dr rahul vc tiwari, department of oral and maxillofacial surgery, sibar institute of dental...

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ORAL AND MAXILLOFACIAL SURGEONS DAY

13TH FEBRUARY Dr RAHUL TIWARI

PG STUDENTORAL AND MAXILLOFACIAL SURGERY

SIBAR INSTITUTE OF DENTAL SCIENCESGUNTUR

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PAST PRESENT & FUTURE

OF

ORAL AND MAXILLOFACIAL

SURGERY

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DEFINITION• “Oral and Maxillofacial surgery is the specialty of dentistry that includes

the diagnosis and surgical and adjunctive treatment of disease, injuries

and defect, including both the functional and esthetic aspects of hard

and soft tissues of oral and maxillofacial region”

Peterson

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History of oral & maxillofacial surgery

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ORAL SURGERYHIPPOCRATES -460 BC

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HISTORY OF ORAL AND MAXILLOFACIAL SURGERY

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Evolution of a surgeon

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Early History

HIPPOCRATES

AMBROSE PARE

SIMON HULLIHEN

CHALMERS J. LYONS (1874-1935) - principles of gentle surgery MATHEW H. CRYER (1840-1921) - invented many instruments for the removal

of teeth and other surgical procedures. ROBERT H. IVY(1881-1974) – Fixation in trauma

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Father of oral surgery - James Edmund Garretson

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INDIAN HISTORY

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• “Surgery is the first and the highest division of the healing art, pure in itself, perpetual in its

applicability, a working product of heaven and sure of fame on earth" - Sushruta (400 B.C.)

• The Sushruta samhita was translated into

Arabic and Persian.

• Sushrutha used skin flaps for repairing

nose, procedure is described in Sushruta

Samhita. This procedure was observed in

India by a British Surgeon in 1793 and

published in London

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PRESENT SCENARIO IN ORAL AND MAXILLOFACIAL SURGERY

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• Dentoalveolar surgery

• Diagnosis and treatment of benign pathology, cysts, tumors head and neck

oncology.

• Diagnosis and treatment of congenital craniofacial malformations

• Diagnosis and treatment of soft and hard tissue trauma of the oral and

maxillofacial region.

• Diagnosis and treatment of chronic facial pain disorders

• Diagnosis and treatment of temporomandibular joint (TMJ) disorders.

• Cosmetic surgery limited to the head and neck.

• implants

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DENTOALVEOLAR SURGERY

• Surgery to remove impacted teeth, difficult

tooth extractions, extractions on medically

compromised patients

• Bone grafting or preprosthetic surgery to

provide better anatomy for the placement of

implants, dentures, or other dental

prostheses.

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DENTOALVEOLAR PATHOLOGY

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DIAGNOSIS AND TREATMENT OF BENIGN PATHOLOGY, CYST TUMORS AND HEAD AND NECK

ONCOLOGY

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RECONSTRUCTIVE SURGERIES

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TRAUMA OF THE MAXILLOFACIAL REGION

• Mandibular fractures

• Zygomatic fractures

• Nasal bone fractures

• Le-Fort fractures

• Skull fractures

• Orbital fractures

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ORTHOGNATHIC SURGERY

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DIAGNOSIS AND TREATMENT OF - CHRONIC FACIAL PAIN DISORDERS

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DIAGNOSIS AND TREATMENT OF CONGENITAL CRANIOFACIAL MALFORMATIONS

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TEMPOROMANDIBULAR JOINT DISORDERS • Muscle disorders

• Derangement disorders

• Degenerative disorders

• Ankylosis

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Ditraction osteogenesis

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CRANIOMAXILLOFACIAL SURGERY

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IMPLANTS

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COSMETIC SURGERY• Rhytidectomy/facelift, browlift/blepharoplasty,

otoplasty, rhinoplasty, septoplasty.

• Cheek augmentation, chin augmentation,

genioplasty, neck liposuction, lip enhancement,

rhinoplasty, cervicoplasty.

• Injectable cosmetic treatments, botox,

chemical peel.

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FUTURE OF MAXILLOFACIAL SURGERY

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RECENT ADVANCES IN OMFS -90

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Navigation system

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ROBOTIC SURGERY

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NANOTECHNOLOGY

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HEAD TRANSPLANTS

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What we are today, as oral and maxillofacial surgeons, however, it is important to remember our history, the development of our

tremendous specialty, and the researchers who helped to shape itA basic knowledge of where we came from creates the foundation

for a stronger future.

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“live as if you were to die tomorrow. learn as if you were to live forever.”