Oral cancer and oral tumors It is considered a common disease and is another life-threatening disease. There are risk factors for everyday behaviors for some people. Occurs in more men than women And it is more common in people aged 40 years and over.
The incidence of oral cancer was 5.54 per 100,000 population.and the tendency of oral diseases did not decrease. only increased Surgical treatment is still the main treatment. But the procedure is complicated and cumbersome. To get a good face and teeth
as well as “Face and Jaws” It is a complex structure to maintain because besides it consists of a structure that should have beautiful symmetry. but also the occlusion system and good occlusal that enable human beings to live with a good quality of life
Faculty of Dentistry Mahidol University by the Department of Oral and Maxillofacial Surgery Had surgery for oral tumors and reconstructed jaws by using fibula and blood vessels together with implant-retained dentures for the first time in Thailand. This is a comprehensive upgrade for jaw restoration from the beginning.
jawbone removal surgery Continuing to use the computer system to plan 3D in bringing the fibula bone to restore the oral cavity. which has greatly reduced the duration of treatment The treatment effect is accurate. Improve the quality of life for patients This is another important step for Thailand to upgrade the face and jaw restoration surgery to be faster and safer.
- First time in Thailand new jaw surgery with dentures
Asst. Prof. Dr. Yuthasak Kriangcherdsak (Yutthasak Kriangcherdsak), Head of Department of Oral and Maxillofacial Surgery Said that the department has a vision to develop care for patients with repetitive deformities of the jaw. because of the present Most of the medical treatments have been developed using 3D technology. 3D planning program to help increase capacity in treating patients, reducing the length of time in the operating room and the maximum benefit to the patient
Asst. Prof. Dr. Boworn Klongnoi, M.D., Project Leader and team of doctors, Department of Oral and Maxillofacial Surgery Faculty of Dentistry Mahidol University “Giving the fibula and veins for jaw restoration is a long-term procedure to restore oral lesions that require amputation. It was first used more than 20 years ago.
Thailand began to bring the fibula bone to restore the jaw. In the past 10 years, however, there has never been a single time that jawbone restoration has been able to complete the restoration of a patient’s teeth within a single treatment.This surgery is considered to raise the standard of jaw restoration to a higher level. to improve the quality of life of patients If there is no treatment, restoration and dentures done in the operating room, it may take at least 1-2 years to receive dentures. With the complexity of treatment, the patient may lose his teeth permanently.
- holistic patient care plan
Dr. Kanin Arunakul, a medical doctor Mentioned how he felt about starting a treatment plan for this patient for the first time. Because this patient Age is 20 years old, healthy body. Therefore, I would like to plan to restore jaws and occlusal teeth to be as close as possible.
The goal is to allow the patient to return to chew food. and can live a normal life as usual quickly for the mental state and good quality of life of the patient This requires expertise and holistic planning from multiple disciplines and digital planning assistance.
Let’s develop surgery to be accurate so that all treatments can be accomplished in one step. Or call this type of surgery “Jaw in a Day” and he still believes in the surgical team and the dental team. therefore decided to choose this treatment plan which is the best choice that doctors can make for their patients.
- 3D program to simulate orthognathic surgery
Dr. Warutta Kasemsarn, a professor who has experience in using 3D technology to plan treatments in oral and maxillofacial surgery. discussed the surgical planning process starting from the face examination Three-dimensional X-ray of the skull The use of oral scanning technology to bring all the information to be planned in a 3D program to simulate oral surgery around the lesion area. and using a 3D X-ray of the fibula to replace
by planning in the program to achieve accuracy and shorten the trimming time in the operating room In this regard, a pilot model of jawbone surgery has been established. and a pilot cut of the fibula (surgical guide) to fit together
When the lesion of the jawbone is removed, the fibula is positioned in line with the implant and denture. to be able to immediately restore the patient’s occlusal teeth in the operating room By doing this method requires knowledge, collaboration and 3D programming technology.
There will be a printout of a surgical guide, a 3D model of the jaw. and individual bone fixings Restoration by such methods in foreign countries has been introduced in the last 5 years, in Thailand it has been around in the last few years, which is a challenge and could be a new standard of leg restoration. scissors
- surgery on this patient Create a new standard for jaw restoration
Dr. Sukkarn Themkumkwun, one of the surgical team of dentistsSaid that the first success of Thailand this time is due to the intention to provide patients with the best treatment.
Although more difficult to plan, having to do the planning by the 3D program beforehand can significantly reduce the time of surgery. which affects the success of treatment This is because the bone and blood vessels from the legs are connected to the veins in the neck.
If the surgery takes too long, the implanted tissue may not survive. In addition to the surgical team, there is also a team of faculty members from the department. The in-house dentist and the personnel who help support the treatment start from planning surgery, surgery, taking good care of patients after surgery. thus making the treatment successful and is an important upgrade for Thailand
This inpatient surgery has also set the standard and is one of the best examples of successful facial and jaw surgery. It shows that the medical team of Thailand There is no less potential than other countries.
The success of jaw reconstruction surgery using fibula and arterial extension in combination with implant-based dentures. For the first time in Thailand this time from the synergy of doctors, dentists
- Faculty of Dentistry Mahidol provides comprehensive patient care
Assoc. Prof. Dr. Dr. T.T. Sirichai Kiatthavorncharoen (Sirichai Kiattavorncharoen) Dean of the Faculty of Dentistry said the Faculty of Dentistry Mahidol University will be a holistic treatment which surgery and care for patients with abnormalities of the face and jaw especially surgery for cancer and oral tumors. Doctors and dentists have been sent to study specialized. both at home and abroad in order to increase the capacity for more complicated and complicated surgeries
Currently, there is a specialized surgical team. which can provide holistic treatment and can provide treatment from surgery to restoration of occlusion as well
by personnel of the dental hospital Faculty of Dentistry Mahidol University It is able to provide holistic oral care to patients and plans to develop into an Excellence Center for oncology and oral cancer surgery in the near future.
Asst. Prof. Dr. Surakit Visuttiwattanakorn, Director of Dental Hospital, Faculty of Dentistry Mahidol University mention dental hospital Faculty of Dentistry Mahidol University Emphasis on quality service according to professional standards and respect the rights ofpatient everyone and provide equal service
Support to develop the potential of personnel, tools, modern dental equipment and modern medical technology. according to the criteria for improving the quality of HA, as well as creating health knowledge for service users and the public
The surgical team of the Faculty of Dentistry It has been developing, learning and treating complex patients for a long time.
