Principle’s of Oral & Maxillofacial

Surgery
drg. Victor Tengar Pamolango, MMRS., SpBM
 Oral & Maxillofacial surgeon
• Initially was associated with exodontia, preprosthetic surgery, small
cyst & benign tumor
– Extractions of decayed teeth that cannot be restored
– Surgical removal of impacted teeth
– Extraction of nonvital teeth
– Preprosthetic surgery to smooth and contour the alveolar ridge
– Removal of teeth for orthodontic treatment
– Removal of root fragments
– Removal of cysts and tumors

• Developed to correction of cleft lips and palates, jaw deformities

(Orthognatic Surgery), Odontogenic Infection of the head & neck,
repair of fractured jaws, Salivary gland surgery, TMJ Disorder, Head
& Neck Oncology & Reconstruction, Implantology
 Performing of surgical procedure
• Fundamental principles of surgery
• Asepsis and antisepsis, to prevent pathogenic
microbes from entering the body as well as
spread of certain infectious diseases from one
patient to another.
• Sterilization of instruments, as well as
preparation of the patient and surgeon are
therefore considered necessary
 Sterilization of Instruments
• Dry heat
• Moist heat (autoclave)
• Chemical means
• Sterilization with ethylene oxide
Preparation of Surgeon
Preparation of Patient
 Surgical Incisions and Flaps
• Carried out with a firm, continuous stroke, not interrupted
strokes
• Avoided injury of anatomic structures
• Vertical releasing incisions approximately at the buccal
vestibule and end at the interdental papillae of the gingiva
• The width of the flap must be adequate
• The base of the flap must be broader
• The mucosa and periosteum must be reflected together
• Avoid excessive pulling and crushing or folding of the flap
Trapezoidal Flap
Triangular Flap
Envelope Flap
Semilunar Flap
Other Types of Flaps
Pedicle Flaps
Reflection of the Mucoperiosteum
Suturing
Interrupted Suture
Continuous simple suture
Continuous locking suture
Horizontal Mattress Suture
Vertical mattress suture