Oral and Maxillofacial Surgery
Treatments and Services
The Oral and Maxillofacial Surgery Department consists of several clinics that provide specialized care for oral and facial conditions requiring surgery.
Orthognathic Surgery
Orthognathic surgery, also commonly known as jaw surgery, is a group of surgical procedures that correct misaligned jaws and teeth. They aim to improve facial appearance, function, and oral health.
This type of surgery indicated for conditions such as malocclusion (misaligned bite), jaw asymmetry, facial deformities, difficulty chewing, speaking, or breathing, and/or treatment of obstructive sleep apnea.
The treatment typically involves the following steps:
- Preoperative planning: Orthodontists and surgeons work together to develop a treatment plan that addresses the patient's needs. CT scans, and technological advances like computer simulations and virtual surgical planning are used to formulate patient-specific treatment plans.
- Surgery: Incisions are made in the gums or face to access the jaw bones. These bones are placed to their new positions, and secured with titanium screws or plates.
- Postoperative care: Patients will need to wear braces and follow post-surgical instructions to ensure proper healing and alignment. Recovery from orthognathic surgery varies depending on the complexity of the procedure. Most patients are able to resume normal activities within a few weeks.
There are different types of procedures depending on the specific jawbones involved:
- Maxillary surgery: Correction of the upper jaw
- Mandibular surgery: Correction of the lower jaw
- Bimaxillary surgery: Correction of both the upper and lower jaw
Additional procedures to improve nasal breathing or facial cosmetic enhancement can also be performed during orthognathic surgery.
TMJ Surgery
TMJ surgery is usually considered when conservative and non-surgical treatments, such as physical therapy, medications, and bite adjustments, fail to relieve symptoms or when there is a specific indication for surgery to be the initial primary treatment modality.
- Arthrocentesis: A minimally invasive procedure where the joint is flushed with fluid to reduce inflammation. Medications targeting specific disease processes may also be injected into the joint using this modality.
- Arthroscopy: An arthroscope (surgical device with camera) is inserted into the joint through small incisions. The scope allows the surgeon to visualize and treat joint problems, such as a displaced or torn cartilage. Laser treatment of inflamed tissues can be provided with this type of surgery.
- Arthroplasty: This is an open joint procedure which involves a larger incision to access the joint directly. Procedures include removal or repositioning of the displaced/damaged disc, or surgery on the bony surfaces of the joint
- Joint replacement: The affected joint is replaced with artificial components. There are two kinds of joint replacements currently available in the USA and are approved by the FDA: Stryker TMJ Concepts, which is a patient-fitted device, and Zimmer Biomet, which is a stock device.
Candidates for TMJ surgery typically are those with severe and persistent pain, limited jaw mobility, significant joint damage, and failure of conservative treatments. The recovery time vary depending on the type of surgery performed. Most invasive TMJ surgical procedures are performed under general anesthesia.
In addition, our department offers the below treatments and services.
Treatments
As with all areas of the face, the chin can have profound effects on other areas, such as the forehead and nose. The outpatient procedure involves a small incision either underneath the chin or inside the mouth. If the chin is too large, the bone will be resurfaced in order decrease its size. If too small, specialized implants utilized to give the chin volume and a more defined look.
Go to Detail PageA cleft lip or palate can be corrected with surgery. This surgery will improve your child's ability to eat, speak, and breathe, as well as provide a more normal appearance.
Go to Detail PageWhen an individual has lost an adult tooth, a dental implant can offer a replacement solution that’s less disruptive to surrounding teeth than a dental bridge and more permanent than a denture. Dental implant surgery replaces tooth roots with metal posts that are covered with artificial teeth. The procedure is typically done in multiple stages to allow the jawbone time to heal around the implant and achieve the best results.
Go to Detail PageThere are many factors that contribute to the appearance of our face and neck as people age. These include gravity, loss, and descent of the fat in the face, loss of skin elasticity, sun damage, habits such as smoking, as well as many other factors.
Go to Detail PageMaxillomandibular advancement, or sleep apnea jaw surgery, is a procedure that surgically moves the upper and lower jaws forward. The bones are surgically moved forward, as are the soft tissues of the tongue and palate. This causes the upper airway to open, which makes normal breathing possible during sleep.
Go to Detail PageMicrovascular decompression is used to treat very painful or intensely spasming facial nerves that haven't responded to medication.
Go to Detail PageRequest an Appointment
Request an Appointment
Refer a Patient
Refer a Patient
Microvascular reconstruction is an advance form of reconstructive surgery whereby tissue with arteries and veins from your arm, leg, chest or back are harvested and utilized to reconstruct your face, scalp, throat or mouth. The microvascular portion involves suturing these small vessels (2-3mm wide) to arteries and veins in the neck to re-establish a blood supply to the tissue. This is a technically demanding procedure that requires the use of a microscope and suture that is finer than human hair. This procedure has been shown to improve outcomes in terms of maintaining the function of the head and neck and better aesthetic outcomes for patients with traumatic and congenital defects or require surgery for head and neck cancer.
Go to Detail PageFor patients who have moderate sleep apnea, or are unable to use a C-PAP device, an oral appliance can be an effective treatment. The oral appliance is a molded device that is placed in the mouth at night to position the lower jaw and bring the tongue forward, elevating the soft palate while keeping the tongue from falling back in the airway and blocking breathing.
Go to Detail PageMany of the injuries and pathology require that the hard and soft tissues of the facial region be rebuilt or enhanced. Tumor surgery (benign or malignant), traumatic injuries, infections, and congenital abnormalities can require different types of reconstructive surgery.
Go to Detail PageSnoring disorders can be severe enough to prevent couples from enjoying a restful night together and be a signal that one may also be suffering from a sleeping disorder, such as Sleep Apnea. This is where the airway becomes blocked during the deepest portion of your sleep. This can result in frequent wake-ups, low oxygen levels, and can predispose you to a number of medical conditions, such as pulmonary hypertension. We're able to offer a wide range of procedures to improve for oral and nasal airways. Depending on the level of obstruction, this may entail straightening the septum (the wall separating the left and right nasal passages), functional rhinoplasty, and/or shortening the palate and taking out the tonsils.
Go to Detail Page