A great part of our patients are outside from Catalonia. We coordinate the stay to come to Barcelona a day before the surgery and to stay in the city 3-4 days after the same. Our receptionists will inform you and will help you to organise your travel and stay.
Depending on the type of intervention, the surgeries of facial skeleton last normally from 20 minutes in case of palatal expansion to up to 2 hours in bimaxillary surgeries. After the intervention is finished, the patient stays one hour more at the postoperative recovery unit, and from there once awake he is transferred to his room.
The vast majority of interventions suppose one night stay at clinic and discharge on the next day. In some cases, we perform surgery in an outpatient setting, without admittance to the clinic.
The speciality in Oral and Maxillofacial Surgery is recognized by European Union. It is easy to consult the list of maxillofacial surgeons of one city or country via medical councils or via the Spanish Society of Oral and Maxillofacial Surgery. On the basis of this list, with the information from your own primary care physician and some acquaintances that have been operated on, you will find the best option.
To be informed about the surgical intervention that you will undergo (advantages, risks), type of anaesthesia, postoperative period, centre where the surgery will be carried out, etc. If the explanation of the specialist doesn’t result to be satisfactory it is advisable to visit others, till you find the professional that satisfies your needs.
A good understanding between doctor and patient is necessary. Starting from the identification of functional or aesthetic problem, a surgeon will inform you about possible solutions and guarantees of success according to the importance of the particular problem.
At your first consultation you will have an opportunity to get to know us, to know different treatment options and the option that we recommend you. The stages of treatment will be explained to you, the time it takes, the quote of the surgical stage of treatment will be given to you and the documents of the planned treatment plan will be given to you in order that you could visit your dentist and ask him the quote for the prosthetic stage. You will have an opportunity to raise all your doubts about your problem or treatment with the doctor as well with the auxillary staff of the office.
At the reception we will take your data in order to be able to open a file for you at the Clinic. We will ask you, as the law defines, the authorization to include your data in our database. You will be accompanied to the waiting room, where you will receive a preliminary information about the implants and you will be given a health questionnaire to fill. Subsequently, we will pass to the diagnostic stage, where your medical history will be discussed with Dr. Birbe, the clinical exploration will be carried out and the photos and radiographs of your mouth will be done. Consequently the doctor will discuss with you the treatment alternatives, the available options and the option that he advises in your case. You will receive information, verbal and written, about the intervention, the medication and postoperative care.
In case when the surgeon considers it necessary, he will ask for a special test, called CT or scanner that will be done at Radiology centre outside the Clinic. It can be necessary to take impressions of your mouth so that the laboratory fabricates a provisional prosthesis (splint) that will be used only twice: during CT or scanner and the day of surgery to put the implants with major precision.
Our coordinator of treatments will clear up the doubts you may have and will prepare a written quote of its surgical stage. Remember that you should ask you dentist a quote for a prosthetic stage that we will not carry out.
At reception desk they will give you a next appointment, that will be, depending on your case, to come back to explain the doubts, to take impressions for the splint or to see the CT or scan, or straightforwardly for the surgery of implant placement.
At Clinic Birbe we all are making an effort to provide a maximum quality of service for our patients. At the end of the treatment we will give you a questionnaire to know your opinion and that this one helps us to improve.
The number of implants necessary for your mouth will be determined by your doctor after you case study. The ideal number of implants is one for each lost dental root. In some cases of only one molar loss, that have two or three roots, we will need two implants to replace this tooth. We normally need more implants in the upper jaw bone than in the anterior segment of the lower jaw bone. It is due to the fact that the upper jaw bone has a more spongy consistency, the same occurs in the posterior segment of the lower jaw bone (the area of molars) where it is frequent the use of two implants to replace one molar with two roots. The construction of implant fixed prosthesis is like the construction of a building: more foundations we lay better it bears the loads. The balance between the number of implants and patient’s economy is important. The final decision between different options will be an agreement between the patient and his doctor implantologist.
When you lose one tooth, usually, it is good to replace it. The loss of one tooth compromises your bite, the ability to chew and even the speech. In addition the load to the remaining teeth is increased that can affect their health. Additionally, when you lose one tooth, the bone decreases, that produces a premature ageing of the face and can have a serious negative impact or aesthetic affectation.
The key factors to make a decision of getting orthognathic surgery or aesthetic surgery:
- The decision is absolutely personal.
- It never should be made neither by relatives nor by friends no matter how well-intentioned they are.
- Do not let be influenced by third parts.
To seek advice and analyse pros and cons of the surgical intervention.
It is important to distinguish (according the Royal Decree 1277/2003, October, 10 th) Functional Maxillofacial Surgery: an assistance unit where the doctor specialist in oral and maxillofacial surgery is responsible for surgical correction of congenital, acquired, tumoural or involutional processes that require repair or replacement of the structures that affect the shape and function.