Dott. Giuseppe Spinelli
Oral Surgery
Oral Surgery Maxillofacial
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
The following are some of the gold-maxillo-facial surgery operations taking place in an outpatient setting, under local anesthesia, in sedation or under general anesthesia in the operating room:
- Dental extractions (single, multiple, simple and complex)
- Extraction of wisdom teeth, in the arch or in total or partial bone inclusion
- Biopsies for oral pathology screening (tongue, cheek and palate mucosa, oral floor, gum, etc.)
- Frenulectomy and therapy of ankyloglossia
- Apicectomy, ie the removal of the apical part of the tooth root.
- Pre-prosthetic surgery, ie the remodeling of bone margins and soft tissues before the construction of the prosthesis
- Periodontal surgery
- Endosseous implants
- Maxillary sinus surgery (small and large maxillary sinus lift)
- Orthodontic exposure of included teeth
- Treatment of patients at risk.
ORAL SURGERY IN LOCAL 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.
ORAL SURGERY IN THE OPERATING ROOM
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.
WHAT HAPPENS BEFORE ORAL SURGERY
Before any oral surgery is performed (unless it is a emergency intervention) it is necessary to undergo a thorough examination.
This allows you to:
- Highlight the signs and symptoms described by the patient and make the diagnosis;
- Carefully evaluate the patient’s medical history and record any therapies taken;
- View any radiographic examinations performed by the patient or, if necessary, prescribe others;
- Explain the proposed treatment plan, listing possible risks and possible complications;
- Provide indications to be followed before and after the intervention;
- Request a cost estimate;
- Schedule a date for the intervention.
WHAT HAPPENS AFTER THE ORAL SURGERY
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.
Oral and Maxillofacial Surgery
The interventions that a patient can request from a maxillofacial surgeon are the following:
- Complicated extractions and extractions of wisdom teeth
- Endosseous implants
- Osteotomies of the jaw / mandible and orthognathic surgery
- Maxillary sinus lift
- Reconstructive surgery.
- surgical treatment of temporomandibular joint dysfunction
- cancer diagnosis and surgical therapy
- treatment of congenital malformations, such as cleft lip / cleft palate
- Traumatological surgery of the jaws and face (such as mandibular, cheekbone and orbit fracture)
- Diagnosis and treatment of facial pain other non-surgical conditions related to the oromaxillofacial region.
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.