Oral & Maxillofacial surgery

Oral and Maxillofacial surgery is the link between medicine and dentistry, treating conditions that require knowledge and skills from both backgrounds such as head and neck cancers, salivary gland diseases, and tumors of the jaws as well as various issues.

Best Clinic for Oral and 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.

Indications for maxillofacial surgery:

  • Surgical removal of impacted teeth
  • Removal of teeth for orthodontic treatment
  • Removal of root fragments
  • Removal of cysts and tumors
  • Surgery to change the size or shape of the facial bones
  • Surgery of the temporomandibular joint
  • Surgical implant procedure
  • Salivary gland surgery
  • Biopsy
Oral and Maxillofacial Surgery

Best Oral and Maxillofacial Surgeons in Dubai – Schedule an Appointment with Levantine Dental Clinic


Dr. Kanaan Al Masri

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

  • Using of the best dental implants in the world
  • Crowns over implants use up high quality Switzerland made porcelain material
  • CT scan 3D imaging Xray to aid in planning the exact position of the dental implant in high accuracy prior to starting the surgery
  • Use of PRF (Plasma) in some cases to ensure better results
  • Flapless surgery which doesn’t require incision or suturing which result in reducing post operative pain dramatically
  • Immediate implant loading – same day implant
  • Use of Quick sleeper injection technology for painless local anaesthesia
  • Ability to perform surgery and dental implants under general anaesthesia if needed or requested.

Oral & Maxillofacial surgeries we provide

Third Molar Extraction

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

Wisdom teeth, or third molars, usually erupt during the late teenage years or in the early twenties. Many patients have an impacted wisdom tooth (or teeth). Third molar surgery helps prevent later problems in patients’ mouths and teeth. Wisdom teeth should be extracted when patients are younger. The reason is during the late teens and early twenties, the teeth are not fully formed, which makes it easier to carry out the surgery. Third molars don’t have enough space to grow into the mouth. For some patients, the teeth do come in but are so difficult to keep clean and it’s better to remove them so they don’t develop problems that would affect the teeth in front of the third molars. In some cases, teeth are impacted underneath the gums. That makes them prone to developing cysts and develop other problems as time passes. This is why it is highly recommended to remove them. In the case of impacted teeth, an incision is made in the gum tissue and some bone may need to be removed to expose the tooth. The tooth then may be removed in one piece or, in some cases, it may be cut into two pieces. The removal of four impacted wisdom teeth usually takes 45 to 60 minutes. The mouth must be clean for third molar extraction surgery. The surgeon asks patients to brush and floss their teeth. The surgeon generally removes wisdom teeth under sedation (general or local, depending on the case, although local anesthesia is sufficient). The oral and maxillofacial surgeon selects the method that is best for each patient. The length and complexity of third molar surgery depend on several factors: The position of the tooth Length and curvature of the roots The thickness of the bone surrounding the teeth The patient’s overall physical condition and health Once the wisdom teeth are removed, the gum tissue is sutured and patients rest until they are ready to go home. The surgeon gives instructions and prescriptions to the patient.

What is the Crown Lengthening Procedure?

Sometimes, a cavity may appear underneath the gum and can only be revealed with X-rays. Restoring this cavity is not possible as the gums block the access to it.The surgeon cuts part of the gum and raises it, and reduces bone height using special dental instruments. After raising the flap and drilling, the surgeon can now access the cavity. In cases where the cavity appears below the gum tissue, a resin filling is used to restore the cavity. The surgeon accesses the cavity and removes it, then places resin.
In cases where a cusp breaks off the tooth below the gums, the dentist cannot restore the tooth. However, to save the tooth, a surgeon can do crown lengthening procedures. First, the surgeon raises a gingival flap to allow access, then reduces the bone level so that the bone is a certain minimum distance below the fracture. The surgeon then repositions the flap and sutures it. After healing, the dentist can restore the tooth by using resin filling to replace the broken cusp. This could do the job in some cases. However, the best method to restore a largely fractured tooth is with a crown.
The procedure is called crown lengthening as it makes the crown appear longer after carrying out the procedure.

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

An apicoectomy is a surgical procedure carried out under local anesthesia on an infected tooth. Apicoectomy means the removal of the apex of the tooth, which is the tip of the tooth’s root. The root tip is sectioned under magnification with a microscope to address a persisting infection. The procedure is very straightforward and routinely carried out in the endodontic practice, it is pain-free and done under anesthesia. Apicoectomy is different from a root canal treatment as it addresses the infection affecting the root tip, the last 3 mm of the root. Moreover, a root canal procedure treats inflammation and infection in the inner pulp tissue of the patient’s tooth. Inflammation in tooth pulp could cause deep tooth decay and abscesses, which can spread to the bone if they are not removed. During a root canal, the dentist opens the patient’s tooth, removes the pulp and cleans the root area, then fills and seals it. The dentist carries out this procedure to manage disease and decay without pulling out the patient’s tooth. However, an apicoectomy only treats the tip of the root and is usually performed after a root canal to fix the root or the tissues around the tooth. Apicoectomy is performed using anesthesia. First, a small incision in the gum is performed, which allows for localizing the area of infection and removing the cystic tissue. Then the root tip is addressed and filled. This is due to the presence of bacteria in areas that are not accessible by the common root canal treatment. Why would patients need an apicoectomy? The most common reason is to fix a tooth that has already had a root canal treatment. In the majority of cases, root canals last a lifetime. However, in some cases, patients’ teeth do not heal as they should and get reinfected. This is why the dentist uses apicoectomy to save the tooth and avoid pulling it out. There are other reasons to undergo an apicoectomy such as treating a fracture and problems that do not show on an X-ray, removing a root that has a hole, and treating bone loss which causes teeth to be loose.

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.

exposure oral

bone grafting oral

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.

Dental implant techniques:

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.

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.

Temporomandibula Joint Disorders

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.

We have the best dentists trained for TMD treatment at Levantine Dental Clinic. If you hear clicking or popping sounds resulting from your jaw, visit our clinic.

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Frequently Asked Questions

  • When it’s necessary to extract wisdom teeth?
When it’s necessary to extract wisdom teeth?

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.

  • What to expect with tooth extraction?
What to expect with tooth extraction?

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.

  • How do you diagnose TMJ?
How do you diagnose TMJ?

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.

  • What should I tell my dentist before I have an oral surgery?
What should I tell my dentist before I have an oral surgery?

What should I tell my dentist before I have an oral surgery?

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

  • What should I do after I have tooth extraction?
What should I do after I have tooth extraction?

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.

  • What is bone grafting?
What is bone grafting?

Bone grafting is a surgical procedure that replaces missing bone in order to gain bone volume, thickness and length that are extremely missed.

Ministry of Health, UAE Approval No. OBXTTEW3-050222 – 20/1/2023

© Copyright 2021 by Levantine Dental Clinic.


since 2013

Ministry of Health, UAE Approval No. OBXTTEW3-050222 – 20/1/2023

© Copyright 2021 by Levantine Dental Clinic.


since 2013