Dr. José Javier Bara Casaus Maxillofacial surgeon
Barcelona

Sleep apnea

Sleep apnea is the cessation of breathing that occurs moments after falling asleep and loud snoring preceded by at least 10 seconds. If this process is repeated 5 times per hour of sleep we will face the Obstructive sleep apnea. Obstruction of breathing leads to lower oxygen levels in the body that makes it difficult for the person to have a restful sleep and show signs of fatigue in the morning. Moreover, the persistence of this lack of oxygen could cause pulmonary hypertension and heart failure future right or myocarditis, making it convenient to catch it early and make appropriate tests for safe diagnosis. Therefore it is conducting a sleep study to establish a treatment that includes changing some habits (diet, alcohol withdrawal, postural changes ...) and prescribing a CPAP, a pressure generator as required nasal mask that keeps the airway obstruction, obliterating snoring and promoting restful sleep. In some cases surgery may be required if there are any lesions in the respiratory tract or when use of the mask is not effective. ...

Temporomandibular joint

The temporomandibular joint (TMJ) is the one that allows people to open and close the mouth to chew, chew, speaking, breathing, yawning or gesture. This joint connects the bones of the skull and face is twofold, ie, one on each side of the head. Performs three types of movement up and down, forward, backward and both sides. The dental malocclusion, orthodontic appliances, stress and bad habits such as clenching or bite objects can alter the function of the temporomandibular joint (TMJ), which occurs when the opening and closing of the mouth is made with lateral deviations. This syndrome can cause pain in the jaw, ears, head, neck, back, plus trouble chewing. TMJ Treatment is aimed at addressing the causes that have caused the disorder and improve symptoms, and may include physical therapy, exercise, medication, relaxation techniques, mouth guards and surgery, although it is rare. ...

The dental splint is a device created by a dentist covering teeth to keep them from moving or rubbing, among other finaliades as:   Splint whitening: Teeth whitening Orthodontic splint: prevents tooth movement after use of apparatus Periodontal splint: prevent teeth from moving after periodontal treatment. Bite splint: to change the patient's occlusion or bruxism   ...

Cleft palate

  Cleft palate, also known as cleft palate is a congenital deformity of the mouth caused by an abnormality in the first months of fetal development. It is an incomplete development of the palate, that can be opened to such a large degree that it extends even to the nasal cavity. This open space between mouth and nose can affect both sides of the palate and, in more serious cases, spread to the throat. Therefore, depending on the case, cleft palate can cause difficulties for the patient if you do not operate in the first months of life and throat infections, delayed language and speech, functional difficulty eating and breathing. Generally, the surgical correction of cleft palate is usually performed before 18 months of age to prevent further complications and restore both physical appearance of the patient and the development of his mouth and palate. ...

Dental implants maintenance

What is a dental implant maintenance? The care of dental implants is essential for its proper functioning. If they are not properly fixed as they are natural teeth can develop gum inflammation, infections and loss of bone mass. In addition to the periodontal disease of implants, known as periimplantitis, in which inflammation and infection occurs around. The maintenance of dental implants is the set of care that should be followed by a patient who has been fitted with prostheses on dental implants. The maintenance begins the same day of the placement of the definitive prostheses, by means of a control to supervise that there is a perfect balance between the teeth of the upper and lower jaw so that the implants are not forced by certain movements of the mouth. The new teeth do not suffer decay but the gum itself could be infected by the accumulation of plaque and tartar. Therefore, the patient should brush his teeth between two and three times a day, use dental floss, rinse his mouth with antibacterial liquids, undergo regular professional checkups and cleanings and avoid tobacco.   Brushing is one of the key points to follow a good maintenance of dental implants   Recommendations for proper maintenance of dental implants The first essential recommendation is to go to the dentist annually, since the new teeth do not suffer decay but the gum itself could be infected by the accumulation of plaque and tartar. Therefore, the patient should brush his teeth between two and three times a day, use dental floss, rinse his mouth with antibacterial liquids, undergo regular professional checkups and cleanings and avoid tobacco. What will be the revisions made by the specialist? It is essential that the specialist perform periodic x-rays to verify that the level of bone around the implants is adequate. In addition, you should also evaluate the state of the dental restorations around the implant, to verify that they are safe and work properly. ...

Dental implants zygomatic

What are zygomatic implants? Zygomatic implants are those that are placed in the bone of the cheekbone in patients who suffer atrophy in the jawbone, that is, a severe loss of this. They allow good results in terms of function and aesthetics. How is the intervention developed? The procedure consists of two parts; In the first of these, a provisional dental prosthesis is placed and, in the second, the definitive prosthesis is placed. The technique is developed so that the implant is inserted into the zygoma or bone of the cheekbone, without the need for bone grafts and always carried out by a specialist in dentistry. Recovery takes between 24 and 48 hours.   Zygomatic implants are ideal for patients with absence of maxillary bone   For what type of patients are they indicated? It is an appropriate procedure for those patients who suffer a partial or total loss of the maxillary bone, who have lost their teeth at an early age or who have worn dentures for a long period of time and this has affected their facial bone structure. In addition, it is also indicated for patients who have previously suffered periodontal diseases. Results of zygomatic implants With these fixed implants, both the ability to chew and the facial aesthetics that is lost with the lack of teeth or maxillary bone are recovered. The process is faster because it does not require osseointegration of the affected area or hospital admission. On the other hand, the post-operative is much more favorable for the patient because the discomfort that you will notice after the intervention will be minimal, thus being able to lead a totally normal daily life. Its success is also greater because the prosthesis that is placed is fixed and is not affected by the loss of teeth or by periodontal diseases. ...

Dental malocclusion

The dental malocclusion is the misalignment of teeth (bite), ie the upper teeth do not fit properly with the lower, and usually hereditary. The patient has a size difference between jaws or between jaw and tooth. Other factors that may cause malocclusion are loss of teeth, thumb sucking or pacifier use. The main symptoms are causing deviant teeth, crowded or protruding, and cause trouble eating and speaking. Treatment of dental malocclusion involves the use of fixed or removable appliances to correct the alignment of the teeth and jaw position. In children and adolescents the extraction of some teeth may also be needed to make room for those who have yet to grow. Children's dental malocclusion is easier to correct than the adult because bone growth is still under development. By using such apparatus straighten teeth and the jaw moves. But in adulthood you can align teeth through orthodontics, but the position of the jaws can be changed only with orthognathic surgery. ...

Dental Reconstruction

The dental reconstruction consists of the replacement or repair of teeth, bones or tissue. This treatment is indicated for both the problems of damaged and worn to treat TMJ syndrome (a disorder of the jaw joint that causes headache and neck and sometimes a snap chewing) teeth. In some cases where tooth decay is severe we proceed to full mouth reconstruction and cosmetic techniques for it and combine neuromuscular dentistry. Besides, orthodontics can be used to correct the misalignment of teeth and address, then the dental restoration with porcelain veneers, dental crowns, bridges, implants and inlays. ...

Facial implants

  Facial implants are used in surgery to improve both the proportion and harmony to correct facial disfigurements and congenital malformations, or to rehabilitate or replace structures and parts of his face disfigured by trauma, injuries or accidents. Specifically, the implants used in craniofacial and maxillofacial reconstructive surgery are inserted into the area required for applications such as: straighten the structure or jaw line, which can also lead to problems of mastication; improve bone anchor, for example to advance the chin or cheekbones; provide more harmony to the area of ​​the cheeks; replace part of the disfigured face, etc. Depending on the objective to be reached with facial implants and complexity of the case, the combination of implants and dentures may be needed to rebuild the affected area. ...

Facial Reconstruction

Microsurgical facial reconstruction surgery encompasses various techniques applied both in the treatment of congenital diseases as acquired diseases or sequelae of trauma that caused the loss of part of the structure of the face or functionality. Among congenital conditions that can be solved, are remarkable different kinds of facial paralysis and atrophy, which prevents adequate mobility of muscles and structures of the jaw and / or the eyes and the facial expression (for example, Syndrome Parry-Romberg, the Moebius, or Binder, among others). Microsurgery facial handles replace affected facial areas and recover both its appearance and injuries that hinder their functionality through tissue transplants individualized, muscle and nerve grafts techniques. Currently, advanced microscopic techniques transplant tissues from the same patient allow rebuilding successfully face even involve great complexity, given the nature of this area of ​​the human anatomy. Therefore, depending on each case staged several operations may be necessary to achieve completely solve the patient's pathology. ...

Immediate loading implants

What are immediate loading implants? Immediate loading implants are those in which the dental implant (screw that replaces the root of the tooth) and a provisional prosthesis are placed in a single intervention. This technique favors the healing of the bone tissue and the integration of the implants in the bone, which makes it possible to dispense with the period without fixed teeth, with the consequent aesthetic and functional advantages, because the prosthesis resting on the gums does not reduce the discomfort , so that the patient can smile and eat from the first moment. The provisional dental prosthesis is removed when it has been three to six months since the insertion of the implants. Instead, the dentist will place the final piece that has been made so that it integrates with the rest of the patient's teeth. The intervention is carried out under local anesthesia. For what type of patients are immediate loading implants indicated? These types of implants are recommended for those patients who suffer the loss of one, several or all of the teeth or if they suffer a significant deterioration of them. In addition, the patient must meet certain requirements to be able to undergo the procedure. Among them, have an adequate amount and quality of bone, undergo a good periodontal maintenance and also comply with a good gingival and periodontal state of the adjacent teeth.   Immediate loading implants offer multiple advantages for the patient   How is the procedure carried out? The implants that are placed on the patient can be a unit or a full arch. In the second case you can place between four and six implants that serve as support for a prosthesis. The fixed prosthesis that is placed initially is provisional, and is done in this way to guarantee a correct osseointegration of the implant in the bone. Once the period has been completed according to the specialist's criteria, usually after the third month, the final fixed prosthesis is placed. Advantages of immediate loading implants One of the most important advantages for the patient with the placement of an immediate load implant is that it offers the possibility of continuously carrying the temporary fixed prosthesis without the need to carry the removable prosthesis, which can be annoying. In addition, it offers a progressive adaptation to the definitive prosthesis. The patient can recover the functionality of their teeth, especially chewing, in addition to improving their phonation and aesthetics. Some specialists even recommend immediate loading and conscious sedation to replace all the teeth with fixed teeth in just one day. ...

Leoporino Lip

  Cleft lip is a congenital deformation caused by a very specific abnormality in the baby's development by an incomplete formation of the upper lip occurs. Currently, this slot can be operated even in the first year of a baby's life to prevent further complications since in some cases the degree of separation or cut lip can be severe, reaching the nose. Some of the problems that can cause cleft lip is difficulty feeding, dental malformations or delayed speech. Besides, some babies are born with other abnormalities, cleft palate call (or palate), which consists of an incomplete development of the palate, to not be closed leaving an open space between mouth and nose, which as the case may be more or lower amplitude. This anomaly also requires specialized plastic surgery in the first months of a baby's life to troubleshoot speech and functional causes (difficulty eating and breathing, especially), in addition to improving the aesthetics. ...

Maxillofacial Surgery

Maxillofacial surgery is a surgical specialty that treats the face, neck and head. The areas covered are very diverse, ranging from dental implants and orthognathic surgery to trauma and tumors.       ...

Mentoplasty

Mentoplasty or chin surgery, is a surgical procedure that aims to change the size of the chin to achieve a more proportioned and handsome face, facial asymmetry correcting congenital or caused by an accident. Depending on the purpose of the intervention, the most appropriate technique for each patient applies. If required correct the shape of the chin or give a more defined and toned look, implantation of a prosthetic chin, infiltration of fat tissue from the patient, or the advancement of a portion of the jaw bone is used. If the deformity is very accentuated chin will be necessary to make a sanding or a section of bone (osteotomy) through an incision inside the mouth. ...

Orthognathic surgery

  Orthognathic surgery is surgery to correct the position of the maxilla and mandible. The objective of this procedure is to get a good fit of these two bones to improve jaw function and aesthetics of the face. This surgery is indicated for patients with dental malocclusion that can not be treated only with orthodontics. The types of corrective surgery are: mandibular advancement, when the lower teeth and chin are lagging behind the rest of the face; closing the open bite, when the upper and lower teeth do not contact to shut up and leave a space; and jaw asymmetry, when the chin and teeth deviate sideways. To find out which treatment is most appropriate, a study is carried out in three dimensions with x rays. The images allow to know what area should be operated and perform process simulation. Before the intervention, the individual must bear fixtures for a while so that the teeth fit together when the jaws have been put in place with the intervention. ...

Periodontal Surgery

Periodontal surgery is the technique used to treat mouth tissues affected by periodontal disease or pyorrhea, a chronic bacterial infection that attacks the gums, ligament and bone surrounding the teeth. Periodontal surgery allows the dentist to clean contaminated tissues, smooth surfaces of the tooth roots and remove damaged bags infection. Periodontal surgery can replace or rebuild damaged structures using similar materials to transplant the bone and gum tissue lost. In this way, you can get your gums back to stick to the base of the teeth. Surgery should be accompanied by a periodontal maintenance after as an adjunct. ...

Prosthetic Implants

The implant prosthesis are implant prosthesis, that is, prostheses are fastened in dental implants. Implantosoportda to wear a prosthesis, the patient must undergo prior to surgery. This type of prosthesis can be fixed or removable.     ...

Wisdom Teeth

Wisdom tooth is the name by which he is commonly known to the third molar. This ridge usually appears between 16 and 25 years old. Wisdom teeth appear at the back of the mouth. There may be up to four chordal, one for each quadrant mouth. Wisdom teeth usually affect other teeth to grow, pushing and causing severe pain. When this occurs we proceed to the extraction of teeth, it is currently the only remedy for toothache. ...