Oral & Maxillofacial Surgery...
Oral Examination
Oral and Maxillofacial Surgeons are trained, skilled and uniquely qualified to manage and treat Facial Trauma. Dr. B. K. Biswas provides emergency room coverage for facial injuries.
Your Doctor |
Dr. B. K. Biswas
M.D.S.(Cal), Ph.D. Scholar
Cosmetic Surgeon & Implantologist
Assistant Professor (H.O.D.) KPC Medical College,
Jadavpur, Kolkata
|
Total number of teeth in the mouth of a normal
human being by the age of eighteen is
32 teeth; 16 teeth in the upper jaw and 16 teeth in the
lower arch. Each tooth in the mouth has a specific name and function. The teeth in the front of the mouth (incisors, canine and bicuspid teeth) are ideal for grasping and biting food into smaller pieces. The back teeth or molar teeth are used to grind food up into a consistency suitable for swallowing.
Wisdom teeth
The average mouth is made to hold only 28 teeth. It can be painful when 32 teeth try to fit in a mouth that holds only 28 teeth. These
four other teeth are your Third Molars, also known as "Wisdom teeth."
Evaluation for extraction of WISDOM TEETH
With an Oral examination and x-rays of the mouth, Dr. B. K. Biswas can evaluate the
position of the wisdom teeth and determine if there is a problem. Studies have shown that early evaluation and treatment result in a superior outcome for the patient. Patients are generally first evaluated in the mid-teenage years by their
Dentist, Orthodontist or by an Oral and Maxillofacial Surgeon.
Evolution is causing the jaw sizes to become smaller as we evolve. This is a result of the fact that we are eating cooked softer foods today and not raw meat as did our ancestors.
As a result, the jaws are not able to accomodate the third molars properly. These wisdom teeth tend to get Impacted in the Jaws. Alternatively, they erupt at all odd angles. They may also cause the teeth to bite into the cheeks or into the tongue. Such teeth have to be removed at the earliest.
Anaesthesia:
All outpatient surgery is performed under appropriate anesthesia to maximize patient comfort.
Dr. B. K. Biswas has the training and experience to provide the best anesthesia alternative for each patient. These services are provided utilizing modern monitoring equipment and an experienced anesthetist.
Experienced Surgeons, and the very best equipment results in a
comfortable surgical anesthesia experience for the patient.
Extraction of third molar
Dr. B.K.Biswas at “Avinash Dental Clinic” has removed hundreds of third molars at a fraction of the cost compared to the West. There is also
an opportunity to have a planned surgery.
Injuries to the Teeth and Surrounding Dental Structures:
Isolated injuries to teeth are quite common and may require the expertise of various dental specialists. Oral surgeons usually are involved in treating fractures in the supporting bone or in replanting teeth which have been displaced or "knocked out". These types of injuries are treated by one of a number of forms of "splinting" (stabilizing by wiring or bonding teeth together).
If a tooth is "knocked out", it should be placed in salt water or milk. The sooner the tooth is re-inserted into the dental socket, the better chance it has to survive. Therefore, the patient should see a dentist or oral surgeon as soon as possible.
Never attempt to "wipe the tooth off", since you may remove remnants of the ligament which hold the tooth in the jaw. These are vital to the success of replanting the tooth. Other dental specialists may be called upon to perform root canal therapy, and/or repair or rebuild fractured teeth. In the event that injured teeth cannot be saved or repaired, dental implants may be utilized as replacements for teeth that are lost.
Orthognathic surgery
It is required when the jaws need to be repositioned.
Dr. Biswas and his staff use modern techniques and three-dimensional models to show you exactly how your surgery will be approached. Using
comprehensive facial X-rays and imaging, we can show you how your bite will be improved and even give you an idea of how you'll look after surgery. This helps you understand the surgical process and the extent of the treatment prescribed and to see the benefits of
Orthognathic surgery.
Trouble with Your Jaw?
TMJ disorders develop for many reasons. You might clench or grind your teeth, tightening your jaw muscles and stressing your TM joint. You may have a damaged jaw joint due to injury or disease. Whatever the cause, the results may include a misaligned bite, pain,
"clicking" or "grating" noise when you open your mouth, or inability to open your mouth widely.
Treatment
There are various treatment options that we can utilize to improve the harmony and function of your jaw. Once an evaluation confirms a diagnosis of TMJ disorder, the proper course of treatment
will be determined.. It is important to note that treatment always works best with a team approach of self-care joined with professional care.
The Nature of Maxillofacial Trauma
There are a number of possible causes of facial trauma. Motor vehicle accidents, accidental falls, sports injuries, interpersonal violence and work related injuries. Types of
facial injuries can range from injuries of teeth to extremely severe injuries of the skin and bones of the face. Typically, facial injuries are classified as either
soft tissue injuries (skin and gums), bony injuries
(fractures), or injuries to special regions (such as the eyes,
facial nerves or the salivary glands).
Soft Tissue Injuries of the Maxillofacial Region
When soft tissue injuries such as lacerations occur on the face, they are repaired by "suturing". In addition to the obvious concern of providing a repair which yields the
best cosmetic result possible, care is taken to inspect for and treat injuries to structures such as facial nerves, salivary glands and salivary ducts (or outflow channels).
Dr. B. K. Biswas is a well-trained Oral and
Maxillofacial Surgeon and is proficient at treating all types of facial wounds.
Bone Injuries of the Maxillofacial Region
Fractures of the bones of the face are treated in a manner similar to the fractures in other parts of the body. The specific form of treatment is determined by various factors which include the
location of the fracture, the severity of the fracture, and the age and general health of the patient. When an arm or a leg is fractured, a "cast" is often applied to stabilize the bone to allow for proper healing. Since a cast cannot be placed on the face, other means have been developed to stabilize facial fractures.
Treatment:
One of these options involves wiring the jaws together for certain fractures of the upper and/or lower jaw. Certain other types of fractures of the jaw are best treated and stabilized by the surgical placement of small "plates and screws" at the involved site. This technique of treatment can often allow for healing and obviates the necessity of having the jaws wired together. This technique is called
"rigid fixation" of a fracture. The relatively recent development and use of "rigid fixation" has profoundly improved the recovery period for many patients, allowing them to return to normal function more quickly.
The treatment of facial fractures should be accomplished in a thorough and
predictable manner. More importantly, the patient's facial appearance should be minimally affected. An attempt at accessing the facial bones through
minimum incisions is necessary. At the same time, the incisions that become necessary are designed to be small and, whenever possible, are placed so that the resultant
scar is "hidden".
Injuries to the face, by their very nature, impart a high degree of emotional and
physical trauma to patients. The science and art of treating these injuries requires special training involving a "hands on" experience and an understanding of how the
treatment provided will influence the patient's long term function and appearance.
PreOperative Instructions:
Bathe or shower the night before
(or the morning of) surgery with plain, unscented, or mild soap
and water.
DO NOT EAT OR DRINK ANYTHING,
including water, (except your medication as directed) after
midnight before your surgery under General Anaesthesia. DO NOT
SMOKE for 24 hours prior
to your surgery.
Please limit the use of fragrances
(including lotions) and perfumes on the day of surgery.
Day of Surgery:
You must arrange for a responsible adult to drive with you to your
surgery. This individual must remain in our office during your
entire surgery (approximately 2 hours) and must be available to
drive you home. You will not be permitted to drive following your
anesthesia/sedation. In addition, we are not permitted to
discharge you by taxi.
Do not wear any make-up, including
eye make-up, nail polish, fake fingernails or jewellery (wedding
bands are permitted). If wearing please remove contact lenses
prior to surgery.
Please wear loose fitting,
comfortable clothing (a short sleeved top with long pants and
socks is preferable), as well as flat, fitted shoes such as
sneakers.
If there has been a change in your
physical condition, such as a cold, cough, fever, rash, etc.
please contact your physician before coming to the office.
Due to privacy of all of our
patients, family members are not permitted in the operating room
or the recovery room. We will inform your family on completion of surgery as well as
keep them updated about your progress during your
recovery.
We ask you not to bring
along young children on the date of surgery. This is as regard to limited space and the duration of time you will be in our
office.
Please feel free to contact our
office if you or your family has any questions or concerns.
s
Assistance:
We ask that the person bringing you for surgery remain in
the reception area during your surgery. Following surgery, your
reflexes, depth perception and judgment will be impaired for
several hours; therefore, it is important that a responsible party
stays with you for the remainder of the day to assist with meals,
medication, navigation to the restroom, etc.
Post-Operative Information
After the operation patients may experience slight bruising around the area that quickly fades. Normal activities can be performed immediately. Possible side effects are temporary weakness of nearby muscles.
Any side effect is only a temporary condition. The doctor will explain all risks associated at the time of your consultation.
