Oral and Maxillofacial Surgery

By | 5 April 2021

Oral and Maxillofacial Surgery

Oral, Dental, and Maxillofacial Surgery is a specialty that includes the diagnosis and treatment of all soft and hard tissues in the mouth, as well as the diagnosis and treatment of all diseases related to the jawbone and surrounding tissues.

Oral and Maxillofacial Surgery

The working area of ​​oral, dental, and maxillofacial surgery involves teeth and jawbones as well as surrounding tissues such as cheek, tongue, lips, salivary glands, temporomandibular joint.

Treatments covered by this specialty are as follows:

  • Impacted dental operations
  • Detection and treatment of pathologies in mouth, teeth, jaw, and related surrounding tissues
  • Diagnosis and treatment of oral diseases
  • Intra-bone implant applications
  • Oral and maxillofacial trauma
  • Correction of deformations due to skeletal anomalies in jawbones (orthognathic surgery)
  • Temporomandibular joint disorders and their treatment
  • Salivary gland diseases and their treatment
  • Maxillary sinus operations

Advanced Surgical Applications Before Implant Surgery:

Before the implant application, the suitability of the jaw bones for implant application is determined by the detailed systemic anamnesis, radiological and intraoral examinations performed by the jaw surgeon. Today, the 3D computed tomography method is a very reliable source for determining the capacity of jawbones before implant surgery and evaluating their relationship with important anatomical structures.

In cases where the jaw bones do not have sufficient thickness and height, advanced surgical techniques are required to increase the amount of available bone and make it suitable for implant application. In these cases, the most appropriate method is determined by considering the general health status of the patient and by locally evaluating the relevant region.

However, in increasing the amount of bone, block bones that can be taken from the patient can be used, as well as cadaver and animal origin or synthetic block and particulate grafts. The appropriate method is provided by a detailed analysis of the relevant region by the maxillofacial surgeon.

Sinus operations, one of the advanced surgical techniques, is another technique frequently asked by patients. Sinus lifting operation is applied in the molar area in the upper jaw, in cases where the bone height, which is often seen in long-term edentulism, is insufficient for implant application. Bone height insufficiency occurs due to gum disease and premature loss of teeth in the region. The purpose of the operation is to raise the sinus membrane surrounding the sinus and to provide sufficient bone volume in the area by placing the bone graft in the created space. With this operation in which the sinus floor is raised, sufficient new bone formation occurs in the relevant area for dental implant application.

Orthognathic Surgery

Skeletal deformities are seen in jawbones due to congenital anomalies, genetic factors, or environmental factors; As a result of the chewing plane not being in its ideal position, it causes various aesthetic and functional problems. Complaints that vary from patient to patient are observed as a result of the jawbones being out of their normal dimensions or positioning them differently from their normal position due to congenital or acquired reasons. The complaints sometimes reach a level that can significantly affect the quality of life and health status of the patients. As a result of skeletal deformities in the maxillofacial region, chewing and swallowing difficulties, sleep apnea, respiratory problems, phonation problems, aesthetic disorders, and accompanying social and psychological problems occur. An experienced team consisting of orthodontists and maxillofacial surgeons must work in the treatment of deformities. While the orthodontist performs dental arrangements and leveling; At the same time, the maxillofacial surgeon brings the jawbones to the ideal position and the treatment is completed in stages and throughout the process.