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02/05/2023 07:12:01 PM RT/OMFS DAY/40 1
ORAL AND MAXILLOFACIAL SURGEONS DAY
13TH FEBRUARY Dr RAHUL TIWARI
PG STUDENTORAL AND MAXILLOFACIAL SURGERY
SIBAR INSTITUTE OF DENTAL SCIENCESGUNTUR
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PAST PRESENT & FUTURE
OF
ORAL AND MAXILLOFACIAL
SURGERY
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DEFINITION• “Oral and Maxillofacial surgery is the specialty of dentistry that includes
the diagnosis and surgical and adjunctive treatment of disease, injuries
and defect, including both the functional and esthetic aspects of hard
and soft tissues of oral and maxillofacial region”
Peterson
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History of oral & maxillofacial surgery
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ORAL SURGERYHIPPOCRATES -460 BC
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HISTORY OF ORAL AND MAXILLOFACIAL SURGERY
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Evolution of a surgeon
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Early History
HIPPOCRATES
AMBROSE PARE
SIMON HULLIHEN
CHALMERS J. LYONS (1874-1935) - principles of gentle surgery MATHEW H. CRYER (1840-1921) - invented many instruments for the removal
of teeth and other surgical procedures. ROBERT H. IVY(1881-1974) – Fixation in trauma
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Father of oral surgery - James Edmund Garretson
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INDIAN HISTORY
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• “Surgery is the first and the highest division of the healing art, pure in itself, perpetual in its
applicability, a working product of heaven and sure of fame on earth" - Sushruta (400 B.C.)
• The Sushruta samhita was translated into
Arabic and Persian.
• Sushrutha used skin flaps for repairing
nose, procedure is described in Sushruta
Samhita. This procedure was observed in
India by a British Surgeon in 1793 and
published in London
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PRESENT SCENARIO IN ORAL AND MAXILLOFACIAL SURGERY
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• Dentoalveolar surgery
• Diagnosis and treatment of benign pathology, cysts, tumors head and neck
oncology.
• Diagnosis and treatment of congenital craniofacial malformations
• Diagnosis and treatment of soft and hard tissue trauma of the oral and
maxillofacial region.
• Diagnosis and treatment of chronic facial pain disorders
• Diagnosis and treatment of temporomandibular joint (TMJ) disorders.
• Cosmetic surgery limited to the head and neck.
• implants
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DENTOALVEOLAR SURGERY
• Surgery to remove impacted teeth, difficult
tooth extractions, extractions on medically
compromised patients
• Bone grafting or preprosthetic surgery to
provide better anatomy for the placement of
implants, dentures, or other dental
prostheses.
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DENTOALVEOLAR PATHOLOGY
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DIAGNOSIS AND TREATMENT OF BENIGN PATHOLOGY, CYST TUMORS AND HEAD AND NECK
ONCOLOGY
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RECONSTRUCTIVE SURGERIES
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TRAUMA OF THE MAXILLOFACIAL REGION
• Mandibular fractures
• Zygomatic fractures
• Nasal bone fractures
• Le-Fort fractures
• Skull fractures
• Orbital fractures
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ORTHOGNATHIC SURGERY
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DIAGNOSIS AND TREATMENT OF - CHRONIC FACIAL PAIN DISORDERS
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DIAGNOSIS AND TREATMENT OF CONGENITAL CRANIOFACIAL MALFORMATIONS
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TEMPOROMANDIBULAR JOINT DISORDERS • Muscle disorders
• Derangement disorders
• Degenerative disorders
• Ankylosis
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Ditraction osteogenesis
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CRANIOMAXILLOFACIAL SURGERY
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IMPLANTS
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COSMETIC SURGERY• Rhytidectomy/facelift, browlift/blepharoplasty,
otoplasty, rhinoplasty, septoplasty.
• Cheek augmentation, chin augmentation,
genioplasty, neck liposuction, lip enhancement,
rhinoplasty, cervicoplasty.
• Injectable cosmetic treatments, botox,
chemical peel.
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FUTURE OF MAXILLOFACIAL SURGERY
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RT/OMFS DAY/40STEM CELLS AS VEHICLES FOR GENE THERAPY02/05/2023 07:12:04 PM32
RECENT ADVANCES IN OMFS -90
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Navigation system
RT/OMFS DAY/40
ROBOTIC SURGERY
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NANOTECHNOLOGY
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HEAD TRANSPLANTS
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What we are today, as oral and maxillofacial surgeons, however, it is important to remember our history, the development of our
tremendous specialty, and the researchers who helped to shape itA basic knowledge of where we came from creates the foundation
for a stronger future.
RT/OMFS DAY/4002/05/2023 07:12:05 PM 38RECENT ADVANCES IN OMFS -95
“live as if you were to die tomorrow. learn as if you were to live forever.”