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What is Maxillofacial Surgery? 5 Innovative Applications

Cirugía Maxilofacial
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Written by

Q.F. Nayibe Cubillos Morales

Gustavo

Medically Reviewed by

Dr. Gustavo Assatourians D.D.S

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What is maxillofacial surgery? It is a branch of dentistry (and reconstructive medicine) that focuses on improving facial harmony and functionality. This discipline combines the precision of dentistry with advanced surgical techniques to address a variety of conditions, from bite problems to congenital or acquired facial deformities.

Using a highly specialized surgical procedure, maxillofacial surgeons can correct cosmetic and functional problems affecting the mouth, jaw, and surrounding facial structures. In this article, we will talk about maxillofacial surgery and how it can transform patients’ lives, restoring confidence and functionality.

What is Maxillofacial Surgery and its applications?

what is maxillofacial surgery

Maxillofacial surgery covers a wide range of applications that go beyond aesthetic correction. Among the most common are:

1. Correction of malocclusions: One of the most common applications of maxillofacial surgery is the correction of serious bite problems that cannot be resolved with orthodontics alone. Using procedures that section the maxilla or mandible, the jaws can be properly aligned while the chewing function and facial aesthetics are improved.

There are three types of malocclusions: sagittal, vertical, and transverse. To learn more about them, click here.

2. Treatment of facial trauma: Maxillofacial surgery plays a crucial role in repairing bone and soft tissue fractures, and restoring facial form and function after accidents or injuries.

3. Diagnosis and treatment of maxillofacial cancer, cysts, and tumors in the head and neck: Maxillofacial surgeons play a crucial role in removing these pathologies and reconstructing the affected region, restoring facial appearance while ensuring that the patient can speak, eat, and breathe normally.

4. Orthognathic surgery: Orthognathic surgery is a valuable tool for correcting congenital (birth) facial deformities, such as a cleft lip and palate.

5. Sleep apnea: Some maxillofacial surgery procedures are indicated to treat obstructive sleep apnea. By modifying the upper respiratory structures, such as the soft palate and jaw, it is possible to relieve symptoms and improve sleep quality.

Other applications of maxillofacial surgery include:

Preparation for placement of dental implants and prostheses.

Bone grafts or bone transplants from another area of the body.

Treatment of disorders of the joint to connect the jaw to the rest of the skull (temporomandibular joint).

If you want to learn about jaw and bite correction, check out this related article on the subject.

Collaborative Approach to Maxillofacial Surgery

close-up maxillofacial surgery

One of the most notable and rewarding aspects of maxillofacial surgery is its collaborative nature. This specialty is not limited to the surgical skill of a single professional, but it benefits greatly from an interdisciplinary collaboration. Before any procedure, careful planning involving multiple specialists is undertaken.

This may include three-dimensional imaging studies, evaluation of respiratory function, and detailed discussions of the patient’s aesthetic and functional goals.
Furthermore, this collaborative approach is not limited to the operating room.

After surgery, close communication is maintained between the medical team to ensure a smooth recovery. This may involve orthodontic adjustments, speech therapy, or physical therapy as needed.

Recovery

Recovery after maxillofacial surgery will vary depending on the type of procedure performed. You will likely experience some discomfort, tenderness, swelling, and bleeding in the days immediately following it. Your healthcare professional may suggest pain relievers to relieve any discomfort. If you have received sutures, they will dissolve or be removed approximately after a week.

Care recommendations:

Your healthcare professional will provide specific instructions, which may include:

Use cold compresses to reduce swelling.

Avoid crunchy, hard foods or items that require a lot of chewing.

Refrain from consuming tobacco and alcohol.

Avoid exercise for a few days, as it could increase the risk of bleeding and inflammation.

Rest adequately to prevent possible complications.

For the first few days, choose to rinse your mouth instead of brushing your teeth to eliminate oral bacteria.

Transformative Results

surgeon consultation

The results of maxillofacial surgery can be truly transformative. Patients experience significant improvement in facial aesthetics, often resulting in increased self-confidence. Additionally, correcting functional problems can eliminate chronic discomfort and improve overall quality of life.

One of the surgeries that focuses on oral and facial health is TMJ (Temporomandibular Joint) surgery, which can deliver transformative results for individuals dealing with jaw pain and dysfunction. By addressing issues such as misalignment, joint damage, or structural problems, TMJ surgery aims to alleviate pain, restore proper jaw function, and significantly improve the quality of life.

Is Maxillofacial Surgery Medical or Dental?

Maxillofacial surgery is a specialty of dentistry. After 4 years of academic training to obtain the title of dentist, the maxillofacial surgeon must complete a 4-year hospital residency to access this title and pass an exam to obtain certification from the American Board of Oral and Maxillofacial Surgery.

Costs of a Maxillofacial Surgery Procedure

computing the surgery

The costs of maxillofacial surgery for patients who are not covered by health insurance will vary depending on the complexity of the procedure and the geographic location of the specialist. The value can range between $20,000 and $40,000, being more economical when only one of the two jaws is involved.These costs may increase if pre- or postoperative management is required, such as intervention with orthodontic appliances or functional therapy after the intervention.

Conclusion

Maxillofacial surgery is a diverse specialty that covers a wide range of applications. Each case is unique, and the goal of treatment is to improve both the patient’s facial function and aesthetics. These transformative applications demonstrate how maxillofacial surgery can have a profound impact on people’s lives, restoring confidence and facial function.

Frequently Asked Questions

What steps to follow before maxillofacial surgery?

It is essential to keep the stomach empty. Your oral surgeon will instruct you not to consume food or liquids after midnight or for at least eight hours before the procedure. This is essential to prevent complications related to the anesthesia. If you ingest anything during this period, even coffee, your oral surgery may need to be rescheduled.

Jaw surgery is usually rarely performed on people under the age of 18, as the jaw is still growing. Additionally, people over 45 years of age may be suitable candidates, depending on their general and dental health. Whenever feasible, we recommend that patients first consider less invasive techniques.

It is essential to stay well hydrated. However, avoid consuming hot liquids or foods. On the day of the operation, it is recommended to opt for soft foods and light liquids. You should return to your normal diet as soon as possible unless otherwise instructed by your surgeon.

The time required for complete recovery from maxillofacial surgery on the jaws depends upon the nature of the procedure. Typically, the process can take between nine and twelve months. In the first phase of recovery, it is common to experience bruising, which tends to disappear within one or two weeks. On the other hand, inflammation can persist for a longer period, often four to six weeks.

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References

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2. Maxillofacial surgery. (2021). Cleveland Clinic. https://my.clevelandclinic.org/health/treatments/22124-maxillofacial-surgery

3. OMS procedures. (s/f). Aaoms.org. https://www.aaoms.org/education-research/dental-students/oms-procedures

4. Oral and maxillofacial surgery. (Apr 7, 2015). Health Careers. https://www.healthcareers.nhs.uk/explore-roles/doctors/roles-doctors/surgery/oral-and-maxillofacial-surgery

5. What is a maxillofacial surgeon? (Jul 9, 2023). WebMD. https://www.webmd.com/a-to-z-guides/what-is-maxillofacial-surgeon

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