Oral & maxillofacial surgery

Oral and Maxillofacial Surgery In Dubai UAE NLV Medical Center

Oral and Maxillofacial surgery is a surgical specialty that focuses on reconstructive surgery of the face, head, neck, mouth and maxillofacial surgery.

As well as facial plastic surgery.

Oral and maxillofacial surgeons recognize and treat a wide range of diseases, injuries, and defects of the head, neck, face, maxillofacial, soft and hard tissues in the oral and maxillofacial region.

The Power of confidence in your smile

Confidence in treatment undertaken by specialist oral & maxillofacial surgeon
Oral and maxillofacial surgery specializes in diagnosis, surgical and adjunctive treatment of disorders, diseases, injuries and defects in the head, face, jaws and the hard and soft tissues of the oral (mouth) and maxillofacial (jaws and face) region.
At NLV Medical Center, we provide the best oral & maxillofacial surgery treatment of third molar extraction, crown lengthening, apicoectomy, abscess eneculation and bone regeneration and grafting.

Oral & Maxillofacial surgeries we provide in our Dubai dental clinic at NLV Medical Center:

 THIRD MOLAR (wisdom teeth) EXTRACTION
Also known as wisdom teeth extraction, a wisdom tooth or third molar is one of the three molars per quadrant of the human dentition. It is the most posterior of the three. Wisdom teeth generally erupt between the ages of 17 and 25. Most adults have four wisdom teeth, one in each of the four quadrants, but it is possible to have fewer or more, in which case the extras are called supernumerary teeth. Wisdom teeth commonly affect other teeth as they develop, becoming impacted. They are often extracted when or even before this occurs.

CROWN LENGTHENING PROCEDURE
A crown lengthening procedure is done to increase the length of the clinical crown of your tooth. It is necessary if you have fractured your tooth and the fracture line is below the gum level, Our Dubai Dental surgeon removes gum tissue, bone or both to expose more of a tooth, if you have decay beneath the level of your gum, or if a tooth has not erupted fully and the clinical crown is short. NLV dentist will probably place a crown/cap on this tooth after we have finished our procedure.
Usually when one of the above occurs, the fracture line or decay is not just below the gum level, it is also close to the bone which holds your tooth in place. This is a problem because if a crown is placed on your tooth and the margin of that crown is too close to the bone, your body will not tolerate the intrusion of the crown into this space and an inflammatory process will begin in the bone. We would like to avoid this.

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APICOECTOMY
Your dentist dentist opens the gum tissue to expose the bone and surrounding inflamed tissue. The damaged tissue is removed along with the end of the root tip. A root-end filling might be placed to prevent reinfection of the root and the gum is sutured. The bone naturally heals around the root over a period of months restoring full function.

EXPOSURE OF UNERUPTED TEETH
Exposing unerupted teeth might often assist orthodontic treatment and speed up the way that the teeth will move. With some patients teeth do not erupt and dentist should expose it so that Orthodontic appliances can be attached to them. Such procedures can be carried out during the orthodontic treatment period. In some cases orthodontic brackets are bonded to the unerupted tooth so that the tooth can be moved into the correct position with orthodontic appliances. Exposure of unerupted teeth is often recommended by your Orthodontist and is a procedure that can be carried out under local anaesthetic, sedation or general anaesthetic.

BONE REGENERATION AND GRAFTING
Bone grafting is a maxillofacial surgery & a surgical procedure that replaces missing bone in order to gain bone volume, thickness and length that are extremely missed.
Bone generally has the ability to regenerate completely but requires a small space or some sort of scaffold to do so. Bone grafts may be autologous (bone harvested from the patient’s own body, often from the iliac crest), allograft (cadaveric bone usually obtained from a bone bank), or synthetic (often made of hydroxyapatite or other naturally occurring and biocompatible substances) with similar mechanical properties to bone. Most bone grafts are expected to be reabsorbed and replaced as the natural bone heals over a few months’ time.

TEMPOROMANDIBULAR JOINT DISORDERS (TMD)
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.
The exact cause of a person’s TMJ disorder is often difficult to determine. Your pain may be due to a combination of factors, such as genetics, arthritis or jaw injury. Some people who have jaw pain also tend to clench or grind their teeth (bruxism), although many people habitually clench or grind their teeth and never develop TMJ disorders.

Injury to your jaw, the joint, or the muscles of your head and neck like from a heavy blow or whiplash can lead to TMD. Other causes include:

  • Grinding or clenching your teeth, which puts a lot of pressure on the joint
  • Movement of the soft cushion or disc between the ball and socket of the joint
  • Arthritis in the joint
  • Stress, which can cause you to tighten facial and jaw muscles or clench the teeth
FAQ

If your wisdom teeth are impacted and/or causing crowding in your teeth and affecting your bite, your Dubai dentist at NLV Medical Center will recommend that you have them removed.

Before pulling the tooth, your dentist will give you an injection of a local anesthetic to numb the area where the tooth will be removed.
If the tooth is impacted, the dentist will cut away gum and bone tissue that cover the tooth and then, using forceps, grasp the tooth and gently rock it back and forth to loosen it from the jaw bone and ligaments that hold it in place. Sometimes, a hard-to-pull tooth must be removed in pieces.

In addition to a detailed history and careful clinical examination, imaging studies of the teeth and jaws may sometimes be helpful as a diagnostic tool. These include:

  • Routine Dental X-rays and Panoramic Radiographs. These show the teeth and provide a screening view of the bony structures of the TM joint.
  • Computed Tomography (CT or CAT scan). This provides greater detail of the bone but a somewhat limited view of the disc and soft tissues. It is indicated when a screening radiograph of the TM joint shows some bony changes. More info on CT scans by FDA.
  • Magnetic Resonance Imaging (MRI). This provides images of the disc as well as the muscles and other soft tissues surrounding the joint.
  • Scintigraphy (Bone scan). This involves the injection of a radioactive substance that is absorbed by the bone cells and shows whether a pathologic process is in an active or inactive state.

What should I tell my dentist before I have an oral surgery?

Although having an oral surgery is usually very safe, the procedure can allow harmful bacteria into the bloodstream. Gum tissue is also at risk of infection. If you have a condition that puts you at high risk for developing a severe infection, so before have the surgery, let your dentist know your complete medical history, the medications and supplements you take, and if you have one of the following:

  • Damaged or man-made heart valves
  • Congenital heart defect
  • Impaired immune system
  • Liver disease (cirrhosis)
  • Artificial joint, such as a hip replacement
  • History of bacterial endocarditis

You have to look after yourself carefully after you have had a tooth taken out or any dental surgery. Following these instructions will help minimise post-operative pain, swelling, tenderness and aid healing, as well as prevent infection:

  • Do not rinse your mouth out for at least 12 hours after an extraction.
  • Keep your mouth clean, brush your teeth as normal but brush the area of treatment gently.
  • Avoid eating or drinking until the local anaesthesia has worn off.
  • If you start to bleed again, Roll a handkerchief into a sausage, place it over the bleeding socket and bite HARD for 30 minutes.
  • You may experience some pain, swelling and bruising after treatment.
  • Make sure you take some painkillers for the first 24 hours.
  • Avoid smoking for at least 5 days after treatment.

Bone grafting is a surgical procedure that replaces missing bone in order to gain bone volume, thickness and length that are extremely missed.

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