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Oral & Maxillofacial Surgery

Step into the world of advanced surgical procedures at Levantine Dental Clinic in Dubai. Our Oral & Maxillofacial Surgery offers a comprehensive, precise, and expert solution for complex dental issues. Conducted by skilled surgeons, this surgery is your pathway to improved oral health and function.

Oral & Maxillofacial Surgery in Dubai

What is Oral and Maxillofacial Surgery? When do patients need to undergo maxillofacial surgery? The specialty of oral and maxillofacial surgery is a surgical discipline of dentistry that encompasses the art and science of diagnosing and treating the diseases, injuries, and defects of the hard and soft tissues of the maxillofacial region and oral cavity. An oral surgical practice deals with the initial and definitive care of the trauma patient, and management of extensive infection of the head and neck. Others include management of pathological conditions such as cysts and tumors, diagnosis and management of dentofacial deformities, complex maxillofacial pre-prosthetic surgery, reconstruction with bone grafts, and management of facial pain and Temporomandibular Joint (TMJ) disorders.

Oral and Maxillofacial Surgery Oral and Maxillofacial Surgery

Oral & Maxillofacial surgeries we provide

Third Molar Oral and Maxillofacial Surgery

What is Third Molar Extraction? And What is the Right Age to Do it?

Wisdom teeth, or third molars, typically emerge in late adolescence or early adulthood and can cause problems for many patients. To prevent future dental issues, it is recommended that wisdom teeth be removed at a younger age when the teeth are not fully formed, making surgery easier. When wisdom teeth do emerge, they may be difficult to keep clean and can impact the teeth in front of them, leading to further problems. In some cases, the teeth may be impacted underneath the gums, which can cause cysts and other complications. The removal process typically takes 45 to 60 minutes and is done under sedation. The complexity of the surgery depends on various factors, such as the position of the tooth, the curvature of the roots, and the thickness of the surrounding bone. After the surgery, patients are given instructions and prescriptions before leaving to rest and recover at home.

crown length oral Oral and Maxillofacial Surgery

What is the Crown Lengthening Procedure?

Sometimes, a cavity can develop underneath the gums and cannot be accessed for restoration without cutting part of the gum and reducing bone height. The dentist can then access the cavity and restore it with a resin filling. If a cusp breaks off a tooth below the gums, the tooth cannot be restored by the dentist alone. However, a surgeon can perform a crown lengthening procedure by raising a flap of gum tissue, reducing the bone level, and suturing the flap back in place. After healing, the dentist can restore the tooth using a resin filling or crown. This procedure is called crown lengthening because it makes the crown appear longer.

exposure oral Oral and Maxillofacial Surgery

What is “Exposure of Unerupted Teeth”? And how is it Done?

When teeth are trapped underneath the gums, or grow partially into the mouth, this is called impaction. An impacted tooth means that it is stuck and cannot erupt into function. This occurs when there is not enough space in the mouth for teeth to emerge properly. Some impacted teeth can simply be extracted. However, impacted canines and other adult teeth must be guided into their proper place for a healthy and functional bite. At Levantine Dental Clinic, the state-of-the-art CBCT 3D X-ray technology is critical in helping diagnose impacted teeth and pinpoint their exact location. First, the dentist uses braces to make room for the impacted tooth. The patient’s oral surgeon will carefully expose the tooth by removing the overlying gum and bone. A very small bracket and chain are then attached to the tooth. The special loop wire puts tension on the chain, slowly guiding the impacted tooth into place with the braces. Treating impacted teeth early is essential to creating a stable bite and avoiding costly orthodontic or restorative work later in life. At Levantine Dental Clinic, we focus on our patients’ needs to provide them with a healthy lifelong smile.

apicoecotomy oral Oral and Maxillofacial Surgery

What is Apicoectomy and Who Should Undergo this Surgical Procedure? How Does it Differ from Root Canal Treatment?

An apicoectomy is a simple surgical procedure performed on an infected tooth under local anesthesia. It involves the removal of the apex, or root tip, of the tooth to address a persistent infection. Unlike a root canal, which treats inflammation and infection in the inner pulp tissue of the tooth, an apicoectomy addresses the infection affecting the last 3mm of the root. The procedure is usually done after a root canal treatment to fix the root or tissues around the tooth. During the procedure, the root tip is sectioned under magnification with a microscope, and a small incision is made in the gum to access the area of infection. The root tip is then addressed and filled. An apicoectomy is typically used to save a tooth that has already had a root canal but has become reinfected. Other reasons for the procedure include treating a fracture or a root with a hole, and addressing bone loss that causes loose teeth. The procedure is painless and done under anesthesia.

What is Bone Grafting and Regeneration? What are Bone Grafting Techniques?

In some cases, the dentist removes a tooth without placing a dental implant during the same visit. The jawbone naturally shrinks when there is no tooth, leading to great bone loss. To have a dental implant later during another visit, the patient needs more bone to place the implant. Different bone-grafting techniques trigger bone regeneration to allow the patient’s jaw to accept the implant.

Socket grafting

This is done during the patient’s visit for a tooth removal. After the surgeon removes the tooth, the surgeon places grafting material within the hole. Then, bone healing takes about 3 or 4 months. After 4 months, the surgeon carries out the dental implant procedure.

Blocks of bone

This technique is for patients who need more bone to carry out a dental implant procedure. The surgeon places blocks of bone onto the space where the bone is missing. The surgeon places the blocks of bone with screws. After 5 months, when the bone heals, the surgeon can carry out the dental implant procedure.

A mix of bone substitutes

This technique is for places where the surgeon cannot use blocks of bone. The surgeon places the substitutes where the bone is missing and covers the area with a membrane. After a while when the bone has healed, the surgeon can carry out the dental implant.
Temporomandibula Joint Disorders Oral and Maxillofacial Surgery

What are Temporomandibular Joint Disorders (TMD)? How Do They Occur? And How are They Treated?

The temporomandibular joint (TMJ) is where the lower jaw and base of the skull meet, forward of the ears. The TMJ is a compound joint involving 3 bones in the body. The mandible, the temporal bone, and the articular disk. We put an amount of pressure on this joint as we breathe, speak, and chew. As we open our mouths the movement begins and as we continue to open our mouths more, the lower jaw starts to slide downward and forward.

How do I know I have temporomandibular joint disorder (TMD)?

Patients notice TMD by experiencing pain in the temporomandibular joint or the muscles around it. The disk is a component of the temporomandibular joint and it acts as a pillow absorbing the shock to protect the joint. When the disk remains in its correct position while opening and closing the jaw, no clicking or popping should occur. However, if there is conflict in the joint, it makes popping sounds upon opening and closing the jaw.

What are temporomandibular joint disorders (TMD)? Several conditions that occur in TMD situations.

Myofascial Pain

Myofascial Pain is the most popular temporomandibular joint disorder. It causes pain in the jaw muscles and the tissue around them, as well as the neck and shoulder.

TMJ Internal Derangement

TMJ Internal Derangement is the dislocation of the jaw or the disk that acts as a pillow or shock absorber between the head of the jawbone and the skull. This TMD could also be caused by an injury to the condyle, the rounded end of the jawbone that forms the articulation with the temporal skull bone.

Degenerative Joint Disease

Degenerative Joint Disease is caused by osteoarthritis (when the protective cartilage that cushions the ends of the bones wears down) or rheumatoid arthritis (an autoimmune and inflammatory disease) in the jaw joint.

How to treat TMD?

The treatment of temporomandibular joint disorder depends on how severe each case is. It also depends on the age of the patients and their overall health.

Splint Therapy

It consists of placing removable dental appliances that provide protection for the temporomandibular joint and helps keep it in place. This reduces inflammation and pain . However, this is merely a treatment, it is not a cure. It will not restore any damage.

Orthotic Therapy

It is similar to splint therapy, however, an orthotic is an acrylic device that the patients wear on their lower teeth to improve the function of the temporomandibular joint . This decompresses the joint, which reduces inflammation and helps restore the proper muscle length. Surgery is recommended in very few TMD cases.
dr2 Oral and Maxillofacial Surgery

Dr. Kanaan Al Masri

Oral Surgeon – Implantologist

Oral and dental surgery specialist
More than 28 years of experience
More than 15,000 implants have been successfully placed

Ready to Restore Your Smile ?

Get in touch today and get a consultation.

Frequently Asked Questions

A dental implant is a prosthesis used to replace missing When wisdom teeth have problems (such as: pain, infection or decay), or when they might cause damage to other teeth or if they cause problems with crowding of other teeth.teeth. Essentially, it is a small titanium post/fixture that is inserted into the jawbone, on top of which a single crown (cap), a fixed bridge,
a partial denture, or full denture can be attached. Once the implant integrates to your bone, a structure called an abutment is connected to the implant and then the artificial tooth/teeth are attached.

Before pulling the tooth, your dentist will give you an injection of a local anesthetic to numb the area where the tooth will be removed.
If the tooth is impacted, the dentist will cut away gum and bone tissue that cover the tooth and then, using forceps, grasp the tooth and gently rock it back and forth to loosen it from the jaw bone and ligaments that hold it in place. Sometimes, a hard-to-pull tooth must be removed in pieces.and good oral health exist, it is possible for implants to last a lifetime.

In addition to a detailed history and careful clinical examination, imaging studies of the teeth and jaws may sometimes be helpful as a diagnostic tool. These include:
– Routine Dental X-rays and Panoramic Radiographs. These show the teeth and provide a screening view of the bony structures of the TM joint.
– Computed Tomography (CT or CAT scan). This provides greater detail of the bone but a somewhat limited view of the disc and soft tissues. It is indicated when a screening radiograph of the TM joint shows some bony changes. More info on CT scans by FDA.
– Magnetic Resonance Imaging (MRI). This provides images of the disc as well as the muscles and other soft tissues surrounding the joint.
– Scintigraphy (Bone scan). This involves the injection of a radioactive substance that is absorbed by the bone cells and shows whether a pathologic process is in an active or inactive state.

Although having an oral surgery is usually very safe, the procedure can allow harmful bacteria into the bloodstream. Gum tissue is also at risk of infection. If you have a condition that puts you at high risk for developing a severe infection, so before have the surgery, let your dentist know your complete medical history, the medications and supplements you take, and if you have one of the following:
– Damaged or man-made heart valves
– Congenital heart defect
– Impaired immune system
– Liver disease (cirrhosis)
– Artificial joint, such as a hip replacement
– History of bacterial endocarditis

You have to look after yourself carefully after you have had a tooth taken out or any dental surgery. Following these instructions will help minimise post-operative pain, swelling, tenderness and aid healing, as well as prevent infection:
– Do not rinse your mouth out for at least 12 hours after an extraction.
– Keep your mouth clean, brush your teeth as normal but brush the area of treatment gently.
– Avoid eating or drinking until the local anaesthesia has worn off.
– If you start to bleed again, Roll a handkerchief into a sausage, place it over the bleeding socket and bite HARD for 30 minutes.
– You may experience some pain, swelling and bruising after treatment.
– Make sure you take some painkillers for the first 24 hours.
– Avoid smoking for at least 5 days after treatment.before placing the final tooth. The dental implant procedure usually takes 3 months for the lower jaw and 6 moths for the upper jaw for the implant to fully integrate with your bone. However, everyone heals differently, so the doctor will monitor your progress closely.

Bone grafting is a surgical procedure that replaces missing bone in order to gain bone volume, thickness and length that are extremely missed.discomfort following the procedure, but this can typically be treated with the application of ice and the use of over-thecounter pain relievers like ibuprofen.

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