Dott. Giuseppe Spinelli
Dott. Giuseppe Spinelli
ORAL SURGERY (DENTOAVELOARE SURGERY) INCLUDES A RANGE OF SURGICAL INTERVENTIONS THAT INTEREST THE MOUTH AND THE BONE BONE. ONLY, A DOCTOR WHO HAS ACHIEVED THE SPECIALIZATION IN MAXILLO-FACIAL SURGERY HAS THE NECESSARY EXPERTISE TO PERFORM THESE INTERVENTIONS, WHICH MAY BE CONDUCTED IN LOCAL ANESTHESIA, CONSCIOUS SEDATION OR GENERAL ANESTHESIA
Some oral surgery, depending on the patient’s level of complexity and compliance, can be performed under local anesthesia, such as at the dentist. Plexus or nerve trunk administration techniques are used to eliminate the pain associated with the procedure. The operations performed under local anesthesia are in outpatient surgery and do not include post-operative hospitalization except for complications.
In the case of interventions of greater complexity, longer duration, greater clinical risk, less collaboration on the part of the patient or proximity to nervous or vascular structures, it is advisable to perform oral surgery in the operating room in conscious sedation or under general anesthesia.
Some operations are performed in outpatient surgery, which involves discharge after a few hours compared to the end of the operation, as soon as any post-operative pain or bleeding is stabilized.
On the other hand, other operations involve hospitalization, with one or more days of post-operative hospitalization.
Before any oral surgery is performed (unless it is a emergency intervention) it is necessary to undergo a thorough examination.
This allows you to:
After the intervention the behaviors to be followed for the following days are explained to the patient and comes prescribed adequate therapy to control both pain and possible complications.
A follow-up visit will be scheduled a few days after the operation to assess the post-operative course and wound healing.
The interventions that a patient can request from a maxillofacial surgeon are the following:
A patient needs to be referred to a maxillofacial surgeon by the doctor of family or dentist, and in many cases the assistance of a maxillofacial surgeon is required for all multidisciplinary treatments of patients with a medical condition, or for a second opinion.
However, if a patient does not know if he needs treatment, the opinion of a surgeon maxillo facial should always be required.