SCOPE OF ORAL AND MAXILLOFACIAL SURGERY
The history of oral and maxillofacial surgery dates back to 500BC. Even the famous ancient physician Hippocrates described the treatment for a dislocated mandible in his works. The 1800’s saw the field of oral and maxillofacial surgery getting established as a field specializing in the treatment of the disease and surgery of the mouth, jaws and associated parts.
The father of surgery in India, Sushruta, has documented several procedures done on the face way back in 600BC. Down the ages, the scope of oral and maxillofacial surgery has become multifold.
The field of OMFS has always been the bridge between medicine and dentistry and it has only grown to include the diagnosis and treatment of diseases affecting the mouth, jaws, face, and neck under its spectrum. The scope thus is extensive.
The following are the fields of interest for the maxillofacial specialty:
Procedures are done under local anaesthesia, conscious sedation and general anesthesia.
- Removal of impacted teeth and complex buried dental roots.
- Pre-implant surgery, including the use of implants to retain facial or dental prostheses and associated bone grafting techniques as part of jaw reconstruction.
- Removal of cysts and tumours of the jaws
- Treatment of infections of the jaws and face
- Facial injuries, management of complex fractures and soft tissue injuries of the mouth, face, and neck.
- Head and neck cancer, precancerous lesions, vascular tumours: surgical resection, including neck dissections.
- Reconstructive surgery, including microvascular free tissue transfer.
- Orthognathic surgery for the correction of facial deformities and disproportions.
- Primary and secondary surgery for cleft lip and palate, and other congenital facial deformities.
- Management of benign and malignant lesions of the salivary glands.
- Removal of complex facial skin tumours and reconstruction
- Cosmetic surgery including face lifts, eyelid and brow surgery and rhinoplasties.
- Temporomandibular joint surgery
Oral and maxillofacial surgeons are known to work alongside a variety of specialists in other fields such as orthodontists, restorative dentists, ENT surgeons, oncologists, plastic surgeons, and neurosurgeons to provide a comprehensive approach in certain cases of head and neck surgery.
This enormous expertise which a maxillofacial surgeon holds can go unnoticed unless there is awareness amongst the general public about the scope of service which could be provided. The face is a delicate complicated structure of the human body which comprises of teeth, tongue, upper lower jaws, cheeks, chin, nose, forehead, eyes, ears, and neck: thus a surgeon well versed with the facial region, in and out, is the specialist to go to when the need arises.
The Richardsons Dental and Craniofacial hospital take pride in providing the full spectrum of services which the field of oral and maxillofacial surgery offers.