Oral and Maxillofacial Surgery in Kukatpally – Expert Surgical Care
Introduction
Oral and maxillofacial surgery is the surgical branch of dentistry that deals with more than just teeth. This specialty treats problems of the mouth, jaws, face and neck and can range from simple tooth extractions to complex jaw reconstruction. Maxillofacial surgeons are qualified dentists who have completed additional hospital‑based surgical training. They perform procedures such as wisdom tooth removal, bone grafting, jaw realignment and treatment of facial injuries
You may need an oral surgeon when a routine dental issue becomes complicated, such as a tooth that breaks at the gum line, a wisdom tooth stuck in the jaw, or when jaw alignment causes chronic pain. At VR Dental in Kukatpally, our board‑certified surgeon brings years of experience and advanced training in facial surgery. We use 3D imaging to plan procedures, modern instruments for precise surgery and strict sterilization protocols to keep you safe. Our clinic is designed with a dedicated operating room, recovery space and emergency equipment so most surgical care can be provided under one roof.
Our Oral Surgery Services
Wisdom Teeth Removal (Third Molar Extraction)
Wisdom teeth are the last molars to appear and often do not have enough space to grow properly. When they cannot erupt fully, they may stay buried in bone or under gum tissue. Impacted wisdom teeth can cause pain, swelling and infection. They may damage nearby teeth, contribute to crowding and even lead to cyst formation. Our surgeon removes impacted teeth before their roots fully develop—usually in the late teens or early twenties—to avoid problems later.
Types of impaction can include soft‑tissue impaction (partial eruption through the gum), partial bony impaction (some bone covers the crown), complete bony impaction (fully buried) and horizontal impaction where the tooth lies sideways.
Our approach: a cone‑beam CT scan (CBCT) shows the exact position of each tooth so we can plan removal safely. We offer local anesthesia, nitrous oxide for light relaxation or intravenous sedation for a sleep‑like experience. Most extractions take 30–60 minutes and you can go home the same day. Simple extractions range from ₹3,000 – ₹4,000 per tooth, while surgical removal of deeply impacted teeth may cost ₹5,000 – ₹8,000. Sedation adds ₹5,000 – ₹10,000 depending on the type chosen.
Tooth Extractions (Simple & Surgical)
Not every tooth can be saved. Severe decay, advanced gum disease, infection, trauma or orthodontic crowding sometimes require extraction. Simple extractions remove teeth visible above the gum using forceps and local anesthesia. These procedures are quick and cost ₹1,000 – ₹2,500 per tooth. Surgical extractions are needed when a tooth breaks at gum level, is impacted or has curved roots. The surgeon makes a small incision, may remove a bit of bone and splits the tooth into sections. Surgical removal costs ₹3,000 – ₹6,000.
We focus on painless extraction using modern instruments and sedation when needed. Socket preservation techniques can place graft material in the empty socket so you can consider an implant later. Temporary teeth can be fitted the same day so you don’t leave with a gap.
Impacted Canine Exposure
Sometimes the permanent canine tooth does not erupt and remains trapped in bone or gum tissue. This impacted canine needs to be guided into its proper position for a stable bite. Using a 3D scan, our surgeon locates the tooth and creates a small window in the gum and bone. A tiny orthodontic bracket and chain are attached to the tooth so your orthodontist can gently pull it into place. The surgery takes about an hour; the tooth may take six to twelve months to fully erupt once traction begins. Costs typically range from ₹8,000 – ₹15,000. This procedure is often coordinated with orthodontic treatment.
Jaw (Orthognathic) Surgery
Jaw surgery corrects skeletal problems that braces alone cannot solve. If you have a severe underbite, overbite, open bite, facial asymmetry or breathing issues related to jaw position, orthognathic surgery may be recommended.
Upper jaw surgery moves a recessed upper jaw forward, closes an open bite, lengthens a short face or widens a narrow palate. Lower jaw surgery (bilateral sagittal split osteotomy) brings a lower jaw forward or backward and corrects asymmetry. Chin surgery (genioplasty) adjusts chin position for a balanced profile and is often combined with other jaw procedures.
Patients usually undergo orthodontic treatment for 12–24 months to align the teeth before surgery. The surgery is performed in a hospital under general anesthesia and lasts two to four hours. Most patients stay in hospital for one to two nights. Recovery takes about six weeks, followed by another six months of orthodontics. Jaw surgery costs range from ₹1,50,000 – ₹4,00,000 depending on complexity. Benefits include improved bite, enhanced facial appearance, easier breathing, reduced TMJ pain and better sleep.
TMJ (Temporomandibular Joint) Surgery
When conservative care such as splints, physiotherapy and medication does not relieve severe jaw joint problems, surgery may be necessary. TMJ surgery is reserved for cases with locking, structural damage, disc displacement or arthritis.
Minimal procedures include arthrocentesis, where the joint is flushed with sterile fluid to remove inflammation. Arthroscopy uses a tiny camera and instruments inserted into the joint to reposition the disc or remove debris. Open joint surgery allows direct repair of damaged structures. In the most severe cases, total joint replacement with a prosthesis may be needed. Our surgeon will assess your joint and recommend the least invasive option. TMJ surgery costs vary widely from ₹50,000 – ₹2,50,000 based on the procedure.
Bone Grafting
If you’ve lost teeth or had gum disease, the jaw bone may shrink and leave too little bone to support an implant. Bone grafting rebuilds this foundation. Types include socket preservation, placing graft material in the extraction site immediately after tooth removal; ridge augmentation, adding width or height to a thin ridge; sinus lift, adding bone beneath the sinus floor to support implants in the upper back jaw; and block bone grafts for severe defects. Graft materials can come from your own body (autograft), donated human bone (allograft), animal bone (xenograft) or synthetic materials. Small socket grafts usually heal in about 4–6 months before implants can be placed. Larger ridge grafts may take 4–9 months. Bone grafting costs typically range from ₹10,000 – ₹40,000.
Sinus Lift Surgery
Implants in the upper molar area sometimes require extra bone because the maxillary sinus is too close to the jaw. A sinus lift gently raises the sinus membrane and places bone graft material underneath. There are two methods: the lateral window approach, which accesses the sinus from the side, and the crestal approach, which is less invasive and done from the top of the ridge. Healing takes four to six months before implants can be inserted. Sinus lifts have a high success rate of over 95 per cent and cost ₹20,000 – ₹40,000.
Facial Trauma Surgery
Facial injuries from accidents, falls or sports can fracture jaws, cheekbones, eye sockets or cause deep cuts. Prompt surgical repair restores function and appearance. Our team provides 24/7 emergency care for broken jaws, fractured cheekbones and orbital bones, knocked‑out teeth and facial lacerations. We use CT scans to assess injuries and titanium plates and screws to fix fractures. Soft‑tissue injuries are carefully sutured to minimize scarring. Treatment is usually performed within 24–48 hours of the injury for best results. Costs vary widely (₹50,000 – ₹3,00,000) depending on the extent of trauma and hospitalization needs.
Biopsy and Pathology
Not all oral lesions are benign. A biopsy helps diagnose suspicious patches, lumps or sores and rules out cancer. An incisional biopsy takes a small sample of tissue, while an excisional biopsy removes the entire lesion when it is small. Brush biopsies use a special brush to collect cells and are less invasive. The specimen is sent to a pathology lab and results arrive in one to two weeks. Biopsy procedures are done under local anesthesia and cost ₹3,000 – ₹10,000.
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Pre‑Prosthetic Surgery
Before fitting dentures or other prosthetics, the mouth sometimes needs minor surgery to improve fit. Alveoloplasty reshapes the jaw bone, bony ridges or sharp projections are smoothed, and excess soft tissue is removed. A frenectomy eliminates thick tissue bands that pull on dentures. Vestibuloplasty deepens the space between lip and gums to improve denture stability. These procedures make dentures more comfortable and prolong their life. Costs range from ₹8,000 – ₹25,000.
When You Need an Oral Surgeon
An oral surgeon becomes essential for complex situations that are beyond general dentistry. Complex extractions include impacted or broken teeth, curved roots or teeth close to nerves or the sinus. Dental implant placement often involves bone grafting or sinus lifts and benefits from surgical expertise. Jaw problems such as severe underbite, overbite, asymmetry, TMJ disorders and sleep apnea require corrective surgery. Facial trauma—fractured jaws, knocked‑out teeth and soft‑tissue injuries—requires immediate surgical care. Pathology problems, including cysts, tumors and suspicious lesions, need surgical evaluation and biopsy. Your general dentist may refer you to a specialist when they encounter any of these situations; we coordinate care to ensure a smooth experience.
Anesthesia and Sedation Options
Your comfort and safety are priorities. We offer several anesthesia options and help you choose based on the procedure, your anxiety level and medical history.
Local anesthesia numbs the surgical area and keeps you fully conscious. It is used for nearly all procedures and is administered along with other methods
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Nitrous oxide sedation with local anesthesia involves breathing a mixture of nitrous oxide and oxygen through a nasal mask. You stay awake yet relaxed, and the gas has both sedative and analgesic effects
Intravenous (IV) sedation/general anesthesia in the office involves medication through an IV. You enter a sleep‑like state and have no memory of the procedure. Drugs such as fentanyl, midazolam and propofol are commonly used, and vital signs are monitored throughout
Hospital-based general anesthesia is reserved for extensive procedures or patients with medical conditions. An anesthesiologist administers anesthesia in a hospital setting
Our surgeon has completed dedicated hospital‑based anesthesia training, and our team monitors you throughout the procedure. Sedation costs vary: nitrous oxide (₹2,000 – ₹3,000), IV sedation (₹8,000 – ₹15,000) and general anesthesia (₹20,000 – ₹40,000).
Recovery and Aftercare
Healing requires proper care at home. Immediately after surgery, rest and apply ice packs to reduce swelling. Keep your head elevated and consume soft or liquid foods. Avoid vigorous rinsing or spitting during the first 24 hours, then gently rinse with saltwater. Take prescribed pain medication and antibiotics as directed.
Swelling usually peaks on the second or third day and subsides over a week. Gradually introduce soft foods such as mashed vegetables, rice and yoghurt. Stitches either dissolve on their own or are removed at a follow‑up visit. By week two to four, most patients resume normal diet and activities.
Call us if you experience excessive bleeding, severe pain that does not respond to medication, high fever, difficulty breathing or swallowing, persistent numbness or pus discharge. We provide written instructions and a 24/7 emergency contact number. Your well‑being remains our priority long after you leave the clinic.
Why Choose VR Dental for Oral Surgery
Choosing the right surgical team influences your experience and outcome. At VR Dental, our board‑certified oral surgeon has performed countless procedures, from routine extractions to complex jaw reconstructions. Ongoing training ensures familiarity with the latest techniques, and hospital privileges allow us to manage challenging cases. We employ digital planning and computer‑guided surgery for accuracy, piezoelectric and laser instruments for gentle tissue handling, and 3D imaging to minimize surprises. Our safety record reflects meticulous protocols, experienced anesthesia providers and well‑maintained equipment. Patient care is centred on clear communication—explaining procedures, addressing fears, managing pain and providing thorough follow‑up. Having all services under one roof saves you from hospital visits for most procedures and simplifies scheduling, insurance coordination and payment plans.
Cost and Insurance
We believe in transparency. After your consultation and imaging, we provide an estimate that outlines surgical fees, anesthesia costs and any additional materials. There are no hidden charges. We accept major dental insurance and assist with obtaining pre‑authorizations and filing claims. For larger procedures covered under medical insurance, our team guides you through the process. If you do not have insurance or face out‑of‑pocket expenses, we offer flexible financing through 0 % EMI plans, staged payments or medical loans. Investing in timely oral surgery prevents more expensive complications later and improves your health and quality of life.
Frequently Asked Questions
What is an oral and maxillofacial surgeon? A dentist with additional hospital‑based training who performs surgery on the mouth, jaws, face and neck. They extract teeth, place implants, graft bone, correct jaw deformities and treat facial injuriesmy.clevelandclinic.org.
Is oral surgery painful? Procedures are carried out under local anesthesia and often sedation, so you should not feel pain during surgery. Post‑operative discomfort is managed with medication and usually subsides in a few days.
Will I be asleep during surgery? It depends on the procedure and your preference. Options range from local anesthesia where you remain awake, nitrous oxide for light relaxation, IV sedation for a sleep‑like state, to general anesthesiauthscsa.edu.
How long is recovery? Recovery varies by procedure. Simple extractions heal in a few days; implant and graft sites need a few months; jaw surgery may require six weeks before normal activity. We’ll provide specific guidance.
When can I eat after surgery? Start with liquids and soft foods after the numbness wears off. Avoid hot drinks and chewy or crunchy foods until healing progresses. Gradually return to your normal diet over one to three weeks.
Are there risks with oral surgery? Every surgery carries risks such as infection, bleeding, nerve injury or sinus issuesmy.clevelandclinic.org. We minimize risks through careful planning, sterile techniques and experienced care.
Do I need someone to drive me? Yes. If you choose IV sedation or general anesthesia, you’ll need a responsible adult to drive you home and stay with you for the first day.
How do I prepare for surgery? Avoid eating or drinking for at least six hours before procedures involving sedation. Wear comfortable clothing, take any prescribed medications with a sip of water and arrange for transportation home.
Will I have scars? Most oral surgeries are done inside the mouth, so there are no visible scars. For jaw or facial procedures requiring external incisions, we place them in natural skin creases to minimize scarring.
Does insurance cover oral surgery? Coverage depends on your plan and the procedure. Wisdom teeth removal and medically necessary surgeries are often covered; cosmetic procedures may not be. Our team will verify benefits and explain costs.
Can I work the next day? After minor procedures, you may return to work or school within a day or two. For more complex surgeries, take time off as recommended. Listen to your body and don’t rush.
What if I have complications? Complications are uncommon, but call our office if you experience excessive bleeding, severe pain, fever or signs of infection. We’re available 24/7 to address your concerns.
Patient Experiences and Next Steps
Our patients often tell us how much easier their recovery was than expected. One young woman relieved her chronic jaw pain and gained a more balanced profile after orthognathic surgery. A college student had all four wisdom teeth removed with IV sedation and returned to classes within a few days. Families appreciate our calm explanations and prompt support when their children need emergency trauma care.
If you think you might need oral surgery, schedule a free consultation at VR Dental. We include a 3D scan to fully assess your situation. Call us during regular hours or use our emergency number at any time. We’re here to provide expert surgical care right in Kukatpally.