The speciality of Oral & Maxillofacial Surgery deals with the diagnosis and management of the diseases of stomatognathic system, jaw bones, cranio-maxillofacial region, salivary glands and temporomandibular joints etc. Within this framework it also supports many vital organs like eye, oropharynx, nasopharynx and major blood vessels and nerves. The traumatic injuries of maxillofacial skeleton are independently managed by Oral & Maxillofacial Surgeons.
It is a multi-disciplinary speciality and needs close working in co-ordination with Neurosurgeons, Oncosurgeons, Ophthalmologists, ENT Surgeons and Plastic Surgeons and complement each other by performing Surgical procedures with their respective expertise and knowledge thereby benefiting the patients and students of the respective specialities. If there are associated injuries of the orbital skeleton, the Maxillofacial Surgeon is involved in its reconstruction. Nasal bone fractures are associated with fractures of the maxilla, mandible and zygomatic bones which are being managed by Oral & Maxillofacial Surgeons. The maxillofacial facial injuries at times are associated with head injuries also.
The Oral & maxillofacial Surgeon is also involved in the management of cleft lip & cleft palate, orthognathic surgery, micro vascular surgery, reconstructive and oncological surgical procedures of maxillofacial region.
Oral Surgeons should have adequate knowledge and understanding of the basic sciences relevant to etiology, pathophysiology and diagnosis, treatment planning of various common oral surgical problems both minor and major in nature, to understand the general surgical principles like pre and post-surgical management and care.
Oral Surgeons must be able to identify social, cultural, economic, genetic and environmental factors and their relevance to disease process management in the oral and Maxillofacial region. They must adopt ethical principles in all aspect of surgical practice and care is to be delivered irrespective of the social status, caste, creed or religion of the patient
proper understanding and practicing the basic principles of asepsis and sterilisation, to have essential knowledge of personal hygiene and infection control, prevention of cross infection and safe disposal of hospital waste keeping in view the high prevalence of hepatitis and HIV. Oral Surgeons takes proper clinical history, methodical examination of the patient, perform essential diagnostic procedures and order relevant laboratory tests and interpret them and to arrive at a reasonable diagnosis about the surgical condition. Oral Surgeons are skilled to prevent and manage medical emergencies that arise during and after oral surgical procedures in the dental office. Oral and Maxillofacial Surgeons also have adequate knowledge on oral implantology and placement of implants. They must acquire research skills and have clear knowledge on recent trends in the treatment protocols. Surgeons be competent in performing various surgical procedures under both local and general anaesthesia. Surgeons should be willing to share the knowledge and clinical experience with professional colleagues and to adopt current techniques of surgical management developed on scientific research which are in the best interest of the patient.
Oral surgeons must develop ability to teach, adequately communicate particularly with the patients giving them the various options available to manage a particular surgical problem and obtain a true informed consent from them for the most appropriate treatment available at that point of time. They must develop an attitude to seek opinion from an allied medical and dental specialist as and when required.
- Able to apply the knowledge gained in the basic medical and clinical subjects in the management of patients with surgical problems.
- Able to diagnose, manage and treat patients with basic oral surgical problems.
- Have a broad knowledge of maxillofacial surgery and oral implantology.
- Should be familiar with legal, ethical and moral issues pertaining to the patient care and communication skills.
- Should have acquired the skill to examine any patient with an oral surgical problem in an orderly manner.
- Understand and practice the basic principles of asepsis and sterilisation.
- Should be competent in the extraction of the teeth under both local and general anaesthesia.
- Competent to carry out certain minor oral surgical procedure under LA liketrans-alveolar extraction, frenectomy, dento alveolar procedures, simple impaction, biopsy, etc.
- Competent to assess, prevent and manage common complications that arise during and after minor oral surgery.
- Able to provide primary care and manage medical emergencies in the dental office.
- Familiar with the management of major oral surgical problems and principles involved in the in- patient management.
Dr. Ajit Demera
Dr. K. V. Ravindranath
Dr. N. V. V. Satya Bhushan
Dr. U. Siva Kalyan
John Rejinald Sikha
Minor oral surgical procedures
- Normal teeth extractions
- Therapeutic extractions
- Transalveolar extractions
- Implant placement
- Tuberosity reduction
- Genial tubercle reduction
- Mylohyoid ridge reduction
- Tori removal
- Ridge splitting
- Ridge expansion
- Biopsy procedures
- Cyst enucleation
- Incision and drainage
- Ranula excision
- Mucocele excision
- Sinus lift
- Oroantral fistula closure
- Nerve transposition
- Closed reduction of fractures with immobilization
- Transplantation and splinting with archbars
- Ranula excision
- Mucocele excision
Major surgical procedures
- Open reduction with internal fixation
- Harvesting bone and cartilage grafs
- Tmj ankylosis surgery
- Cleft lip and palate surgery
- Distraction osteogenesis
- neck dissections
- Total maxillectomy
- Segmental mandibulectomy
- Anterior maxillary osteotomy
- Lefort i,ii osteotomy
- Bilateral sagittal split osteotomy
- Segmental subapical osteotomy
- Subcondylar vertical osteotomy
- Enbloc resection
- Gap arthroplasty
- Interpositional arthroplasty
- Lip repair
- Ridge augmentation
- Buccal pad fat removal
List of ongoing research projects
- Efficacy of diclofenac transdermal patch in maxillofacial surgeries.
- Efficacy of tramadol hydrochloride as a local anaesthetic agent for extraction of maxillary teeth.
- Use of kinesologic therapeutic tape on pain, trismus, swelling and its influence on quality of life after mandibular third molar surgery.
- Transcutaneous electric nerve stimulation and soft splint therapy in the treatment of patients with temporomandibular joint disc displacement with reduction-a comparative study.
- To evaluate effect of vasoconstrictor on blood pressure and heart rate using various concentrations of local anesthesia.
- Physics and conventional forceps for dental extractions -a comparative study.
- Management of mandibular fractures with pre-adapted vs intraoperatively adapted miniplates-a comparative study.
- Postsurgical complications in mandibular third molar surgical extraction using motor driven straight handpeice and air driven contra-angled handpeice-a comparative study.
- Assessment of nutritional status in patients undergoing imf in the management of maxillofacial trauma-a prospective study.