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The Oral, facial and maxillofacial surgery (MKG) is an interdisciplinary field that includes the diagnosis (tomography), therapy, the functional (occlusion) and aesthetic rehabilitation of dental diseases, the oral mucosa, the jawbone and the face.

Berlin specialists in maxillofacial surgery treat numerous diseases of the jaw, the teeth and the oropharynx in facial surgery every day. Here we highlight the advantages of outpatient surgery and show you the prerequisites for a good recovery in a familiar atmosphere.

Oral surgery

What is facial surgery?

Maxillofacial Surgery (MKG) includes the prevention, diagnosis and treatment of functional (swallowing, chewing and speaking) and aesthetic defects of the jaw, teeth and oral cavity. Probably the most well-known form of therapy from oral surgery is the tooth surgery of non-maintainable teeth, followed closely by wisdom tooth removal and root tip resection.

However, this field of expertise includes numerous other forms of therapy, such as the placement of dental implants and the surgical treatment (dysgnathia operation) of jaw malpositions (progeny) in collaboration with orthodontics. But also surgical tooth exposures for orthodontic adjustment are often performed in combination with the braces.
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In the past, surgery in maxillofacial surgery was usually associated with inpatient hospitalization. However, this was mainly due to the traditionally strict separation of dentist and facial surgery, for which there was not necessarily a medical necessity. The first oral surgeon, who was simultaneously trained in dentistry and medicine, is expected to be S.P. Hullihen (1810 – 1857), who in 1840 in Virginia (USA) a special clinic for "Oral Surgery"(Oral surgery) opened.

While in the 19th century, usually prominent patients were operated on in their home environment, during the First World War, the care of jaw and face injuries in jaw surgical wards was normal – and shared by gifted dentists and surgeons. Today, more and more interventions in maxillofacial surgery are performed on an outpatient basis in the dental practice. Major interventions, such as the treatment of tumors such as cancer in the mouth, are still linked to inpatient therapy.

Georg Axhausen (surgeon) founded in 1932 together with the Leipzig surgeon and the dentist Rosenthal the "German Society of Dentistry", the oral surgeons and surgically interested dentists should be open and under his guidance for an education for eligibility to run the title "Dental surgeon" tried. Georg Axhausen took over the surgery of the Berlin Dental University Institute in 1928 and founded the first maxillary clinic there in Berlin. Through his work in the field of facial surgery, in particular to the palate columns, he became the leading oral surgeon of his time in Berlin and helped to establish the facial and maxillofacial surgery as a largely independent field of expertise.

What is meant by outpatient surgery??

To operate on an outpatient basis means that the patient is discharged home on the same day after the procedure and that hospitalization is not required. This means that patients can spend the night before and at night after surgery at home. Thanks to the constant progress in anesthetic procedures, medical technology and surgical techniques (SIC) in maxillofacial surgery, outpatient surgery is becoming increasingly common.

The following forms of anesthesia are possible:

  • Local anesthesia (local relief of pain sensitivity)
  • Sedation (has a calming effect and reduces pain sensitivity)
  • anesthesia

What advantages does outpatient surgery have for your oral surgeon in Berlin??

Outpatient surgery in maxillofacial surgery has great benefits for patients of all ages. On the one hand, there are no mental stress and logistical problems before and after the operation. Already on the day of the procedure, the freshly-operated can spend the evening at home. Especially seniors and children benefit from the postoperative recovery in a familiar atmosphere

"Mom, I want to go home!" Who does not know this pleading sentence of a toddler? Because the day-long separation of familiar people and the home environment can affect our little negatively emotionally. Outpatient surgery at the Pediatric Dentist in Berlin offers many advantages. Seniors are similarly affected in the same way in the emotional realm. The lack of psychological care in hospitals does the rest. The postoperative recovery, for example, after treatments in oral surgery, takes place at home in a familiar atmosphere. Postoperative healing can be better, faster and less complicated. On the one hand, they feel uncomfortable in the hospital and, on the other hand, they are particularly susceptible to infection.

Outpatient surgery in maxillofacial surgery can curb so-called nosocomial infections. These are hospital-specific infections with resistant pathogens and associated inflammation, which are not easy to treat. According to the Robert Koch Institute, approximately 600,000 of these infections occur each year. These include mostly respiratory infections, postoperative wound infections and sepsis.

If an intervention in the oral surgery is performed on an outpatient basis, this also keeps the costs lower, as it can be dispensed with an expensive inpatient stay. Surveys show how satisfied patients with outpatient surgery are. An impressive 97.8 percent of respondents would be operated on outpatients again, 98.8% would even recommend this method of treatment. We are pleased to offer you the advantages of ambulatory oral surgery, especially for dental implants in Berlin.

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Which jaw surgical procedures are performed on an outpatient basis?

Thanks to the latest methods and state-of-the-art equipment, it is now possible to operate more precisely and gently. Numerous operations in the field of maxillofacial surgery and implantology, such as dental implants, can be conveniently performed on an outpatient basis for the patient.

These include root canine resection, surgical tooth removal, periodontal disease treatment, wisdom tooth removal, maxillary sinus surgery, orthodontic treatment of dentition anomalies and jaw malposition with braces, and insertion of artificial dental roots (dental implants) in implantology. In general, all surgeries that do not lead to complications can take place on an outpatient basis.

When am I allowed to go home after an outpatient operation??

The big advantage of outpatient surgery in maxillofacial surgery is that patients can go home quickly on the same day. Shortly after waking up, as soon as the general condition is in order, the practice can be abandoned. It is best to be picked up by a relative, as your ability to drive is impaired after anesthesia.

Which rules of conduct apply to the time of post-treatment?

After outpatient surgery in the field of maxillofacial surgery, the involvement of patients is required to minimize the risk of infections and complications. Wound pain and swelling may persist for about 3-4 days following outpatient treatment. Also discoloration due to bruising is possible. The cooling of the affected area of ​​the face is recommended over a period of three days.

Checklist of the rules of conduct after a treatment by the oral surgeon

1) Only after the jaw surgical anesthesia has subsided, may be eaten.
2) Hot food and drinks like coffee, cola and black tea should be avoided.
3) Nicotine and alcohol should be avoided for at least three days.
4) Oral care should and can be continued with care on the first day.
5) The head should be stored higher during sleep during the first two nights .

After the outpatient surgery, we plan at least one follow-up appointment in our practice. In any case, care should be taken to ensure that the prescribed medication is taken in accordance with the instructions. Antibiotics and effective painkillers such as ibuprofen (not aspirin) can positively influence postoperative wound healing. Because aspirin dilutes the blood and slows down blood clotting, under no circumstances should it be taken after invasive surgery, such as after oral surgery.

The oral surgeon in Berlin as a competent contact person for implantology

Many areas of maxillofacial surgery – such as the insertion of dental implants – can also be used by oral surgeon Dr. med. Seidel be made. Implantology is a state-of-the-art, complex dental field and requires a high degree of skill and experience. This dental specialty of dental implants requires additional specialized training – the dentist becomes a maxillofacial surgeon. High-quality dental implants with crown construction are the best solution if your own teeth can no longer be preserved. When inserting the metal pins in the jawbone dentist Seidel surgery, because before dental implants are set, often a bone structure is necessary.

The insertion of the dental implants is performed without pain under local anesthesia outpatient.

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Consultation and treatment by the oral surgeon

Discuss the possibilities of gap closure with your treating maxillofacial surgeon. Dental implants are used both as a replacement for individual teeth (in the front area) and as anchor teeth for bridges or removable dentures. An X-ray gives information about the status of the teeth and the substance of the jawbone. It is now decided whether or not there is a need to build up bone before inserting one or more dental implants. There are various possibilities for the vertical and horizontal construction. Among other things, the root substance of one’s own non-sustainable teeth can be used as fillers in maxillofacial surgery.

This form of treatment of maxillofacial surgery takes six to eight months to complete bone formation, including healing, and takes place in several outpatient sessions. It is an intervention that takes place under anesthesia. Regular follow-up is required. During the healing phase, you will receive a temporary restoration as a denture. When bone augmentation is complete, the implants are inserted. The artificial roots made of titanium or ceramic also take several weeks to grow into and are firmly anchored to the bone.

Other special areas in maxillofacial surgery

The specialization in the field of oral surgery is not limited to implantology. Your Berlin oral surgeon performs many other complex treatments in practice, professionally and at a high level. These include simple outpatient procedures such as the removal of wisdom teeth, unless they can be obtained as anchors. The surgical treatment of parodental problems as well as complicated root treatments with the goal of tooth preservation are also included.

Periodontal treatment (treatment for periodontitis)

Periodontal disease is one of the major causes of tooth loss. This causes the inflamed gums to form, the necks of the teeth are exposed, the jawbone is attacked and the teeth become loose. Healthy gums and regular scaling help to prevent periodontal disease />

Read more about:

  • Periodontosis – diagnosis, causes, treatment
  • How does gum treatment work in periodontal disease??
  • How does bone regeneration work with booster replacement material and how does it relate to tooth loss??

Inflammation in the mouth and jaw area

The oral surgeon is the contact point for patients with pain in the oral, maxillofacial and facial areas. Inflammation in the antrum or paranasal sinus area can have an impact on dental health and lead to pain that is too difficult to localize. To diagnose the origin of the discomfort, the most modern diagnostic and treatment techniques are used in maxillofacial surgery.

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Dr. Frank Seidel

Last update of this page on 25.09.2019 by author dr. Frank Seidel.

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