Oral & maxillofacial surgery
Our oral and maxillofacial surgery department is responsible for the diagnosis and treatment of diseases affecting the mouth, jaws, face and neck.
The specialty of oral and maxillofacial surgery is unique in
requiring a dual qualification in medicine and dentistry. Oral and
maxillofacial surgeons work in multi-disciplinary teams alongside
other specialists including:
- ear, nose and throat surgeons
- plastic surgeons
The department is based at the Carlingford Centre and
offers a consultant-led service in maxillofacial and oral
surgery. We provide a comprehensive service in the specialty,
and form part of the Greater Essex Oral and Maxillofacial
Network alongside the units at Basildon, Chelmsford and
Colchester. The network's hub is centred at Broomfield Hospital in
Chelmsford which is where our out of hours emergency
service is provided from.
The department runs regular outpatient clinics at
Southend Hospital for general referrals and specialist
multidisciplinary clinics, minor operating sessions under local
anaesthetic and day case surgery under general anaesthetic. In
addition, we form part of the multidisciplinary team providing
management for babies and children with tongue tie.
Consultant specialists working in this area are variously termed
oral surgeons, maxillofacial surgeons or oral and maxillofacial
surgeons. They treat a range of conditions including facial
injuries; head and neck cancers; salivary gland diseases; facial
deformities; facial pain; impacted teeth; cysts and tumours of the
jaws, as well as mouth ulcers and infections.
Dentoalveolar surgery is surgery of the tooth-bearing part
of the jaws including impacted teeth, complex tooth extractions,
cysts and lesions of the oral mucous membranes.
Ulcers, infections and diseases of the mouth. The diagnosis
and medical treatment of a wide range of conditions of the oral
mucosa is carried out in the department.
Orthognathic surgery / facial deformity
This involves surgically moving the jaws and correction of
anomalies of the face and mouth. Treatment planning is carried out
in conjunction with our orthodontic colleagues, who prepare the
dental arches prior to surgery. Craniofacial deformity, cleft lip
and palate and post traumatic deformities are managed in a
The treatment of facial fractures including orbital fractures,
lacerations, craniofacial trauma and post traumatic deformity.
Oral and facial cancers
There is a multidisciplinary approach to head and neck cancer
according to NICE guidance. Combined clinics are held with
Maxillofacial Surgery, ENT Surgery, Radiotherapy, Radiology,
Histopathology and MacMillan Nurse input. Following assessment and
treatment planning, patients are treated as appropriate.
Radiotherapy +/- chemotherapy is provided where indicated.
Salivary gland diseases
Salivary gland obstruction (stones/strictures), inflammatory
diseases, mucoceles/ranulas, benign and malignant tumours, parotid
surgery and 'minimally invasive techniques' are provided.
A service for the diagnosis and treatment of facial pain is
Jaw joint disorders
Treatment, including surgery for disorders of the
temporomandibular (TM) joints. Most patients are seen on an
outpatient basis in the Maxillofacial Unit, but surgery under
general anaesthesia is sometimes required.
Medically compromised patients
The management of medically compromised patients requiring
dental surgery is an expanding area, with the increase in long-term
management of cardiac patients (e.g. patients on anticoagulants),
transplants and immuno-compromised patients
Referrals come from general dental and medical practitioners,
other hospital consultants, the accident and emergency departments
of the hub and spoke centres. Both the oral maxillofacial surgery
department and orthodontics team is supported by maxillofacial
technicians with special expertise in maxillofacial prostheses and
- Facial deformity (orthognathic) clinic
- Joint head and neck oncology clinic
- Oral rehabilitation clinic
Oral maxillofacial surgery department: 01702 385390