DENTISTRY AND MAXILLOFACIAL SURGERY
The Department of Maxillofacial Surgery and Dentistry in Salus, offers diagnostic and therapeutic services to a wide range of patients with problems of the oral, head and neck region. The department deals with the diagnosis and therapy of neoplastic (tumor), functional, traumatic pathologies. With 7 years of experience, this department is particularly committed to correcting craniomaxillo-facial deviations and head region dysmorphisms. Orthodontics, as a service provided by our department’s orthodontic specialists, works closely with maxillo-facial surgeons.
Interventions are performed with general anesthesia and in complete confidence for the success of the intervention. Salus Hospital owns 3D radiographic equipment (TAC coil dentaskan) for surgical implantological and orthodontic needs.
Types of Surgery:
Cervico-facial oncological pathologies constitute one of the major challenges of the oro-maxilla-facial surgeon. Treatment of head and neck tumors requires a multidisciplinary approach and a synergy of objectives shared by some professionals such as the oncologist, radiotherapist, otorhinolaryngologist, microsurgery, psychologist or physiotherapist.
An elective place among the pathologies of the cranio maxilla facial district certainly occupies traumatology.
A craniofacial malformation constitutes an abnormality of embryonic development resulting in an alteration of the overlying bone, jaw, and soft tissue. Three-quarters of malformations diagnosed at birth fall into the category of craniofacial malformations.
Mature teeth are the last teeth to emerge in the dental archives. Their understanding is realized around the age of 17 to 25 years. One of the risks of retinal teeth is that being retained can still get infected and cause pain, cause problems in the anatomical structures surrounding or even be the etiological factor of the jaw cysts.
Ortonjatic surgery, or jaw surgery, is the branch of maxilla facial surgery that enables the correction of a wide spectrum of facial and dental skeletal abnormalities or abnormalities. It is one of the main sectors of an oro maxilo facial ward. Interventions of this type enable total occlusion correction, significantly improve facial aesthetics and at the same time correct functional problems related to mastication, phonation and respiration.
Obstructive Sleep Apnea Syndrome (OSAS) is a clinical situation characterized by a large number of upper airway obstructions such as, smoking, alcohol, various medications or facial skeletal abnormalities that are all risk factors for OSAS screening. . The evidence of these obstructive episodes is associated with a decrease in blood oxygen saturation and increased CO2. The patient is unaware of obstructive episodes; however, he suffers during the day the consequences of a non-repairable sleep: drowsiness, difficulty concentrating, decreased libido, irritability to personality change. These patients have an increased risk of 4 to 8 times increased risk of road accidents or heavy work-related consequences in the cardiovascular system with hypertension, stroke and stroke. Diagnosis is based on specific examinations of sleep quality such as polysomnography. The latter enables counting of obstructive events in 1 hour: over 3 events in one hour constitutes the aggravated form of apnea where the risk of cardiovascular events is increased, which makes the treatment of this category of patients very necessary and urgent. The therapeutic approach is multidisciplinary, and varies based on gravity and the type of case. We can specifically mention some of the treatments listed below:
The use of special apparatus during bedtime such as CPAP which in more detail is a device that enables continuous respiratory assist by a facial mask
In the lighter forms, endorphic mandibular repositioning devices can be used which, by advancing the mandible, allow the opening of the first airway of the oropharyngeal area and after the root of the tongue.
An alternative that is effective at 80 to 95%, and never brings on relapses of respiratory problems is the surgical intervention of bimaxilar advancement. With the intervention we can achieve an advance of up to 10 mm. After the intervention which is a completely endo-oral procedure, the patient is allowed to eliminate assistive devices during sleep such as CPAP.
Endovascular conscious sedation is a technique that enables us to superimpose dental interventions by feeling nothing and above all by remembering nothing. This brings us many advantages as by administering sedation we can manage the patients who are particularly uncooperative patients suffering from Down Syndrome or odontophobic children. Sedation is not a risk and has no side effects when done by an anesthetist. Before undertaking such a procedure on any patient, we need to perform some preoperative examinations such as ALT, Hemogram, Creatinine, Opt, etc. before proceeding. A sedation intervention always requires the presence of a specialized anesthetist who is able to monitor all the patient’s vital parameters throughout the process: blood pressure, heart rate, saturation.
Sedation is different from total anesthesia as the patient during the whole session with sedation breathes in normal non-mechanical form, so we do not need nasotracheal intubation.
Second, even the postoperative recovery time is shorter.
Third, during sedation we always need to be assisted with local injections of anesthesia, as we would during a normal dentist session.
There are no specific contraindications so it can be used in pediatric or adolescent odontophobic patients as well as in patients with rare pathologies.
Sedation is really suitable for a wide range of age groups. All pediatric patients from 4 to 14 years can be admitted. The protocol for children is different:
Medications are injected based on weight
Intervention time is shorter
Implantology is that branch of surgery that deals with the replacement of missing teeth in crates, with biocompatible titanium screws that are placed inside the jawbone of the crate level.
Today’s surgical techniques have enabled completely painless interventions and a total restoration of function and aesthetics. The placement of a bone implant protects the bones of the edentulous areas of the jaw from atrophy, which comes as a result of a lack of chewing function. The dental plant is made up of 3 parts: a titanium screw that is screwed tightly to the jaw bone, titanium pilaster and ceramic crowns.