Introduction

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 Stomatology

Basic science Clinical science

Oral anatomy Oral pathology

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 Clinical subjects of stomatology

Clinical stomatology

Oral medicine Oral surgery

Prosthodontics Orthodontics

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 Definition
n Oral and maxillofacial surgery (OMS)
is surgery to treat many diseases, injuries
and defects in the head, neck, face, jaws and
the hard and soft tissues of the oral and
maxillofacial region.
n It is an internationally recognized surgical
specialty. In some countries, including the
United States, it is a recognized specialty of
dentistry; in others, including the UK, it is
recognized as a medical specialty.

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 The History of OMS
Cinical medicine Surgery dentistry

oral and maxillofacial Oral surgery

surgery
OMS is an important component of dentistry and a branch
of surgery
(口腔医学的重要组成部分，也是外科学的分支之一）

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 Medical science （surgery ）

Dentistry
Fauchard. P. 1678-1761

（dental surgery section）

（dental surgeon）

(doctor of dental surgery, D.D.S )

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 Fauchard. P. 1678-1761

Father of modern dentistry

French physician

“The Surgeon Dentist”,1728

The first book on dentistry

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 The Contributions of OMS
n The 3rd century AD, ‘Internal Classic’ : Oral Physiology and
Pathology
n In the Western Jin Dynasty (265-316 AD): the world's first cleft
lip surgery was performed, recorded 'cleft craft' by Millard
n During the Tang Dynasty (652-665 AD): abscess incision, joint
reduction, Acupuncture n for pain relief and treatment of facial
paralysis
n Song Dynasty (960-1279): dental replantation surgery
n Greece Hippocartes (4th century AD): fracture, tooth extraction
n Persian Rages (850-923 AD): arsenic assisted tooth extraction
n Arabic Abulcasis (1050-1122): designed dental surgical
instruments
n Americans: laughing gas, ether anesthesia

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 Nitrous oxide anesthesia 笑气麻醉

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 乙醚麻醉 Ether anesthesia
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 Category of OMS-diseases

n Alveolarsurgery；
n Trauma；
n Tumor；
n Malformation；
n Inflammation;

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Scope of OMS study

n oral organs (teeth、alveolar bone、lip、

cheek、tongue、palate、pharynx)
n soft tissue in the face
n maxillofacial bone（maxillary bone、
zygomatic bone）
n temporomandibular joint, TMJ
n salivary gland
n Some disease in the neck
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 Oral organs

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 Teeth and alveolar bone

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 Maxillofacial bone

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 Soft tissue in the face

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 Trigeminal nerve Facial nerve

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 salivary gland

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Temporomandibular joint

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 Neck

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 Contents of OMS textbook
1、Anesthesia
2、Teeth & alveolar bone surgery
3、Oral implant surgery
4、Infection
5、Trauma
6、 Salivary glands disease
7、Temporalmandibular joint disorder (TMD)
8、Tumour
9、 Neuro disease
10、Malformation - congenital
11、Malformation/Deformity - acquired
12、Orthognathic surgery

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 Prevention and cure of disease of oral
organs

n tooth extraction 牙拔除术

n tooth replantation 牙再植术
n implantation of tooth 牙种植术
n alveoloplasty 牙槽骨修整术
n alveolar process heightening 牙槽骨增高术
n treatment of cleft lip and palate 唇腭裂整形术
n lingual frenum plasty 舌系带延长术

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 n panoramic radiograph

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Tooth extraction

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 Tooth replantation

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 Implantation of tooth

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Teeth replacement with implants

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 Oral maxillofacial infection

n pericoronitis of the wisdom tooth

n Fascal space infection
n Osteomyelitis
n Lymphnoditis

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Abscess
incision for drainage

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 Oral maxillofacial injury

n first aid principle

n soft tissue injury
n jaw fracture

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 Malar fracture

Three dimensional reconstruction of CT

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 Panoramic tomography
曲面体层摄影片

lower jaw fracture

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 Tumor of Oral maxillofacial region

n Treatment principle
n cyst
n benign tumor
n malignant tumor

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 Dentigerous cyst

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 Fibroma on frenum of tongue

淋巴瘤 lymphoma Paradentoma 牙龈瘤

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 Disease of salivary gland
n inflammation
n injury
n tumor

粘液表皮样癌 mucoepidermoid carcinoma

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 Nerve disease of maxillofacial region

n trigeminal neuralgia
n 三叉神经痛

n facial paralysis
n 面神经麻痹

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 Temporomandibular joint disease
n Disorders of TMJ
n Temporomandibular joint dislocation
n Ankylosis of temporomandibular joint

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 Deformity plasty
n jaw deformity—
orthognathic surgery
n soft tissue deformity—
reconstructive surgery

People have congenital or acquire defects in the maxillofacial

area after traumatic injuries or pathological conditions. We work
with prevention in this region and also to develop methods to
improve survival, achieve oral function and cosmetics.
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 Orthognathic surgery

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 Scar plasty

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 Sinus tract resection

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 Nose reconstruction

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 Cleft palate 腭裂 Cleft lip 唇裂

congenital developmental malformation

先天性发育畸形

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 oral and maxillofacial surgeon
n An oral and maxillofacial surgeon is a regional
specialist treating the entire craniomaxillofacial
complex: anatomical area of
the mouth, jaws, face, skull, as well as associated
structures.
n Maxillofacial surgeons may require training
in dentistry, surgery, and general medicine .
n All oral and maxillofacial surgeons must obtain a
university degree in dentistry before beginning
residency training in oral and maxillofacial surgery.

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 Further training for OMS surgeon
n They also may choose to undergo further training in
a 1 or 2 year subspecialty Oral and Maxillofacial
Surgery Fellowship Training in the following areas:
n Head and neck cancer – microvascular
reconstruction
n Cosmetic facial surgery
n Craniofacial surgery/Pediatric Maxillofacial
surgery/Cleft Surgery
n Cranio-maxillofacial trauma
n Head and neck reconstruction (plastic surgery of the
head and neck region)
n Maxillofacial regeneration (reformation of the facial
region by advanced stem cell technique)
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 Key points for learning OMS

1、Part vs Whole--Body

2、Phenomenon vs Essence
Clinical symptoms and signs

3、Theory vs Practice

4、Principle vs Flexibility

5、Inheritance vs Innovation

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 Basic quality of OMS surgeon
n Sense of patient care：
Faith, Hope, Love
n Aseptic concept
n Concept of wholism
n Team concept

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 目标
Train objective
学术型医师 academic doctor
Stable psychological
quality
Lion’s heart

Sharp perception and Eagle’s eyes

insight

Strong hands-on Lady’s hands

operation ability

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 The future of OMS

n The era of molecular biology

- Stem Cell and Gene Research
n Transformation of treatment methods

- team approach（协作组）
- multidisciplinary（多学科）
- comprehensive and sequential treatment
（综合序列治疗）

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 The development trends of OMS

Transformation of treatment goals:

cure rate ，survival rate quality of life
The transformation of treatment mode:
pure biological psychologicalpsychosomatic medicine
Preventive
Development of geriatrics (4P) predictive
Development of biomedical engineering: personalized
artificial materials and organs participatory
High tech applications: minimally invasive surgery, digital
surgery, personalized treatment

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 Departments of OMS
Outpatient Inpatient
department department
• Alveolar surgery • Trauma
• Pain center • Tumour
• TMD center • Orthognathic
surgery
• Cleft of lip and
palate

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 Lab. Molecular Bio
Lab. Digital surgery
Research
Lab. Clinical training
Plastic surgery
Laser
Vascular disease
Departments

Salivary glands
3rd
Tumour

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Trauma
2nd
cleft
Respiratory sleep
disorders therapy
1st inp. area
Ortho surgery
Trigeminal N pain
Clinic
Alveolar

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 Departments

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