Oral and maxillofacial surgery (OMS or OMFS) specializes in treating many diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral (mouth) and maxillofacial(jaws and face) region

Oral Surgery
EXTRACTIONS
A tooth that cannot be saved with restorative materials may need to be removed. Before removing your tooth, the area will be numbed with anaesthesia. The tooth is then loosened using a special dental instrument known as an elevator. After it is loosened from the socket, it is removed by a forceps, a dental instrument commonly used in dental extractions. Stitches may be necessary after the removal of a tooth.

INDICATIONS
Unrestorable carious tooth
Abscessed tooth not treatable by endodontics
Calcified root canal
Patient refusal to safe tooth.
POST-OPERATIVE CARE
Complying with the following directives will significantly help in recovering faster
and reduce the danger of potential complications.
Bleeding
Pain
Swelling
Fever
Difficulties in mouth opening
Surgical sutures
BleedingOral hygiene
Mouth rinse
Diet/ Nutrition
Medication
NOTE: In case of prolonged bleeding, of side effects from medications, of severe pain or
if swelling does not subside after the fourth day you should immediately inform the dentist.
SURGICAL EXTRACTION
A wisdom tooth that is deemed problematic is normally extracted to avoid any oral complications.
Problems Caused By Impacted Wisdom Teeth
Infection:
When a wisdom tooth becomes stuck in the jaw bone there is often a partial flap of the gum overlying the tooth and infection may develop around this area. The area becomes swollen, red and very painful. Swallowing may be painful and sometimes people can feel generally unwell.

Decay:
When the wisdom teeth become stuck they are often impossible to clean properly and they can become decayed. Also, they can cause decay in the tooth in front and it can be very difficult to place fillings in these situations prior to the removal of the wisdom teeth.
Crowding:
Pressure from impacted wisdom teeth is one of the causes of crowding of the front teeth. It is not the only cause of crowding as some people with no wisdom teeth still get crowding but it is believed to be a significant contributing factor.

Damage to adjacent teeth:
Pressure from impacted wisdom teeth can also cause damage to the adjacent teeth. Food impaction between the adjacent tooth and the wisdom tooth can cause cavities in both teeth and cause bone loss on the back of the good tooth.

Cysts:
A fluid filled sack called a cyst can on rare occasions form around the crown of an impacted wisdom tooth.

How is the procedure done?
To have a wisdom tooth removed, a small incision is made to open up the gum tissue over the tooth and remove any bone that is covering the tooth. Once the tooth is in view, it is grasped with a dental instrument, known as a forceps, and gently rocked back and forth to loosen it from the jaw bone and surrounding ligaments. Sometimes the tooth may need to be cut into smaller pieces to make it easier for removal. Stitches may be necessary after the removal of a wisdom tooth.
POST-OPERATIVE CARE
Complying with the following directives will significantly help in recovering faster
and reduce the danger of potential complications.
Bleeding
Pain
Swelling
Fever
Difficulties in mouth opening
Surgical sutures
BleedingOral hygiene
Mouth rinse
Diet/ Nutrition
Medication
NOTE: In case of prolonged bleeding, of side effects from medications, of severe pain or
if swelling does not subside after the fourth day you should immediately inform the dentist.