Oral and maxillofacial surgery is used to correct a wide spectrum of diseases, injuries, and defects in the head, neck, face, jaws, and the hard and soft tissues of the oral and maxillofacial region. A recognized international surgical specialty, it is also one of the specialties of dentistry recognized by the American Dental Association.
Corrective jaw or orthognathic surgery may reposition the upper jaw, lower jaw, and chin to correct minor and major skeletal and dental irregularities, including the misalignment of jaws and teeth. This can improve chewing, speaking, and breathing. Difficulty chewing or biting food, excessive wear of teeth, a receding chin, a protruding jaw, or sleep apnea may indicate a need for corrective jaw surgery.
Wisdom teeth are the last set of teeth to develop. Sometimes they emerge from the gum line, and the jaw is large enough to allow room for them, but more often than not, they fail to appear and become impacted. When a wisdom tooth is impacted, it may need to be removed.
These injuries can affect sight and the ability to breathe, speak, and swallow. Because of this, the expertise of the oral and maxillofacial surgeon is indispensable. Avoiding injury is always best, so it’s vital for anyone who participates in athletics, at any level, to use seat belts, protective mouthguards, and appropriate masks and helmets.
Oral and maxillofacial surgeons recommend that everyone perform an oral cancer self-exam each month. If you notice white or red patches, an abnormal lump, chronic sore throat or hoarseness, or difficulty chewing or swallowing, you should contact your oral and maxillofacial surgeon. He or she will remove a section of tissue to perform a biopsy and diagnose the problem.
Dental implants are long-term replacements for missing teeth that an oral and maxillofacial surgeon surgically places in the jawbone. Composed of titanium metal that fuses with the jawbone through a process called osseointegration, dental implants do not slip or decay. Because dental implants fuse with the jawbone, bone loss is generally not a problem.
Oral and maxillofacial surgeons possess the ability to provide patients with safe, effective outpatient anesthesia, including local anesthesia, nitrous oxide, IV sedation, and general anesthesia. During their surgical residency, residents must complete a rotation on the medical anesthesiology service, where they become competent in evaluating patients for anesthesia, delivering the anesthetic, and monitoring post-anesthetic patients.