Minor surgical procedures
This field of dentistry deals with any pathology related to the oral and maxillofacial region. Here utmost care is taken to identify any precancerous or malignant lesions.
All types of minor surgical procedures are done here. The list include:
1. Surgical extraction of grossly decayed or fractured tooth
2. Complicated extractions like removal of impacted wisdom tooth
1. Surgical extraction of grossly decayed or fractured tooth 2. Complicated extractions like removal of impacted wisdom tooth 3. TMJ---TMJ and Facial Pain
A gum biopsy is a medical procedure in which a tissue sample is extracted from your gums for laboratory analysis. The test is used to diagnose causes of abnormal tissue in your gums, which might be a result of oral cancer or noncancerous mouth sores. Your gums also are known as gingiva. The gingival tissue is the tissue that immediately surrounds and supports your teeth. A gum biopsy is also called a gingival biopsy.Types of Gum Biopsies Dr Rajmohan may choose from several different procedures to perform your gum biopsy.
Incisional Biopsy An incisional gum biopsy is the most common method of gum biopsy. In this procedure, he will remove a piece of the suspicious tissue and another of the nearby healthy tissue. By comparing the two samples, he can determine if a cancerous area is forming from the cells on that gum tissue, if the cancer cells come from another deeper growth, or if they have spread to the gum from a different site elsewhere in your body.Excisional Biopsy
During an excisional gum biopsy, he may remove the entire growth—depending on the size and location of the lesion, or sore. This type of biopsy is normally used to take out a small lesion that is in an easily reachable area of your mouth. He will remove the lesion, along with some of the nearby healthy tissue. This provides a sample for diagnosis, and helps prevent the lesion from spreading or growing.Percutaneous Biops
There are two different types of percutaneous biopsies—or procedures where a doctor inserts a biopsy needle through your skin. A fine needle biopsy may be used if the abnormal area is large. In this procedure, a small needle connected to a syringe extracts cells from the lesion. He may collect cells from different points on one lesion at the same time.
A core needle biopsy, or punch biopsy, uses a small circular blade to cut out a tissue sample. The blade is pushed down on your gum and doctor pulls on the center of the area to withdraw a circular sample. The sample is freed from the tissue with small scissors or a scalpel. Dr Rajmohan may decide to use a punch biopsy depending on the location of the abnormal tissue and how easy it is to reach. Brush Biopsy A brush biopsy is a noninvasive procedure used to gather tissue by forcefully rubbing a brush against the abnormal area of your gum. It is used for an initial evaluation, or testing. A brush biopsy is often doctor’s first step if your symptoms do not call for an immediate open or needle biopsy. If the results from this test show any suspicious growth or cancer, doctor will likely do an incisional or percutaneous biopsy to confirm a diagnosis.
Surgical extraction involves the removal of teeth that cannot be easily accessed because they have not fully erupted or they have broken under the gums.
Wisdom teeth are the third and final set of molars found at the very back of the mouth. Most people get them during their late teens or early twenties. They are a valuable asset when they grow healthy and properly positioned but they may require removal when they get misaligned or impacted.
When misaligned, wisdom teeth can grow inwards, sideways and at times position themselves horizontally. This eventually crowds and damages the adjacent teeth, the jaw and to some extent, the nerves.
Those that grow leaning towards other molars may make these teeth vulnerable to decay by harboring food particles and dental plaque.
Impacted teeth are those that remain partially or completely entrapped within the soft tissues or within the jawbones.
IN THANJAI DENTAL CENTRE, We examine the positioning of your wisdom teeth. An x-ray can evaluate the alignment of your teeth.
* We may even advise extractions even before they completely erupt. This can help avoid a more complicated and painful extraction in the future.*As a rule, wisdom teeth are removed at the earliest possible time, usually in the late teens, when the root of the teeth have not completely formed and the bones around the teeth are less dense. Wisdom tooth that only partially erupts through the gums leaves an opening for bacteria to enter and multiply and cause infections.
GUM TREATMENT AND BONE GRAFT SURGERIES
Periodontal disease is more commonly known as gum disease and was referred to as pyorrhoea in the old days. It is a progressive inflammatory disease of the gingival and the surrounding tissue (bone) around the teeth. Periodontal disease is the number one cause of tooth loss after the age of 30. >
Gum infection (Periodontitis) is an omnipresent lesion, which results in more teeth loss than any other dental condition. Recent research suggests that diabetes, cardiovascular diseases and few other systemic diseases/conditions like preterm low birth weight infants have a direct relation with the health of ones gums (Periodontium). Here every effort is taken to diagnose and treat gum infection at an early phase itself.
Following Periodontal treatments are done here. 1. Normal and deep oral prophylaxis (Scaling) 2. Gingival Curettage/Abscess Drainage" 3. Flap surgery for treating Periodontitis 4. Bone grafting for bone regeneration 5. Frenectomy / Frenotomy 6. Splinting(Periodontal Wiring) 7. Gingivoplasty / Gingivectomy for managing enlarged gums. 8. Gingival Depigmentation for correcting heavily pigmented Gingival.Causes of bone loss
*Periodontal disease contributes significantly to additional bone loss
*We lose bone from our jaws as the result of loosing teeth. Between about 30% - 60% of the bone around the socket can be lost in the first six months after extraction
*We use different types of bone grafts depending on the various factors.The most common types of bone grafting materials include :Autogenous boneAllograftsXenograftsBarrier membranes
*Autogenous bone grafts are the best materials, and are procured from the individual's own body, which helps to prevent rejection of transplanted materials. Auto genus bone is often taken from nearby sites such as the chin or jawbone, or from the hip. *Allografts are generally taken from bone of another individual, and most often cadavers.
*Xenografts are bone transplants that are utilized from other species, such as pigs or cows.
*Very your membranes are often utilized, regardless of the type of bone graft, to enhance and stimulate creation and generation of new bone structure. In most cases, we use an individual's own bone for such repairs
Since we are practising in multispeciality hospital,we have pioneered in oral and orthagnathic surgeries & in trauma management. Thanjavur is the prime locality for the surrounding villages, so we get the oppurtunity of treating more referral trauma cases.We have recorded history of more than 1000 successful cases of oral and maxillofacial surgeries(ORIF-open reduction &internal fixation).
Facial trauma Include The Following Conditions: The Nature Of Maxillofacial Trauma
b )oral and maxillofacial surgeries
Facilities & procedures done at Thanjai dental centre
c) MAJOR ORAL & RECONSTRUCTIVE JAW SURGERIES
WHO NEEDS ORTHOGNATHIC SURGERY?
People who can benefit from orthognathic surgery include those with an improper bite or people whose jaws are positioned incorrectly. In most cases, the upper and lower jaws have grown at different rates, and are not properly aligned. Sometimes jaw fractures or birth defects can affect jaw alignment.People needing orthognathic surgery often have one or more of the following problems: PRIOR TO SURGERY
Most patients are referred to our practice by their orthodontist when they believe the results of treatment will be superior if braces are offered in conjunction with orthognathic surgery to correct occlusion or jaw alignment problems. However, we often see patients who present without having consulted with an orthodontist. If orthognathic surgery is considered, then these patients are referred to an orthodontist in their area. Orthognathic surgery is now rarely done without braces.
At your initial consultation, we will summarize the goals of surgery, the recommended procedure(s), the potential risks, benefits and alternatives to orthognathic surgery. Your surgeon will send a summary of his evaluation and treatment recommendations to your referring orthodontist.
During this process, feel free to ask any questions that you have regarding the treatment. It is with a thorough understanding of this process that you will maximize its benefits.SEQUENCE OF TREATMENT Although every patient’s situation is different, the typical treatment sequence will involve three stages:
Your surgery will be performed in our hospital. An anesthesiologist will put you to sleep and the surgeon will perform the surgery. He will be assisted by another oral and maxillofacial surgeon or an assistant. When you awake, you will have elastics (rubber bands) between your upper and lower braces, assisting with keeping your jaws together in their new position. You won’t be able to open your mouth much for the first few days, so a liquid diet is recommended during this initial period. You will be able to speak and breathe fine, but it will feel awkward at first. Post-operative pain is typically well controlled with either liquid pain medication taken orally or intravenous medications. You will go home with liquid pain medication, liquid antibiotics, and sometimes a decongestant. Your elastics will hold your jaws together for two weeks, and then your surgeon will remove them. At this point, you will be able to start chewing soft foods which can be easily squished between the prongs of a fork. It takes six to eight weeks for the jaw bones to heal enough to withstand normal chewing, so it is important to refrain from eating normal foods for at least six weeks.