Blog - Balaji Dental and Craniofacial Hospital

November 3rd, 2019 08:37 pm November 3, 2019

Dr Stefan Ihde visits Balaji Dental and Craniofacial Hospital

[vc_section content_layout=”full” animation_delay=”” disable=”” id=”” class=”” bg_type=”image” bg_image=”” color_overlay=”” enable_parallax=”” enable_pattern=””][vc_row content_layout=”boxed” equal_height=”” animation_delay=”” disable=”” id=”” class=”” bg_type=”image” bg_image=”” color_overlay=”” enable_parallax=”” enable_pattern=””][vc_column layout=”normal” vertical_align=”top” animation_delay=””][vu_heading style=”2″ heading=”Dr Stefan Ihde’s visit to Chennai” subheading=”” alignment=”left” custom_colors=”” class=””][vc_column_text]Dr SM Balaji invited Dr Stefan Ihde during his recent visit to Chennai for a tour of Balaji Dental and Craniofacial Hospital. Dr Ihde is acknowledged as the father of modern Basal Implantology and is the founder of the International Implant Foundation (IF) that is based in Munich, Germany.[/vc_column_text][/vc_column][/vc_row][vc_row content_layout=”boxed” equal_height=”” animation_delay=”” disable=”” id=”” class=”” bg_type=”image” bg_image=”” color_overlay=”” enable_parallax=”” enable_pattern=””][vc_column layout=”normal” vertical_align=”top” animation_delay=””][vu_heading style=”2″ heading=”The 4th International Conference on Cortical Implantology” subheading=”” alignment=”left” custom_colors=”” class=””][vc_column_text]Dr Ihde was in Chennai for the 4th International Conference on Cortical Implantology (ICCI) that was held at the Hyatt Regency in Chennai. He was accompanied to the 4th ICCI by Dr Antonina Ihde, Dr Alexander Lazarov, Dr Lukasz Palka among others from the International Implant Foundation.[/vc_column_text][vc_row_inner equal_height=”” animation_delay=”” disable=”” id=”” class=””][vc_column_inner vertical_align=”top” animation_delay=”” width=”1/2″][vc_single_image image=”6341″ img_size=”full” add_caption=”yes”][/vc_column_inner][vc_column_inner vertical_align=”top” animation_delay=”” width=”1/2″][vc_single_image image=”6342″ img_size=”Full” add_caption=”yes”][/vc_column_inner][/vc_row_inner][/vc_column][/vc_row][vc_row content_layout=”boxed” equal_height=”” animation_delay=”” disable=”” id=”” class=”” bg_type=”image” bg_image=”” color_overlay=”” enable_parallax=”” enable_pattern=””][vc_column layout=”normal” vertical_align=”top” animation_delay=””][vu_heading style=”2″ heading=”Visit to the Balaji Dental and Craniofacial Hospital” subheading=”” alignment=”left” custom_colors=”” class=””][vc_column_text]The team from the International Implant Foundation headed by Dr Stefan Ihde visited Dr SM Balaji at his hospital and was given a guided tour of the facilities. They joined Dr SM Balaji on ward rounds and met with a patient who was undergoing mandibular distraction through distraction osteogenesis at the hospital. The team expressed their satisfaction at having visited the hospital. Dr Stefan Ihde and Dr Antonina Ihde were the recipients of the excellent hospitality of Dr SM Balaji at the end of the visit.[/vc_column_text][vc_row_inner equal_height=”” animation_delay=”” disable=”” id=”” class=””][vc_column_inner vertical_align=”top” animation_delay=”” width=”1/2″][vc_single_image image=”6343″ img_size=”full” add_caption=”yes”][/vc_column_inner][vc_column_inner vertical_align=”top” animation_delay=”” width=”1/2″][vc_single_image image=”6345″ img_size=”full” add_caption=”yes”][/vc_column_inner][/vc_row_inner][/vc_column][/vc_row][vc_row content_layout=”boxed” equal_height=”” animation_delay=”” disable=”” id=”” class=”” bg_type=”image” bg_image=”” color_overlay=”” enable_parallax=”” enable_pattern=””][vc_column layout=”normal” vertical_align=”top” animation_delay=””][vu_heading style=”2″ heading=”Special guest at the opening ceremony of 4th ICCI” subheading=”” alignment=”left” custom_colors=”” class=””][vc_column_text]Dr SM Balaji was invited to the opening ceremony of the 4th ICCI as an honoured guest of Dr Stefan Ihde and the International Implant Foundation. He interacted with dignitaries like Padmashree Prof Shadab Mohammed, Dean, King George Medical University, Lucknow who were present at the function. The conference had many scientific sessions and was a resounding success.[/vc_column_text][/vc_column][/vc_row][/vc_section]

November 1st, 2019 03:05 pm November 1, 2019

smbalajiSurgery 331

Cosmetic Rhinoplasty with Rib Graft for Nasal Deformity Correction

Broad nose deformity in a young man The patient is a 22-year-old male from Gudiyattam in Tamil Nadu, India. He had always felt that his nose did not suit his face. His main complaint was the lack of harmony between his nose and his face. He had always desired to get it corrected. This had even impeded his soto that the patient that he neededcial interactions over the years. Deciding to get this corrected, he and his parents had made extensive enquiries regarding the best hospital for this treatment. They had been referred to our hospital at multiple places and had finally decided to get this corrected at our hospital. Premier center for cosmetic rhinoplasty in India Our hospital is a world renowned facility for cosmetic rhinoplasty. Broad nose deformity, flat nose deformity and saddle nose deformity are some of the nasal deformities corrected at our hospital. We are pioneers in cleft rhinoplasty correction and our hospital is credited with many surgical innovations. Many of these innovations have been adopted as surgical protocol throughout the world. Our hospital is a preeminent referral center for the World Craniofacial Foundation in this part of the globe. Initial presentation and examination at our hospital Dr SM Balaji, cosmetic rhinoplasty surgeon, examined the patient and obtained a detailed history. The patient stated that he had always disliked his bulky nose and that it made him feel unattractive. He said that he always desired to have a narrow and elevated nose with a prominent tip. The patient also complained of significant snoring during sleep. Examination revealed that the patient had a significant nasal septal deviation. What is a deviated nasal septum? A deviated septum occurs when the dividing wall between the nostrils is displaced to either the left or right side. In many people, the nasal septum is off-center thereby making one nasal passage smaller. When a deviated septum is severe, it can block one side of the nose. This will directly result in reduced airflow and cause difficulty breathing. A nasal blockage or congestion can occur from a deviated nasal septum. It can also result from swelling of the tissues lining the nose. Both these conditions can also exist concurrently. Treatment planning for correction of the broad nose deformity It was explained to the patient that he needed nasal bridge augmentation with costochondral graft placement. He would also require a medial osteotomy and a left lateral osteotomy to correct the nose. This would be followed by a tip graft for creation of a prominent tip. The patient and his parents were in complete agreement with the proposed treatment plan and consented for surgery. Successful surgical correction of the patient’s complaints Under general anesthesia, an incision was made in the right inframammary region and a costochondral rib graft was harvested. Attention was next turned to the broad nose surgery. An intercartilaginous incision was first made. This was followed by placement of a tip graft to elevate the tip. A medial osteotomy was then performed followed by a left lateral osteotomy. Dissection was done following which the nasal bridge was augmented using costochondral graft. This resulted in complete correction of his broad nose deformity. Closure was finally done intranasally using resorbable sutures. Total patient satisfaction at the results of the surgery The patient and his parents were extremely pleased with the results of the surgery. They felt that this had drastically improved the esthetics of the patient’s face. The patient said that he now had a nose that was in harmony with the rest of his face. He said that he would now have new levels of self confidence to face the world. Surgery Video width="560" height="315" frameborder="0" allowfullscreen="allowfullscreen">

October 27th, 2019 06:19 pm October 27, 2019

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His Excellency Jean-Paul Adam, Minister of Health, Republic of Seychelles visits Balaji Dental and Craniofacial Hospital

October 23rd, 2019 07:55 pm October 23, 2019

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Infected Mobile Teeth Replaced With Dental Implants

[vc_section content_layout=”full” animation_delay=”” disable=”” id=”” class=”” bg_type=”image” bg_image=”” color_overlay=”” enable_parallax=”” enable_pattern=””][vc_row content_layout=”boxed” equal_height=”” animation_delay=”” disable=”” id=”” class=”” bg_type=”image” bg_image=”” color_overlay=”” enable_parallax=”” enable_pattern=””][vc_column layout=”normal” vertical_align=”top” animation_delay=””][vc_column_text]This is a case of a 28 year old woman with a complaint of shaking lower front teeth, which induces pain and discomfort on chewing food. She stated that lately the saliva from the involved site is starting to taste salty. She gives a dental history of root canal treatment done to the lower anteriors 2 years back. After which an apicoectomy of the teeth was done a year back elsewhere, due to long standing cystic lesion at the root end of the teeth. Subsequently, one of her lower anterior tooth started shaking, which was then extracted and replaced with a dental implant 6 months back. Over the time there was an increase in the mobility of the adjacent teeth and the dental implant. Worried with her oral condition, she approached us seeking for a solution,that could restore her well-being.[/vc_column_text][/vc_column][/vc_row][vc_row content_layout=”boxed” equal_height=”” animation_delay=”” disable=”” id=”” class=”” bg_type=”image” bg_image=”” color_overlay=”” enable_parallax=”” enable_pattern=””][vc_column layout=”normal” vertical_align=”top” animation_delay=””][vu_heading style=”2″ heading=”EXAMINATION OF THE PATIENT” subheading=”” alignment=”left” custom_colors=”” class=””][vc_column_text]On intraoral examination, pus discharge from the lower anterior region was evident. The anterior teeth and the implant exhibited mobility. The surrounding gum tissues were red and swollen. Full mouth X-ray (OPG) taken shows apicoectomy done to the root canal treated teeth in the lower anteriors. Infection around the implant and the teeth was evident. Blood reports affirmed no underlying systemic abnormality.[/vc_column_text][vu_heading style=”2″ heading=”TREATMENT PLAN” subheading=”” alignment=”left” custom_colors=”” class=””][vc_column_text]Dr. SM Balaji examined the patient. He suggested to extract the lower front mobile teeth and remove the infected dental implant under local anesthesia. Later, replacement of teeth with dental implants was intended. Other teeth replacement options were also explained to her. Patient opted to go for dental implants since it was considered as the best option. Patients consent was obtained before starting the procedure.[/vc_column_text][vu_heading style=”2″ heading=”PROCEDURE” subheading=”” alignment=”left” custom_colors=”” class=””][vc_column_text]Under local anesthesia, Dr. SM Balaji extracted the mobile lower anterior teeth and removed the infected dental implant from the jaw bone. The recipient site was curetted and irrigated well with a sterile solution. Patient was put on antibiotics for a better healing process. A temporary removable prosthesis was given to replace her missing teeth.[/vc_column_text][vu_heading style=”2″ heading=”DENTAL IMPLANT PLACEMENT” subheading=”” alignment=”left” custom_colors=”” class=””][vc_column_text]Patient returned after 6 months for implant placement. Her gums were well healed. There was no signs of pus discharge. X-ray taken affirmed no signs of pathological infection in the bone. Hence local anesthesia was administered. Renowned Implantologist, Dr.SM Balaji fixed the dental implants directly in the jaw bone, using the flapless technique. She was asked to wait for a healing period of 3 to 4 months to let the dental implants completely integrate with the underlying jaw bone. This aids in better retention and stability of the dental implant in the future. Meanwhile, she was asked to continue to wear the temporary prosthesis to replace her missing teeth.[/vc_column_text][vu_heading style=”2″ heading=”POST-OPERATIVE FOLLOW-UP” subheading=”” alignment=”left” custom_colors=”” class=””][vc_column_text]She approached us after 3 months for the final prosthesis. Intra oral examination confirmed no pathological findings. Post-operative OPG taken, shows well osseointegrated dental implants with no signs of infection. Hence the final measurements were taken to make the fixed prosthesis. Finally, a natural looking prosthesis was fixed onto the dental implants. The prosthesis colour blended well with her natural teeth. She was extremely happy and satisfied with the outcome. Since then she and her family has been visiting our dental hospital for regular check-ups[/vc_column_text][/vc_column][/vc_row][vc_row content_layout=”boxed” equal_height=”” animation_delay=”” disable=”” id=”” class=”” bg_type=”image” bg_image=”” color_overlay=”” enable_parallax=”” enable_pattern=””][vc_column layout=”normal” vertical_align=”top” animation_delay=”” width=”1/3″][vc_single_image image=”6320″ img_size=”full” add_caption=”yes”][/vc_column][vc_column layout=”normal” vertical_align=”top” animation_delay=”” width=”1/3″][vc_single_image image=”6321″ img_size=”full” add_caption=”yes”][/vc_column][vc_column layout=”normal” vertical_align=”top” animation_delay=”” width=”1/3″][vc_single_image image=”6322″ img_size=”full” add_caption=”yes”][/vc_column][/vc_row][vc_row content_layout=”boxed” equal_height=”” animation_delay=”” disable=”” id=”” class=”” bg_type=”image” bg_image=”” color_overlay=”” enable_parallax=”” enable_pattern=””][vc_column layout=”normal” vertical_align=”top” animation_delay=”” width=”1/3″][vc_single_image image=”6323″ img_size=”full” add_caption=”yes”][/vc_column][vc_column layout=”normal” vertical_align=”top” animation_delay=”” width=”1/3″][vc_single_image image=”6324″ img_size=”full” add_caption=”yes”][/vc_column][vc_column layout=”normal” vertical_align=”top” animation_delay=”” width=”1/3″][/vc_column][/vc_row][/vc_section]

October 20th, 2019 06:37 pm October 20, 2019

smbalajiEvents 87

Honorable Health Minister of the Maldives, His Excellency Abdulla Ameen invited as Chief Guest

October 19th, 2019 04:56 pm October 19, 2019

smbalajiEvents 87

Dr SM Balaji invited to the University of California, San Francisco Dental School

Dr SM Balaji was invited as a special guest to visit the school by Dr Ophir Klein who is the Program Director of the “UCSF Program in Craniofacial Biology” during his recent trip to the country.

October 17th, 2019 08:56 pm October 17, 2019

smbalajiEvents 87

Dr Vitomir Konstantinovic visits Balaji Dental and Craniofacial Hospital, Chennai

Dr Konstantinovic was taken on a guided tour of the hospital by Dr SM Balaji. He met a patient with hemifacial microsomia.

October 12th, 2019 07:43 pm October 12, 2019

smbalajiSurgery 331

Facial Asymmetry Surgery for Hemifacial Microsomia with Mandibular Distraction

Patient struggling with facial asymmetry deformity The patient is a 16-year-old male from Secunderabad in Telangana, India. His parents state that he had been born with a deformity of the mouth with a right lateral facial cleft. This is commonly known as macrostomia. He had undergone surgery for correction of his microstomia during his childhood. The parents stated that the patient has always had residual scarring from that surgical procedure. A gradually developing facial asymmetry was soon noted by the parents with the passage of time. There was underdevelopment of the right side of the face, which was becoming worse. The patient had undergone testing, which had returned with the diagnosis of hemifacial microsomia. It has now reached the point where the patient’s face demonstrated extreme asymmetry of the two sides. The patient had become completely dejected and depressed by this progressive development of facial deformity. He had faced a tremendous amount of bullying at school, which had made things worse for him. It has now reached the stage where he is refusing to attend school or at times even leave the house to attend social gatherings. The parents then began their quest at finding the right hospital for their son’s treatment. They had made enquiries all over the country. These enquiries had finally led them to our hospital. Our hospital is a premier center for hemifacial microsomia surgery in India. Scores of patients have been successfully rehabilitated in our hospital and are now leading normal lives. Hemifacial microsomia and lateral facial clefts Hemifacial microsomia is a congenital disorder that affects the development of the lower half of the face. It most commonly affects the ears, the mouth and the mandible. It usually occurs on one side of the face, but rarely involves both sides. When severe, it may result in breathing difficulties due to obstruction of the trachea, which might even require a tracheotomy. Incidence of hemifacial microsomia is in the range of 1:3500 to 1:4500 live births. This is the second most common birth defect of the face after cleft lip and cleft palate. Lateral facial clefts arise from the failure of the maxillary and mandibular prominences to fuse at the lateral commissure. This gives rise to macrostomia. Initial presentation and consultation at our hospital Dr SM Balaji, facial asymmetry surgeon, examined the patient and ordered for comprehensive imaging studies. The patient had a noticeable scar on his right cheek from the lateral facial cleft correction. There was also a gross facial asymmetry on the right side. The patient also had an occlusal cant due to his mandibular deformity. A 3D CT scan revealed a deformed right mandible with a hypoplastic ramus. It was explained that he needed to undergo mandibular ramus distraction osteogenesis surgery. This would be on the right side and would correct his facial asymmetry. A Le Fort I maxillary osteotomy was also planned for correction of the asymmetry and the occlusal cant. Facial symmetry is established when it is used for correction of asymmetrical mandible. Clinical application of distraction osteogenesis covers the entire skeleton. It is used for limb lengthening in case of limb length discrepancy. This is very safe and the resulting bone structure is both stable and strong. Soft tissue molding also happens concurrent with the bone lengthening. Bone grafts are unnecessary for this procedure. Successful surgical correction of hemifacial microsomia deformity Under general anesthesia, an incision was first made in the right submandibular region. Dissection was done up to the right mandibular ramus. This was followed by horizontal bone cuts to the outer cortex following which the mandibular ramus distractor was fixed using titanium screws. The inner cortex was then separated. Extreme care was taken to protect the inferior alveolar nerve throughout the procedure. Following this, a sulcular incision was made in the maxilla followed by a Le Fort I osteotomy. The maxilla was then mobilized. Hemostasis was achieved and closure was done using resorbable sutures. Interarch wiring was then done to stabilize the surgical site. Postsurgical phase of the treatment A latency period of about six to seven days was allowed after surgery for stabilization of the surgical site. Following the latency period, activation of the distractor was begun. This was by 1 mm every day for a period of 25 days to achieve a total mandibular advancement of 25 mm on the right side. Distraction was stopped after this period. A period of two more weeks were allowed before fixation of a straight plate to the left posterior maxilla to prevent further downward movement. Successful completion and rehabilitation of the patient After a period of about four months, radiographs were obtained to evaluate the site of distraction. This revealed complete consolidation of the bone with a reformation of a patent inferior alveolar nerve canal. The patient was extremely happy with the esthetic results of the surgery. He had a symmetrical face as well as normal occlusion with stabilization of the occlusal cant. Surgery Video width="560" height="315" frameborder="0" allowfullscreen="allowfullscreen">

October 9th, 2019 11:33 am October 9, 2019

smbalajiSurgery 331

Segmental Osteotomy for Rapid Palatal Expansion and Closed Rhinoplasty

Patient with cleft lip and palate deformity undergoes surgery The patient is a 20-year-old female from Udupi in Karnataka, India. She was born with a unilateral cleft lip and palate defect. Her parents had been extensively counseled at the time of her birth. The surgical schedule of cleft repair was explained to them. The deformity involved both bone and cartilage as well as skin and tissue. She had subsequently undergone cleft lip surgery at 3 months of age. This had been followed by cleft palate surgery at 9 months of age. Cleft alveolus surgery was at 4 years of age. All these surgeries had been performed at our hospital. She had also undergone bone grafting at the site of the alveolar cleft. Increasing concern from the facial deformity As the patient grew up, her nasal deformity gradually increased. There was also inadequate development of the left maxilla. Her midface region had a depressed appearance. This resulted in a worsening facial asymmetry. Cleft lip and palate is the most commonly occurring of all birth defects. The patient had always faced a degree of bullying while in school. She had also become very self conscious of her appearance and had become withdrawn. Her parents had always been very worried about her and desired to do something to correct her facial deformity. They brought her again to our hospital for initial consultation and further management. Our hospital is a premier center for facial deformity surgery in India. Nose jobs are routinely performed at our hospital. Plastic surgeons also specialize in such surgeries. Initial presentation at our hospital for surgical correction Dr SM Balaji, facial deformity surgeon, examined the patient. He ordered extensive imaging studies for the patient. The patient expressed the opinion that her nose was ugly. She said that this made her feel very self conscious and made her withdraw from social contact. Her desire was to have a symmetrical nose with a prominent tip. She also complained of malaligned teeth in left back upper jaw region. Findings upon examination of the patient Examination revealed a repaired cleft lip and cleft palate on the left side. The left side of the nose was depressed along with a smaller nostril. She also complained of snoring during sleep. The left maxillary bone was also underdeveloped and constricted. Treatment planning for surgical correction It was explained to the patient and her parents that she would need orthodontic treatment before and after surgery. This would involve a period of six months of fixed orthodontic treatment before surgery. Surgical treatment would comprise of a segmental Le Fort I osteotomy of the left maxillary bone for correction of the posterior crossbite. This would enable maxillary correction through rapid palatal expansion in the postsurgical period. It was also planned to obtain a costochondral graft for cosmetic rhinoplasty of her depressed nose. The treatment plan was explained to the patient and her parents in detail. They expressed complete understanding of the treatment process and gave their consent to undergo facial asymmetry surgery for correction of the patient’s facial deformity. Successful surgical correction of the patient’s complaints Under general anesthesia, an incision was made in the right inframammary region and a costochondral cartilage graft was harvested. A Valsalva maneuver was then performed to rule out any perforation into the thoracic cavity. The incision was then closed in layers using sutures. This was followed by the maxillary osteotomy. An incision was made intraorally and a flap was raised to expose the underdeveloped maxilla. Segmental Le Fort I osteotomy cuts was then made and the maxillary segment mobilized. The vertical cut was made through the previously placed bone graft anteriorly. Cosmetic rhinoplasty was performed next. A transcartilagenous incision was first made in the right nostril. Dissection was then performed and the nasal dorsum was augmented using the costochondral graft. A tip graft was also placed followed by a strut graft to elevate the left nostril. Total patient satisfaction at the outcome of the surgery The patient and her parents were very happy with the results of the surgery. Her nose now appeared normal and there was better symmetry of the two halves of the face. It was explained that there would be even greater improvement following rapid palatal expander treatment. The change in her personality was immediate. She expressed that she would now face life with renewed confidence as a result of the surgery. Surgery Video width="560" height="315" frameborder="0" allowfullscreen="allowfullscreen">

October 6th, 2019 01:50 pm October 6, 2019

smbalajiSurgery 331

Maxillary reconstruction surgery for cleft palate

Patient born with cleft lip and palate The patient is an 18-year-old male from Erode in Tamil Nadu, India. He had been born with a left-sided cleft lip and cleft palate deformity. There was a hole in the roof of the mouth from the cleft palate deformity. Cleft lip and palate deformity does not lead to an open bite. Psychological counseling was provided for his parents on how to care for a baby with cleft lip and palate. They were also educated on the challenges that the child would face at every stage in life. It was explained that he needed the services of a good cleft team.. He was referred to our hospital for treatment. As advised by Dr SM Balaji, the patient had undergone cleft lip surgery at 3 months of age. This had been followed by cleft palate surgery at 9 months of age. He also underwent cleft alveolus surgery at 7 years of age. This was to unite the split in the maxillary bone with a bone graft. Gradual development of midfacial deformity As the patient grew up, his parents began to develop a noticeable facial deformity. His upper jaw demonstrated deficient growth and soon became retruded in relation to the rest of his face. The lip and nose were a part of the facial deformity. He also developed a cross bite of his anterior teeth due to the backward positioning of his upper jaw. This led to difficulties with speech and eating. The patient also experienced bullying at school. This was making the patient combative and belligerent. Initial presentation and treatment planning at our hospital His worried parents approached our hospital again. Dr SM Balaji, jaw reconstruction surgeon, examined the patient and obtained a detailed oral history. He then ordered comprehensive imaging studies for the patient. After studying the case, he explained to the patient that he had maxillary hyperplasia. It was explained to the patient that he would need orthodontic treatment. This would help correct the malaligned teeth. Orthodontic treatment would be followed by forward positioning of the maxilla through a Le Fort I osteotomy. The patient and his parents expressed understanding of the treatment plan and consented to surgery. Our hospital is a premier center for orthognathic surgery in India. Jaw advancement surgery and jaw reduction surgery are performed routinely at our hospital. Scores of patients who had undergone jaw deformity correction at our hospital are leading completely normal lives now. Many of them had undergone complex jaw reconstruction surgery at our hospital. Maxillary hypoplasia explained in detail This condition is the underdevelopment of the maxillary bones, which produces midfacial retrusion and creates the illusion of protuberance of the lower jaw. This is a very common finding in patients with cleft lip and palate deformity. Plastic surgeons do not perform bony jaw corrections. It is also seen in Crouzon syndrome, Angelman syndrome and fetal alcohol syndrome as well as many other syndromes. Traumatic extraction of anterior teeth with resultant bone loss can also lead to this condition Successful surgical correction of the maxillary hypoplasia Under general anesthesia, a sulcular incision was placed in the maxilla. A mucoperiosteal flap was then elevated. This was followed by Le Fort I bone cuts with separation of the maxillary bone. The maxillary segment was then pulled forwards, occlusion was checked and the maxilla was stabilized and fixed using titanium plates and screws. Flap closure was then done using resorbable sutures. Complete patient satisfaction at surgical results The patient and his parents were completely satisfied with the results of the surgery. His maxilla had been brought forward with establishment of a pleasing facial profile. The patient was extremely happy with the outcome of the surgery and expressed the same to the surgical team. He said that this was a life changing event in his life. His parents expressed that the patient had become self confident as a result of this surgery. Surgery Video width="560" height="315" frameborder="0" allowfullscreen="allowfullscreen">

Dr Stefan Ihde visits Balaji Dental and Craniofacial Hospital

Cosmetic Rhinoplasty with Rib Graft for Nasal Deformity Correction

His Excellency Jean-Paul Adam, Minister of Health, Republic of Seychelles visits Balaji Dental and Craniofacial Hospital

Infected Mobile Teeth Replaced With Dental Implants

Honorable Health Minister of the Maldives, His Excellency Abdulla Ameen invited as Chief Guest

Dr SM Balaji invited to the University of California, San Francisco Dental School

Dr Vitomir Konstantinovic visits Balaji Dental and Craniofacial Hospital, Chennai

Facial Asymmetry Surgery for Hemifacial Microsomia with Mandibular Distraction

Segmental Osteotomy for Rapid Palatal Expansion and Closed Rhinoplasty

Maxillary reconstruction surgery for cleft palate

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About Us

International Patients

Maxillofacial Surgery

Cosmetic Surgery

Craniofacial Surgery

Syndrome Management

Dental Procedures

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About Us

International Patients

Maxillofacial Surgery

Cosmetic Surgery

Craniofacial Surgery

Syndrome Management

Dental Procedures

Enquiry / Appointment

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