Maxillofacial Surgery

Advanced Surgical Solutions for Complex Oral, Jaw, and Facial Conditions

What is Maxillofacial Surgery?

Oral and Maxillofacial Surgery is a specialised branch of dentistry that deals with the diagnosis and surgical treatment of diseases, injuries, and defects involving the mouth, jaws, face, and neck. It bridges the gap between medicine and dentistry, requiring extensive training in both fields.

At Dr. Shrey Suri's Specialist Dental Clinic in Gurugram, we provide expert maxillofacial surgical care for a wide range of conditions, from routine surgical extractions to complex jaw corrective surgery and facial trauma management. Our clinic is equipped with advanced diagnostic and surgical technology to ensure precise treatment and optimal outcomes.

Conditions We Treat

TMJ Disorders (Temporomandibular Joint)

The TMJ connects your lower jaw to the skull and enables movements essential for chewing, speaking, and yawning. TMJ disorders cause jaw pain, clicking or popping sounds, difficulty opening the mouth, headaches, and earaches. Treatment ranges from conservative therapies (splints, physiotherapy, medication) to arthroscopy and open joint surgery for severe cases that do not respond to non-surgical management.

Jaw Misalignment (Orthognathic Surgery)

When the upper and lower jaws do not align properly, it can cause difficulty in chewing, breathing problems, sleep apnoea, chronic jaw pain, and facial asymmetry. Orthognathic (corrective jaw) surgery repositions the jaws into proper alignment. This is often done in coordination with orthodontic treatment to achieve both functional and aesthetic improvement. The surgery is performed under general anaesthesia, and modern techniques use 3D planning for precision.

Facial Trauma

Facial injuries from accidents, sports, falls, or assaults can involve fractures of the jaw (mandible or maxilla), cheekbone (zygomatic), eye socket (orbital), or nasal bones, as well as soft tissue lacerations and dental injuries. Maxillofacial surgeons are specially trained to repair these injuries, restoring both function and appearance. Treatment may involve wiring, plating, or reconstructive surgery depending on the fracture type and severity.

Cysts and Tumours of the Jaw

Cysts (fluid-filled sacs) and tumours (abnormal tissue growths) can develop within the jawbones or soft tissues of the mouth. While many are benign, they can grow large enough to destroy bone, displace teeth, and weaken the jaw. Surgical removal (enucleation or resection) is typically required, followed by biopsy to confirm the diagnosis. In some cases, bone grafting is needed to reconstruct the area after the cyst or tumour is removed.

Cleft Lip and Palate

Cleft lip and cleft palate are among the most common birth defects affecting the face. They occur when tissues of the lip and/or palate do not fuse completely during foetal development, leading to a gap. Surgical repair is essential for normal feeding, speech development, and appearance. Treatment typically involves a team approach with multiple surgeries at different stages of growth, along with orthodontic care and speech therapy.

Surgical Procedures We Offer

Surgical Tooth Extraction

Complex extractions of impacted wisdom teeth, broken tooth roots, ankylosed teeth (fused to bone), and teeth requiring bone removal for access. We use minimally invasive techniques to reduce trauma and speed recovery.

Bone Augmentation & Sinus Lift

When jawbone volume is insufficient for dental implant placement, we perform bone grafting procedures and sinus lifts to rebuild the bone. These procedures create a solid foundation for implants and restore jaw structure.

Pre-Prosthetic Surgery

Surgical preparation of the mouth before dentures, implants, or other prosthetic devices. This may include smoothing or reshaping bone irregularities, removing excess tissue, and correcting jaw ridge defects to ensure a proper fit for prosthetic appliances.

Biopsy & Pathology

Surgical removal of suspicious oral lesions, lumps, or tissue changes for laboratory examination. Early biopsy is critical for detecting oral cancer and other pathological conditions at their most treatable stage.

Treatment of Oral Infections

Management of severe dental abscesses, cellulitis, and osteomyelitis (bone infection) that require surgical drainage, debridement, and intravenous antibiotic therapy. Prompt treatment prevents the spread of infection to vital structures.

When to See a Maxillofacial Surgeon

  • Persistent jaw pain, clicking, or locking that does not improve with medication
  • Facial injury or fracture from trauma or accident
  • Difficulty chewing or biting due to jaw misalignment
  • Swelling or lump in the jaw, mouth, or neck that persists for more than two weeks
  • Impacted teeth causing repeated infection or damage to neighbouring teeth
  • Non-healing sore or white/red patch inside the mouth
  • Sleep apnoea or breathing difficulties related to jaw position
  • Facial asymmetry affecting appearance or function
  • Need for bone grafting before dental implant placement

Recovery After Maxillofacial Surgery

Recovery varies depending on the type and extent of the procedure. Here is a general overview of what to expect:

  • Minor procedures (surgical extractions, biopsies) – Recovery takes 3-7 days. You can return to work or school within 2-3 days. Swelling and mild discomfort are managed with medication and ice packs.
  • Moderate procedures (TMJ arthroscopy, cyst removal) – Recovery takes 1-2 weeks. A soft diet is recommended, and follow-up visits are scheduled to monitor healing.
  • Major procedures (orthognathic surgery, trauma reconstruction) – Recovery takes 4-8 weeks for initial healing, with full bone healing over 3-6 months. A liquid or soft diet is required for the first few weeks. Jaw elastics or wiring may be used to stabilise the jaw during healing.

Dr. Suri provides comprehensive post-operative care instructions, prescribed medications for pain and infection prevention, and scheduled follow-up appointments to ensure your recovery progresses smoothly.

Frequently Asked Questions

Is maxillofacial surgery safe?

Yes. Maxillofacial surgery is performed by highly trained specialists with years of surgical experience. Like any surgical procedure, there are risks involved, but these are minimised through thorough pre-operative assessment, advanced imaging and planning, sterile technique, and careful post-operative management. Dr. Suri discusses all potential risks and benefits with you before any procedure.

Will I need to be hospitalised for jaw surgery?

Minor procedures such as surgical extractions, biopsies, and TMJ injections are typically performed as outpatient procedures in our clinic under local anaesthesia. Major surgeries like orthognathic (jaw corrective) surgery or facial trauma reconstruction are usually performed in a hospital setting under general anaesthesia and may require an overnight stay of 1-2 days.

How long does jaw corrective surgery take?

Orthognathic surgery typically takes 2-4 hours depending on whether one jaw (single-jaw surgery) or both jaws (bi-jaw surgery) are being corrected. Pre-surgical orthodontic preparation may take 12-18 months before the surgery, and post-surgical orthodontics fine-tunes the bite alignment over an additional 6-12 months.

What is the treatment for TMJ disorder?

Treatment begins conservatively with pain medication, muscle relaxants, bite splints (occlusal appliances), physiotherapy, and lifestyle modifications (stress management, soft diet, avoiding excessive jaw movements). If conservative treatment fails, minimally invasive procedures such as joint injections or arthroscopy may be recommended. Open surgery is reserved for the most severe cases involving structural damage to the joint.

Does insurance cover maxillofacial surgery?

Many health insurance policies in India cover maxillofacial surgical procedures, especially when they are medically necessary (such as trauma repair, jaw correction for functional issues, or tumour removal). Coverage varies by insurer and policy type. Our team can help you understand your coverage and assist with the insurance claim process. We also offer flexible payment plans and EMI options.

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