Articles on oral and maxillofacial surgery

Jaw Surgeries for a Proportional Face

Dr. N Srinivas, Dentist
It may take more than a new smile to help you look your very best.Having a great smile is undoubtedly an asset, regardless of other aspects of your appearance. However, your smile is only one part of the whole composition of your face. Once you have improved your smile, you may be inspired to make a few other changes to look your very best, and it may be necessary to look beyond your dentist to help.If you are unhappy with your facial profile,the condition of your skin, or specific facial features such as your lips, nose or chin. An oral and maxillofacial surgeon reveals how repositioning the jaws can improve not only your bite but also your entire facial appearance, especially in profile.What is orthognathic surgery?Orthognathic surgery involves dividing and repositioning the jawbones to bring them into better alignment. It is typically used to correct bite problems that cannot be fixed by orthodontics alone.Often bone or soft tissues may be removed or augmented to further enhance facial esthetics. Orthognathic surgery can bring about significant changes in your appearance.Is orthognathic surgery right for me?Orthognathic surgery is typically performed by an oral and maxillofacial surgeon and can achieve dramatic improvement in facial esthetics. Orthognathic surgery may be the best option if you:1. Have jaw problems that can be treated only by surgery.2. Can pay for the procedure, as its a bit expensive.3. Feel strongly that your condition is inhibiting your success and happiness.4. Are willing to experience some discomfort and inconvenience.5. Understand and accept all associated risks.Communication is critical to success!1.It's important that you tell your doctor exactly what you want to correct.He or she may zero in on a particular problem,and you need to be sure that problem is also your primary concern.2. Your surgeon will design a highly specialized treatment plan for you based on information gathered by obtaining casts of your teeth, photographs,video images,and special x-rays.3. It's highly important that you know what results to expect from treatment.Some surgeons will use digital imaging to give you a good idea of what you'll look like after surgery;others may show you tracings of your new profile based on your x-rays.4.It's also essential that you understand each step of the surgical procedure that you're to undergo.The main risks and possible outcomes should be explained thoroughly, and it's then up to decide which procedures you wish to have performed.What can orthognatic surgery do?Problems that can be addressed using orthognathic surgery include. Recessive or protruding lower jaw and/or chin.. Chin that is too short,too long,or otherwise unattractive.. Open bite(teeth do not meet). Lower and/or upper jaw positioned to one side or a narrow arch. Discrepancies in upper and lower facial height (gummy smile or lack of enough tooth or gums showing)What does an oral and maxillofacial surgeon do?Oral and maxillofacial surgeons do more than just tooth extractions and jaw surgeries.If  you're interested in cosmetic procedures to enhance the appearance of your face and neck,talk to your surgeon about including them your overall treatment plan.

What is orthognathic surgery?

Dr. N Srinivas, Dentist
Having a great smile is undoubtedly an asset, regardless of other aspects of your appearance. However,your smile is only one part of the whole composition of your face. Once you have improved your smile,you may be inspired to make a few other changes to look your very best,and it may be necessary to look beyond your dentist for help.If you are unhappy with your facial profile, the condition of your skin,or specific facial features such as your lips, nose or chin, surgeon reveals how repositioning the jaws can improve not only your bite but also your entire facial appearance, especially in profile.What is orthognathic surgery?Orthognathic surgery involves dividing and repositioning the jaw bones to bring them into better alignment. It is typically used to correct bite problems that cannot be fixed by orthodontics alone. Often bone or soft tissue may be removed or augmented to further enhance facial esthetics. Orthognathic surgery can bring about significant changes in your appearance,particularly as you are seen in profile.What can orthognathic surgery do?Problems that can be addressed include:Recessive or protruding lower jaw and or china chin that is too short, too long, or otherwise unattractiveOpen bite (teeth do not meet)Lower or upper jaw positioned to one side or a narrow archDiscrepancies in upper and lower facial height Communication is critical to success!It's important that you tell your doctor exactly what you want to correct. The doctor may zero in on a particular problem and you need to be sure that problem is also your primary concern.The surgeon will design a treatment plan based on information gathered by obtaining casts of your teeth, photographs, video images, and special x rays.It's highly important to know what results to expect from treatment, either by digital imaging or tracings of your new profile based on x-ray.It's essential to understand each step of surgical procedure that you undergo.

Cosmetic and Plastic Surgeries

Dr. Parthasarathi Dutta Roy, Dermatologist
Being beautiful and charming is very important in every stage of today’s life. Most of people become upset for not receiving attractive physical structure, nose alignment, slim physic and many more. But medical science creates revolution for establishing two significant surgeries named cosmetic surgery and plastic surgery. These are very helpful for treating any kinds of physical disorders.Effectiveness of Cosmetic and Plastic SurgeryThrough cosmetic surgery anybody can change their facial or body structure which is not desired. Plus from ageing lines to wrinkles can be reduced through method of cosmetic surgery.Plastic Surgery is basically used for reconstructing the facial or body features. Any kinds of birth defects, injury imperfection and disease feature can beautifully be repaired by plastic surgery.Features of Cosmetic SurgeryTwo types of cosmetic surgery are categorized in medical science- addition and deletion. Through cosmetic surgery with collagen injection something can be added for giving proper shape and size of the body parts if one is not satisfied with their parts, size and shape of the body. Breast augmentation and lips plumping are the best examples. Alternatively excess mass on some parts looks ugly; the cosmetic surgery helps to delete the volume to give the perfect shape.Procedures of Plastic Surgery:Many procedures can be performed through plastic surgery. But here are some most popular procedures which is remarkable possible to treat are described below.Breast Augmentation: The women having small breast can get beautiful and attractive big breast through breast augmentation procedure of plastic surgery.Rhinoplasty: Defect of nose can be treated through rhinoplasty.Blepharoplasty: To give redesign and shape of the eye lids, blepharoplasty is just incomparable plastic surgery.Liposuction: Excess fat is cut down through this liposuction procedure for giving attractive body structure.

7 Botox Myths That Have No Basis!

Dr. Rohit Batra, Dermatologist
Botox is no longer confined to the celebrities and the rich & famous, it has  become quite common in indian households today.It is a minimally invasive procedure and a number of myths are associated with it. If you are thinking of having botox treatment for yourself, then let us help you make an informed choice:7 Common Botox Myths – How True are They?A number of misconception are involved with botox, just do not believe them unless you get information from a reliable source like a dermatologist who is actively involved in giving botox treatments.Some of the common myths you will hear are:Botox will Freeze the FaceA common hearsay is that botox will freeze your face. You will lose your natural facial expressions. Botox does not make your face entirely expressionless, Botox helps in curbing your dynamic wrinkles and prevents them to become static.Wrinkles are Barred ForeverBotox temporarily delays the wrinkles and smoothes your face. It removes facial lines for some time, obviously not forever. The effect of Botox wanes away in 3 to 6 months. It gives you a wrinkle free face but temporarily.Botox is for Older WomenAnother common myth is that botox is for older women. But this is not true as botox offers tremendous help in cases of premature aging and wrinkle development. It helps you in maintaining your youth and at the same time gives you confidence. Everyone is aging but Botox helps you to age gracefully.Botox is DangerousA general notion is that botox is dangerous. There is simply not true.. Instead botox is quite useful in the treatment of debilitating medical ailments like headaches, back pain cerebral palsy, etc. You need to get the botrox treatment done from a trained and qualified dermatologist  or cosmetologists to get the best out of the treatment.Botox Will Make the Face ImmovableThis is perhaps the commonest misconception about botox. It is true that botox restricts muscle movement to some extent but this is temporary and goes off in a couple of days. Your face is back to its normal movements and expressions. Frozen face is no longer common; provide you get the treatment form a qualified doctor.Swelling, Pain and BruisingYou may experience pain and redness at the injection site. They are completely gone in 2-3 days. Botox gives you great phenomenal results and minimal discomfort.Botox has a lot of Side EffectsIt is general perception that a number of side effects are associated with botox injections. This is completely false. The common side-effects are fatigue, nausea or headache. Rest all is wrong.So if you are looking for a Botox treatment - do consult with an experienced dermatologist who can guide you about the treatment and number of units of the product required for great and sustained results. One must make sure that quality product is used in right concentration for best results. Laser and cosmetic clinics use substandard and highly diluted products to dupe clients- always visit a board certified dermatologist for the specialized treatment and enjoy a "More youthful YOU!"

3 Reasons Why You Shouldn’t Be Nervous About Implant Surgery

Dr. Ishwari Bhirud, Dentist
Dental implants have gained a popular reputation for their life-like appearance and longevity. Much of the latter is attributable to the titanium post embedded in the jawbone. Because titanium has a natural affinity with bone, new cells will grow and adhere to the dental implant over time, making their connection strong and durable.Of course, to achieve that requires implant surgery — a prospect that gives many people pause before choosing this replacement option. But implant surgery is a routine undertaking, causes very little discomfort and in trained hands has a very high success rate.Here are 3 reasons why implant surgery is nothing to be nervous about.The procedure is precisely planned. Implant surgery is a relatively minor procedure, mainly because all the placement details are often mapped out ahead of time. For complex situations your dentist can use x-ray or CT imaging to determine the exact location for each implant and create a surgical guide to use during the procedure to make incisions and create the small channel that will hold the implant.Implant surgery can be performed with local anaesthesia. Implantation is usually easier than tooth extraction — if you’re healthy enough for that procedure you should have no problem undergoing implant surgery. With a local anaesthetic, your dentist will numb only the implant site and surrounding tissues while you remain conscious. If, however, you have any anxiety your dentist can also include a sedative or anti-anxiety medication before proceeding.There’s minimal discomfort afterwards. Thanks to the pre-planned surgical guide and advanced implantation techniques, there’s very little tissue disruption and incised tissues are normally stitched with self-absorbing sutures. While some cases may require stronger pain relievers, most of the time a mild non-steroidal anti-inflammatory drug (NSAID) such as aspirin or ibuprofen is sufficient for discomfort afterwards.The implant site heals fairly quickly and predictably with a 95-97% success rate. A few weeks after bone integration your dentist will attach the permanent like-like crown, and you’ll be ready for many years of full function and a confident smile.

Do You Know the Importance of Oral Health?

Dr. Ruchit Thakar, Dentist
Regular dentist visits can do more than keep your smile attractive – they can tell dentists a lot about your overall health, including whether or not you may be developing a disease like diabetes.New research suggests that the health of your mouth mirrors the condition of your body as a whole. For example, when your mouth is healthy, chances are your overall health is good, too. On the other hand, if you have poor oral health, you may have other health problems.Research also shows that good oral health may actually prevent certain diseases from occurring.Gum disease and health complicationsAccording to the Academy of General Dentistry, there is a relationship between gum (periodontal) disease and health complications such asa stroke and heart disease. Women with gum disease also show higher incidences of pre-term, low birth-weight babies.Other research shows that more than 90 percent of all systemic diseases (diseases involving many organs or the whole body) have oral manifestations, including swollen gums, mouth ulcers, dry mouth and excessive gum problems. Such diseases include:DiabetesLeukemiaOral cancerPancreatic cancerHeart diseaseKidney diseaseSince most people have regular oral examinations, their dentist may be the first health care provider to diagnose a health problem in its early stages.Poor oral health can lead to other problemsIf you don't take care of your teeth and gums, your poor oral hygiene can actually lead to other health problems, including:Oral and facial pain. According to the Office of the Surgeon General, this pain may be largely due to infection of the gums that support the teeth and can lead to tooth loss. Gingivitis, an early stage of gum disease, and advanced gum disease affect more than 75 percent of the population.Problems with the heart and other major organs. Mouth infections can affect major organs. For example, the heart and heart valves can become inflamed by bacterial endocarditis, a condition that affects people with heart disease or anyone with damaged heart tissue.Digestion problems. Digestion begins with physical and chemical processes in the mouth,and problems here can lead to intestinal failure, irritable bowel syndrome and other digestive disorders.What you can do-Seeing a dentist regularly helps to keep your mouth in top shape and allows your dentist to watch for developments that may point to other health issues. A dental exam can also detect poor nutrition and hygiene, growth and development problems and improper jaw alignment. Provide your dentist with a complete medical history and inform him or her of any recent health developments, even if they seem unrelated to your oral health.At home, you can practice good oral hygiene:Brush for two to three minutes, at least twice a day, with fluoridated toothpaste.Floss daily to remove plaque from places your toothbrush can't reach.Eat a healthy diet to provide the nutrients necessary (vitamins A and C, in particular) to prevent gum disease.Avoid cigarettes and smokeless tobacco, which may contribute to gum disease and oral cancer.Exercise preventive care and schedule regular dental checkups — the surest way to detect early signs of periodontal disease.

How Heart Disease and Oral Health Are Connected!

Dr. Harish Rathi, Dentist
The heart and mouth connection- Did you know that heart disease and oral health are linked? There are two different connections between heart disease and your oral health:People with moderate or advanced gum (periodontal) disease are more likely to have heart disease than those with healthy gums.Oral health holds clues to overall health. oral health can provide warning signs for other diseases or conditions, including heart disease.Many of the risk factors for gum disease are the same as those for heart disease, such as tobacco use, poor nutrition and diabetes. Overall, people who have chronic gum disease are at higher risk for a heart attackGum disease (called gingivitis in its early stages and periodontal disease in the late stages) is caused by plaque build up along and below the gum line. Gum disease may contribute to heart disease because bacteria from infected gums can dislodge, enter the bloodstream, attach to blood vessels and increase clot formation. It has also been suggested that inflammation caused by gum disease may also trigger clot formation. Clots decrease blood flow to the heart, thereby causing an elevation in blood pressure and increasing the risk of a heart attack.Research shows that many systemic diseases – including heart disease – have oral symptoms. Dentists can help patients who have a history of heart disease by examining them for any signs of oral pain, infection or inflammation. proper diagnosis and treatment of tooth and gum infections in some of these patients have led to a decrease in blood pressure medications and improved overall health. If you currently have heart disease,make sure to tell your dentist about your condition as well as any medications you are currently taking.Warning signs that you may have gum disease include:Red, tender or swollen gumsBleeding gums while brushing or flossingGums that seem to be pulling away from your teethChronic bad breath or abad taste in your mouthTeeth that are loose or separating from each other

Oral Health for Overall Health

Dr. (Maj) Varun Nischal, Dentist
The connection between oral/dental health and overall health is well established. There are several ways in which neglected oral hygiene can affect your general health. The following are some examples:HEART DISEASE: Those with advanced gum disease/Periodontitis are at an increased risk of heart attack. The bacteria present in millions in the plaque and calculus deposits in the mouth can travel through the blood stream and cause cardiovascular problems. STROKE: Those with adult periodontitis are at increased risk of stroke.UNCONTROLLED DIABETES: Diabetes can alter the bacterial environment in the mouth contributing to overgrowth of harmful bacteria. Smokers with diabetes increase their risk of tooth loss by 20 times.RESPIRATORY INFECTIONS: Inhaling bacteria present in dental plaque through mouth and throat can lead to pneumonia and other lung conditions. PRETERM/LOW BIRTH WEIGHT INFANTS: Hormonal and vascular changes during pregnancy leads to increased inflammation/swelling of gums commonly in 2nd-8th month of pregnancy. In addition, these oral microbes can also cross the placental barrier exposing the fetus to infection.SEVERE OSTEOPENIA: Reduction in bone mass (osteopenia) is associated with gum disease and related tooth loss especially in postmenopausal women.THE SOLUTION: SIMPLE, ECONOMICAL & EASY!Brush gently twice daily for strong teeth.Floss daily (after every meal) to keep your gums healthy. Brushing does not clean the food particles stuck in between teeth and gums.Pay a visit to your dentist every 6 months to monitor any budding problem at an early stage. As it has been rightly said, "Nip the evil in the Bud."Get regular professional cleaning/scaling done (at least twice a year).Never ignore anything unusual in your mouth. Home remedies, pain killers, antibiotics do not repair tooth damage.Eat healthy, stay stress-free and love the gums you're with!

Having a Dental Implant Placed Is So Much More Comfortable

Dr. Himani Sanwaria, Dentist
“Sometimes I wonder why people spend their lives with missing teeth when a wonderful painless missing tooth replacement option- Dental Implant is available.”One day, during one of the many times I was working with Professor in Gurgaon, I asked him this question, and asked if the people in Gurgaon Sector 22  reported their painless experience with dental implants. He said yes, they did. Which prompted me to ask why? He said initially it may be a problem with semantics. The way things are described. He said that when people talk about extracting teeth, they just say having a tooth “removed." As if it were as simple as having a hair cut. He went on to say that this is not the case, if we think of it from a medical perspective. He said when we extract a tooth we are performing a procedure in which we remove a part of the human body which was not intended to come out, or off. The tooth is torn from its bony housing as the ligament which attaches the root to the bone is ripped apart. An amputation is far more “violent” than “Just remove a tooth,” as if the process was merely as simple as pressing the delete button on a keyboard. Alternatively, he went on to say, a dental implant must be inserted into the bone gently. Not violently. And if done so, gently, the bone will grow onto the surface of the dental implant, over a period of weeks.So, are dental implants painless? Of course yes!Placement of dental implants into the jaw bone is relatively pain-free as the procedure is carried out under local anaesthesia. Ample time is given to the bone and the gums to heal before an abutment and restoration is placed after few months. Once stable, the implant is uncovered and a restoration often referred to as a crown is placed on top. Since the healing is completed, crown placement is again a painless part of dental implant procedure. In a number of cases, a temporary crown is placed on dental implant on the very first day of surgery. Today’s modern dental implant treatment plans can replace everything from a single missing tooth to a completely missing arch, and that too painlessly. With painless dental implants you can enjoy foods you love. Dental Implants are the only proven painless procedure to prevent bone loss after the natural teeth is lost. Dental Implants look much better and feel better, and apply the same force for chewing as natural teeth. So, pain should not be a matter of concern while taking a decision to get a dental implant placed. Some discomfort can be expected during recovery and that’s why I do prescribe pain relief medication, but most of my patients reported that they did not require any pill and this left a grin on my face.