Oral and Maxillofacial Surgery

2003 Division of Oral and Maxillofacial Surgery;

Department of Dentistry, General Veterans Hospital-Taipei
 台北榮民總醫院口腔顎面外科
服務項目 特殊診療項目
智齒拔除手術
口腔癌篩檢
植牙手術
人工植牙諮詢
贗復前手術
正顎手術 門診時間
良惡性腫瘤手術 每週一～週五

重建手術 上午第三診

顳顎關節手術 門診手術 住院手術房 門診諮詢

1959 年～ 2003 年
 台北榮民總醫院
口腔顎面外科近三年 (2000-2002) 發表論
文
年代
篇 89 年 (20 90 年 (2 91 年 (2 共計
數
00) 001) 002)
雜誌
分類

SCI 1 2 11 14

非 SCI 10 12 6 28
共計 11 14 17 42
Our services
 Removal of wisdom teeth
 Pre-prosthetic surgery
 Dental implants
 Maxillofacial injury
 Surgical correction of jaw deformities
 Diagnosis, oral & maxillofacial pathology and
medicine
 Benign and malignant tumor management
 TMJ therapy
Impacted Wisdom Teeth

 Wisdom teeth often partially erupt or fail to erupt at all.

They then may become impacted against other molars and
cause overcrowding, or become more susceptible to decay
or gum infection.
Our services
 Removal of wisdom teeth
 Pre-prosthetic surgery
 Dental implants
 Maxillofacial injury
 Surgical correction of jaw deformities
 Diagnosis, oral & maxillofacial pathology and
medicine
 Benign and malignant tumor management
 TMJ therapy
Pre-prosthetic surgery
 Before prosthetic crowns, bridges or dentures can
be constructed, the soft tissues of the mouth and
the jaw bones may require shaping. We will work
with your dentist to provide both cosmetic and
functional results.
 Soft tissue pre-prosthetic surgery:
vestibuloplasty ( lipswitch); freumectomy
 Hard tissue pre-prosthetic surgery:
alveoloplasty
Vestibuloplasty ( lipswitch )
Alveoloplasty
Our services
 Removal of wisdom teeth
 Pre-prosthetic surgery
 Dental implants
 Maxillofacial injury
 Surgical correction of jaw deformities
 Diagnosis, oral & maxillofacial pathology and
medicine
 Benign and malignant tumor management
 TMJ therapy
Dental implants
 Dental implants are tooth root substitutes which are

surgically placed in the jaw bone and act as anchors to

stabilize artificial teeth.
Who needs implants?
You are a candidate for dental implants if:
 You have enough jaw bone, and dense enough bone, to
secure the implants.
 You do not have a disease or condition that interferes with
proper
healing after implant
surgery (e.g. uncontrolled
diabetes, or radiation/
chemotherapy for treating
cancer)
Our services
 Removal of wisdom teeth
 Pre-prosthetic surgery
 Dental implants
 Maxillofacial injury
 Surgical correction of jaw deformities
 Diagnosis, oral & maxillofacial pathology and
medicine
 Benign and malignant tumor management
 TMJ therapy
Types of maxillofacial injury
 Dentoalveolar trauma
 Mandible fractures
 LeFort I, II, and III fractures
 I  II  III

 Zygoma fractures

 Nasal-orbital-ethmoid fractures
 Orbital floor fracture
The following is an outline for the initial
evaluation of patients with maxillofacial
trauma.
 Airway management
 Hemorrhage control
 Clinical evaluation
Our services
 Removal of wisdom teeth
 Pre-prosthetic surgery
 Dental implants
 Maxillofacial injury
 Surgical correction of jaw deformities
 Diagnosis, oral & maxillofacial pathology and
medicine
 Benign and malignant tumor management
 TMJ therapy
Surgical correction of jaw deformities

 If deformities of the teeth and jaws are too extreme for

orthodontic treatment, orthognatic jaw surgery is the most
effective procedure for facial correction. We will work
closely with orthodontist to achieve ideal results.
Who needs orthognathic surgery?
The following are some of the conditions that may indicate
a need for orthognathic surgery:
 Difficulty chewing or biting food  Unbalanced facial appearance
 Difficulty swallowing  Facial injury or birth defects
 Speech problem  Receding chin
 Chronic jaw pain  Protruding jaw
 Excessive wearing of teeth
 Inability to make lips meet
without effort
 Open bite (space between upper  Chronic mouth breathing with
and lower)
dry mouth
 Front or back teeth when mouth is
closed
 Sleep apnea
Our services
 Removal of wisdom teeth
 Pre-prosthetic surgery
 Dental implants
 Maxillofacial injury
 Surgical correction of jaw deformities
 Diagnosis, oral & maxillofacial pathology and
medicine
 Benign and malignant tumor management
 TMJ therapy
Diagnosis, oral facial pathology
and medicine
 For a variety of reasons, tumors and cysts may
form in either the jaw bones or the soft tissues of
the mouth. While some may be benign, others
may threaten the health and function of the
surrounding tissue.
Examination of lip and mouth cancer
The things to look for when performing an oral
cancer self-examination are:
 Reddish patches - erythroplasia
 Whitish patches - leukoplakia
 A sore that fails to heal and bleeds easily
 A lump or thickening of the tissues
 Chronic sore throat or hoarseness
 Difficulty in chewing or swallowing
Our services
 Removal of wisdom teeth
 Pre-prosthetic surgery
 Dental implants
 Maxillofacial injury
 Surgical correction of jaw deformities
 Diagnosis, oral & maxillofacial pathology and
medicine
 Benign and malignant tumor management
 TMJ therapy
Management of benign or
malignant tumor
 Biopsy
 Surgical treatment
 Radiotherapy
 Chemotherapy
Benign tumor
 These lesions may be unsightly or may be
traumatised repeatedly, for example during
shaving.
 Odontogenic cysts & non-odontogenic tumor
 Soft tissue tumor and hard tissue tumor
Malignant tumor
 The majority of these lesions spread slowly over
years but some may spread more rapidly to
involve lymph glands in the local area or more
distant areas. All will cause great damage if
neglected.
Our services
 Removal of wisdom teeth
 Pre-prosthetic surgery
 Dental implants
 Maxillofacial injury
 Surgical correction of jaw deformities
 Diagnosis, oral & maxillofacial pathology and
medicine
 Benign and malignant tumor management
 TMJ therapy
What is the TMJ?
 The temporomandibular joint (TMJ) is the small joint located in front of
the ear where the skull and lower jaw meet. It’s is a “ball and socket”
joint with a disc made of cartilage that serves as a cushion between the
parts of the joint.
TMJ therapy
 Temporomandibular joint dysfunction (TMJ) is a
condition that afflicts the jaw joints of thousands
of patients. Frequent indicators of TMJ include:
 Popping and clicking of the jaw
 Limited jaw function
 Pain in the neck, shoulder and upper back
 Pain in the face and ears
Thanks for your attention