“The experts in face, mouth, and jaw surgery”
Oral and maxillofacial surgeons specialise in the diagnosis and treatment of diseases, injuries, and defects involving the face, mouth, and jaw. This includes a large range of conditions from wisdom teeth extraction and placement of dental implants to the surgical treatment of facial injuries, the surgical correction of jaws’ misalignment (orthognathic surgery), cleft lip and palate surgery, treatment of oral and skin cancers, facial cosmetic surgery, and the non-surgical management of conditions such as facial pain, disorders of the temporomandibular joint, mouth ulcers and more.
Oral and maxillofacial surgeons use the latest techniques such as advanced 3D imaging to navigate the complex structures of the face and jaws which is essential for optimal surgery planning, and micro-surgery for complex procedures.
They often work collaboratively with other specialists like dentists, ENT surgeons, ophthalmologists or neurosurgeons or plastic surgeons.
Dental surgery consists on the diagnosis, prevention and management of diseases and conditions that affect the teeth and gums. Treatments range from dental cleaning, to cosmetic solutions such as teeth whitening, to specialised dentistry such as endodontics, dental implants, prosthodontics, periodontics and orthodontics…
Led by Dr Nguyen Thanh Tung, who has a long experience as senior consultant in the National Hospital of Odonto-Stomatology, the team of maxillofacial and dental surgeons of FV Hospital is dedicated to provide the highest level of patient care.
Oral & Maxillofacial Surgery
- Facial injuries may cause fractures of the jaws, orbits and facial bones, as well as soft tissue injuries.
- They can be due to road traffic accidents, collisions with objects, sport accidents.
- Restoring anatomy, occlusion and masticatory abilities, and naturally harmonious aesthetics are the objectives of the maxillofacial surgeon.
- Wisdom teeth management and extraction
- Preparation of the mouth for dentures (pre-prosthetic surgery)
- Soft tissue grafting for gum recession
- Treatment of oral infections
- Biopsy of suspicious lesions of the hard and soft tissue
- During dental implant surgery the tooth’s root area is first replaced by a metal screw-like post. This provides a strong base for the artificial tooth which will look, feel, and act as a natural tooth.
- When a tooth is lost, the surrounding bone often is often affected over time. Site preparation may include bone grafting and sinus lifts, procedures performed by Oral and Maxillofacial surgeons.
Corrective jaw surgery (orthognathic surgery)
- The aim of this surgery is to correct a wide range of minor and major skeletal and dental irregularities, including the misalignment of jaws and teeth. It can dramatically improve chewing, speaking, and even breathing, and enhance the patient’s appearance.
- Patients with difficulty biting or chewing, receding chin, protruding jaw, gummy smile… may be evaluated to determine whether corrective jaw surgery is the best solution for them.
- Surgical correction of congenital or acquired facial deformity to improve orofacial function, overcome facial disfigurement and restore quality of life.
- Cleft lip and palate surgery
- Diagnostic and surgical treatment of facial and oral cancers
- Surgical treatment for oral cancer often involves removing the cancerous tissue and then reconstructing the surgical site to improve appearance and function
- Maxillofacial surgeons provide aesthetic treatment to improve the appearance of your face, mouth, teeth, and jaws.
- Procedures include sliding genioplasty to realign and reshape your chin, jaw angle reduction, cheekbone lowering, eyelid surgery, facelift, scar correction, nasal reconstruction, cosmetic chin, and ear surgery
Temporomandibular joint (TMJ) disorders
Most people with TMJ experience some of these common symptoms:
- Jaw locking when attempting to open the mouth
- Popping, clicking or grinding sounds when opening or closing the mouth
- Stiff or sore jaw muscles, especially on waking
- Frequent neck pain, headaches, ear pain, or facial pain
- Pain when opening the mouth
- Jaw deviation to one side, especially when opening the mouth wide
- Grinding of teeth at night
FV Maxillofacial surgeons provide diagnosis and management of TMJ disorders including conservative treatment and surgical procedures as arthrocentensis
Other procedures and treatments
- Orofacial nerve repair
- Removal of cysts and tumours of the jaws
- Management of oral mucosal diseases
- Management of infections of the oral cavity and of the head and neck, including life-threatening facial space infection
- Diagnostic and management salivary glands disorders including infections, stones, and benign or malignant lesions.
- Sleep apnoea surgery: depending on your needs, the maxillofacial surgeon can either remove excess tissue from your throat or move your jaw forward to create more room for breathing.
This is a type of surgery involving the root or pulp of the tooth.
- Root canal surgeryis performed to treat a diseased or damaged tooth with the tooth root exposed. It involves removing the inflamed tooth pulp and tooth root from underneath the enamel and dentin in order to relieve pain and save a tooth from extraction (hence creating a root canal). The infected tooth is drilled and has its pulp removed, only to be replaced with an inert substance (this is called “filling”). Afterwards, a crown is placed atop the tooth.
- Pulpotomy: This is the precursor to a root canal procedure. It involves opening the tooth’s pulp chamber, removing the diseased portion of the pulp and leaving alone the rest of the pulp so that there is no need for a full-blown root canal procedure.
- Pulpectomy: This procedure involves removing all the pulp in the pulp chamber. After removal, the canals are medicated and cleaned.
- Apicoectomy: This is the removal of the very tip of the tooth root. It is done when the full root canal surgery isn’t enough to relieve pain. This root-end resection involves removal of the apex or the end of the root by entering through the gums and surgically extracting the diseased material. The resulting cavity is filled with a biocompatible material.
- Extraction: The removal of a tooth. This usually is done on teeth that are problematic, diseased, or redundant (which is the case for wisdom teeth that have no space to grow on the modern jaw). They’re typically removed through pulling or cutting. It can be done with local (numbing your mouth) or general (putting you to sleep) anaesthesia.
When a tooth is lost due to injury or disease, a person can experience complications such as rapid bone loss, defective speech, or changes to chewing patterns that result in discomfort. Replacing a lost tooth with a dental implant can significantly improve the patient’s quality of life and health.
Dental implant systems consist of a dental implant body and dental implant abutment and may also include an abutment fixation screw. The dental implant body is surgically inserted in the jawbone in place of the tooth’s root. After placement, the area is then allowed to heal for about 4 to 6 months.
Afterwards, an artificial tooth is placed atop the implant (usually an abutment and crown). The crown is typically connected to the implant by a screw or cement to keep it affixed.
Dental implant surgery is usually an outpatient surgery performed in stages, with healing time between procedures. The process of placing a dental implant involves multiple steps, including:
- Damaged tooth removal
- Jawbone preparation (bone grafting), needed if your jawbone isn’t thick enough or is too soft. For implants in the upper jaw a sinus lift may be required, it consists in lifting up the maxillary sinus, then grafting bone between the upper jaw and the sinus. These procedures are performed by a maxillofacial surgeon.
- Dental implant placement
- Bone growth and healing
- Abutment placement
- Artificial tooth placement
The entire process can take many months from start to finish. Much of that time is devoted to healing and waiting for the growth of new bone in your jaw. Depending on your situation, the specific procedure done or the materials used, certain steps can sometimes be combined.
This is a dental surgery involving dental prosthetics or prosthetic tooth replacement.
- Crowns: These artificial coverings for teeth are made from various biocompatible materials, such as a tin or gold and aluminium mixture, CMC/PMC (ceramic/porcelain metal composite), and so forth. To accommodate the crown, the underlying tooth must be reshaped thusly.
- Veneers: Veneers are thin porcelain or composite resin coverings that are bonded to the front surface of a tooth using dental cement, used to correct tooth imperfections, such as stained or chipped teeth.
- Bridge: A bridge is a row or set of fixed prosthetic crowns. It has two or more crowns connected together. They replace a missing tooth or several missing teeth.
- Dentures (false teeth): A partial or complete set of false teeth or dentition. These prosthetic appliances are secured to your teeth with metal or plastic caps. There are temporary or detachable false teeth that you can place in a glass of water when you’re about to sleep or permanent false teeth that you have to stick into your mouth like dental bridges.
- Professional cleaning and check-up
- Teeth whitening
- Gum recontouring, smile design
- Full ceramic crown & onlay
- Cosmetic filling
- Orthodontic treatment is used to improve the appearance and alignment of crooked, protruding or crowded teeth, and to correct problems with the bite of the teeth.
- Orthodontics involves the use of bracesor clear aligners like VinciSmile (nearly invisible and more comfortable) to correct the position of the teeth.
- The length of treatment depends on how complicated the problem is, but it’s usually between 18 and 24 months.
This is the branch of dental surgery that deals with the treatment of gingiva (gum) or periodontal diseases like gingivitis and periodontitis. Complications of periodontitis include loosened up teeth and the destruction of the connection between tooth, gum, and bone.
Periodontal treatments include Scaling and Root Planing (deep cleaning of the tooth root surfaces), laser treatment, gum graft surgery, regenerative procedures, dental crown lengthening, periodontal pocket procedures, and dental implantation.
Planmeca Emerald intraoral 3D scanner
One of the best intraoral scanners, it consists of a small handheld scanner and the use of advanced 3D imaging technology to accurately capture the exact geometry and colour of patients’ teeth.
Planmeca ProMax 3D Plus CBCT unit
Cone beam computerized tomography (CBCT) has made it possible to visualize the dentition, the maxillofacial skeleton and the relationship of anatomic structures in three dimensions. It is particularly useful for:
- Orthodontic treatment planning
- Dental implants
- Diagnosis and management of dentoalveolar trauma,
- Temporo-mandibular joints examination
- Evaluation of wisdom teeth versus mandibular nerve disease
- Presurgical case planning to determine the exact location of root apex/apices and to evaluate the proximity of adjacent anatomical structures