It is the branch of dentistry in which the diseases around mouth, teeth and jaw are diagnosed through the clinical and radiological examination, and are treated by using medicine and surgical methods.
Advanced applications of dental implant surgery are also included in this section such as placing implants into jaw, planting bone grafts when there is insufficiency of necessary bones, which are used frequently in dentistry.
Another issue maxillofacial surgery deals with is congenital or acquired maxillo-facial malformation. Among these are frequently encountered lip and palate clefts, chewing malfunction and aesthetical deformity due to lower or upper jaw is positioned in forward or back. For this purpose, applications such as orthognathic surgery, osteotomy, distraction osteogenesis, hard tissue and soft tissue augmentations are applied.
Not only conventional diagnostic techniques such as X-ray can be used in maxillofacial surgery, but also advanced techniques are used to obtain a full-scale three-dimensional bone model of patients with the support of tomography.
Thanks to a definite diagnosis, a perfect surgery operations plan can be prepared. To succeed in diagnosis and treatment process, orthodontics and prosthetics specialists cooperate with dentists as multi disciplinary.
Diagnosis and surgical treatment of all illness related to soft tissue (cheek, palate, tongue, lips etc.) and hard tissue (jaw, teeth, bones, jaw joint) located in the cavity are performed in the clinic or operating room environment by applying local anesthesia / general anesthesia or sedation.Patients may need to be kept under observation after major surgical operations in our room-on-lit for a few days.
Wisdom teeth are the last teeth to emerge in the mouth. They are located at the end of the dental arches in the upper and lower jaws. They get this name because they usually appear in the mouth in the 20s.
Most of us have had problems with wisdom teeth. Do wisdom teeth really remain embedded as a result of an evolutionary process as evolutionists claim? Or don’t you need them anymore? Why doesn’t my dentist want to pull out?
Famous orthodontist Raymond Begg, who investigated the sequences of tooth of Stone Age people in 1950s, announced that Australian natives who ate coarse and fibrous foods had the same dentition which rebuted phylogenetic evolution theory regarding wisdom teeth. Begg discovered that Stone Age people and today's Australian natives had the same tooth series. Common features of the skulls of ancient times and those of modern Australian natives are that all had wisdom teeth smoothly and was no perplexity or cavity. So, what was the formula of having cavity-free white wisdom teeth with no problem?
First of all, I have to inform you that teeth are not adhered into the jawbone but they are attached to jawbone through thousands of fibers. Therefore, while chewing hard food, chewing forces are not transmitted directly to the bone. And thanks to fibers hanging tooth, they flex up and down, left and right a bit as a damper.
Dr. Beggar reported in his studies that teeth of both ancient people and Australian natives consuming rough and fibrous foods were more moving and flexible, and thus a gap was formed between two teeth as a result of degradation and the wisdom teeth coming from behind unearthed easily. It was also observed that there is no perplexity and they are lined up like pearls. Since teeth are formed more flat due to tooth decay and there is absence of residues of food in interface, no missing tooth has been observed.
So, why are our teeth crooked, decayed and our wisdom teeth embedded? The answer is simple: soft bread, meat cooked in the pressure cooker, cream cheese, etc. That means our teeth don’t work well since we consume soft and fabricated foods instead of natural-fiber foods. So, there is no need for the damper since we do not rub our teeth and there is no place behind for the wisdom teeth. This leads to the fact that the wisdom teeth disrupt the balance of the jaw, they cannot get out or get out more behind and needs being pulled out.
When wisdom teeth are not pulled out, it may result in serious harm or joint problems. Furthermore, not being able to teethe or semi-tooth may harm the adjacent teeth.
Wisdom teeth are located at the end of the mouth. Since they are in a region which is difficult to reach and see, it might be more difficult to brush and care them than the other teeth. Wisdom teeth may decay and lead to pain and bad breath easily due to insufficient tooth brushing. If some teeth have gum hood over, food residue accumulation and cyst formation are faster. As a result of bad smell in the mouth and forming cysts in the bone, maxillofacial surgery specialists want to extract this tooth as justified.
1. When it leads to orthodontic deformity and dental disorders.
2. When there is a cavity where treatment or root canal filling is difficult to make.
3. When there is pain or swelling./p>
4. In cases where the sound comes from the jaw joint.
5. Patients with teeth grinding.
6. Patients with halitosis.
7. In cases of teeth tip and the presence of periodontal problems.
8. In cases where the opposite tooth is pulled and there is no chewing function.
9. At least 6 months before an orthognathic jaw surgery.
10. In cases of cyst formation within the jaw due to wisdom teeth.
11. In all cases which it cannot be lasted./p>
12. In case of stretching.
13. In cases where the root is not completely developed or is inadequate.
14. Persistent pain in the head and neck.
15. In cases where the front teeth are worn.
In some cases, wisdom teeth cannot go out due to the narrowness of the place in the jaw. They can either be fully embedded (in a way that it cannot be seen in both gums and mouth part under the jaw bone) or can remain as semi embedded under the gums and may have contact with the oral environment.
In the case that they remain semi-embedded under the gum, they can cause infection in the area where they are embedded because of stuck and piled food. Swelling and redness of the gums surrounding the wisdom teeth cause severe pain in neck and ears, swelling of lymphglands, pain while opening the mouth or swallowing. This is called as “pericoronitis”.
Fully embedded wisdom teeth can compress the front teeth, and can create perplexity (curvature) on the teeth. They may also cause tooth decay by putting pressure to the adjacent teeth.
Tooth borne cysts can occur in any part of the mouth. It may be noticed by the patient due to pain or noticeable swelling or it can reach very large sizes unnoticeably. Although treatments differ according to the region in the mouth and the size of jaw cysts, it must be pulled out by dental and maxillofacial surgeons.
Tooth borne cysts are usually benign and slow-growing type. However, if they are not interfered on time, it can reach a very large size and can damage normal anatomical spaces such as sinus, nasal cavity, nerve or can show malignancy (visible transformation into malignant tumors). The emerging cysts become the focus of focal infection. Any microorganism departing from here can settle in the heart, joints and kidneys through blood. As a result of this settlement, serious illnesses may come about. Therefore, the teeth cyst should be cleaned off absolutely.
Root canal treatment is primarily applied to the teeth which are found to be associated with cysts after dental examination. The area of cyst is numbed by anesthesia. Gingiva and the possible least amount of bone are removed from the easiest point to reach cysts. It is cleaned off from all borders and closed with stitches and let the remaining healthy bone heal. If the cyst has not been infected before, tooth powder is used to accelerate healing process. The extracted parts should be examined in the pathology laboratory.
Very large jaw cysts need to be taken out under general anesthesia.
Pricing varies according to location and size of the cysts found in the mouth. Cysts may be small in size as well as it may be large enough to cover the entire jaw.
It is done in a painless way with an effective and adequate anesthesia. After the operation, antibiotics, painkillers and antiseptic mouthwash are used. A comfortable healing process is passed with controls.
Infections occurring due to decay or trauma can cause the formation of cysts in the root tip in the future. In such cases, it is not sufficient to do root canal treatment alone to clean this infection which has reached to the bone.
After root canal treatment to problematic teeth, cyst along with infected bone tissue is cleared by opening the root tip of the tooth surgically. This is the treatment option to extend the life of teeth especially anterior ones.
After the treatment, the patient can use the tooth for a long time without any problems.
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