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ORAL AND
MAXILLOFACIAL
SURGEONS DAY
13TH FEBRUARY
Dr RAHUL TIWARI
PG STUDENT
ORAL AND MAXILLOFACIAL SURGERY
SIBAR INSTITUTE OF DENTAL SCIENCES
GUNTUR
16-02-2017 04:08:08 RT/OMFS DAY/40 1
16-02-2017 04:08:08 RT/OMFS DAY/40 2
DEFINITION
• “Oral and Maxillofacial surgery is the specialty of dentistry that includes the diagnosis and
surgical and adjunctive treatment of disease, injuries and defect, including both the functional
and esthetic aspects of hard and soft tissues of oral and maxillofacial region”
Peterson
16-02-2017 04:08:08 RT/OMFS DAY/40 3
History of oral & maxillofacial surgery
16-02-2017 04:08:08 RT/OMFS DAY/40 4
ORAL SURGERY
HIPPOCRATES -460 BC
16-02-2017 04:08:08 RT/OMFS DAY/40 5
16-02-2017 04:08:08 RT/OMFS DAY/40 6
16-02-2017 04:08:08 RT/OMFS DAY/40 7
Evolution of a surgeon
16-02-2017 04:08:08 RT/OMFS DAY/40 8
Early History
HIPPOCRATES AMBROSE PARE SIMON HULLIHEN
 CHALMERS J. LYONS (1874-1935) - principles of gentle surgery
 MATHEW H. CRYER (1840-1921) - invented many instruments for the removal of teeth and
other surgical procedures.
 ROBERT H. IVY(1881-1974) – Fixation in trauma
16-02-2017 04:08:08 RT/OMFS DAY/40 9
Father of oral surgery - James Edmund Garretson
16-02-2017 04:08:08 RT/OMFS DAY/40 10
16-02-2017 04:08:08 RT/OMFS DAY/40 11
• “Surgery is the first and the highest division of the healing art, pure in itself, perpetual in its
applicability, a working product of heaven and sure of fame on earth" - Sushruta (400 B.C.)
• The Sushruta samhita was translated into Arabic
and Persian.
• Sushrutha used skin flaps for repairing nose,
procedure is described in Sushruta Samhita.This
procedure was observed in India by a British
Surgeon in 1793 and published in London
16-02-2017 04:08:08 RT/OMFS DAY/40 12
PRESENT SCENARIO IN ORAL AND
MAXILLOFACIAL SURGERY
16-02-2017 04:08:08 RT/OMFS DAY/40 13
16-02-2017 04:08:08 RT/OMFS DAY/40 14
• Dentoalveolar surgery
• Diagnosis and treatment of benign pathology, cysts, tumors head and neck oncology.
• Diagnosis and treatment of congenital craniofacial malformations
• Diagnosis and treatment of soft and hard tissue trauma of the oral and maxillofacial region.
• Diagnosis and treatment of chronic facial pain disorders
• Diagnosis and treatment of temporomandibular joint (TMJ) disorders.
• Cosmetic surgery limited to the head and neck.
• implants
16-02-2017 04:08:08 RT/OMFS DAY/40 15
DENTOALVEOLAR SURGERY
• Surgery to remove impacted teeth, difficult tooth
extractions, extractions on medically compromised
patients
• Bone grafting or preprosthetic surgery to provide
better anatomy for the placement of implants,
dentures, or other dental prostheses.
16-02-2017 04:08:08 RT/OMFS DAY/40 16
DENTOALVEOLAR PATHOLOGY
16-02-2017 04:08:08 RT/OMFS DAY/40 17
DIAGNOSIS ANDTREATMENT OF BENIGN
PATHOLOGY, CYSTTUMORS AND HEAD AND
NECK ONCOLOGY
16-02-2017 04:08:08 RT/OMFS DAY/40 18
RECONSTRUCTIVE SURGERIES
16-02-2017 04:08:08 RT/OMFS DAY/40 19
TRAUMA OFTHE MAXILLOFACIAL REGION
• Mandibular fractures
• Zygomatic fractures
• Nasal bone fractures
• Le-Fort fractures
• Skull fractures
• Orbital fractures
16-02-2017 04:08:08 RT/OMFS DAY/40 20
16-02-2017 04:08:08 RT/OMFS DAY/40 21
ORTHOGNATHIC SURGERY
16-02-2017 04:08:08 RT/OMFS DAY/40 22
DIAGNOSIS ANDTREATMENT OF - CHRONIC FACIAL PAIN DISORDERS
16-02-2017 04:08:08 RT/OMFS DAY/40 23
DIAGNOSIS ANDTREATMENT OF CONGENITAL
CRANIOFACIAL MALFORMATIONS
16-02-2017 04:08:08 RT/OMFS DAY/40 24
TEMPOROMANDIBULAR JOINT DISORDERS
• Muscle disorders
• Derangement disorders
• Degenerative disorders
• Ankylosis
16-02-2017 04:08:08 RT/OMFS DAY/40 25
Ditraction osteogenesis
16-02-2017 04:08:08 RT/OMFS DAY/40 26
CRANIOMAXILLOFACIAL SURGERY
16-02-2017 04:08:08 RT/OMFS DAY/40 27
I
M
P
L
A
N
T
S
16-02-2017 04:08:08 RT/OMFS DAY/40 28
COSMETIC SURGERY
• Rhytidectomy/facelift, browlift/blepharoplasty,
otoplasty, rhinoplasty, septoplasty.
• Cheek augmentation, chin augmentation, genioplasty,
neck liposuction, lip enhancement, rhinoplasty,
cervicoplasty.
• Injectable cosmetic treatments, botox, chemical peel.
16-02-2017 04:08:08 RT/OMFS DAY/40 29
FUTURE OF MAXILLOFACIAL SURGERY
16-02-2017 04:08:08 RT/OMFS DAY/40 30
16-02-2017 04:08:08 RT/OMFS DAY/40 31
STEM CELLS AS VEHICLES FOR GENE THERAPY16-02-2017 04:08:08
32
RECENT ADVANCES IN OMFS -90
RT/OMFS DAY/40
Navigation system
16-02-2017 04:08:08 RT/OMFS DAY/40 33
ROBOTIC SURGERY
16-02-2017 04:08:08 34RT/OMFS DAY/40
NANOTECHNOLOGY
16-02-2017 04:08:08 RT/OMFS DAY/40 35
HEADTRANSPLANTS
16-02-2017 04:08:08 RT/OMFS DAY/40 36
What we are today, as oral and maxillofacial surgeons, however, it is
important to remember our history, the development of our tremendous
specialty, and the researchers who helped to shape it
A basic knowledge of where we came from creates the foundation for a stronger
future.
16-02-2017 04:08:08 RT/OMFS DAY/40 37
16-02-2017 04:08:08 38
RECENT ADVANCES IN OMFS -95
“live as if you were to die tomorrow.
learn as if you were to live forever.”
RT/OMFS DAY/40

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Dr Rahul VC Tiwari, Department of Oral and Maxillofacial Surgery, Sibar Institute of Dental Sciences, Gunutr, AP. Oral and maxillofacial surgerons day presentation - past present and future of Oral and maxillofacial surgery (OMFS)