Dentistry is the branch of medicine that deals with the prevention, diagnosis, and treatment of diseases, injuries, and malformations of the teeth, jaws, and mouth. Maxillofacial surgery relates to the surgery affecting the maxilla (that is the jaw) and the face.
Dental and Maxillofacial surgery is an amalgamation of two specialties of science, that of medicine and dentistry. This specialty is related to the diagnosis and treatment of diseases, disorders or injuries affecting the face, jaw, mouth, and neck. It also deals with surgical and non-surgical treatment on offer to patients suffering from conditions affecting the hard and soft tissues of the face, jaw, and mouth.
Dental pain is excruciating for any person and visiting a dentist is one of the things that people try to avoid at all times. Dentistry is a profession followed by dentists, who practice the prevention and treatment of oral diseases of the teeth and the soft tissues of the mouth, correct misaligned teeth, and malformations of the jaw. Dentistry consists of various subspecialties such as:
It is related to the correction of teeth and jaws that are not positioned properly. It treats malocclusion, a condition in which the teeth are not correctly positioned when the mouth is closed, which results in an improper bite.
It deals with improving the position and dimensions of the bones in which the teeth. It helps in the facial development and growth of the jawbones so that the teeth are in line for a proper bite.
Continental Hospitals’ Department of Dental & Maxillofacial Surgery is the best hospital for dental care in Hyderabad
It involves the dentistry of children from infants to adolescents. Children are guided on dental needs, special health care needs and dental treatments are prescribed according to each child's growth and development along with the parents' preferences.
It is related to the inflammatory disease, periodontal disease, which destroys the gums and other structures around the teeth. The specialty also involves the placement of dental implants, its maintenance, and repair.
It includes a range of aesthetic procedures, including the reshaping of individual teeth to accept crowns, veneers or bridges, and the surgical insertion of dental implants for mounting artificial teeth or dentures.
Saving of the tooth by root canal treatment or treating the soft pulp tissues in the tooth is a part of this specialty
Oral and maxillofacial surgery
A surgery involving the treatment of diseases affecting the mouth, jaws, face, and neck.
Oral and maxillofacial pathology
It is the science involved in the causes, processes, and effects of diseases that start in the mouth or jaws.
Oral and maxillofacial radiology
It is an amalgamation of two specialties, dentistry and radiology, used for the diagnosis and management of diseases, disorders, and conditions of the mouth, face, and jaws.
Public health dentistry
It refers to the government-sponsored programs to spread awareness about teeth decay and general dental health
Dental treatment rooms and oral surgery rooms have ceiling mounted dental lights and monitors, have a dental operating chair designed for the treatment and comfort of dental patients that can be adjusted for varying heights, can swivel and the headrest could also be adjusted. The dental chair is usually operated by hydraulics.
Continental Hospitals is the best hospital for dentistry in Hyderabad as we have world-class equipment and facilities to provide the best dental care to patients.
Why choose Continental Hospitals for Dental and Maxillofacial Surgery?
Dental surgery is vital for persons suffering from oral problems and alleviates the pain caused by such problems. Some of the common dental surgeries such as
Impacted wisdom teeth –when wisdom teeth or third molars do not erupt or are not aligned properly such teeth may affect the surrounding teeth too, surgery resolves the issue.
Dental implants-surgery to replace missing teeth or teeth by using titanium metal cylinders that replace tooth roots.
Reconstructive surgery-replacing missing or damaged teeth, treat jawbone and gum damage
Jaw surgery-surgery for proper alignment of jaws
Maxillofacial surgery is surgery involving the jaw and face. Some of the common surgeries include:
Surgeries involving correction of maxillofacial skeletal deformities by reconstructive procedures carried out on the facial tissues, deformed jaws, and associated soft tissues
Orthognathic Surgery is performed to correct developmental growth abnormalities of the jaws and facial bones
Cleft and Craniofacial Surgery is performed to correct congenital and acquired defects of the maxillofacial region including cleft lip and palate.
Maxillofacial Trauma in which surgery is performed to repair routine and complex facial injuries set fractured jaw and facial bones, reconnect severed nerves and ducts and treat other injuries of the face and neck region.
Continental Hospitals have doctors who have received specialized training in Oral and Maxillofacial surgery, which is not usually available in all multispecialty hospitals in Hyderabad. The doctors are highly experienced in this field and have performed several surgeries with a positive outcome. The post-surgical care given by the doctors makes it the best hospital for oral and maxillofacial surgery in Hyderabad.
The dentists at Continental Hospitals use advanced technologies and specialized techniques to give them an accurate view of the mouth for diagnosing and treating the patients accordingly making it the best hospital for dentistry in Hyderabad.
A patient’s complete medical history and family history are taken into consideration before performing any surgery. Oral and maxillofacial surgeons take cognizance of the patient’s health by advising some physical and diagnostic tests.
Some of the diagnostic tests are:
By carrying out blood tests, the doctors can diagnose whether patients have any conditions such as anemia, liver disease, diabetes, etc.
It is routinely carried out to check if the patients have diabetes or are pregnant before dental surgery is carried out.
Capillary fragility test of Hess or Tourniquet test
It is performed to assess the mechanical fragility of the capillaries by raising the pressure within them. It is used to determine a patient’s hemorrhagic tendency.
It is done for the diagnosis of the oral mucosa of a patient. The tissue of the gums is also given for biopsy to diagnose causes of abnormal gum tissue which could be cancerous or non-cancerous growths or lesions. It also indicates changes in the gum that can cause the loss of a tooth.
It is a handheld device that uses natural tissue fluorescence to diagnose any oral mucosal abnormalities such as oral cancers or pre-malignant dysplasia.
It is a device with LEDs to detect any pre-cancerous oral lesions or any other abnormalities in the oral cavity. It helps to distinguish between healthy tissue and abnormal tissues.
X-rays help them see the condition of the teeth, roots, jaw placement, and facial bone composition.
X-rays helped to diagnose problems in the teeth and jaws like tooth decay, bone loss in the jaw, changes in the bone or root canal due to infection, cysts, and tumors in the teeth or jaw, any infection between the tooth and the gum or at the tooth root.
They are two types of dental X-rays, intraoral and extraoral.
Intraoral X-rays are carried out in which the x-ray film is placed inside the mouth. They are several types
–Bitewing X-rays show the details of the upper and lower teeth in one area of the mouth. They help in detecting the level of tooth decay and changes in the thickness of the bone caused by gum disease. It can show any break or wear of dental fillings
–Periapical X-rays shows the whole tooth from the crown to beyond the root where the tooth attaches to the jaw
–Occlusal X-rays track the development and placement of an entire arch of teeth in either jaw.
Extraoral X-rays are carried out in which the X-ray film is outside the mouth. The types of extraoral X-rays are:
–Panoramic dental x-rays use a very small dose of ionizing radiation to capture the entire mouth in one image. It is commonly performed by dentists and oral surgeons in everyday practice and may be used to plan treatment for dentures, braces, extractions, and implants.
–Sialogram in which a dye is injected into the salivary glands so that it can be seen on X-rays, to detect any blockages in the salivary glands
–Cephalometric projections show an entire side of the head of the patient. It looks at the teeth concerning the jaw and profile of the patient so that the doctor can decide the patient’s teeth realignment plan
-Cone beam CT is a type of X-ray that creates 3-D images of dental structures, soft tissue, nerves, and bone. It helps guide tooth implant placement and evaluates cysts and tumors in the mouth and face
Digital imaging is a 2-D type of dental imaging that allows images to be sent directly to a computer. It allows the dentist to see the tiniest changes which are not visible in an oral exam.
CT and MRI scans are used to enable surgeons to view head and neck anatomy in three dimensions. The images can then be manipulated to produce virtual 3D models that help the surgeon plan the surgery.
Continental Hospitals have the best diagnostic test procedures in place for an oral surgeon to carry out surgical or non-surgical procedures based on the diagnosis making it the best hospital for oral surgery in Hyderabad.
Oral and maxillofacial surgeons are proficient in the diagnosis and the treatment of diseases or disorders or injuries affecting the teeth, jaw and face and the soft tissues in the oral cavity. Dental surgery procedures range from the simplest to the most complex type of surgery.
Simple dental surgery could be a root canal surgery in which a dentist treats a damaged tooth with the tooth root exposed. It involves removing the inflamed tooth pulp and tooth root from underneath the enamel and dentin to reduce tooth pain and save the tooth from being extracted.
Tooth extractions are carried out for a variety of reasons due to disease or injury to the tooth, a baby tooth is out of position, impacted wisdom tooth or due to crowding of the teeth. Tooth extraction involves a procedure in which local anesthesia is given to the patient and the tooth is extracted without injury to the surrounding teeth or bone.
Oral and maxillofacial surgeons perform different types of surgical procedures such as:
Cleft and pediatric oral and maxillofacial surgery
Cleft lip and cleft palate are conditions where the upper lip and the palate, which is the roof of the mouth, have openings or splits, due to the tissues not joining completely before birth. It may affect one or both sides of the face. It is a congenital birth defect observed in infants, which can be corrected by surgery by repairing the cleft lip and cleft palate. Sometimes reconstructive surgery is done to the face of the child.
Alveolar bone graft surgery is performed when the child’s cleft lip affects the alveolus(the bone in the gum where the teeth sit) and the gap has to be filled so that the adult teeth can erupt
Pediatric oral and maxillofacial surgeons diagnose and treat children from infants to adolescents facing problems in the teeth, face, and jaw. Some of the conditions that the pediatric oral and maxillofacial surgeons treat are
Impacted teeth, which have not fully broken from the gum
Frenulectomy (tongue-tie surgery), by removing tissue that restricts tongue movement
Corrective jaw surgery (orthognathic surgery)- Realigns the jaws and teeth to improve chewing, speaking, and breathing
Misaligned teeth/Malocclusion-overbite-upper jaw and teeth overlap the bottom jaw and teeth and underbite-lower jaw protrudes forward
Surgery to treat Temporomandibular joint (TMJ) disorders – Problems with the joint that connects the jaw to the side of the head
Surgical treatment of facial jaws tumors or cysts caused by congenital anomalies such as Hemifacial microsomia (in which the tissues on one side of the face are underdeveloped)
Dental implant surgery
Dental implants are an option for people who have lost their tooth/teeth due to periodontal disease or an injury.
Dental implants are artificial tooth roots, similar in shape to screws. When dental implants are placed in the jawbone, over time they bond with the natural bone and become a sturdy base on which one or more artificial teeth-crowns are placed. An abutment is placed on top of the implant to support the crowns. The crowns are made to look like natural teeth.
There are two types of dental implants
Endosteal -implants placed directly into the jawbone. They are made up of titanium and shaped like small screws.
Subperiosteal –implants placed under the gum, on or above the jawbone. It is usually used in patients who do have enough jaw bone height or a healthy jawbone.
If the jawbone is unable to support dental implants, there are some techniques to rebuild bone, restore the jawbone and give a sturdy foundation for implants. The techniques are
Bone augmentation –restoring or regenerating bone in the jaw by using bone additives and growth factors
–Sinus lift- adding bone below the sinus in cases where the natural bone has deteriorated due to missing upper back teeth
–Ridge expansion- bone graft material can be added to a small ridge, or space, created along the top of the jaw
There are alternate dental implant procedures such as mini dental implants which are small or narrow diameter implants that stabilize a lower denture by less-invasive techniques.
Continental Hospitals have the best doctors for performing dental implants making it the best hospital for dental care in Hyderabad.
The temporomandibular joint (TMJ) is a hinge-like joint located where the jawbone and the skull meet. A TMJ disorder causes pain, stiffness, and lack of mobility of the jaw. Non-surgical methods like oral splints or mouth guards are used. If the severity of the symptoms does not reduce, surgery is performed which could be open joint surgery or minimally invasive arthroscopy or arthrocentesis.
Cosmetic dental surgery
Cosmetic dental surgery is carried out for improving the appearance of the mouth, teeth, and smile. Some of the procedures in cosmetic dentistry are
Composite bonding in which the decayed, damaged or discolored teeth are repaired using material that resembles the tooth enamel
Cosmetic Dental Veneers are a thin shell made out of porcelain or composite material and are used to treat dental conditions such as a slightly crooked tooth, discolored teeth, chipped teeth, or even to cover spaces in between the teeth.
Cosmetic Teeth Whitening can brighten and whiten the teeth from discoloration and/or staining.
Orthodontics (braces) can correct improperly aligned teeth. It is used for adults or children and it works by applying pressure over time to adjust the alignment of the teeth.
Bridges(fixed partial dentures) or a fixed dental bridge is a permanent structure that replaces one or more teeth.
Some of the aesthetic treatments performed by the doctors at Continental Hospitals also include:
Correction of Gummy Smile
A smile with more than 2 millimeters of exposed gum is termed a gummy smile (GS), which is treated by crown lengthening, Botulinum Toxin (BT) injection and orthodontic treatment or surgery involving straightening teeth and jaw.
BPS Dentures Fixing
BPS-(Biofunctional Prosthetic System) is a system of professional expertise and quality products that are the standard for aesthetics, comfort, fit and function.
Restoration Aesthetics is the most saving teeth restoring method, which preserves the maximum of hard tissues of the tooth, teeth remain viable. Tooth tissue layers, transparency, depth, and form are fully restored and naturally formed.
It is also called orthognathic surgery. It corrects the irregularities of the jaw bones and realigns the jaws and teeth to improve their functions and facial appearance. A maxillofacial surgeon performs this complex surgery often in collaboration with an orthodontist as there could be risks of blood loss, nerve injury
Surgery is performed on the upper jaw, lower jaw or both the jaws.
Surgery on the upper jaw is calledMandibular osteotomy,which is performed to correct receding or protruded upper jaw, crossbite, open bite, and other symptoms
Surgery on the lower jaw is called a maxillary osteotomy, which corrects receding lower jaw and protruding lower jaw.
Facial fracture repair
A facial fracture is a broken bone in the face
Facial fractures are the major type of maxillofacial trauma, which can result in airway compromise, vision loss, and hemorrhage.
The repair of facial fractures has to be coordinated with the timing of treatment of life-threatening injuries and involves open reduction, surgery requiring an incision to reposition the fractured bones. Sometimes, resetting the broken bones or reconstructive surgery is performed.
Continental Hospitals have oral surgeons, dental surgeons and maxillofacial surgeons, who have specialized training and knowledge in diagnosing and treating patients having problems regarding their teeth, jaw, and face. The doctors at Continental Hospitals have vast experience in Dental prophylaxis, Restoration Aesthetics, Correction of Gummy Smile, BPS Dentures Fixing and Retention implant dentures among other orthodontal procedures. The dental and maxillofacial surgeons at Continental Hospitals have received their education from prestigious institutions and are well-versed in the latest cutting-edge technology and surgical techniques.
We have some of the best maxillofacial surgeons in Hyderabad on board who has won accolades from well-renowned institutions and has gained vast experience from reputed hospitals. Their expertise ranges from corrective jaw surgery to wisdom tooth removal. They have also performed several dental implant procedures among patients. They have collaborated with doctors with other specialties in treating patients suffering from oral cancers. Our doctors are respected surgeons who have dedicated their lives to the well-being of their patients. At Continental Hospitals, we have some of the best oral surgeons, making it one of the best hospitals for oral surgery in Hyderabad.
Dr Raghava Pendyala
BDS, MDS, Fellowship in Craniomaxillofacial Trauma.
A consultation with our panel of doctors, specialists and surgeons will help you determine what kind of services you may need to help diagnose and treat your condition. If you or someone in your family or friend’s circle are facing any health issues, please get in touch with us, we are here for you.