Facial trauma is any injury of the face and upper jaw bone.
The face is the most exposed region of our body to diverse traumatisms such as automobile accidents or violence accidents resulting in fractures of jawbone, orbit, etc.
In the treatment of a patient suffering from facial trauma there should be support studies carried out such as x-rays and computerized topographies that will allow an integrated diagnose. Some patients suffering from facial trauma will require hospitalization while others may be handled in the doctor's office.
The execution of a correct diagnosis is crucial, only this will allow the best surgical procedure with the smallest repercussions to be carried out according to each patients needs.
The Maxillofacial Surgeon is qualified with the knowledge and abilities to carry out this surgical procedure.
Now in days Dental Implants are the best permanent and secure solution in the replacement of one or more missing teeth giving you a natural appearance. They are made of biocompatible materials, just the same as hip implants or similar orthopedic devices, and function as anchors or support for traditional forms of dentistry, such as crowns, bridges or dentures.
These small fixtures are placed with in the jaw bone serving as a new root for the new replacement teeth, integrated by surgical procedure, generally under local anesthesia. A time after the implants have been placed these immediately are integrated to the bone and they will be able to be rehabilitated with individual or total prosthesis.
It is important to carry out prior studies to know if a patient is a candidate for the Dental implants. With these studies one can determine the number, length and diameter of the implants. This will reflect the cost of the procedure.
Many of our patients will tell you that implants have changed not only their smiles, their overall appearance but also even their lives!
The Maxillofacial Surgeon is qualified with the knowledge and abilities to carry out the surgical placement of dental implants.
These procedures are usually necessary if there is not enough bone available to place dental implants or if any vital anatomy is in the way.
Today, Bone Grafting procedures have become almost an integral part of Implant Reconstruction. In many instances, a potential implant site in the upper or lower jaw does not offer enough bone volume or quantity to accommodate an Implant of proper size or in the proper place. This is usually a result of bone resorption that has taken place since one or more teeth (if not all) were lost.
Bone Grafting procedures usually try to re-establish bone dimension with a wide variety of surgical methods augmenting or stimulating the formation of new bone where it is needed.
There are four broad clinical situations in which bone grafting is performed:
• To stimulate healing of fractures; either fresh fractures or fractures that have failed to heal after an initial treatment attempt.
• To stimulate healing between two bones across a diseased joint. This situation is called “arthrodesis” or “fusion”.
• To regenerate bone which is lost or missing as a result of trauma, infection, or disease. Settings requiring reconstruction or repair of missing bone can vary from filling small cavities to replacing large segments of bone 12 or more inches in length.
• To improve the bone healing response and regeneration of bone tissue around surgically implanted devices, such as artificial joints replacements (e.g. total hip replacement or total knee replacement) or plates and screws used to hold bone alignment.
Orthognathic Surgery is a field of the maxillofacial specialty and is entrusted specifically to diagnose and treat dental and facial disharmonies via surgical procedures.
Orthognathic surgery is needed when jaws don't meet correctly and the patient seeks a correction of the bite and/or their facial appearance. Teeth are straightened with orthodontics, and corrective jaw surgery repositions misaligned jaws.
Among these the most common problem is the prognathism, or excesses of growth of either jawbones. These alterations may result in an esthetically not pleasing position or non function of the dental arcades with bad positioning of the teeth and alterations of speech and chewing.
To treat these patients correctly and effectively there must be a conjunct management between the orthodontist and the maxillofacial surgeon.This not only improves facial appearance, but also ensures that teeth meet correctly and function properly. Corrective surgery can eliminate jaw and jaw muscle pain and prevent abnormal wear or loss of teeth
The Maxillofacial Surgeon is qualified with the knowledge and abilities to carry out diagnosis and the surgical procedures for treating orthognathic aesthetical problems.
THIRD MOLARS, commonly known as wisdom teeth.
During hundreds of years the human beings have evolutioned at the same as its alimentary customs, the food had harder consistency than the present, and the facial structure by consequence the structure of the jawbones was stronger and of greater size. Of that way has been verified that they included a molar more (fourth molar) of what now is known like third molar (wisdom tooth)
Due to the evolution, and to the processed food, smaller effort is required to carry out the chewing, motive by which very often the third molars remain impacted or are found in horizontal position and some times are no longer formed.
The average age and growth of the wisdom teeth is around 15 years, for which is recommended to value through x-rays the position and to detect possible future complications, being teenagers the most adequate age for these studies and in case of verifying the need to extract them. Procedure should not exceed of 10 minutes carrying out absolutely without pain.
The most frequent complications by third molars in bad position are:
A) Destruction by reabsorption of the Molar that continues him toward the front
B) Formation of cysts and tumors which can cause destruction of the bone of the jaw or maxillary.
C) (halytosis), bad smell and flavor of mouth
D) Non desired dental Movements.
E) Inflammation of the gum, pain and bleeding
F) Infection of the area with or without presence of pus.