Oral and Maxillofacial Treatments
Wisdom teeth extraction
Wisdom teeth are usually the last teeth to come through. They’re located right at the back of your mouth and sometimes there isn’t enough room for them. This can cause them to emerge at an angle or partially emerged which is known as impacted teeth.
Impacted wisdom teeth may need to be removed if they cause problems such as pain, swelling and infection. Wisdom teeth extraction is commonly performed, taking just a few minutes. Your oral and maxillofacial surgeon uses dental tools to hold your tooth and then rocks and twists it to loosen it and eventually they completely remove it.
For more difficult to remove teeth, your OMS may make an incision in your gum near the tooth to allow them to remove a small piece of bone to help get the tooth out.
Dental implants are artificial tooth roots inserted into your jawbone to hold crowns, bridges and false teeth in place and are suitable for most adults in good health.
They’re a long term solution to permanently restore missing or damaged teeth and allow you to enjoy life without worrying about your teeth. One dental implant can support one, or several teeth. It’s possible to have a few dental implants fitted at the same time.
Dental implants are usually made of titanium as it can fuse to your bone. They have an abutment (supporting internal screw) to hold your replacement teeth in place. The implant, abutment and artificial teeth can be fitted on the same day or in stages.
Jaw surgery, also known as orthognathic surgery, is surgery to create straight jaws. It can correct many minor and major skeletal and dental irregularities such as jaw and teeth misalignment.
Corrective jaw surgery is used to treat many problems including: eating difficulties (chewing, biting and swallowing), chronic jaw pain, excessive tooth erosion, open bite (space between your upper and lower teeth when your mouth is closed), receding lower jaw and chin, protruding jaw, facial injury, breathing and sleep apnoea. It can dramatically enhance a patient’s life with appearance, speech, bite and function improvements. Jaw surgery can also be performed solely for cosmetic reasons.
Your OMS will discuss with you their recommended jaw procedure. They’ll usually make incisions inside your mouth to reduce any visible scarring. It may be that bone needs adding, taking away or reshaping. Your jaw may need to be held in a new position and this can be done using surgical plates, screws, wires and rubber bands.
Facial trauma or injury can be caused by sporting injuries, falls, car crashes, assault or work related accidents.
Berkshire Independent Hospital offers a comprehensive service to treat patients with facial trauma from minor dentoalveolar fractures (teeth and their supporting tissue) to extensive facial lacerations and facial fractures.
The main aims of facial trauma surgery are to: control the bleeding, establish a clear airway, treat any fracture and broken bone segments, prevent scars whenever possible, preclude long-term vision and eye problems and, care for other injuries appropriately.
If you’ve sleep apnoea your breathing will stop temporarily (lasting for over ten seconds and may recur over ten times per hour) whilst you’re asleep. It’s a common condition, often associated with snoring. It’s caused by an increase in airway resistance that results in reduced oxygen levels and this alerts your brain to briefly wake you up so you can resume breathing. It’s often accompanied by a loud gasping noise.
Sleep apnoea can have severe effects on the lives of its sufferers and their families. Treatment of sleep apnoea is dependent on its severity. A change in lifestyle, for example weight loss, and mandibular advancement devices can be effective for mild and moderate cases.
For moderate to severe cases treatments include: mandibular advancement devices (MADs), continuous positive airway pressure (CPAP, use of a nasal mask to provide positive air pressure into the airway to keep it unobstructed), oral surgery to widen the airway or, laser assisted removal of soft tissues.
Head and neck infections/cancer
Infections in the head and neck are common. They can affect your teeth, nose, sinuses, eyes, ears and throat. Treatment is based on the type of infection and your individual needs.
Cancer of the head and neck are relatively uncommon cancers. There are over 30 places in the head and neck that cancer can develop including the voice box (larynx), throat (pharynx), salivary glands, nose and sinuses and, the area at the back of your nose and mouth (nasopharynx). It most often develops in the mouth (oral cancer).
Symptoms of head and neck cancers can be specific to the location of the cancer. General symptoms include: most frequently a mouth sore that won’t heal, a neck lump or swelling, red or white patches in the mouth for a few weeks, difficulty or pain when swallowing or chewing, changes to your voice, a constant sore throat and, earache on one side.
Treatment of head and neck cancers aims to remove or destroy all of the cancer and also to reduce the likelihood of it coming back. It takes into consideration: where the cancer is, the cancer stage, its size and your general health. Radiotherapy (high-energy rays that destroy cancer cells), chemotherapy (anti-cancer drugs that destroy cancer cells) or surgery are treatment options and are sometimes used in combination. If surgery is required, our OMS can rebuild tissue that is lost due to the cancer or surgery.