Introduction to Oral and Maxillofacial Surgery

1. Oral and
Maxillofacial
Surgery
DR. JABRAN
PGR OMFS JINNAH HOSPITAL LAHORE

2. DEFINITION
 Oral and Maxillofacial surgery(OMFS) is the
special branch of dentistry in which one
specializes in treating many pathologies, injuries
and defects of head,face,neck and jaws including
hard and soft tissues of oral and maxillofacial
region.
 In 2nd World War,OMFS emerged as one of major
specialties.

3. TRAINING
 In UK and most of Europe,both medical and dental degrees are compulsory
in order to pursue this specialized training.
 In almost every other region like Pakistan, United States, Australia, Canada,
Newzealand as well as Scandinavia, OMS is recognized as speciality of
dentistry.
 In Pakistan,achieving eligibility criteria to pursue 4 years training(FCPS OR
MDS) in OMFS requires 4 years of dental degree(BDS) from PMDC
recognized institute and one year of House Job.
 In USA,four to six years of university training in oral and maxillofacial
surgery is required after four years of dental school(DDS).

4. Further Training
 Depending upon the jurisdiction,an oral and maxillofacial surgeon may
require futher training in general surgery, general medicine and anesthesia.
 An oral and maxillofacial surgeon may choose to undergo futher training in
following 1 to 2 years subspecialty Fellowship Training programs:
1. Cosmetic Facial Surgery
2. Craniomaxillofacial Trauma
3. Pediatric Maxillofacial Surgery/Cleft Surgery
4. Head and Neck Cancer/Microvascular Reconstruction
5. Maxillofacial Regeneration(regeneration of Facial region by Advanced stem
cell technique)

5. REGULATIONS
 In several countries, Oral and Maxillofacial Surgeons are recognized by
professional associations as is the case with:
1. College of Physicians and Surgeons Pakistan
2. Dental Council of India
3. American Dental Association
4. Royal College of Surgeons of England and Edinburgh
5. Royal College of Dentists of Canada
6. Royal Australian College of Dental Surgeons
7. Brazilian Federal Council of Odontology

6. Scope OF Oral and Maxillofacial
Surgery

7. Dentoalveolar
surgery
• To remove impacted teeth,
difficult tooth
extractions,extractions On
medically compromised patients,
bone grafting to provide better
anatomy to support implants,
dentures or other dental
prostheses.

8. Dental and
Maxilloofacial
Implants
• Maxillofacial implants
for attaching
craniofacial prostheses
and Bone anchored
hearing aids.

9. Cosmetic Surgery
of Head and Neck
• Rhinoplasty, Rhytidectomy,
Blepharoplasty,
Otoplasty,cheek
augmentation, chin
augmentation, neck
liposuction, Genioplasty and
Oculoplasty.

10. Corrective Jaw surgery(Orthognathic
Surgery), Surgical treatment of sleep
apnea, Maxillomandibular Advancement.

11. Diagnosis and treament
 Benign Pathology
 Cyst and tumours
 Head and Neck Oncology

12. Diagnosis and Treatment
 Malignant pathology
 Cutaneous malignancy(skin cancer) and lip reconstruction
 Congenital craniofacial malformations such as cleft lip and palate

13. Diagnosis and Treatment
 Chronic facial pain disorders(arypical facial odontalgia, trigeminal neuralgia,
migraine, burning mout syndrome, tension headache, myofacial pain)
 Temporomandibular Joint disorders
 Surgical Correction of facial asymmetry

14. Diagnosis and treatment
 Soft and hard tissue trauma of oral and maxillofacial region including:
1. Mandibular fractures
2. Zygomatic fractures
3. Nasal bone fractures
4. Skull fractures
5. Lefort fractures
6. Orbital fractures

15. Conclusion
 Oral and Maxillofacial Surgery has emerged as branch of dentistry over the
course of time and has opened up new options in the field of surgery
 Oral and maxillofacial surgeon can move out of the oral cavity and explore
the fields of oncology, plastic surgery, microvascular surgery and much
more.
 Oral and Maxillofacial surgery is evolving rapidly and its demand is
increasing with time due to greater number of relevant cases being reported
in medical world.

16. THANK YOU!