What Is Oral and Maxillofacial Surgery?
Oral and maxillofacial surgery requires additional 4 years of hospital-based surgical and anesthesia training after graduation from dental school. Dr. Jamali practices a full scope of oral and maxillofacial surgery with expertise ranging from dental implant surgery and wisdom tooth removal to corrective jaw surgery. This also includes techniques designed to rebuild bone structure with minimal surgical intervention and optimal patient comfort. We can also diagnose and treat facial pain, facial injuries, and fractures.
The surgical staff at Oral & Maxillofacial Surgery of New York, are experienced, certified oral and maxillofacial surgical assistants with CPR certification. Our staff is trained in assisting with Intravenous (IV) sedation or outpatient general anesthesia in our state-of-the-art office setting. Patients are continuously monitored during and after surgery. All members are informed administrative personnel, well-versed in health and insurance policies.
Oral and Maxillofacial surgeon is an expert in performing a wide variety of procedures such as:
- Wisdom tooth extraction
- Multiple teeth extraction
- Regeneration of bone in the jaw
- Jaw surgery to treat sleep apnea
- Cosmetic chin and jaw surgery
- Corrective jaw surgery for malocclusion
- Alveolar cleft
- Major bone grafting harvested from cranium, hip or leg
- Treating Maxillofacial trauma. This involves any fracture above the neck
- Dental implants and sinus lift
- Biopsies of oral tissue and lip
- Treating pathology and cyst of the jaw
- IV sedation
- And many more
In terms of facial anatomy, the chin is one of the most prominent contributors to the balance of the face. The chin and jawline, though not always considered by the average person when examining the aesthetics of their face, are an important part of the profile that can be enhanced through surgery. Chin augmentation, or mentoplasty, can help to achieve facial balance through the use of implants or bone surgery (sliding genioplasty), please note that Dr. Jamali only prefers to do sliding genioplasty, since it is a more natural and longer-lasting procedure.
Orthognathic surgery (jaw surgery) is needed when your jaws don’t meet correctly and/or your teeth don’t seem to fit with your jaws. While teeth are straightened with orthodontics, corrective jaw surgery repositions a misaligned jaw. This not only improves facial appearance but also ensures that teeth meet correctly and function properly. Having difficulty with chewing and swallowing food, chronic jaw joint pain that often also creates headaches, constant mouth breathing which also may affect sleep apnea, spaces between the upper and lower sets of the teeth when the mouth is closed, and problems closing the lips together without causing pain or strain can be hints that corrective jaw surgery is needed.
A Sliding Genioplasty is a less-invasive surgical procedure designed to correct a retrusive chin and achieve a more aesthetically pleasing facial structure. Most surgeons will recommend implants before a Sliding Genioplasty, however, Dr. Jamali highly disagrees that implants are an easier solution. Different from other forms of Chin Augmentation, the Sliding Genioplasty procedure involves making a cut through the bone of the chin, which is called an osteotomy. By freeing up the malposition bone, Dr. Jamali is able to reposition the area to an ideal orientation. Usually 2 screws are placed to hold the chin. . This simple procedure can dramatically improve the balance, proportion, and harmony of the facial features. The results are lifelong!
A ridge augmentation is a common surgical procedure often performed to help recreate the natural contour of the jaw that may have been lost as a result of a tooth extraction, or for another reason. The alveolar ridge of the jaw is the bone that surrounds the roots of teeth. When a tooth is removed, an empty socket is left in the alveolar ridge bone. Usually, this empty socket will heal on its own, filling with bone and tissue. However, the alveolar bone is lost and a therefore vertical and horizontal width of jaw bone is reduced. Rebuilding the height and width of the jaw bone is called ridge augmentation.
An impacted tooth simply means that it is “stuck” and cannot erupt into function. Patients frequently develop problems with impacted third molar (wisdom) teeth. These teeth get “stuck” in the back of the jaw and can develop painful infections among a host of other problems (see Impacted Wisdom Teeth under Procedures). Since there is rarely a functional need for wisdom teeth, they are usually extracted if they develop problems. The maxillary cuspid (upper eyetooth) is the second most common tooth to become impacted. The cuspid tooth is a critical tooth in the dental arch and plays an important role in your “bite”. The cuspid teeth are very strong biting teeth and have the longest roots of any human teeth. They are designed to be the first teeth that touch when your jaws close together so they guide the rest of the teeth into the proper bite.
Wisdom Teeth Removal
A wisdom tooth extraction is a type of procedure designed to safely remove wisdom teeth that are no longer necessary. Wisdom teeth are the final molars on each side of the jaw. These are the very last teeth to emerge from the gums. Because most people do not have extra room in their mouth for these teeth, a wide range of issues can begin to occur if they are left in the mouth. They could become trapped under the gums or impacted with other teeth, which can lead to swelling and bleeding. Only in rare cases will these teeth be able to emerge from the gums and have sufficient room to stay in the mouth and remain healthy. In all other cases, a wisdom tooth extraction procedure is advised. It’s a very common procedure that doesn’t come with many adverse effects. The length of the procedure largely depends on the position of your wisdom teeth and how many teeth you’re having removed.
Dental implants are a popular treatment option for individuals who need tooth replacement. When a dental condition or physical trauma leaves you with a tooth or teeth missing, you may want to get a replacement as soon as possible. Dental implants are popular solutions in these instances and are fitted by specialists. A dental implant is constructed from a metal frame, usually titanium, and placed into the jawbone to support an artificial tooth. You can think of it as a synthetic tooth root. The implant offers stability for the new tooth by fusing into the jawbone, so the artificial tooth or dentures do not move around once fitted.
Oral and Maxillofacial pathology includes any abnormality found in the soft (skin, gums) or hard (bone) tissue of the face. The inside of the mouth is normally lined with a special type of skin (mucosa) that is smooth and coral pink in color. Oral pathology can occur on the lips, tongue, cheeks, and floor of the mouth. Any alteration in this appearance could be a warning sign for a pathological process. The most serious of these is oral cancer. Abnormal cells can also grow in the jaw bones as well. These may be benign, malignant, slow-growing or aggressive in nature. Oral pathology can be acquired or congenital.