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Surgery

Keratocyst Removal, Reconstruction and Implant Fixing

Keratocyst Removal, Reconstruction and Implant Fixing

Development, Occurrence and Etiology of Odontogenic Keratocyst

Odontogenic keratocysts are benign developmental cysts, which cause extensive destruction of bone. The most commonly arise from the epithelial cell rests of the dental lamina. The most common affection region is the posterior region of the lower jaw. The presentation can be unilocular or multilocular in appearance.

These lesions have a preponderance for males and are most common in the 40-60 age group. Males are affected at a ratio of 2:1 when compared to females. They very rarely occur in the maxillary bone. There is localized pain and swelling at the site through the incidental radiographic diagnosis is common for this cyst. Gum tissue appearance is normal.

Treatment is through surgical resection of the lesion. The affected jawbone most often requires reconstruction as there is extensive destruction of bone by the lesion. It takes years of experience to gauge the amount of bone that needs to be removed during jaw cyst surgery. We have been addressing such lesions in our hospital for over 30 years now.

Voted the Best Jaw Reconstruction Hospital in India

Dr. SM Balaji, jaw cyst surgery specialist, has over three decades of extensive experience dealing with a variety of cysts. We have been recognized as the best jaw reconstruction hospital in India by our peers. This recognition has been achieved through consistent delivery of surgical excellence over the years.

We use a variety of modalities for performing jaw reconstruction. They include the utilization of grafts harvested from the patient. Consistent results and successful rehabilitation of patients have earned us the reputation of being the best jaw reconstruction hospital in India. We give importance to the establishment of overall oral health in our hospital.

Jaw reconstruction surgery is a specialty procedure performed at our hospital. Conditions such as open bite are addressed through surgery as well as orthodontic treatment in our hospital. We are a leading hospital for oral surgery in Chennai. We also have a well-equipped dental clinic in our hospital that addresses issues such as tooth decay.

Our hospital is a super specialty center for jaw cyst surgery and jaw reconstruction surgery. We have dealt with a wide variety of jaw lesions including dentigerous cysts, odontogenic keratocysts, ameloblastoma and various other conditions.

Our hospital is a leading center for orthognathic surgery in India. A recent pan Indian survey by a leading newspaper named us as the best jaw reconstruction hospital in India.

Patient Develops Swelling and Pain in the Lower Jaw

The patient is a 26-year-old male from Chalakudy in Kerala, India. He began noticing a slight swelling in the left lower jaw around a year ago. This began progressing further and he soon developed pain and tooth loosening at the site of the swelling. Alarmed over the events, he visited a local hospital.

Imaging studies and a biopsy were obtained at the hospital. Biopsy results came back positive with the diagnosis of odontogenic keratocyst in the left mandibular region. Treatment planning was explained to him and he consented to surgery.

The cyst was enucleated and the infected bone was debrided. There was a recurrence of the cyst in a few months and he underwent a second surgery. The second surgery was also unsuccessful with a resultant pathological fracture at the left parasymphyseal region.

He immediately presented again to his doctor in his hometown. Diagnostic studies were performed and revealed not only the fracture but also the recurrence of the lesion again. There was constant minor bleeding at the site of the surgery. Realizing the complexity of the presentation, they referred him to our hospital for management.

Initial Presentation at our Hospital for Surgical Management

Dr. SM Balaji, jaw cyst surgery specialist, examined the patient and obtained imaging studies. This demonstrated that there was a recurrence of the lesion along with a pathological fracture of the mandible. He explained that the patient needed to undergo removal of the recurrent lesion. This would be followed by jaw reconstruction surgery and subsequently by dental implant surgery.

This line of treatment would result in complete rehabilitation for the patient with the restoration of complete normalcy. The patient was in full agreement with the treatment plan and consented to surgery.

Surgical Resection of the Recurrent Odontogenic Keratocyst

Under general anesthesia, rib grafts were harvested from the patient to be utilized for jaw reconstruction. A Valsalva maneuver was performed to ensure that there was no perforation into the thoracic cavity. The incision was then closed in layers with sutures.

Attention was next turned to the odontogenic keratocyst. The patient’s recurrent lesion was resected in its entirety. The bone was debrided to reveal the fresh healthy bone. Harvested rib grafts were carefully crafted to fit into the bony defect in the mandible.

There was good recreation of bony anatomy at the site of the bony defect. The bone grafts were then fixed to the mandibular bone with titanium screws.

Patient Returns in Four Months for Dental Implant Surgery

As instructed at the time of previous surgery, the patient returned in four months for dental implant surgery. Imaging studies revealed complete consolidation of the bone grafts with underlying mandibular bone. The long-term prognosis for this patient is very good.

There was a reestablishment of a good mandibular contour at the site of the surgery. The titanium screws that were used to fix the grafts were removed. This was then followed by the fixation of premium dental implants to the alveolar bone. Removable dentures are a poor substitute for dental implants.

The patient was instructed to return in six months for fixation of ceramic crowns to the dental implants. These replacement teeth (artificial teeth) will be perfectly shade-matched to his natural teeth. This period would allow for complete osseointegration of the implants with the alveolar bone.

The patient expressed understanding of the instructions and expressed his happiness at the standard of care in our hospital.

Surgery Video

Odontoma Nerve Compression Removal and Reconstruction

Odontoma Nerve Compression Removal and Reconstruction

What is an Odontome and how is it formed?

An odontome is a benign tumor, which is linked to the abnormal development of a tooth. It is a hamartoma and is composed of irregularly placed normal tissue. This can involve both hard tissue as well as soft tissue. Odontoma was the previously used terminology for an odontome.

Most Frequently Diagnosed Age Group for Odontome

This condition is most commonly diagnosed during the early teenage years. It is most commonly incidentally diagnosed when there is a delayed eruption of a tooth. Odontomes are frequently associated with unerupted teeth. They are rare instances of eruption into the oral cavity.

Extraction of the unerupted odontome is the usual treatment of choice. This is akin to surgical removal of impacted third molars. Impacted mandibular odontomes are usually found deeper in the jawbone, being in close proximity to the inferior alveolar nerve. An improper surgical technique can lead to damage to the nerve.

Successful extraction of an impacted mandibular odontome requires a lot of experience. The best possible results are obtained by surgery performed by experienced oral and maxillofacial surgeons. Oral surgery is one of the specialties of dentistry. Our dental clinic in Chennai is a premiere center for oral surgery.

Hard Earned Reputation as the Best Wisdom Tooth Hospital In Chennai

Dr. SM Balaji, Oral and Maxillofacial Surgeon, has over three decades of experience in dealing with the extraction of impacted teeth. Our hospital is considered to be the best wisdom tooth surgery hospital in Chennai. We perform chair-side wisdom tooth surgery for simple cases. Extraction of complicated impacted wisdom teeth is performed in the operation theatre under general anesthesia.

Our expertise in ensuring the best possible surgical results for patients is hard-earned. This has earned us the title of best wisdom tooth surgery hospital in Chennai from both our peers and patients alike. We handle the most complicated cases of impacted wisdom teeth. They even present near the lower border of the mandible as well as near the orbital cavity.

We have been named the best wisdom tooth surgery hospital in Chennai by a recent survey by a leading newspaper. The survey has also named us as being the best wisdom tooth surgery hospital in India. This high honor has been made possible by our commitment to excellence and ensuring total patient satisfaction.

Best Tooth Extraction Hospital in Chennai

Our hospital is amongst the leading dental hospitals in India. We are the destination of choice for the best dental treatment in Chennai. Many patients come from around the world for dental treatment at our hospital.

Our hospital is equipped with the latest technological advancements to offer the best possible treatment for our patients. The dental services provided by our hospital are amongst the best in the entire nation. We are a tertiary centre for specialized world-class dental care in India.

Patient Presents to our Hospital for Definitive Treatment of Odontome

The following case is a description of a patient who came to our hospital for treatment of an odontome. There was also compression of the inferior alveolar nerve by the odontome. The odontome was extracted with minimum trauma along with an associated impacted tooth. There was no compromise of nerve function following the surgery.

Failure of Initial Treatment Elsewhere for the Patient

The patient is a 25-year-old female from Gingee in Tamil Nadu, India. Around 18 months ago, she had presented at a local hospital with pain and mild swelling in her mouth. This was at the site of a missing first molar tooth on the right side of her lower jaw. Imaging studies had been obtained, which revealed an impacted first molar and a partially formed second molar.

There was a radiopaque shadow around the second molar. The second molar tooth was in close proximity to the inferior alveolar nerve. This was diagnosed as an odontome and extraction were recommended to the patient. However, the attempt to extract the two teeth was abandoned midway with the removal of the crown of the impacted first molar. There was no occurrence of a dry socket.

The patient was advised to seek treatment at a superspecialty center, but failed to do so. It was only 18 months later that the patient presented to our hospital. The swelling and pain with paresthesia at the site of the attempted extraction forced her to address this.

Initial Presentation and Treatment Planning at our Hospital

Dr. SM Balaji, Wisdom Tooth Impaction Surgeon, examined the patient and ordered imaging studies. This revealed the first molar with the missing crown and partially formed the second molar. The second molar was diagnosed as an odontome.

There was also a draining sinus at the site of the attempted extraction. Compression of the nerve by the odontome was diagnosed as the cause for her paraesthesia. Treatment planning was explained to the patient and her attendants in detail. She expressed understanding and consented to undergo surgical removal of the impacted teeth.

The patient was taken to the operating room and anesthesia was induced. Prepping and draping were done to have the wisdom tooth removed. Tooth removal was preceded by an incision of the gum tissue overlying the region. The impacted wisdom tooth was then exposed following removal of overlying bone.

Both teeth were then extracted followed by debridement of granulation tissue at the site. There was a complete resolution of the patient’s complaints following surgery. A rib bone graft harvested at the time of surgery was used to reconstruct the bony defect at the surgical site. This was fixed with titanium screws.

Postoperative instructions were given to the patient. She will return in six months following complete consolidation of the bone graft with surrounding alveolar bone. Dental implant surgery would be performed at that time with the placement of premium dental implants. Ceramic crowns would be fixed to the dental implants following osseointegration of the implants to the mandibular bone.

The patient was very happy with the level of care at our hospital. She also expressed a complete understanding of the instructions given by hospital staff before discharge from the hospital.

Surgery Video

Redo, Rejaw surgery – Revision Genioplasty

Redo, Rejaw surgery – Revision Genioplasty

Role of the Chin in Defining and Enhancing the Overall Facial Structure

The chin is a very important part of the face. It gives a definition to the lower half of the facial structure. Sex determines the structures of the chin. Males have prominent chins while females have a more delicate chin.

A weak chin in males leads to a feminine appearance. The opposite holds true for the opposite sex. A prominent chin can lead to a masculine appearance in females. Everyone gives a lot of importance to the shape and form of their chin. The chin also plays an integral role in facelift surgery.

Chin implants are used to often augment the chin for patients with weak chins. This can either be through autografts or through customized allografts. Autografts offer very good results as they are harvested from the patient.

Specialties Offering Cosmetic Chin Surgery in India

Facial cosmetic surgeons perform cosmetic chin surgery in India. Oral and maxillofacial surgeons are considered to be the ideal facial cosmetic surgeons. Chin augmentation surgery is performed to give a stronger chin. Reduction genioplasty, which is also known as chin reduction surgery helps reduce the prominence of the chin.

Preferred Medical Tourism Destination for Facial Plastic Surgery

India has become a preferred destination for medical tourism regarding facial plastic surgery. The facilities available here are on par with the best in the world. The cost of facial cosmetic surgery in India is also just a fraction of what it is in developed Western nations. The good results allied with the cost of facial plastic surgery in India, automatically make it an ideal destination.

Selecting the Ideal Hospital for Cosmetic Chin Surgery in India

Cosmetic chin surgery in India is offered by select oral and maxillofacial surgeons. The best results for cosmetic chin surgery in India are obtained by experienced surgeons. Hospitals offering chin augmentation surgery in India and chin reduction surgery in India are staffed by experienced oral surgeons.

The economical cost of facial cosmetic surgery in India is very affordable. Thus, the affordable cost of facial plastic surgery in India sees many international patients come here for surgery. Results from cosmetic chin surgery in India are comparable to the exclusive surgical centers in the West.

Leading Hospital for Cosmetic Chin Surgery in India

Our hospital is amongst the best centers for cosmetic chin surgery in India. We offer world-class service allied with the affordable cost of facial cosmetic surgery in India. Eyelid surgery is also a specialty surgery performed in our hospital. Surgery follows minimally invasive protocol with small incisions.

We are located in Chennai, which is the capital city of Tamil Nadu, India. Chennai is considered to be the healthcare capital of India. Healthcare in Chennai is comparable to international destinations in Western nations. We have state of art hospitals, which offer cutting-edge technology.

Results for chin augmentation surgery and chin reduction surgery are amongst the best in the world. Glowing testimonials provided by our patients attest to the highest standards followed at our hospital.

Facial Cosmetic Surgeon in India with Experience and Expertise

Dr. SM Balaji, the facial cosmetic surgeon, is a trend-setting facial cosmetic surgeon in India. He is credited with many innovations in facial plastic surgery, which are standard surgical protocols around the world today. International patients from around the world flock to our hospital for facial cosmetic surgery.

Surgery procedures performed in our hospital follow the strictest of international protocols. We pay utmost importance to patient safety.

Our hospital follows the most stringent standards to ensure that we are a completely COVID-free hospital. We have laid down protocols that ensure that we are a fully COVID-free hospital. The latest safety equipment has been installed in our hospital. This ensures that we remain a COVID-free hospital.

Patient Undergoes Chin Augmentation Surgery in her Hometown

The patient is a young female from Ludhiana in Punjab, India. She had a very feminine and delicate chin, which enhanced the overall appearance of her face. However, she had always desired a more prominent chin, feeling that it would enhance her facial esthetics. Having discussed this with her parents, she presented at a local hospital in her hometown.

Dissatisfaction with the Results of her Chin Augmentation Surgery

She had undergone chin augmentation surgery, which had resulted in a less than ideal facial appearance. It had altered her entire facial appearance along with distorting the appearance of her lower lip. She had soon started feeling depressed because of this. Her worried parents took her to a renowned facial plastic surgery hospital in a nearby city.

She stated that she desired to regain her previous facial features and wanted a reversal of the chin augmentation surgery. The doctor at the hospital realized that this needed to be performed by a surgeon experienced in facial cosmetic surgery. They had then been referred to our hospital for management of her condition.

Initial Presentation at our Hospital for Reversal of her Chin Surgery

Dr SM Balaji, facial plastic surgeon, examined her and obtained detailed imaging studies. This revealed plates in her upper and lower jaws from an old surgery. It also revealed the chin augmentation, which was held in place with plates. The revision genioplasty was explained to her and she consented to surgery.

Successful Chin Reduction Surgery with Reversal of Chin Augmentation Surgery

The plates from her upper and lower jaws from the old surgery were first removed. Attention was next turned to the revision genioplasty. The plates holding her augmented chin were removed. Granulation tissue from the surgical site was debrided and the chin was repositioned in its previous position.

New plates and screws were then utilized to stabilize the chin in its original position. All incisions were then closed with sutures. She regained her presurgical facial appearance from before the failed augmentation surgery.

Total Patient Satisfaction from the Reversal of her Chin Augmentation Surgery

The patient and her parents were extremely happy with the results of the surgery. She was extremely thankful to the surgical team for having restored her facial esthetics. They expressed their complete satisfaction with the level of care at our hospital before discharge.

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How to Choose the Best Dental Clinic in Chennai?

How to Choose the Best Dental Clinic in Chennai?

What is the Role of Dentistry in Improving the Overall Quality of Modern Life?

Early loss of teeth was a common phenomenon in days gone by. This could either be from poor oral hygiene or trauma. Many people ended up losing their teeth by the time they reached the age of 40. Overall life expectancy was also much lower at that time. Seeing older people with a full set of teeth was a rare sight.

Infections of carious teeth were very common and extraction techniques were primitive and painful. Some of the extraction techniques were straight out of a torture manual. This was before the advent of organized dental care.

Dentistry in the olden days used removable dentures to replace missing teeth. This could restore only around 10% of the functional capacity of natural teeth. Many foods that required chewing could not be consumed due to dislodgment or breakage of these dentures.

Carious teeth were mainly restored with amalgam fillings. This led to a progressive increase in the cavity size with every subsequent failure of the filling. Tooth loss was inevitable in this scenario. There was a significant decrease in the quality of life.

The quality of nutritional intake is directly related to oral health. Missing teeth lead to a loss of masticatory efficiency. A compromise in oral health always cascaded into compromised general health.

What is considered to be the Golden Age of Dentistry?

We presently live in the golden period of human history. There have been no global wars for many decades now. This has ensured that advancement has been maximum in every human field of endeavor. Dental care has also greatly benefitted from the overall technological advancements made by mankind.

The discovery of osseointegration of titanium to bone resulted in the development of dental implants. These proved to be the ideal replacement for missing teeth. Tooth-colored resin-based filling materials for carious teeth led to a boom in cosmetic dentistry. They provide excellent cosmetic results as well as resistance to masticatory forces.

Modern dentistry makes extensive use of these treatment modalities. The perfect smile can now be created through the use of computer programs. They provide a simulation for the results even before the commencement of treatment.

Best Dental Clinic In Chennai

Why makes Chennai the Ideal Destination for Dental Care in India?

Chennai in Tamil Nadu has long been considered the healthcare capital of India. It boasts of a robust infrastructure of educational institutions for medical and dental education. Dentistry in Chennai has always been of the highest quality. The best dental clinic in Chennai offers treatment that is world-class.

The unprecedented pandemic situation in the world today has completely redefined life as we know it. It is imperative that treatment is done in a corona-free dental clinic. Complete patient safety needs to be ensured to be considered the best dental clinic in Chennai.

The best dental care in Chennai has always been equated to total patient protection. Commitment to patient protection should be ingrained within the ethos of the dental clinic. Dental treatment in Chennai is world-class due to adopting factors such as this.

What are the norms followed by us that make us the Top Dental Clinic in Chennai?

A lot of factors go into being the Best Dental Clinic in Chennai. The first and foremost are patient satisfaction and patient safety. Ensuring patient safety is paramount for successful dental treatment.

This is particularly important during these turbulent days of COVID-19. Every precaution needs to be taken to be a corona-free dental clinic. The top dental clinic in Chennai adopts every precaution that is necessary to ensure this.

Offering the best dental care in Chennai is related to professional excellence. This not only includes the quality of the treatment but also includes friendly staff members and transparent processes. The best dental clinic in Chennai goes the extra mile to ensure total patient satisfaction with the whole process.

Why the Emphasis on Corona Free Dental Clinic?

The present pandemic has taken the world by storm. Even the developed countries found it difficult to comprehend the scale of the virus when it initially struck. New facets of the virus are being revealed with each passing day.

Every top dental clinic in Chennai has found the need to evolve and raise the bar. No stone is being left unturned to ensure a corona-free dental clinic. New sterilization systems including ultraviolet radiation are being widely employed to ensure operatory safety.

What are the qualities that set us apart as the Top Dental Clinic in Chennai?

Our clinic has always held the distinction of providing the best dental care in Chennai. We have always laid emphasis on total patient satisfaction in our clinic. The patient is made to feel at home right from the moment the patient steps into the premises. We offer specialist care in every subspecialty of dentistry.

Our consultants are vastly experienced in treating every condition arising in the oral cavity. They constantly update themselves to the latest treatment processes being evolved around the world. We were amongst the first to offer minimally invasive dentistry. Patient testimonials about dental services at our hospital speak for themselves.

What are the Key Ingredients that make us the Best Dental Clinic in Chennai?

We are a leading dental hospital in Chennai. Consistent delivery of quality treatment has earned us the name of being the best dental clinic in Chennai. We believe in forming a lifelong bond with our patients.

Even patients who have relocated from Chennai often return to the city for the sole purpose of obtaining dental treatment in our hospital. It is not uncommon to see multiple generations of the same family present to us for the upkeep of their oral health.

Equipped with the latest technology, the treatment offered in our clinic is world-class. Equipment in our clinic is constantly upgraded to offer the best to our patients. We also only use zero allergenic dental materials for our patients.

This consistent delivery of excellence has made us the destination of choice for the best dental care in Chennai. Many celebrities make a beeline to our hospital for the maintenance of their oral health.

Our dental practice is amongst the most reputed in Chennai. We also believe in providing affordable dental care in Chennai. Patients are offered world-class treatment without compromising on quality. We consider offering affordable dental care in Chennai as a form of service to humanity.

Specialized services offered by us include child dentistry, root canal treatment, dental implants, gum surgery, full dentures and sedation dentistry. Our clinic is a one-stop destination for laser dentistry, cosmetic dentistry, teeth whitening and smile makeover treatment. We are considered the best for dental veneers, Invisalign and lingual orthodontics.

Our commitment to delivering excellence in dental care for all our patients will remain the cornerstone of our belief systems. Remaining steadfast and true to our foundational belief systems has ensured that we remain the best dental clinic in Chennai.

Bilateral Cleft Lip and Palate Surgery with Tiny Prolabium

Bilateral Cleft Lip and Palate Surgery with Tiny Prolabium

Occurrence and Etiology of Cleft Lip and Palate Deformity

A cleft lip and palate deformity is a congenital defect that is the most common birth deformity. This defect is seen in approximately every 2 infants out of 1000 live births. It can occur in isolation or in association with a syndromic presentation. Genetic mutations are the most common cause of these syndromic presentations.

These defects are found in Pierre Robin sequence, Stickler syndrome and Treacher Collins syndrome amongst others. Other factors can also lead to the intrauterine development of the cleft lip and palate deformity. They include maternal smoking, secondhand smoke, diabetes, obesity and advanced maternal age.

Usage of contraindicated medications during pregnancy can also lead to this deformity. Maternal use of seizure medications is a common cause of this defect.

Ongoing Research regarding the Role of Modern Technology and Congenital Defects

Modern technology has brought a whole new range of factors into play. These too need to be considered as an etiology for the development of cleft lip and palate. Research is still underway regarding the role of radiation emitted by modern devices in the development of this deformity.

A cleft lip is nonfusion of the two halves of the upper lip. This can either be unilateral or bilateral in presentation. There is gross facial deformity arising from this condition. Children with cleft lip deformity can develop psychological problems in later life if the condition is left unaddressed.

This deformity results in both cosmetic as well as a functional compromise for the affected infant. Surgical repair is the only treatment option. Children might need a few additional surgical procedures as they grew up.

Cleft palate deformity is caused by nonfusion of the two halves of the palate. This results in a hole in the roof of the mouth. Feeding difficulties arise from this as the infant is not able to create the vacuum needed for suckling. There is a regurgitation of fluids into the nasal cavity.

Hard Earned Reputation at the Best Cleft Lip Surgery Hospital in India

Our hospital is considered to be the best cleft lip surgery hospital in Chennai as well as in the entire nation. This has also intrinsically made us the best cleft palate surgery hospital in Chennai. The soft palate is also involved in this deformity. These two conditions are the most common congenital defects in the world today.

We have been performing cleft lip surgery and cleft palate surgery for over 30 years now. Many pan-Indian surveys have named us as the best cleft palate surgery hospital in Chennai. We are also recognized as the best cleft lip surgery hospital in Chennai as well as India by many international organizations.

Dr. SM Balaji is regarded as the best cleft lip surgeon in Chennai, India. He has been credited with numerous surgical innovations in cleft lip and palate surgery. These innovations have become a standard surgical practice in hospitals around the world. His services as much sought after by many nations around the globe. They include the USA, Germany, Japan, Sri Lanka, and the Maldives amongst many others.

He has been recognized as the best cleft lip surgeon in Chennai as well as the whole of India. This has been made possible through hard work and dedication towards providing surgical care of international standards to everyone. His vision and guidance have made us the best cleft lip surgery hospital in Chennai.

International Acclaim for the Surgical Services in our Hospital

Our hospital is the tertiary referral center for the International Cleft Lip and Palate Foundation (ICPF) of Japan. We have also been chosen as the Asian referral center of the Dallas-based World Craniofacial Foundation (WorldCF) of the USA. Children from around the world are referred to us due to the high level of surgical care for afflicted infants.

We are often feted as the best cleft lip surgery hospital in Chennai by our peers. We have one of the best cleft teams in the world today. Speech therapists are also an intrinsic part of this team. We understand the needs of children with cleft deformities.

Numerous awards including the prestigious Dr. BC Roy award stand testament to the levels of surgical care provided by our hospital. We are also synonymously considered to be the best cleft palate surgery hospital in Chennai, India.

Complications Caused by Delay in Getting Surgical Treatment

Speech impediment is commonly caused by this disorder if there is a delay in getting this addressed. It is imperative to get these defects corrected surgically at the right time. Speech develops normally in children who have been operated on at the right time. The ideal time for cleft lip surgery is 3-12 months and cleft palate surgery is at 10 months old.

Children who have undergone surgical repair of cleft lip and palate can require cleft speech therapy. This will ensure that there is completely normal speech, which will help the child integrate completely into society. We provide guidance to parents regarding referral for cleft speech therapy for their children.

Little Boy Born with Severe Cleft Lip and Palate Deformity with Tiny Prolabium

This little boy is from Thiruvarur in Tamil Nadu, India. He was born with a severe bilateral cleft lip and palate deformity with a tiny prolabium. His parents were initially very upset by this. Staff members at the hospital counseled his parents extensively regarding his care.

Parents expressed the wish that they wanted the best possible treatment for their newborn son. They were then referred to our hospital for surgical correction of his deformities. Parents were advised to book an appointment in our hospital. They contacted our hospital manager and an appointment was made. His parents then presented to our hospital when he was 3-1/2 months old.

Treatment Planning Explained in Detail to Parents

Dr. SM Balaji, cleft lip and palate surgeon, met with the parents. He listened to them patiently and answered all their questions. Speaking from his vast experience, he explained to them that they had nothing to fear from this condition. They were very relieved and happy following their interaction with him.

Surgical Correction of Bilateral Cleft Lip Deformity

Treatment planning was explained to his parents in detail and they consented to surgery. It was decided to perform a single-stage cleft lip repair surgery utilizing Paul Black’s technique. Considering the size of the tiny prolabium, no cross incision was made at the prolabium.

The available prolabium and columella were then mobilized for the reconstruction of his philtral column and formation of Cupid’s bow.

This was then followed by meticulous reconstruction of his nasal floor and vermillion using bilateral C-flaps. This was followed by a meticulous three-layer closure of the cleft lip using a surgical loupe for magnification. The orbicularis oris muscle was next approximated followed by an approximation of the subcutaneous tissue and skin.

Instructions Provided to Parents regarding Cleft Palate Repair

Parents were very happy with the results of the surgery. They were then instructed that they needed to return when he was 10 months old for cleft palate repair. They expressed understanding and thanked the hospital staff before discharge from the hospital.

Surgery Video

Odontoma Nerve Compression Removal and Reconstruction

Odontoma Nerve Compression Removal and Reconstruction

Odontoma Removal and Reconstruction

What is an Odontome and how is it formed?

An odontoma is a benign tumor, which is linked to the abnormal development of a tooth. It is a hamartoma and is composed of irregularly placed normal tissue. This can involve both hard tissue as well as soft tissue. Odontoma was the previously used terminology for an odontoma.

Most Frequently Diagnosed Age Group for Odontome

This condition is most commonly diagnosed during the early teenage years. It is most commonly incidentally diagnosed when there is a delayed eruption of a tooth. Odontomes are frequently associated with unerupted teeth. They are rare instances of eruption into the oral cavity.

Extraction of the unerupted odontoma is the usual treatment of choice. This is akin to surgical removal of impacted third molars. Impacted mandibular odontomas are usually found deeper in the jawbone, being in close proximity to the inferior alveolar nerve. An improper surgical technique can lead to damage to the nerve.

Successful extraction of an impacted mandibular odontoma requires a lot of experience. The best possible results are obtained by surgery performed by experienced oral and maxillofacial surgeons. Oral surgery is one of the specialties of dentistry. Our dental clinic in Chennai is a premiere center for oral surgery.

Hard Earned Reputation as the Best Wisdom Tooth Hospital In Chennai

Dr. SM Balaji, the Oral and Maxillofacial Surgeon, has over three decades of experience in dealing with extraction of impacted teeth. Our hospital is considered to be the best wisdom tooth surgery hospital in Chennai. We perform chair-side wisdom tooth surgery for simple cases. Extraction of complicated impacted wisdom teeth is performed in the operation theatre under general anesthesia.

Our expertise in ensuring the best possible surgical results for patients is hard-earned. This has earned us the title of best wisdom tooth surgery hospital in Chennai from both our peers and patients alike. We handle the most complicated cases of impacted wisdom teeth. They even present near the lower border of the mandible as well as near the orbital cavity.

We have been named the best wisdom tooth surgery hospital in Chennai by a recent survey by a leading newspaper. The survey has also named us as being the best wisdom tooth surgery hospital in India. This high honor has been made possible by our commitment to excellence and ensuring total patient satisfaction.

Best Tooth Extraction Hospital in Chennai

Our hospital is amongst the leading dental hospitals in India. We are the destination of choice for the best dental treatment in Chennai. Many patients come from around the world for dental treatment at our hospital.

Our hospital is equipped with the latest technological advancements to offer the best possible treatment for our patients. The dental services provided by our hospital are amongst the best in the entire nation. We are a tertiary center for specialized world-class dental care in India.

Patient Presents to our Hospital for Definitive Treatment of Odontome

The following case is a description of a patient who came to our hospital for treatment of an odontoma. There was also compression of the inferior alveolar nerve by the odontoma. The odontoma was extracted with minimum trauma along with an associated impacted tooth. There was no compromise of nerve function following the surgery.

Failure of Initial Treatment Elsewhere for the Patient

The patient is a 25-year-old female from Gingee in Tamil Nadu, India. Around 18 months ago, she had presented at a local hospital with pain and mild swelling in her mouth. This was at the site of a missing first molar tooth on the right side of her lower jaw. Imaging studies had been obtained, which revealed an impacted first molar and a partially formed second molar.

There was a radiopaque shadow around the second molar. The second molar tooth was in close proximity to the inferior alveolar nerve. This was diagnosed as an odontoma and extraction were recommended to the patient. However, the attempt to extract the two teeth was abandoned midway with the removal of the crown of the impacted first molar. There was no occurrence of a dry socket.

The patient was advised to seek treatment at a super specialty center but failed to do so. It was only 18 months later that the patient presented to our hospital. The swelling and pain with paresthesia at the site of the attempted extraction forced her to address this.

Initial Presentation and Treatment Planning at our Hospital

Dr. SM Balaji, Wisdom Tooth Impaction Surgeon, examined the patient and ordered imaging studies. This revealed the first molar with the missing crown and a partially formed second molar. The second molar was diagnosed as an odontoma.

There was also a draining sinus at the site of the attempted extraction. Compression of the nerve by the odontoma was diagnosed as the cause for her paraesthesia. Treatment planning was explained to the patient and her attendants in detail. She expressed understanding and consented to undergo surgical removal of the impacted teeth.

The patient was taken to the operating room and anesthesia was induced. Prepping and draping were done to have the wisdom tooth removed. Tooth removal was preceded by an incision of the gum tissue overlying the region. The impacted wisdom tooth was then exposed following removal of overlying bone.

Both teeth were then extracted followed by debridement of granulation tissue at the site. There was a complete resolution of the patient’s complaints following surgery. A rib bone graft harvested at the time of surgery was used to reconstruct the bony defect at the surgical site. This was fixed with titanium screws.

Postoperative instructions were given to the patient. She will return in six months following complete consolidation of the bone graft with surrounding alveolar bone. Dental implant surgery would be performed at that time with the placement of premium dental implants. Ceramic crowns would be fixed to the dental implants following osseointegration of the implants to the mandibular bone.

The patient was very happy with the level of care at our hospital. She also expressed a complete understanding of the instructions given by hospital staff before discharge from the hospital.

Surgery Video

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