EMERGENCY CONTACT 24x7: 08152-243003

Dental & Maxillofacial Surgery

OVERVIEW

The dental wing of R. L. Jalappa Hospital was established in the year 1995 as a service-providing department The department plays an important role in society which provides preventive, restorative, and curative clinical services i.e., comprehensive care to the public. Urbanization, increasing levels of education and standard of living, and better health consciousness have made the dental department an important discipline in the medical college.

Maxillofacial Surgery is a specialty of dentistry with services in this field having started in the year 2000 in R L Jalappa Hospital. It deals with surgical management of diseases, injuries, and deformities of the jaws and associated oral and facial structures. At RLJH, fractures of the facial bones are treated exclusively by maxillofacial surgeons, in association with other specialties in polytrauma patients. Discrepancies in jaw size and position are corrected by orthognathic surgical procedures and surgeries for treatment of benign tumors, cystic lesions, and temporomandibular joint disorders are routinely performed by the department.

 

VISION

“To Alleviate Oral Suffering”.

MISSION

To Provide Quality Oral Health Care With Compassion”

 

Why RLJH?

The Dental Department at RLJalappa Hospital is a tertiary care center providing services at an affordable cost to all sections of society in and around Kolar District. The department is managed by specialists providing quality treatment. The hospital is strategically located on the national highway providing treatment for road traffic accident cases with maxillofacial injuries. Patients can avail treatment in the hospital under various government schemes if they have the necessary documents.

TREATMENT & PROCEDURES

Conservative and Endodontics

a. Dental fillings
b. Root canal therapy
c. Crown lengthening procedures

Cosmetic dentistry

a. Full and partial veneer crowns
b. Treatment of midline diastema
c. Bleaching

Dental Implants

Maxillofacial surgery

a. Minor oral surgery

– Extraction of teeth
– Surgical extraction of wisdom teeth
– Operculectomy
– Apicoectomy
– Frenectomy
– Alveoloplasty
– Vestibuloplasty
– Abscess drainage
– Biopsy procedures

b. Major oral surgery

– Maxillofacial fractures
– Orthognathic surgery
– Management of tumors and cystic lesions of the jaws
– Management of disorders of the temporomandibular joint

Pedodontics

a. Dental fillings
b. Pulpectomy

Periodontics

a. Scaling and root planing
b. Subgingival curettage
c. Flap surgery with or without bone graft
d. Splinting
e. Gingivectomy
f. Depigmentation
g. Root coverage procedure

Prosthodontics

a. Crown and bridge procedures
b. Removable partial dentures
c. Complete dentures
d. Maxillofacial prostheses

FACILITIES AND SERVICES

Fully equipped dental cubicles

COVID cubicle for aerosol generating procedures

Intra-oral x-ray unit

  • Faculty
Sl No. Name Specialization Designation
1 Dr. Deepika Kenkere Oral & Maxillofacial Surgery Professor & HOD
2 Dr. Mallika P Reddy Oral & Maxillofacial Surgery Associate Professor
3 Dr. Deepa.C Periodontology Reader/Associate Professor
4 Dr.Harshitha.K.R Oral & Maxillofacial Surgery Associate Professor
5 Dr. Srinath.K.S Dental Surgeon Senior Resident

EXPLORE STORIES

CASE 1:  Dental Fluorosis Treatment

Kolar district is endemic for fluorosis and dental fluorosis is a common condition encountered in the dental department. Patients approach us in different stages of fluorosis for treatment.

CASE 2: Treatment of Fractured tooth

The fractured upper front tooth is commonly encountered in adolescents and adults as they are actively involved in contact sports, falls, or road traffic accidents. This affects the esthetics and can have a social & psychological impact on the individual. A fractured tooth can be restored either by direct cementation of the broken tooth structure or by fabrication of an artificial tooth in the laboratory.

CASE 3: Treatment of Gingival Recession

Treatment of ‘elongated tooth’ is one of the periodontal (supporting structure of tooth) esthetic procedures carried out in the dental department.

CASE 4:  Treatment with Dental Implants

Research and innovation in the field of dentistry has lead to the introduction of dental implants as a modality of oral rehabilitation in patients with missing teeth. Dental implants are artificial biocompatible screws that are inserted into the jaw bone which mimic the root structure of a tooth. This implant supports an artificial crown that performs the function of any natural tooth in the oral cavity.

Cases presenting with missing teeth are replaced using a two-stage dental implant procedure, where the crowns are placed after 4-6months of Osseointegration of the implants.

CASE 5: TMJ Ankylosis treatment

12-year-old Kavita(name changed) sustained an injury to her lower jaw 4yrs ago. This resulted in progressive inability to open her mouth leading to a ‘locked jaw’ which in medical terms is called ‘TMJ ankylosis’. This hindered her basic functions of eating and maintaining oral hygiene resulting in poor nutritional status and multiple dental ailments.

Kavita was operated upon to release her TMJ ankylosis following which she was able to open her mouth just like any other normal individual

CASE 6: Management of Maxillary Cyst

Bhayva(name changed) had a swelling in her upper jaw for which she had undergone a procedure at her native town.  She reported to RLJH&RC because the swelling had recurred. After necessary investigations, she was diagnosed as having an ‘Odontogenic cyst’. The cyst was enucleated under general anaesthesia.

CASE 7: Fracture Midface and Mandible

Fractures of various facial bones treated with open reduction and internal fixation using mini plates.

CASE 8: Orthognathic surgery

  • Lefort, I impaction performed to correct vertical maxillary excess.
  • Anterior maxillary osteotomy performed to correct horizontal maxillary excess.
  • Genioplasty is done to correct the chin projection.

Case9: Palatal Obturator

Palatal Obturator is given in cases of maxillectomy perform either for oncological reasons or infections.

A case of right total maxillectomy rehabilitated using palatal obturator. 

 

FAQ’S

What will happen at my first visit to a dentist?

At your initial visit, your dentist will take a full medical history and history of medications that you may be taking so that you can be treated safely.
The dentist will then carry out a full check-up of your mouth and all your teeth.
Diagnostic x-rays may also be taken.
If you need any dental treatment, the dentist will discuss the treatment plan along with costing.
You can make any further appointments as necessary.

Why are my gums bleeding?

Gums bleed when inflamed, which is not considered normal. This is due to plaque (a soft film of bacteria) being left on the teeth which causes inflammation called gingivitis and if not addressed can develop into gum disease. Over time, if not cleaned off through daily brushing and interdental cleaning, the plaque can turn into a hard deposit called tartar or calculus which will require professional scaling by your dentist to remove it.
It is important even if your gums bleed they are still brushed to keep the mouth clean otherwise the bacteria build up in the mouth will make gum inflammation worse. After a few days of thorough cleaning, your gums should stop bleeding. If this does not happen you will need to ask the advice of your dentist as you may need professional cleaning.

How can I prevent cavities?

Always spend two to three minutes brushing your teeth. It takes that long to get rid of the bacteria that destroy tooth enamel. Do not brush too hard. It takes very little pressure to remove bacteria and plaque. Floss at least once a day. Flossing is the only way to remove bacteria from between your teeth.
Watch the sugar you eat. There is sugar in chocolate, fruits and chips. These are the foods that the bacteria in your mouth like most. Be mindful of foods that stick to your teeth. They are a constant supply for the bacteria. Try to minimize the times during the day when sweet items are eaten and brush your teeth afterwards.
If you cannot brush after a meal, rinse your mouth with water – which can help to remove food from your teeth. Chewing sugarless gum after a meal can also help. Visit the dentist regularly.

What should I do if my tooth falls out due to trauma?

The following applies only for “Permanent tooth”.
If the tooth is clean, you need to hold the tooth only by the crown and place it firmly back into the socket. And visit the dentist immediately.
If you cannot put the tooth back in, it has more chance of survival if you can keep the tooth in your cheek until you can get to an emergency dentist. If this is not possible, keep the tooth in milk. Never carry it in water.
The tooth needs to be replaced ideally within 30 minutes, so seek dental attention promptly.

I have sensitive teeth. What can I do?

You can try using toothpaste specifically designed for sensitive teeth. Rub a little toothpaste into the sensitive area when going to bed as it helps protect the surface.
Try to avoid strongly acidic foods and drinks.
Wait at least an hour after eating before brushing as this could cause even more sensitivity.
Grinding your teeth can also increase sensitivity and a mouth guard maybe necessary.
If the sensitivity continues, speak to your dentist and they may be able to offer further care to reduce your symptoms.

Why does my mouth feel dry?

Dry mouth can be a symptom of many different problems and can happen as you get older also. If you have a dry mouth, this can be very uncomfortable and it can make eating certain foods very difficult.
Many prescription medicines can cause a dry mouth, if you are taking any regular medication from your doctor, it may be worth discussing these symptoms with him to see if there is an alternative that does not have the same side effects.
If you think that you are suffering with a dry mouth, you should discuss this with your dental team. They may recommend remedies to alleviate this problem.

Why am I in pain after a tooth extraction?

Generally any discomfort after an extraction is controlled by the painkillers that have been prescribed.
If pain persists 3-4 days after the procedure, the extraction socket has become infected. You will need to go back to your dentist, who will do a dressing for the socket.

I have dentures. Is it necessary for me to still see my dentist?

Visits to the dentist include more than just “checking teeth.” Patients who wear dentures may have problems such as ill-fitting appliances or mouth sores. Annual visits to the dentist (or sooner if soreness is present) is recommended.
During these visits, evaluation of the fit or need for replacement of the existing appliances is done along with an oral cancer screening and head and neck examination. Regular visits can help you to avoid more complicated problems.

I am undergoing chemotherapy and/or radiation for cancer treatment, how can this affect my mouth?

Chemotherapy and Radiation can cause a number of problems in the mouth, some of which might include: mouth sores, infections, dry mouth, bleeding of the gums and pain of the mouth. It can be harder to control these things while undergoing treatment as the immune system is generally compromised as a result of the treatment. There are some special mouth rinses that can be prescribed to help with discomfort during treatment. It is very important to see your dentist before treatment begins and then to continue with recommended follow-up care. Recommendations might be made for additional care both in-office and at home.

Why does the dentist take X-rays?

Many diseases of the teeth and surrounding tissues cannot be seen when the dentist examines the mouth. An X-ray examination may reveal:
• small areas of decay between the teeth or below existing restorations (fillings)
• infections in the bone
• periodontal (gum) disease
• abscesses or cysts
• developmental abnormalities
• some types of tumors
Finding and treating dental problems at an early stage can save time, money and often unnecessary discomfort. Dentist will evaluate your need for X-rays based on the conditions present.