Dr Girhe's Center for Cranio-Maxillofacial & Reconstructive Surgery.

Sharing a case of Full mouth rehabilitation of a patient with congenital partial anodontia who had very compromised alveolar bone. We restored the case of Quad Zygoma and two conventional implants in maxilla. Immediate temporization was done with milled PMMA.

Sharing a case of POST COVID MUCORMYCOSIS DEFECT REHABILITATION with Zygomatic and ant conventional implant.
Restored this extended hemimaxillectomy defect with BAR AND MILLED PMMA screw retained prosthesis. Pts satisfaction and transformation is vividly reflects in her eyes.
Prosthetic work done by Dr Datta Bhajibhakre Prosthodontist from Aurangabad.
Suggestions and comments are welcome.

*Workshop on Zygomatic Implants*

-Three Days
-Two mentors
-Five Live cases
-only Five Participants
-Hands On
-Surgical Phase
-Prosthetic Phase
Immidiate temporization.
-Guided and Free hand Placement

*Dates 13 14 and 15 December*

Venue
Dr Girhe's Centre for CranioMaxillofacial Surgery and Dental Impls
Aurangabad Maharashtra
Contact
Dr Prachi 9623174605
Dr VIJAYKUMAR 77980 77682

POST MUCORMYCOSIS DEFECT patients.
To improve the quality of life WE HAVE REHABILITATION options from obturator , PSI, ZYGOMATIC IMPLANTS to Free Flap. Presenting a case of post MUCORMYCOSIS Defect, functionally rehabilitated with PSI (PT SPECIFIC IMPLANT/CUSTOMIZED OMPLANT). We purposefully choose to expose through modified bilateral weber Ferguson incision . Biggest challenge in PSI Is to have good soft tissue cover. We did immediate temporization.
Suggestions are welcome to improve outcome in these kinds of patients.

Mucormycosis wave was a deadly disease. We could save many lives but at the cost of ablative resection of the necrotic bone,
which resulted in vast variety of defects with its psychological ramifications.
To improve the quality of life in these pts we have REHABILITATION options from obturator , PSI, ZYGOMATIC IMPLANTS to Free Flap. Presenting a case of post MUCORMYCOSIS Defect, functionally rehabilitated with bar and clip supported prosthesis. We avoided fixed prosthesis in view of vertical and transverse cantilever.
Suggestions are welcome to improve outcome in these kinds of patients.

Announcing 35th workshop on Minor oral Surgery,
18th December 2022,
At Studio Dental Nanded

Maxillofacial Surgery is for passionate people .
Surgical work gives immense sense of job satisfaction.
Are you inclined towards minor oral surgical procedures in day to day Dental Practice?
If Yes......
Then you have a golden opportunity of honing your oral surgical skills in most scientific ways with the best possible hands on experience.
We presenting an uniquely designed surgical workshop on Minor Oral surgeries.

Intended Output of the Workshop
To train practitioner in managing
1. Transalveolar Extraction( Removal all fractured n attempted cases)
2. Partially or Completely impacted teeth
3. Alveoloplasty
4. Frenectomy
5. Apicectomy
6. Suturing technique

In day to day dental practice we face many questions and queries like.
1. Whether tooth will be forceps extraction or surgical one??
2. What I should look for radiologically to determine tooth's approximation with maxillary sinus or inferior alveolar canal?
3. What are medicoligal things I must know in routine practice?
4. How I should manage local anesthesia (block) failures ?
5. Which local anesthesia, with or without vasoconstrictor (Adrenaline) I should use in medically compromised patient?
6. Which antibiotics , How many times , for how many days I should give?
7. How I should approach to remove fracture tooth
8. What all things should be their in my clinic to deal with medical emergencies?
9. How to deal with pts on antiplatelates like Asprin ?
10 How to manage fracture tooth during extraction??
10. How to prevent & manage complications related to extraction?
11. Which impacted tooth I attempt and which I should avoid in my practice??
12. Interdisciplinary communication??
13. What Recent Advances in Anesthesia, surgical equipments?
14. Minor oral surgeries in my day to day dental practice?

If you are interested in Scientific answers to these queries with best possible hands on You have opportunity to enhance your Knowledge n Skills by attending this.

case of T1 buccal mucosa SCC treated by Level I to lll neck dissection, Resection of tumor and Reconstruction of defect with cebtrally pedicle nasolabial flap.
Nasolabial flap is very good option for Reconstruction of small to medium size buccal mucosa defect even after ligation if Facial artery this flap is predictable

Professional Post.

Midline Mandibular lesion are always challenging for treatment interms of airway management and Reconstruction.
Sharing case of SCC ant Mandible .
Airway was secured with Tracheostomy.
Did bilateral Neck Dissection , Ant Mandibular Segmental resection and Reconstruction with Microvascular Free Fibula Flap.

32nd Workshop on Minor Oral surgery was grand success. Extensive Discussion session topics useful in day to day dental practice with hands on Minor oral surgery.
NEXT WORKSHOP 33rd Workshop on MINOR ORAL SURGERY on 2nd October 2022 at Aurangabad which is already House-Full. 34th WORKSHOP at Nanded

31st Workshop on Minor Oral surgery was grand success. Let hear more about it from participants .
NEXT WORKSHOP 32nd Workshop on MINOR ORAL SURGERY on 18th September 2022 at Aurangabad

Successfully conducted 31st Minor oral Surgery Workshop with enthusiastic practitioners from various parts of Maharashtra State. Had an intense interactive session with hands-on and live Surgeries.
Announcing 32nd workshop on 18th Sept 2022 at Girhe's Dental Clinic, Aurangabad.(only five seats are Avilable)

Successfully conducted 31st Minor oral Surgery Workshop with enthusiastic practitioners from various parts of Maharashtra State. Had an intense interactive session with hands-on and live Surgeries.
Announcing 32nd workshop on 18th Sept 2022 at Girhe's Dental Clinic, Aurangabad.(only five seats are Avilable)

MIDLINE MANDIBULAR RESECTIONS ARE ALWAYS CHALLENGING FOR RECONSTRUCTION. Sharing a Case of SCC ant mandible crossing midline . We treated by Tracheostomy, Bilateral Neck dissection , Resection and Reconstruction with Free Fibula Flap .

We are happy to share that we have added Advanced 3D Imaging modality at Dr Girhe's Dental Clinic. This Advanced 3D Imaging will help in Implant Planning , Wisdom tooth surgery. ROOT CANAL TREATMENT, Facial bone fracture pts, Jaw Tumor diagnosis and treatment planning. WE ARE COMMITTED FOR EXCELLENCE IN DENTAL AND ORAL CANCER CARE.
next level dentist !!!

It's very special feeling when you are able to save someone's life by treating highly mortal disease like MUCORMYCOSIS. It's equally important to add quality to these saved lives.
Present case of MUCORMYCOSIS treated by total maxillectomy followed by Functional REHABILITATION with Quad Zygomatic implant supported fixed prosthesis

आषाढी एकादशी च्या हार्दिक शुभेच्छा

Post MUCORMYCOSIS central Palatal Defect without any alveolar defect reconstruction with anterior based Tongue flap. This defect was challenging because of its size and location. This defect Reconstruction done in double layer, nasal layer was was closed with palatal mucosal flap. PALATAL layer was closed with Anterior Based Tongue flap. After 4 weeks flap was divided under LA. Defect Reconstruction outcomes highly satisfing there is minimal Donor site morbidity.
Any suggestions most welcome.

Case of SCC MANDIBLE treated by Compisite Resection ,Neck dissection and Reconstruction with PMMC flap .
Free fibula was choice of Reconstruction but pt was non affordable for it.

Presenting a very interesting case of vascular Malformation. Patient visited to PG institute with swelling on left side of face, CBCT was showing osteolytic Lesion in angle ramus region of mandible. After aspiration there was excessive bleeding which they failed to control. Patient visited to our center. We achieved hemostatis with local measures, Patient was in hypovolumic shock. We stabilized the patient hemodynamically. CT angio was performed which revealed six to seven major arterial feeders. The lesion was classical central(Intrabony) high flow with lingual cortical perforation and extending to ITF. Digital subtraction angiography(DSA) was done followed by selective embolization. Resection was planned through transverse cervical incision with modified lip split. We ensured carotid control by clamping in the beginning of procedure. The tumor was rejected with safe margin including disarticulation hemimandibulectomy with ITF clearance. We ensured absolute Hemostatis by identifying and ligating feeder vessels meticulously. The procedure was completed under 200ml of blood loss. Delayed construction is planned either free fibula or PSI.

VINAMRA ABHIWADAN

Case of SCC LT MANDIBLE TREATED BY COMPISITE RESECTION AND RECONSTRUCTION WITH NASOLABIAL FLAP.
Free fibula would have been my ideal choice but pt was not affordable.

We are treating oral cancer case for free under govt scheme do guide needy pts

Happy International Woman's day

SCC of RT GBS T1N0 lesion treated by Composite Resection including Marginal Mandibulectomy , Level I to lll clearance (Neck Dissection) reconstruction with Nasolabial flap.

Photos from Dr Girhe's Center for Cranio-Maxillofacial & Reconstructive Surgery.'s post

Successfully conducted 29th Minor oral Surgery Workshop with enthusiastic practitioners from various parts of Maharashtra State. Had an intense interactive session with hands-on.
Announcing 30th workshop on 23rd January 2022 at Girhe's Dental Clinic, Aurangabad.

Announcing 29th workshop on Minor oral Surgery,
26th December 2021,
Aurangabad

Maxillofacial Surgery is for passionate people .
Surgical work gives immense sense of job satisfaction.
Are you inclined towards minor oral surgical procedures in day to day Dental Practice?
If Yes......
Then you have a golden opportunity of honing your oral surgical skills in most scientific ways with the best possible hands on experience.
Dr Girhe's Centre for CranioMaxillofacial, Reconstructive & Dental Implant Surgery is presenting an uniquely designed surgical workshop on Minor Oral surgeries.

Intended Output of the Workshop
To train practitioner in managing
1. Transalveolar Extraction( Removal all fractured n attempted cases)
2. Partially or Completely impacted teeth
3. Alveoloplasty
4. Frenectomy
5. Apicectomy
6. Suturing technique

In day to day dental practice we face many questions and queries like.
1. Whether tooth will be forceps extraction or surgical one??
2. What I should look for radiologically to determine tooth's approximation with maxillary sinus or inferior alveolar canal?
3. What are medicoligal things I must know in routine practice?
4. How I should manage local anesthesia (block) failures ?
5. Which local anesthesia, with or without vasoconstrictor (Adrenaline) I should use in medically compromised patient?
6. Which antibiotics , How many times , for how many days I should give?
7. How I should approach to remove fracture tooth
8. What all things should be their in my clinic to deal with medical emergencies?
9. How to deal with pts on antiplatelates like Asprin ?
10 How to manage fracture tooth during extraction??
10. How to prevent & manage complications related to extraction?
11. Which impacted tooth I attempt and which I should avoid in my practice??
12. Interdisciplinary communication??
13. What Recent Advances in Anesthesia, surgical equipments?
14. Minor oral surgeries in my day to day dental practice?

If you are interested in Scientific answers to these queries with best possible hands on You have opportunity to enhance your Knowledge n Skills by attending
*29th Workshop on Minor Oral Surgery*
Date 26 December 2021
Venue - Dr Girhe's Dental Clinic kamgaar chowk Cidco N2 Aurangabad Maharashtra.
Contact- 7798077682/9623174605
[email protected]

Course Fees 5500

Dr VIJAYKUMAR GIRHE
A/C no 50200022511574
ACCOUNT TYPE - current
IFSC CODE- HDFC0000113
HDFC BANK
AKASHWANI BRANCH

Case of carcinoma (SCC) LT RMT , treated by composite resection including disarticulation hemi-mandibulectomy , level I to IV Nodal clearance and Reconstruction with PMMC flap

MUCORMYCOSIS - Fungal osteomyelitis. Fresh cases are reporting now also . Pt reported with teeth moblity and multiple draining sinuces . Treated by necrotic bone resection.
We are treating all cases of MUCORMYCOSIS even recurrance free under GOVT scheme Inj Amphotericin which is otherwise very expensive provided for free by GOVERNMENT OF MAHARASHTRA

Photos from Dr Girhe's Center for Cranio-Maxillofacial & Reconstructive Surgery.'s post

गणपती बाप्पा मोरया

A case of SCC GBS
Treated by Composite resection reconstruction with PMMC Flap

1.तंबाखू , गुटखा व पान सेवन हे तोंडाच्या कॅन्सरचे एक मुख्य कारण आहे.
2. आपण किंवा आपल्या घरातील कुणी जर तंबाखू , गुटखा व पान यांचे सेवन करत असेल तर कृपया त्यांना तपासणीसाठी अवश्य घेऊन या,
3.बरेच लोक हे व्यसन सोडू इच्छितात पण शक्य होत नाही त्याना योग्य पध्दतीने हे व्यसन सोडण्यासाठी मोफत मार्गदर्शन केले जाईल

तोंडातील खालील लक्षणे धोक्याची घंटा असू शकते
1. तोंडात पांढरे चट्टे असणे
2 तोंडात लाल चट्टे असने
3 तोंडातील न भरणारे छाले व जखमा
4 तोंड कमी उघडणे
5 तिखट खातांना अंगार किंवा जळजळ होणे
6 तोंडात फोड येणे

*तोंडाच्या कॅन्सर चे ऑपरेशन महात्मा फुले जनआरोग्य योजनेत (जीवनदायी योजनेत) मोफत*

तरी तंबाखू , गुटखा व पान सेवन करणाऱ्यानीं व्यसनमुक्त व आरोग्यदायी जीवनासाठी भेटा

*डॉ गि-हे मॅक्सिलोफेशियल सर्जरी सेंटर व दातांचा दवाखाना*
फ्लॅट A-1H
झाम्बड टॉवर
*कामगार चौक*
सिडको N2
औरंगाबाद

7798077682
9623950280
*कृपया हा मेसेज जास्तीत जास्त गरजू लोकपर्यंत पाठवा*

गुटखा सेवनामुळे न उघडणाऱ्या तोंडाची शस्त्रक्रिया करून तोंड पूर्वीसारखे उघडता येते
जर गुटखा सेवनामुळे आपले तोंड उघडत नसेल तर आजच भेटा
डॉ गि-हे मॅक्सिलोफेशियल सर्जरी सेंटर व डेंटल क्लिनिक,
कामगार चौक
सिडको N 2
औरंगाबाद
संपर्क 9623950280
Check out DR GIRHE DENTAL CLINIC on Google!
https://g.page/r/CeDd6qu_mraBEA0

Photos from Dr Girhe's Center for Cranio-Maxillofacial & Reconstructive Surgery.'s post

We all are aware of the rampant surge in the fungal infection i.e Mucormycosis which is very aggressively spreading and people are losing eyes, jaw and their precious life. Seeing the need of the current scenario to serve these patients, to diagnose and get treated with multidisciplinary approach under one roof, we have come with the concept of MUCORMYCOSIS CLINIC. So be vigilant and beware and help your near and dear ones to save their precious life.

मुकॉरमायकोसिस या बुरशिजन्य रोगाचा पादुर्भाव खूप वाढला आहे ,बरेच लोक आपले डोळे, जबडा आणि काही वेळेस जीव सुद्धा गमावत आहे ,याची तीव्रता लक्षात घेता कोविड नंतर उदभवणाऱ्या या आजाराचे वेळीच निदान व उपचार करण्यासाठी तज्ज्ञांच्या सर्व चमुसह आम्ही या रुग्णांना योग्य मार्गदर्शन व उपचारासाठी मुकॉरमायकोसिस क्लीनिक ही संकल्पना मराठवाड्यात प्रथमच कार्यान्वित करत आहोत, गरजू लोकांना योग्य मार्गदर्शन करा

MUCORMYCOSIS IN POST COVID pts is one of the most fetal POST COVID complication . Today we are going to discuss on this topic in Association with IDA HADAPSAR (PUNE)BRANCH .
All Dental Surgeons Can Join