
Dr. Yola Kovalenko
تُعد د. يولا كوفالينكا من الكفاءات الطبية المتميزة في مجال طب الأسنان. تخرجت من جامعة لوغانسك الطبية الحكومية عام 2007، وكانت ضمن أوائل خمسة طلاب على دفعتها، وه…
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جراحة الوجه والفكين
Oral and maxillofacial surgery is a surgical field that sits between dentistry and general surgery. It manages diseases, injuries and deformities of the mouth, teeth, jaws, facial bones and the temporomandibular joint, ranging from removing a single impacted tooth under local anaesthesia in a clinic chair to fixing facial fractures or repositioning the jaws in an operating theatre. The most common reasons for referral are impacted wisdom teeth and retained roots, cysts and lesions inside the jaw bone, deep infections of the mouth and jaw, fractures of the mandible, cheekbone and orbit, insufficient bone before dental implants, a protruding or receding jaw, persistent temporomandibular joint pain, and congenital conditions such as cleft lip and palate. Its limits matter as much as its capabilities. This specialty does not replace your general dentist for decay, fillings and root canal treatment, and it does not replace an orthodontist for moving teeth. Many jaw complaints, above all temporomandibular joint pain, improve with conservative care and never need an operation. Surgery corrects bone and tissue structure; it does not correct an ongoing behavioural cause such as clenching and grinding. No decision is made from a description of symptoms or from reading a web page. The surgeon needs a clinical examination plus imaging, a panoramic film or a three dimensional scan, to see where roots sit relative to nerves and sinuses, how much bone is available, and how the bite closes. Candidacy is determined by that assessment and nothing else. Before agreeing to any procedure, ask four questions: is there a non surgical alternative, what type of anaesthesia is planned, how long is the recovery and how will it affect your work, and which complications are most likely in your particular case. Clear answers are a good sign that you are in the right hands.
The surgeon examines the mouth, teeth, bite, jaw movement and lymph nodes, and asks about chronic illnesses, medications, previous bleeding problems and allergies, because these details change both the anaesthetic plan and the procedure itself.
A panoramic radiograph is taken, and where needed a three dimensional scan, to map roots, nerves, sinuses and bone volume. Some lesions require a biopsy or histopathology before the treatment plan can be finalised.
Options are explained together with what each one can and cannot achieve, and any non surgical alternative. Anaesthesia is then chosen: local in the clinic, local with sedation, or general anaesthesia in hospital.
The procedure is carried out under sterile conditions and may involve raising the gum, removing a small amount of bone, sectioning a tooth, or fixing bone with plates and screws. It usually ends with irrigation and sutures that either dissolve or are removed later.
You receive instructions for the first days along with warning signs, and a review appointment is arranged to check healing and remove sutures. Longer radiographic follow-up is scheduled for cysts, fractures and bone grafts.
Tell your surgeon about every medicine you take, even those you consider minor, and mention blood thinners, anticoagulants, bone density medicines, immunosuppressants and steroids in particular. Never stop a medicine on your own. Say if you are pregnant or breastfeeding, and disclose diabetes, high blood pressure, heart disease, an artificial valve or any bleeding disorder. Bring previous images and reports, follow the fasting instructions if sedation or general anaesthesia is planned, and arrange someone to drive you home. Keep your mouth as clean as possible in the days before, stop smoking before and after because it delays healing, wear comfortable clothing, and avoid heavy make-up and contact lenses on the day.
Rest for the remainder of the day, apply cold packs to the face during the first hours, and sleep with your head slightly raised. Eat soft, cool or lukewarm food, drink plenty of fluids without a straw, and avoid smoking, vigorous rinsing, spitting and strenuous effort for the first two days. Clean your remaining teeth gently and continue any rinse or warm salt water your surgeon advised after the first day. **Seek care immediately if bleeding does not stop with sustained pressure, if swelling increases after the third day together with fever, if you struggle to swallow, breathe or open your mouth, if numbness in the lip or tongue persists, if pain worsens instead of easing after day three, or if there is pus or a foul smell.**
Minor procedures under local anaesthesia usually take about 20 to 45 minutes, while major operations under general anaesthesia may last from one hour to several hours. The exact time is set after examination and imaging.

تُعد د. يولا كوفالينكا من الكفاءات الطبية المتميزة في مجال طب الأسنان. تخرجت من جامعة لوغانسك الطبية الحكومية عام 2007، وكانت ضمن أوائل خمسة طلاب على دفعتها، وه…

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الدكتور محمد عرفات حسن هو طبيب أسنان وصاحب خبرات متقدمة في طب وجراحة الفم والأسنان، خرّيج جامعة دمشق العريقة في طب وجراحة الفم والأسنان (بكالوريوس)، وحاصل على ع…
الدكتور محمد أحمد علي الطراونة جرّاح فم ووجه وفكين، ومستشار في زراعة الأسنان وتجميل الوجه غير الجراحي. حاصل على البورد الأردني في جراحة الفم والوجه والفكين (201…
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