increased risk.
- People who have a genetic predisposition to pain sensitivity and increased stress responses may be more susceptible.
TMJ Ankylosis
Temperomandibular joint ankylosis is a defect where in the patient cannot open the mouth due to fusion of the TMJ. The main causes include, trauma to lower jaw which goes unnoticed during childhood, ear infections, forceps delivery etc.
Frequently asked questions
What Is TMJ syndrome?
TMJ is a sensitive joint that can sustain damage due to any injury or disease. The damages will lead to pain in the joint and surrounding areas. The pain and stiffness in the joint are known as TMJ syndrome.
What are the causes?The causes of TMJ disorder may result from excessive nail biting, gum chewing, degenerative joint diseases, trauma/injury to the mouth, poor posture, stress, teeth grinding or rheumatoid arthritis.
Who is at risk?
TMJ disorder is a common problem that occurs mostly between the ages of 20 to 40; women are 4 times more prone to this syndrome.
What are the symptoms of TMJ disorder?
There are a lot of symptoms of TMJ disorder from stiffness, headaches, dizziness, ear ache, clicking sounds when eating and talking, difficulty in chewing, popping sound in the ear, sore jaw muscles, or pain in the temple, neck or shoulder.
What is the treatment for TMJ?
While TMJ is quite easy to treat through home remedies, people need to seek professional medical treatments if home remedies are ineffective. In extreme cases a joint replacement surgery might be the solution of TMJ disorder.
What are the home remedies for TMJ?Home remedies can treat normal cases of TMJ easily, the home remedies includeApplying cold packs or heat pack to the affected joint
- Relaxation techniques such as massage can also release stress
- Eating soft foods will prevent further stress build up
- Aromatherapy or massage of some essential oils like lavender can also relax muscles and provide pain relief
What are medical treatments of TMJ syndrome?
Medical treatments for TMJ include physiotherapy, splint therapy, pain relieving medication, and arthroscopy. In rare cases, joint replacement surgery may be the treatment of choice.
What is splint therapy ?
A splint is a mouth guard or a bite guard that one wears over teeth to prevent grinding, clenching of the jaw and other movements that can set off TMJ. The splint can be soft or hard after we customize it for the patient’s needs.
When the patient wears the splint, it relaxes the muscles in the mouth and also prevents teeth from other side effects of grinding. The splint supports the bite in the most favourable position to release tension in the jaw.
Botox
While Botox is often used as a cosmetic treatment to reduce the appearance of fine lines and wrinkles, it can also be used to treat TMJ. This is because Botox temporarily paralyzes facial muscles and when we inject it into the forehead, temple, and jaw muscles, we can prevent muscle contractions that cause jaw tension and strain. This reduces the incidence of teeth grinding, relieves pain, and improves mobility by relaxing your jaw muscles.
In which cases surgery is required?
In severe cases of TMJ, surgery might be necessary. There are two types of surgeries:
TMJ arthroscopy is a minor invasive surgery that can take place in a dental clinic. The recovery time is only one week.
Sometimes a total joint replacement is necessary as the last resort for treating TMJ syndrome. An oral surgeon will carry out this surgery that may require four to six weeks to heal.
How Long Will My TMJD Treatment Take?
You should see rapid relief from symptoms, but the length of treatment depends on how the severity of the condition. When TMJD is caught early, most patients have a shorter course of treatment.
Where is the temporomandibular joint located?
There are two temporomandibular joints – both are located in front of the ear where the jawbone attaches to the skull
Is bruxism the same as TMJ?
Bruxism, or the excessive grinding and clenching of your teeth, may be related to your TMD (temporomandibular joint disorder), though it is not the same thing. Sometimes patients clench or grind their teeth without ever experiencing full-blown TMD, though it comes with its own risks. Bruxism can cause headaches and damage to your teeth by cracking them or wearing them down.
Often, an appliance is recommended to protect your teeth, just like with TMD. That way, while you are sleeping, your teeth are not pounding together, causing more damage. Because the appliance, or night guard, is made from a softer material than your enamel, it provides enough cushion and support to protect your teeth. If you clench or grind your teeth, investment in a night guard now could save you money in the end by helping you avoid expensive crowns and repairs to your damaged teeth. Caffeine use, alcohol use, and stress can all contribute to worsening bruxism. Cutting down on drinking cocktails and coffee is a good start. Learning to manage stress can help you in many ways, including reducing how much you grind your teeth.
The pathologies like ameloblastoma , odontogenic keratocyst , skull base tumors , salivary gland tumors etc affect the head & neck region are called as Maxillofacial pathology.
Maxillofacial infections
Infections that happen because of periodontal abscess or a decayed tooth are known as maxillofacial infections.Early recognition and right treatment procedure can solve these infection issues.
Black Fungus – Post Covid Mucormycosis
Black fungus has ended up being a post COVID nightmare for patients and doctors. Mucormycosis is basically a parasitic infection which can be lethal. It is typically found in rotting organic products or soggy regions where mold is framed. What has made this be so aggressive during Covid times is the fact that diabetes and a compromised immune systemfloors a rosy path for this growth to attack, and the steroids and different drugs utilized in serious Covid patients will quite often debilitate the immune system. This parasite enters through the mouth or nose when a contagious molecule is breathed in.
Its symptoms are first noticed in the facial and oral tissues, most usually noticed in the nasal passage or the palate which then spreads to the sinuses, face, brain and slowly into vascular channels, therefore immediate treatment in Best Dental Clinic in Guntur is very important. When it makes an entry into the blood stream, it tends to be incredibly deadly in a tiny timeframe causing clusters, infection,etc. The oral manifestations of mucormycosis starts with ulcers in the palatal region and can likewise cause hole in the sense of taste prompting the infection being spread to the nasal region.
Probably the most well-known manifestations introduced are:
- Exorbitant Bad breath.
- Facial pain on one side
- Numbness of face
- Exposed bone
- Swelling on the impacted size of face.
- Obstructed nose
- Obscurity close to the nose
- Brown or dark sores found in the upper internal side of the mouth
- Fever
- Headache
- Slackening of teeth
- Discharge of pus in the gums
Early Detection is the main Key
Early diagnosis is basic as this is a quickly advancing illness and stopping it from the bud allows the best chance of existence. Treatment of Mucormycosis in Guntur, when apparent in the oral cavity or sense of taste, aggressive surgical removal of tainted and necrotic tissue should be done alongside proper anti-fungal treatment. Palatal perforation assuming any should be totally cleaned debrided of any necrotic tissue and the hole should be shut utilizing either free folds or other prosthetic devices.
Aside from Surgery Medical line of therapy is vital. The primary line of treatment incorporates Liposomal Amphotericin B. This is considered as the best quality level of treatment. Different medications incorporate Posaconazole, Isavuconazole.
Mucormycosis is not a contagious disease, along these lines it can be forestalled by appropriate self-care of oneself and hygiene. basic ways by which high risk Covid patients introducing other co-morbidities can forestall mucormycosis, such as
- Rational utilization of steroids.
- Keeping up with great control of blood sugars during and After COVID treatment
- Utilization of sterile distilled water in Oxygen humidifiers for patients on Oxygen support
- Firmpersonal and Environmental Hygiene
- Keeping up with great oral hygiene – Betadine gargle exhorted regularly
- Stay away from use of Soiled/chaotic mouth masks which could harbour fungus
- Consider prophylactic oral Posaconazole in high-risk people by consulting of doctor
Therefore, staying cautious and sterile is extremely essential
So who is more prone to get Black fungus ?
It is more commonly seen in patients who have had co-morbidities like uncontrolled diabetes, cancer and other immune supressing illnesses. Also patients who have undergone a long term ICU treatment are more susceptible to this fungus.
What does Black fungus do to the mouth ?
And it is extremely important to stop and treat the area which has been first affected by it. It usually enters the body through the mouth or nose and encroaches the eyes, nose, mouth, throat areas. Specifically, while talking about the mouth, it is seen that the fungus can eat up the entire inner cheek and jaw line, leaving the patient in extreme pain and discomfort. Once the fungus affects the gums, the tooth starts to loosen and fall apart. And the thing that makes it more dangerous is the fact that it spreads in jet speed.
What to do about Black fungus in the mouth ?
The first step is to carefully and surgically remove out all the infected part, be it the muscle, bone or tooth. This is the only way the spread is curbed at the source. Once the necrotic tissues are removed and the whole mouth is ensured to be clean, next comes the rehabilitation process. Loss of jaw and teeth plays a significant role on the psychological and aesthetical feelings of the patient.
Is it possible to replace the resected Jaws & Teeth ?
Yes , after minimum of 6 months of follow up following resection of Jaws it is possible to replace teeth & jaws in most of the cases with Dental Implants Prosthesis . Sometimes removable Prosthesis Supported by Dental Implants is the option. However it needs an expert team of Doctors trained to perform this highly skilled Job.
What are the minimum requirements for choosing a patient for replacing of Jaws & teeth?
- Minimum 6 months of follow up after Removal of Black fungus from the Jaws
- No residual disease in CT Scans
- Good quality of bone in Zygoma