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Oral & Maxillofacial Surgery

What is Oral & Maxillofacial Surgery?

Oral and maxillofacial surgery is specialist care for conditions affecting the mouth, teeth, jaws, face and neck. It combines medical, dental and surgical expertise to diagnose and treat problems ranging from impacted teeth and dental implant needs to jaw disorders, facial injuries and tumours.

Oral and maxillofacial surgeons have specialist training in conditions that cross dentistry and medicine. A consultation may include an examination and imaging, followed by a personalised discussion of suitable non-surgical or surgical options, expected recovery, benefits and risks.

Oral and maxillofacial surgery includes tooth extraction, dental and facial implants, corrective jaw surgery, temporomandibular joint (TMJ) surgery, facial trauma and reconstruction, salivary gland disease, oral cancer, facial skin cancer, and cysts or tumours of the jaw. 

Oral & Maxillofacial Surgery Subspecialties

Dentoalveolar Surgery (Tooth Extraction)

Dentoalveolar surgery treats problems involving teeth and the surrounding jawbone. It may include removal of impacted or difficult teeth, including wisdom teeth, and other surgical dental procedures. Your surgeon will explain the recommended anaesthetic approach, expected recovery and risks for your individual case.

Dental and Facial Implants

Dental implants can replace missing teeth by providing a foundation for a crown, bridge or denture. Facial implants, including custom-made implants, may be used to restore facial contour or support a facial prosthesis following injury, cancer surgery or congenital conditions. Treatment planning may involve clinical examination and imaging; some patients may also need bone grafting before or at the time of implant placement.

Orthognathic Surgery (Corrective Jaw Surgery)

Orthognathic surgery repositions the upper jaw, lower jaw or both jaws when orthodontic treatment alone cannot correct the bite or jaw relationship. Treatment is usually planned jointly with an orthodontist and may improve chewing, speech, breathing, facial balance and comfort.

Temporomandibular Joint (TMJ) Surgery

The temporomandibular joints connect the lower jaw to the skull. Assessment may be appropriate for persistent jaw pain, locking, restricted opening or structural joint disease. Many TMJ disorders are managed without surgery; where symptoms and findings justify it, surgical options may be discussed.

Salivary Gland Disease and Surgery

Salivary gland conditions, including stones, recurrent infection and benign or cancerous tumours, may cause pain, swelling or a lump. Specialist assessment helps identify the cause and may involve imaging or biopsy. Treatment depends on the diagnosis and can include monitoring, minimally invasive care or surgery.

Mouth, Jaw and Facial Tumours

Oral and maxillofacial surgeons assess and treat oral cancer, jaw cysts and tumours, and selected skin cancers of the lips and face. Assessment may involve imaging or biopsy. Treatment can include monitoring, surgical removal or reconstruction, with input from other head and neck specialists where appropriate.

Frequently Asked Questions

What can I expect at my appointment?

Your specialist will ask about your symptoms, health history, medicines and previous treatment, then examine the affected area. Imaging or biopsy may be recommended when needed. You will receive an explanation of the findings and treatment options, including whether non-surgical care, monitoring or surgery is appropriate.

What does an oral and maxillofacial surgeon treat?

An oral and maxillofacial surgeon diagnoses and treats conditions affecting the mouth, teeth, jaws, face and neck. This may include impacted teeth, dental implants, jaw misalignment, TMJ disorders, facial trauma, salivary gland disease, oral cancer, facial skin cancer, and cysts or tumours of the jaw.

Do I need a referral to see an oral and maxillofacial surgeon?

You can self-refer, or be referred by your dentist, orthodontist, GP or another specialist. Some insurers require a referral for cover, so check with your insurer before booking.

When should wisdom teeth be removed?

Wisdom teeth may need assessment when they cause pain, infection, swelling, decay, damage to a neighbouring tooth or other problems. Removal is not automatically required for every wisdom tooth. A specialist can review your symptoms and imaging and explain the benefits and risks of treatment or monitoring.

What is the difference between an oral surgeon and a maxillofacial surgeon?

Oral and maxillofacial surgery is a recognised specialist field covering diseases, injuries and defects of the mouth, jaws and associated facial structures. In Australia and New Zealand, oral and maxillofacial surgeons commonly hold qualifications in both medicine and dentistry alongside specialist surgical training.

What happens during a dental implant consultation?

Your specialist will assess your mouth, gums, bite, health history and available jawbone. Imaging may be needed to plan the implant position and identify nearby structures. The consultation covers treatment stages, alternatives, healing time, costs, risks and whether bone grafting may be required.

What is corrective jaw surgery?

Corrective jaw surgery, also called orthognathic surgery, repositions the upper jaw, lower jaw or both jaws. It may be considered when the jaws do not align properly and orthodontic treatment alone cannot correct the underlying relationship. Planning usually involves both a surgeon and an orthodontist.

Can TMJ problems be treated without surgery?

Yes. Many TMJ disorders are managed without surgery. Treatment depends on the diagnosis and may include self-care, medicines, a dental splint or other therapies. Surgery is generally considered for selected patients with persistent symptoms and structural joint problems after specialist assessment.

How long does recovery take after oral or maxillofacial surgery?

Recovery varies widely by procedure and individual health. A tooth extraction may involve a shorter recovery than implant, jaw or reconstructive surgery. Your surgeon will provide procedure-specific instructions covering pain relief, swelling, eating, oral hygiene, activity, medicines and follow-up.

What can I eat after oral surgery?

Follow the instructions provided for your procedure. Soft foods and adequate fluids are commonly recommended at first, while very hot, hard or sharp foods may need to be avoided. Take care while your mouth is numb and return to your usual diet only as advised.

When should I contact my surgical team after surgery?

Contact your surgical team for bleeding that does not settle, worsening swelling or pain, fever, wound discharge, persistent vomiting, new or increasing numbness, or any concern about healing. Seek urgent care for difficulty breathing or swallowing, chest pain or another medical emergency.

Meet our team

Our Oral & Maxillofacial specialists

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Rajan Patel

Head & Neck Surgery, Otolaryngology, Ear, Nose & Throat, Oral & Maxillofacial Surgery
Areas of expertise:
Head, Neck and Thyroid Surgery, Head and Neck Cancer, Plastic and Reconstructive Surgery
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Kevin Smith

Head & Neck Surgery, Otolaryngology, Ear, Nose & Throat
Areas of expertise:
Head, Neck and Thyroid Surgery, Head and Neck Cancer, Salivary Gland Surgery, Thyroid and Parathyroid Surgery
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Muammar Abu-Serriah

Head & Neck Surgery, Oral & Maxillofacial Surgery
Areas of expertise:
Consultant Surgeon in Head and Neck Cancer, Melanoma, Orthognathic Surgery, Salivary Gland Surgery, Facial Trauma, TMJ Surgery, Dentoalveolar & Dental Implants, Cystic Lesions of the Jaw, Facial Plastic Surgery
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Craig McCaffer

Otolaryngology, Ear, Nose & Throat, Oral & Maxillofacial Surgery
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