Jaw, face and airway conditions
The mouth does not end at the teeth. The jaw joint, the facial nerves, the maxillary sinuses and the airway all produce symptoms that patients reasonably assume are dental. As a hospital with an oral and maxillofacial unit, in-house CBCT and OPG, this is the work we are set up to separate and treat.
Jaw joint (TMJ) and facial muscle pain
The temporomandibular joint is the only joint in the body loaded by the position of the teeth. Clicking, restricted opening, morning stiffness and temple headaches are usually joint or muscle problems, and are managed in stages before anything irreversible is done to the bite.
Orthodontics and TMJ Symptoms
Orthodontics can influence TMJ health. Learn about the connection between your bite, jaw joints, and common symptoms, and how our specialist care can help.
Children Who Grind Teeth During Sleep Causes
Paediatric sleep bruxism involves involuntary nocturnal tooth grinding in children. While often benign and self-limiting during dental development, it can stem from airway obstruction, central nervous system arousal, or emotional stress, requiring thorough clinical evaluation.
Custom Night Guards for Sleep Bruxism Management
Sleep bruxism involves involuntary nocturnal clenching and grinding that damages dentition and craniomandibular structures. A custom night guard for grinding provides a precise occlusal barrier, redistributing forces, protecting enamel, reducing muscular strain, and stabilising the temporomandibular joint.
Restoring Broken Dental Crowns Damaged by Bruxism
Dental crowns damaged by clenching or nocturnal bruxism require thorough clinical evaluation to distinguish superficial ceramic chipping from catastrophic root fractures. This guide details diagnostic workflows, modern restorative materials like monolithic zirconia, replacement procedures, and essential nightguard protection.
TMJ Arthroscopy for Jaw Joint Diagnosis and Repair
Temporomandibular joint (TMJ) arthroscopy is a minimally invasive surgical procedure used to diagnose and treat internal joint derangement. This comprehensive guide details surgical indications, diagnostic staging, operative techniques, recovery timelines, and evidence-based post-operative rehabilitation protocols.
Sleep Apnea and Teeth Grinding Nighttime Connection
Obstructive sleep apnoea and nocturnal teeth grinding share a profound pathophysiological connection mediated by autonomic arousals. This evidence-based clinical guide examines the airway-bruxism mechanism, oral diagnostic markers, polysomnographic staging, mandibular advancement splints, and long-term joint and airway management.
TMJ Disorders: Causes, Symptoms, and Treatment Options
Understand temporomandibular joint disorders, including common causes of jaw pain and clicking, and the range of conservative and surgical treatments available.
Botox Injections for Masseter Muscle Pain and Clenching
Botulinum toxin injections targeting the masseter muscles offer targeted relief for chronic jaw clenching, bruxism, and associated myofascial pain. This clinical guide explains the mechanism of action, procedural expectations, diagnostic pathways, evidence base, and safety considerations.
Stress and Anxiety Teeth Grinding Prevention Strategies
Stress teeth grinding, or bruxism, involves involuntary jaw clenching and tooth gnashing driven by autonomic nervous system arousal. This evidence-based guide outlines its physiological mechanisms, diagnostic protocols, clinical splint therapies, behavioural interventions, and long-term joint and dental protection.
Teeth Grinding in Children During Sleep: Causes and Solutions
Paediatric sleep bruxism involves involuntary rhythmic masticatory muscle activity and tooth grinding during sleep. Most cases in young children are self-limiting and linked to neural development or transient airway obstruction, though severe cases require multidisciplinary evaluation.
Facial pain and nerve-related pain
Not all facial pain is dental. Trigeminal nerve pain, sinus pain, neuropathic pain after surgery and referred pain from the neck all present in the mouth or face. The first job is to establish whether a tooth is the source at all — treating a healthy tooth never resolves it.
Post-Herpetic Neuralgia Affecting the Face and Mouth
Facial post-herpetic neuralgia is a chronic neuropathic pain condition arising after trigeminal herpes zoster. This clinical guide covers trigeminal nerve anatomy, persistent burning and lancinating symptoms, diagnostic differentiation from dental pain, evidence-based pharmacological treatments, and critical red flags requiring urgent care.
Trigeminal Neuralgia Versus TMJ Facial Pain Differences
This clinical guide clarifies the distinction between trigeminal neuralgia and temporomandibular joint dysfunction. It outlines their distinct anatomical origins, classic pain presentations, specialised diagnostic workflows, differential criteria, evidence-based medical and surgical management, and urgent red flag indicators.
Neuropathic Orofacial Pain Versus Common Toothache Signs
This clinical guide explores the differences between odontogenic toothache and neuropathic orofacial pain. Learn how dentists distinguish dental pulp inflammation from trigeminal nerve disorders, the diagnostic pathways involved, and why identifying the correct origin prevents unnecessary dental extractions.
Numbness After Dental Surgery
Persistent numbness after dental surgery is concerning but often temporary. We provide expert assessment, monitoring, and dedicated support to guide you through your nerve recovery process.
Trigeminal Nerve Injury After Surgery
Trigeminal nerve injury is a rare surgical complication. We provide expert assessment, monitoring, and supportive management to aid nerve recovery and restore sensation effectively.
Nerve Sensation Recovery After Lower Jaw Surgery
Lip numbness after jaw surgery is a common consequence of temporary nerve traction or compression during lower jaw osteotomies. This guide outlines nerve anatomy, injury classifications, diagnostic testing, recovery timelines, management strategies, and clinical milestones for neurosensory return.
Nerve Damage and Numbness After Lower Jaw Surgery
Lip numbness after jaw surgery is a recognised outcome of inferior alveolar nerve manipulation during mandibular osteotomies. This guide outlines the anatomical pathways, injury classifications, sensory testing methods, therapeutic approaches, and expected recovery trajectories for neurosensory disturbances.
Nerve Injury and Numbness After Lower Molar Root Canal
Persistent lip or chin numbness following a lower molar root canal indicates potential irritation or injury to the inferior alveolar nerve. This comprehensive clinical guide details the underlying anatomy, causes, diagnostic tests, classification, medical and surgical treatments, and recovery timelines.
Persistent Nerve Pain After Tooth Extraction or Surgery
Persistent nerve pain after tooth extraction involves trauma to branches of the trigeminal nerve. This clinical guide covers symptoms, diagnostic mapping, classification, evidence-based medical and surgical management, recovery timelines, and critical indicators requiring urgent maxillofacial assessment.
Prolonged Numbness and Nerve Injury After Dental Injections
Nerve paresthesia following a dental injection involves persistent numbness, tingling, or altered sensation due to local anaesthetic trauma. This guide details underlying neuroanatomy, classification of injuries, diagnostic sensory testing, recovery timelines, medical-surgical therapies, and crucial clinical red flags.
Sinus and upper-tooth pain
The roots of upper molars sit against the floor of the maxillary sinus. Sinus inflammation can present as pain in several upper teeth at once, and an infected upper molar can inflame the sinus. Imaging separates the two, and the same anatomy determines whether an implant here needs a sinus lift.
Maxillary Sinusitis Caused by Infected Upper Molar
Maxillary sinusitis caused by an infected upper molar occurs when dental pathology breaches the sinus floor. This guide explains the causes, diagnosis using cone-beam computed tomography, combined dental and surgical treatments, recovery protocols, and crucial red flag symptoms.
Sinus Lift Bone Graft Procedure Types and Healing Time
A sinus lift bone graft augments maxillary bone height beneath the Schneiderian membrane, enabling dental implant placement in the posterior upper jaw. This guide reviews surgical techniques, graft materials, biological healing timelines, risk factors, and postoperative care.
Sinus Lift Surgery Purpose, Procedure, and Healing Timeline
Sinus lift surgery, or maxillary sinus floor augmentation, reconstructs deficient upper jawbone for dental implants. This clinical guide details surgical anatomy, lateral versus crestal techniques, graft materials, sinus lift surgery recovery, potential complications, and evidence-based aftercare.
Managing Bruising and Swelling Following Sinus Lift Surgery
Swelling and bruising are expected physiological responses following maxillary sinus lift surgery. Learn the biological mechanisms, normal recovery timelines, evidence-based management strategies, sinus precautions, and clinical red flags that warrant urgent surgical review.
Lateral Window Versus Crestal Approach Sinus Lift Procedures
This clinical guide details the primary types of sinus lifts, comparing the transcrestal and lateral window approaches. It covers surgical anatomy, bone grafting techniques, CBCT diagnostics, recovery protocols, complication management, and evidence-based indications for posterior maxillary dental implants.
Sinus Perforation During Upper Molar Extraction Repair Process
A sinus perforation after upper molar extraction occurs when the thin bone and membrane separating the oral cavity from the maxillary sinus tear. Prompt clinical recognition, size-based management, tension-free surgical repair, and strict sinus precautions ensure predictable healing.
Oroantral Fistula Care
An oroantral fistula is an abnormal opening between your mouth and sinus. We provide expert surgical closure and follow-up care to ensure complete and healthy healing.
How to Tell a Sinus Infection from a Toothache
Distinguishing a sinus toothache from a dental cavity requires understanding maxillary anatomy, pain characteristics, and clinical tests. This guide details diagnostic differences, causes of odontogenic versus rhinogenic sinusitis, examination steps, evidence-based treatments, and critical red flags.
Sinus Lift Procedure Explained for Upper Jaw Implants
Understand why a sinus lift is often required before placing implants in the back of the upper jaw, how the procedure works, and what recovery involves.
Sinus Membrane Perforation Complications During Dental Surgery
A perforated sinus membrane implant complication occurs when the delicate lining of the maxillary sinus tears during bone grafting or fixture placement. Understanding anatomical risks, intraoperative repair protocols, and strict post-surgical care ensures predictable healing and prevents chronic sinusitis.
Sleep, airway and grinding
Jaw position, tongue space and nasal airway all affect breathing during sleep. Tooth wear, morning headaches and jaw fatigue are often the first physical signs, which is why dentists are frequently the first to raise the possibility of a sleep-related breathing problem.
Sleep Apnea and Teeth Grinding Nighttime Connection
Obstructive sleep apnoea and nocturnal teeth grinding share a profound pathophysiological connection mediated by autonomic arousals. This evidence-based clinical guide examines the airway-bruxism mechanism, oral diagnostic markers, polysomnographic staging, mandibular advancement splints, and long-term joint and airway management.
Custom Oral Sleep Appliances for Mild Sleep Apnea
Custom oral sleep appliances provide an evidence-based, non-invasive treatment for primary snoring and mild obstructive sleep apnoea. By gently advancing the lower jaw, these precision devices maintain an open pharyngeal airway, restoring restorative sleep and mitigating cardiovascular risks.
Mandibular Advancement Devices
Mandibular advancement devices offer a non-invasive solution for snoring and obstructive sleep apnoea, carefully positioning the jaw to keep the airway open throughout the night.
Children Who Grind Teeth During Sleep Causes
Paediatric sleep bruxism involves involuntary nocturnal tooth grinding in children. While often benign and self-limiting during dental development, it can stem from airway obstruction, central nervous system arousal, or emotional stress, requiring thorough clinical evaluation.
Dental Sedation Safety for Patients with Sleep Apnea
This clinical guide details safety protocols, screening measures, and procedural considerations for patients undergoing dental sedation with obstructive sleep apnoea. It covers pharmacological airway risks, continuous monitoring standards, sedation options, emergency management, and post-treatment recovery guidelines.
Sleep Apnea Signs Caused by Retrognathia and Receding Jaw
Mandibular retrognathia, or a receding jaw, directly narrows the posterior pharyngeal airway, significantly predisposing individuals to obstructive sleep apnoea. This comprehensive guide reviews clinical presentation, diagnostic imaging, non-surgical therapies, and definitive maxillomandibular advancement surgery.
Mandibular Advancement Devices for Obstructive Sleep Apnoea
A mandibular advancement device is a custom-made oral appliance that positions the lower jaw forward during sleep. It enlarges the upper airway, preventing pharyngeal collapse in mild to moderate obstructive sleep apnoea and snoring.
Maxillomandibular Advancement Surgery for Severe Sleep Apnea
Maxillomandibular advancement (MMA) surgery is an established orthognathic procedure that enlarges the upper airway by repositioning the upper and lower jaws forward, providing a highly effective, long-term surgical solution for severe obstructive sleep apnoea.
Teeth Grinding in Children During Sleep: Causes and Solutions
Paediatric sleep bruxism involves involuntary rhythmic masticatory muscle activity and tooth grinding during sleep. Most cases in young children are self-limiting and linked to neural development or transient airway obstruction, though severe cases require multidisciplinary evaluation.
Snoring Appliances in Dentistry
Professional dental snoring appliances offer a targeted, effective way to reduce snoring by stabilising the jaw and airway, improving sleep for both patients and their partners.
Facial trauma and jaw deformity
Fractures of the jaw, cheekbone and orbit, and developmental jaw discrepancies that affect the bite and the profile, are treated surgically with orthodontic planning. This is hospital-level work — imaging, anaesthesia and post-operative monitoring — rather than clinic dentistry.
Orthognathic Jaw Surgery Overview
Orthognathic surgery corrects severe skeletal discrepancies between the upper and lower jaws, enhancing facial balance and improving essential functions like chewing, speaking, and breathing comfortably for patients.
Facial Asymmetry from Uneven Jaw Growth
Facial asymmetry caused by uneven jaw growth can lead to functional chewing impairment, joint pain, and an asymmetrical jaw crooked smile. This guide outlines causes, diagnostic imaging, orthognathic surgical pathways, recovery protocols, and evidence-based clinical management.
Jaw Surgery, TMJ Disorders and Facial Trauma
Corrective jaw surgery, temporomandibular joint pain and management of facial injuries by a maxillofacial team.
Oral Mucocele Removal Procedure for Salivary Cysts
An oral mucocele is a benign salivary cyst arising from traumatised minor salivary glands. This clinical guide covers diagnosis, differential considerations, recovery timelines, red flags, and how definitive mucocele lip surgery is performed to prevent recurrence.
Pregnancy Tumors on Gums Symptoms and Removal Options
A pregnancy tumour on the gums, clinically termed pyogenic granuloma or pregnancy epulis, is a benign vascular overgrowth triggered by hormonal surges and plaque. Learn about symptoms, differential diagnosis, non-surgical management, and precise surgical removal options.
Corrective Jaw Surgery for Severe Underbite Correction
This clinical guide details underbite surgery orthognathic procedures for severe Class III skeletal discrepancies. It explores surgical techniques, preoperative orthodontics, recovery milestones, potential complications, and evidence-based rehabilitation protocols for restoring long-term oral function.
Fixing Open Bite Deformities with Orthognathic Surgery
Anterior open bite jaw surgery corrects severe vertical skeletal discrepancies where front teeth cannot touch. This comprehensive clinical guide explores causes, diagnostic planning, Le Fort I osteotomy procedures, recovery protocols, relapse prevention, and evidence-based surgical outcomes.
Zygomatic Fracture Repair and Cheekbone Trauma Recovery
This clinical guide details zygomatic fracture surgery, covering cheekbone anatomy, injury mechanisms, surgical fixation techniques, postoperative rehabilitation, and complication management to help patients understand facial trauma recovery and recognise urgent warning signs.
Causes and Solutions for Chipped Dental Crown Porcelain
Dental crown porcelain can chip due to trauma, bruxism, or material fatigue. This evidence-based clinical guide examines the causes, diagnostic classifications, repair versus replacement protocols, procedural workflows, aftercare, and long-term preventive strategies for fractured crown restorations.
Root Fractures in Children After Sports or Facial Trauma
Root fractures in children following dental trauma involve damage to the dentine, cementum, and dental pulp beneath the gum line. Prompt clinical diagnosis, radiographic assessment, and flexible splinting are vital to preserve tooth vitality and long-term alveolar development.
Seen by the maxillofacial unit
Jaw, facial pain and airway assessments include imaging and a written plan before treatment begins. Published consultation and imaging rates are on the rate list.