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Who is a good candidate for corrective jaw surgery?


Posted on 4/25/2022 by Pacific Oral and Facial Surgery Center
Who is a good candidate for corrective jaw surgery?Healthcare professionals follow some guidelines that help them easily manage maxillofacial surgery patients. This management depends on the scope of the individual candidate's situation and whether the candidate experiences complications during the surgery. 

Management of complications


During the surgery, the patient needs to be relaxed and sedated. Sometimes, patients feel anxious and might resist the operation; for example, tooth extraction makes the operation difficult. The oral surgeon must also ensure the patient is completely sedated to avoid pain and discomfort during the surgery. 
In some cases, the patient might develop over hemorrhage if the surgeon accidentally injures a major blood vessel. In this case, the surgical team must be on standby and ready to stop the bleeding. Other complications are bone fracture and failure to reach anesthesia, which could be monitored and addressed using dental devices. 

Management of patients in oral surgery


While in the operation room, the patient's pulse, heart rate and cardiac rhythm are monitored to ensure a normally functioning heart and avoid cardiac depression. The patient's blood pressure, at a minimum, is taken before and after anesthesia is administered. Routine and interval blood pressure tests are conducted to ensure the patient is not at risk of anesthesia complications related to changes in blood pressure. These should be carried out even in low-risk patients and, most particularly, when there is concern on hypertension in patients or a change in cardiac rhythm mid-operation.

The patient's respiration should also be measured at intervals to ensure the operation team is alerted to any changes in respiration that could prove to be life-threatening. A precordial stethoscope placed on the patient's chest is used to monitor respiration, especially for high-risk patients, such as obese patients.

Surgical personnel should be equipped before the surgery with all the equipment and emergency equipment needed to ensure a smooth operation. Sometimes, the equipment could be damaged midway and unpreparedness, or lack of emergency tools might endanger the patient.
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Board certified in Oral & Maxillofacial surgery
The surgical specialty of oral and maxillofacial surgery requires up to six additional years of hospital based surgical and anesthesia training beyond dental school.
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