A tooth that fails to emerge or fully break through the gum tissue is termed “impacted.”

Often this happens to third molars, also known as wisdom teeth, as they are the last teeth to develop and appear in the mouth. A common problem associated with impacted wisdom teeth involves swelling, pain and infection of the surrounding gum tissue. An impacted wisdom tooth may cause permanent damage to adjacent teeth, gums and supporting bone and may sometimes lead to the formation of cysts or tumors that can destroy large portions of the jaw.

Many problems with wisdom teeth can occur with few or no symptoms. Regular x-rays of the mouth can frequently predict if wisdom teeth will cause trouble.

TREATMENT:
Our hospital offers an absolutely painless surgery to remove such teeth. It can be done under local anesthesia with or without intravenous sedation or under general anesthesia.

When an individual's jaw fails to grow properly, both functional and psychological difficulties may be experienced. Functionally, this abnormality may interfere with proper chewing, create difficulties in swallowing, cause a speech defect, result in chronic mouth breathing and lead to jaw pain. Psychological difficulties that can accompany this kind of problem are also important considerations.

Some abnormalities may involve only misaligned teeth and can be corrected orthodontically with braces or other appliances. More serious problems may require surgery to move all or part of the upper jaw, lower jaw or both into a more normal position.

ORTHOGNATHIC SURGERY:
Surgical correction of such irregularities is undertaken after thorough study and consultation with an orthodontist and restorative dentist. Once the precise nature of the abnormality is determined, the surgical strategy is planned and the outcome may be reasonably predicted. Surgery can be performed in this hospital under general anesthesia.

Corrective jaw surgery moves teeth and jaws into a new position that is more balanced, functional and healthy.

Cosmetic maxillofacial surgery can repair physical malformations resulting from disease, injury, burns, birth defects or aging. It may also serve to restore normal function and improve individual appearance.

Because of their surgical and dental back-ground, oral and maxillofacial surgeons are uniquely qualified in the treatment of the face, mouth, teeth and jaws. Extensive education and training in surgical procedures involving both the soft tissue (skin and muscle) and hard tissue (bone and cartilage) of the maxillofacial area, makes the oral and maxillofacial surgeon finely attuned to the importance of harmony between facial form and function.

When someone is about to have dentures for the first time, an oral and maxillofacial surgeon can correct bony and soft tissue irregularities of the jaws to provide a good, solid foundation for denture.

PRE-PROSTHETIC SURGERY:
Long–time denture wearers frequently experience loss of supporting bone, and dentures may no longer fit comfortably. In these cases, The jawbone may require additional surgical treatment, and soft tissue corrections may also be necessary. In cases of severe shrinkage of the jawbone, an oral and maxillofacial surgeon may recommend a bone graft to add bone where little remains.

Regular check-ups can ensure that dentures fit properly and will preserve the health of the mouth.

Tooth loss can result in shrinkage of gums and jawbones that can lead to pain from ill-fitting dentures, decreased chewing function, and subtle malnutrition. It can also be a source of emotional or psychological distress. Oral and maxillofacial surgeons are providing a unique solution to the problem of toothless ness with dental implants.

Dental implants are tooth root substitutes that are surgically placed in the jawbone and act as anchors to stabilize artificial teeth. They can replace one, some, or all missing teeth and help eliminate the instability associated with surface adhesives and removable bridges. Individuals with adequate bone level and density who are not prone to infection and can maintain stringent oral hygiene are good candidates for dental implants.

No matter what your age, if you are missing one or more of your natural teeth, dental implants may be the solution for you. Youngsters who have lost teeth due to accidents, adults who are missing teeth due to infection, and seniors who are tired of uncomfortable dentures have had equally gratifying experiences with dental implants.

THE IMPLANT CENTRE:
This is a multidisciplinary approach to do dental implants at our surgery. We have a team of four doctors specialized in different subjects to tackle the most challenging cases of oral rehabilitation. Our aim is to give a life long solution to proper chewing for our patient.

We are using Internationally approved implants for our overseas (NRI) patients, so that they can approach to any implant practitioner out of India for services.

Oral and maxillofacial surgeons are trained to recognize and treat a variety of facial pains. One common source of headache and facial pain is disease or dysfunction of the temporo-mandibular joint (TMJ). The TMJ is a small joint located in front of the ear where the skull and lower jaw meet. It is a “ball and socket” joint that allows the lower jaw to move and function.

CLICKING JAW JOINTS:
TMJ disorders have a variety of symptoms. Individuals may complain of earaches, headaches and limited ability to open the mouth. They may also complain of clicking or grating sounds in the joint and painful opening and closing of the mouth.

Arthritis is one cause of TMJ disorders. It can result from an injury or from grinding of the teeth at night. Another common cause of problems is displacement or dislocation of the disc that is located between the jawbone and the socket. Injury or rheumatoid arthritis can cause parts of the joint to fuse, preventing jaw movement altogether.

Stress can trigger pain in the jaw muscles that is very similar to that caused by TMJ problems. Frequent clenching or grinding of the teeth can cause painful spasms in the muscles and difficulty in jaw movement. Some patients may experience a combination of muscle and joint problems.

TREATMENT – MINIMALLY INVASIVE OR KEY-HOLE (ARTHROSCOPIC)SURGERY:
Once properly diagnosed, most TMJ disorders can be treated, in whole or at least in part, by “self-care” -- oral medications, physical therapy, or use of a plastic bite splint. When a diagnosis indicates a specific problem with the joint, surgery may be an appropriate option.
Arthroscopic joint surgery is minimally invasive and has proven effective in resolving advanced TMJ disorders. For more serious joint problems, complex surgery is available.

Any suspicious lesion or growth on the face and neck or in or around the mouth should be checked out by an oral and maxillofacial surgeon without delay. Lumps and sore or reddish or whitish patches can be signs of oral cancer. Upon examination, an oral and maxillofacial surgeon can diagnose potential problems. If needed, a biopsy is done; lab tests then determine if there is a malignancy.

GROWTH OR ULCERS OF ORAL CAVITY:
Remember, early detection and treatment oral cancer greatly increases the chance of complete recovery. Don't ignore suspicious lumps or sores. If you discover something, make an appointment for a prompt examination.

Because of their dental background, oral and maxillofacial surgeons are uniquely qualified to deal with any injury to the face, jaws, mouth or teeth. Cuts and lacerations anywhere on the face require meticulous attention. If stitches are needed, placement must be precise to ensure a proper cosmetic result. When facial bones are broken the experience and training of the oral and maxillofacial surgeon are invaluable.

For a fractured jaw, metal braces may be attached to the teeth and wires or strong rubber bands used to hold the jaws in place and allow the bones to heal. Patients with few or no teeth may need dentures or special dental splints to align and fix the fracture. Severe fractures can require surgery to wire together broken bones or secure them with metal plates.

At our surgery, we intend to fix the fractured bones of face with Titanium(noble metal) mini-plates through trans-oral route to avoid scar on skin and to have early recovery from injury.

Pain is a sure sign something is wrong. Unfortunately, fear of pain often prevents people from seeking needed oral care. Oral and maxillofacial surgeons are trained in the most advanced anesthetic and pain control procedures. During surgery, one or more of the following can be used in controlling pain and anxiety; local anesthesia, nitrous oxide, intravenous sedation and general anesthesia.

Prior to any surgery your oral and maxillofacial surgeon can review the type of anesthetic to be used, as well as the way you're likely to feel during the operation. The main goal is to ensure maximum patient comfort and safety.