Expertise

 This involves simple and complicated surgical extractions of teeth and removal of lumps and bumps in the mouth, removal of tongue tie, labial frenum and other similar procedures.  Sometimes teeth fail to erupt and get stuck in the jaw bone. They often need to be removed if giving trouble. The surgery is complicated due to concern of permanent damage to nerve and removal of bone and sectioning of teeth, and may involve general anesthesia  requiring skills of a trained Oral Surgeon. 

Infections arising from decayed teeth and tissues around teeth, jaw bones and salivary glands can lead to discomfort and swelling, often a person would develop fever and become unwell. The pus arising can spread to other areas and lead to severe pain due to abscess. Some patients can have difficulty with breathing and will require urgent hospital admission for further treatment.

 Dental implants are devices made of Titanium or similar biocompatible materials that look like roots of teeth and are used to replace missing teeth. They are used to build a tooth on top so they look like and behave like natural teeth and need to be similarly cared for and last a life time. There are many different ways to cater to individual situations. Sometimes these devices are used to fixed missing organs like eyes, nose, ears which have been lost to trauma or disease. 

Sometimes teeth forming cells give rise to cysts and tumours, both mostly benign which involve the jaw bones and have to be removed surgically if detected early. Left untreated they can become massive growths effecting the face and will require special reconstructive procedures as part of the treatment.

Temporomandibular joints often referred to as jaw joints can present with multiple disorders that can follow trauma, habits ie teeth grinding, birth defects and tumour etc. If there are no permanent structural damages, most conditions like Jaw joint and muscle pain can be managed through drug therapy, counseling, physical aids like bite guards, and sometime physiotherapy. There are many different procedures including techniques to treat jaw joint Dislocation, Ankylosis, Meniscal disturbances, Arthoscopy and in extreme cases jaw joint replacement surgery. 

 Different types of pain can present around the teeth, mouth, jaw bones and face. These patients require careful assessment to rule out disorders of teeth, gums, bones, jaw joint, habits, stresses, life style, family and personal situations. And need individualized management. 

These days there is increasing awareness about keeping ourselves looking good, so far surgery has been a mainstay, however many non-surgical procedures have become common providing satisfactory outcome which have been accepted by the profession and are commonly offered to patients through use of Botox & Fillers now scars, facial wrinkles, contouring of lip and facial trimming, gummy smile and many similar minor issues are taken care of.

Facial trauma is common and involves face, Jaws and facial bones. Serious patients may or may not be unconscious with head injury, there may be serious blood loss and breathing difficulties. These patients will be treated by one or more teams and will require immediate hospitalisation and surgery to save lives. Facial injuries involve important structures like skin, nerves, blood vessels, airway, teeth, jaw and facial bones, organs like tongue, nose, eyes and brain. These usually follow road accidents, falls, fights and also due to gunshot injuries. The management of these cases require specially training and skill and in most cases will result in a very favourable outcome.

  Mouth Cancer is the most significant cancer effecting South Asian population in both sexes due to multiple factors, the best treatment off course is prevention followed by early detection, hence the significance of regular checkups and screening. Luckily these lesions due to their associated symptoms present early and therefore have a really good prognosis. Surgery is the main treatment for most early stage mouth cancers, but there are other modalities and all these patients have to be treated under the supervision of a multidisciplinary teams as there are many associated steps in the management and which goes on for many years.

  In cases where the patient is unable to open their mouth at any age as a result of jaw joint Ankylosis or due to a disease called Oral Sub mucous Fibrosis where the internal mouth lining becomes hard and leathery over the course of many years mostly due to use of betel nut and gutka causing the mouth to close down slowly. Surgery can provide relief after proper assessment. 

  Often patients after proper assessment who have breathing issues in sleep can be helped by minor surgical procedures. These can be equally helping those with small lower jaws to ones out rightly obese.

Apart from facial injuries which are very common in children, many of our patients attend as part of their 

• Cleft lip and palate management, mostly requiring Alveolar Bone Grafting and Osteotomies. 

• Paediatric Surgical Oncology Children also attend presenting with both benign and malignant tumors of the face and the jaws which can be disfiguring and at the same time interfere and effect facial growth and development. If treated in good time and mostly as part of the multi-disciplinary team, leads to a rewarding outcome and many years of good health.

Apart from facial injuries which are very common in children, many of our patients attend as part of their Cleft lip and palate management, mostly requiring Alveolar Bone Grafting and Osteotomies. s the commonest facial birth defect of varying degrees, luckily a lot has been now understood in the management protocol of these children which goes from birth to early adult life and has a strong psychological component and involvement of parents and multiple specilaities including dentist, Speech therapist, Plastics and maxillofacial surgeons etc. Treated children go on to lead successful and complete lives.