omsintro

8/7/2019 omsIntro

1/30

Oral and Maxillofacial Surgery

2003 Division of Oral and Maxillofacial Surgery;

Department of Dentistry, General Veterans Hospital-Taipei

8/7/2019 omsIntro

2/30

19592003

8/7/2019 omsIntro

3/30

42171411

2861210SCI

141121SCI

91(2002)

90(2001)

89(2000)

(2000-2002)

8/7/2019 omsIntro

4/30

Our services

Removal of wisdom teeth

Pre-prosthetic surgery

Dental implants

Maxillofacial injury

Surgical correction of jaw deformities

Diagnosis, oral & maxillofacial pathology andmedicine

Benign and malignant tumor management

TMJ therapy

8/7/2019 omsIntro

5/30

Impacted Wisdom Teeth

Wisdom teeth often partially erupt or fail to erupt at all.

They then may become impacted against other molars and

cause overcrowding, or become more susceptible to decay

or gum infection.

8/7/2019 omsIntro

6/30

Our services



Dental implants





TMJ therapy

8/7/2019 omsIntro

7/30


Before prosthetic crowns, bridges or dentures canbe constructed, the soft tissues of the mouth and

the jaw bones may require shaping. We will workwith your dentist to provide both cosmetic andfunctional results.

Soft tissue pre-prosthetic surgery:

vestibuloplasty ( lipswitch); freumectomy

Hard tissue pre-prosthetic surgery:

alveoloplasty

8/7/2019 omsIntro

8/30

Vestibuloplasty ( lipswitch )

8/7/2019 omsIntro

9/30

Alveoloplasty

8/7/2019 omsIntro

10/30

Our services



Dental implants





TMJ therapy

8/7/2019 omsIntro

11/30

Dental implants

Dental implants are tooth root substitutes which are

surgically placed in the jaw bone and act as anchors to

stabilize artificial teeth.

8/7/2019 omsIntro

12/30

Who needs implants?You are a candidate for dental implants if:

You have enough jaw bone, and dense enough

bone, to secure the implants. You do not have a disease or condition that

interferes with proper

healing after implant

surgery (e.g. uncontrolled

diabetes, or radiation/

chemotherapy for treating

cancer)

8/7/2019 omsIntro

13/30

Our services



Dental implants





TMJ therapy

8/7/2019 omsIntro

14/30

Types of maxillofacial injury

Dentoalveolar trauma

Mandible fractures

LeFort I, II, and III fractures

Zygoma fractures

Nasal-orbital-ethmoid fractures

Orbital floor fracture

I II III

8/7/2019 omsIntro

15/30

The following is an outline for the initial

evaluation of patients with maxillofacial

trauma.

Airway management

Hemorrhage control Clinical evaluation

8/7/2019 omsIntro

16/30

8/7/2019 omsIntro

17/30

Our services



Dental implants





TMJ therapy

8/7/2019 omsIntro

18/30


Ifdeformities of the teeth and jaws are too extreme fororthodontic treatment, orthognatic jaw surgery is the most

effective procedure for facial correction. We will work

closely with orthodontist to achieve ideal results.

8/7/2019 omsIntro

19/30

Who needs orthognathic surgery?

Difficulty chewing or biting food

Difficulty swallowing

Speech problem

Chronic jaw pain

Excessive wearing of teeth Open bite (space between upper

and lower)

Front or back teeth when mouthis closed

Unbalanced facial appearance

Facial injury or birth defects

Receding chin

Protruding jaw

Inability to make lips meet

without effort Chronic mouth breathing with

dry mouth

Sleep apnea

The following are some of the conditions that may indicate

a need for orthognathic surgery:

8/7/2019 omsIntro

20/30

Our services Removal of wisdom teeth


Dental implants





TMJ therapy

8/7/2019 omsIntro

21/30

Diagnosis, oral facial pathologyand medicine

For a variety of reasons, tumors and cysts may

form in either the jaw bones or the soft tissues of

the mouth. While some may be benign, others

may threaten the health and function of the

surrounding tissue.

8/7/2019 omsIntro

22/30

Examination of lip and mouth cancer

The things to look for when performing an oral

cancer self-examination are:

Reddish patches - erythroplasia

Whitish patches - leukoplakia

A sore that fails to heal and bleeds easily

A lump or thickening of the tissues

Chronic sore throat or hoarseness

Difficulty in chewing or swallowing

8/7/2019 omsIntro

23/30



Dental implants Maxillofacial injury




TMJ therapy

8/7/2019 omsIntro

24/30

Management of benign ormalignant tumor

Biopsy Surgical treatment

Radiotherapy

Chemotherapy

8/7/2019 omsIntro

25/30

Benign tumor

These lesions may be unsightly or may be

traumatised repeatedly, for example during

shaving.

Odontogenic cysts & non-odontogenic tumor

Soft tissue tumor and hard tissue tumor

8/7/2019 omsIntro

26/30

Malignant tumor The majority of these lesions spread slowly over

years but some may spread more rapidly to

involve lymph glands in the local area or moredistant areas. All will cause great damage if

neglected.

8/7/2019 omsIntro

27/30



Dental implants





TMJ therapy

8/7/2019 omsIntro

28/30

What is the TMJ? The temporomandibular joint (TMJ) is the small joint located in front of

the ear where the skull and lower jaw meet. Its is a ball and socket

joint with a disc made of cartilage that serves as a cushion between the

parts of the joint.

8/7/2019 omsIntro

29/30

TMJ therapy

Temporomandibular joint dysfunction (TMJ) is a

condition that afflicts the jaw joints of thousandsof patients. Frequent indicators of TMJ include:

Popping and clicking of the jaw

Limited jaw function

Pain in the neck, shoulder and upper back

Pain in the face and ears

8/7/2019 omsIntro

30/30

Thanks for your attention

omsintro

Documents