Conditions and Treatments | Maxillofacial and Dental Surgery

Maxillofacial & Dental Surgery

A world class investigative, treatment and personalized care centre for maxillofacial and dental surgeries

Welcome to the Department of
Maxillofacial and Dental Surgery at MGM Healthcare

Maxillofacial and Dental Surgery

What is maxillofacial surgery?

Maxillofacial surgery is a surgery that is done to correct diseases, injuries or defects to your face, jay or mouth by maxillofacial surgeon who are highly trained dental surgeons who are experts in identifying and treating problems with bones and tissues of your jaw and lower face (also known as maxillofacial area), root of your mouth (also know as palate) and your teeth.

Why is maxillofacial surgery done?

Maxillofacial surgery is primarily done to improve jaw function and relieve pain. There are several dental problems address by maxillofacial surgery and includes the following:

  • Finding the underlying cause for chronic dental pain
  • Preparing the mouth for putting dental implants and prostheses like dentures
  • Extracting impacted teeth
  • Treating oral diseases

There are several jaw problems address by maxillofacial surgery and includes the following

  • Bone grafting – This is a procedure where bone is transplanted from another area of your body to the area that is missing in your jaw
  • Treating temporomandibular joint (TMJ) disorders – These are disorders that affect the area where your lower jaw attaches to your skull
  • Treating any injuries from trauma to your jaw, face and mouth

Maxillofacial surgery is also done in conditions like the following:

  • Correcting cleft lip and palate which are congenital abnormalities present at birth
  • Diagnosing and treating tumours, cancer, cysts and other benign growths in your head and neck.
  • Treating facial fractures or damaged maxillofacial tissue resulting from injury due to facial trauma.


What happens during maxillofacial surgery?

When you visit a dentist or a primary care provider and they recognize that your condition needs a maxillofacial surgery, they will refer you to a maxillofacial surgeon. When you consult with a maxillofacial surgeon you will be asked about your symptoms, your medical history and any medications that you may be currently taking. Then the surgeon will examine your oral cavity and surrounding areas. They will order tests such as dental X-rays, 3D scans to get detailed images of the maxillofacial structures. This will help them diagnose the condition accurately and then recommend a treatment plan and corrective surgery.

What happens before maxillofacial surgery?

Depending on the problem the procedures vary. Some surgeries can be performed in an out-patient setting and post the surgery you can go home on the same day. Certain other conditions might warrant multiple surgeries done over a period of time to achieve the desired results. Anaesthesia is an important component of maxillofacial surgery and our surgeons are highly trained to handle different types of anaesthesia and will decide and discuss with you on what type of anaesthesia is best for you. Once the surgery is completed, they may have to use stitches to close the wound or may use packing in your mouth to protect your teeth or the wound and to absorb fluids such as blood and pus.

What happens after maxillofacial surgery?

Post the surgery, you will be moved to a recovery room. Once your anaesthesia wears out might experience some discomfort or pain. You may also experience bleeding, bruising, swelling and limited use of jaw and teeth. Your surgeon will discuss with you how the surgery went, do’s and don’ts during recovery, when you can go home and how to take care of yourself during recovery. If you receive anaesthesia, you should have someone drive you home.

What are the advantages of maxillofacial surgery?

Maxillofacial surgery can relieve chronic pain permanently, it can improve your jaw function and it can improve your appearance.

What are the risks or complications of maxillofacial surgery?

Risks from maxillofacial surgery includes:

  • Infection
  • Bleeding
  • Dry socket
  • Pain
  • Root fragments
  • Temporomandibular joint disorders
  • Numbness or any changes in sensation in your mouth or other areas of your face due to possible damage to your facial muscles or nerves
  • Injury to teeth, lips, tongue, cheeks, chin, nasal cavity, sinuses, or maxillofacial bones or tissue.


What’s recovery like after maxillofacial surgery?

Your stitches will either dissolve or will be removed in a week. You may experience discomfort such as sensitivity, swelling, bleeding that will last for a few days. You will be given pain medications to keep you comfortable. You will have to avoid certain foods and activities for a few days or weeks after surgery depending on the type of procedure you have had. You will be recommended to avoid sugary drinks, hot and cold drinks, avoid tobacco products, avoid exercising, avoid foods that are hard and chewy, prescribe a liquid diet, asked to rest, asked to rinse your teeth instead of brushing for a few days to kill bacteria in the mouth, etc

When should I call my healthcare provider?

Please call the hospital if you experience fever, chills, abnormal bleeding or swelling, chronic pain that does not get better gradually, have a salty or metallic or bad taste in the mouth that does not go away, develop pus in the mouth.

Some of the treatments we offer

Invisible braces are the latest technology in the field of orthodontics. It is ideal for people who want their teeth straightened but do not want visible wires on their teeth.

This process can straighten crooked teeth without the use of metal or ceramic wires. However, they work just like the conventional ones. This procedure is painless and does not require anaesthesia.

How is it performed?
  • The orthodontist starts by taking a full X-ray of the patient’s teeth and jaw along with the impressions of the gums.
  • It takes approximately a month to make these invisible braces out of clear plastic or acrylic material.
  • On the second visit, the first set of these clear aligners are inserted into the mouth.
  • These braces are removable but must be worn throughout the day, except when eating, brushing or flossing.
  • The set should be worn for two or three weeks before it is replaced by the next set.
  • Invisible braces are effective for people facing situations like spacing in between teeth, crowding of teeth, overbite, underbite, deep bite and open bite conditions.

Dentures are a removable replacement for missing teeth and surrounding tissues. Two types of dentures are available — complete and partial dentures. Complete dentures are used when all the teeth are missing. The remaining teeth are first removed and the gum tissue is allowed to heal for 8 to 12 weeks. The dentures are ready for placement in the mouth once the gums have healed.

Partial dentures are used when some natural teeth remain. It usually consists of replacement teeth attached to a pink or gum-coloured plastic base, which is sometimes connected by a metal framework that holds the denture in place in the mouth. A fixed bridge replaces one or more teeth by placing crowns on the teeth on either side of the space and attaching artificial teeth to them. This is more natural-looking.

How Are Dentures Made?
  • The denture development process takes a few weeks.
  • The orthodontist first determines the type of dentures required.
  • A series of impressions of the patient’s jaw is made and measurements are taken.
  • Models, wax forms and/or plastic patterns are created in the exact shape and position of the denture.
  • The model is tried by the patient several times and is assessed before the final dentures are cast.
  • The final dentures are cast after the adjustments are made.

Dental veneers are thin, tooth-coloured shells that are attached to the front surface of the teeth to improve their appearance. They’re often made from porcelain or resin-composite materials and are permanently bonded to the teeth. Veneers can be used to treat a number of cosmetic concerns, including chipped, broken, discoloured, or smaller-than-average teeth.

Different Types of Veneers

Dental veneers are most commonly made out of porcelain. There are two types of veneers — traditional and no-prep dental veneers. Traditional dental veneers typically involve grinding down the tooth structure, sometimes removing some of the tooth even past the enamel. The process can be painful and often requires a local anaesthetic. No-prep veneers may require some minimal tooth preparation but it does not go beyond removing layers of tooth under the enamel. There is no need of local anaesthetics in this case.

How is it performed?
  • Moulds of the patient’s teeth are taken by the orthodontist.
  • Creation of veneers takes between one and two weeks.
  • Once ready, the veneers are placed in the mouth and evaluated for fit, shape, and colouration.
  • The dentist thoroughly cleans the patient’s teeth, as it keeps bacteria from being trapped under the veneers.
  • Post cleaning, a grinding tool is used to create a rougher texture. This makes it easier for the veneer to stick to the tooth.
  • The dentist then uses dental cement to bind the veneer to the tooth. Ultraviolet light is used to harden the cement quickly.
  • The placement of the veneers typically last for two hours.
What is a dental implant?

Over the last two decades, dental implants have been the gold standard for tooth replacements and are the next best thing to your natural teeth. A dental implant is a screw made of titanium that is placed in the jaw bone. The implant acts as the root of the tooth over which an artificial tooth can be fixed.

The procedure is done in two phases:
  • Surgical phase (implant placement)
  • Prosthetic phase (artificial tooth placement) Between the two phases is a healing period, which varies from 3 to 6 months, depending on
  • the bone quality.
Benefits of Dental Implants
  • High success rate
  • Last a lifetime with proper maintenance and periodic check-ups
  • Virtually indistinguishable from your natural teeth
  • Prevent bone loss that generally follows tooth loss
Types of Dental Implants
  • Single Dental Implant – A single dental implant replaces a single missing tooth.
  • Implant supported bridge – Two or more dental implants, forming an implant-supported bridge, can replace multiple missing teeth.
  • Implant supported overdenture – Implant-supported dentures are useful for individuals with loose dentures, which come off while chewing or talking. The dentures can be stabilised with the help of dental implants.
  • All on 4 dental implants – This procedure provides a complete set of fixed teeth within 48 hours, for individuals with no teeth at all. Only four dental implants are used in this technique.
  • Zygomatic implants – These implants are used for individuals who do not have adequate bone in the upper jaw for placement of regular implants. A complete set of teeth are attached to the zygomatic implants that take support from the cheek bone on either side.

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    We are with you in your journey to better health

    We have some of the best maxillofacial surgeons, dentist and dental surgeons in Chennai on-board at MGM Healthcare, with years of expertise to accurately diagnose and treat any conditions relating to your face, jaw and mouth. We constantly update our technological infrastructure and information systems and keep abreast of the latest trends and new equipments, technologies and procedures. If you or someone in your family or friend’s circle is looking for maxillofacial and dental surgery services, MGM Healthcare is here to care for you.

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