Surgery
Oral and Maxillofacial Surgery in Gurgaon
Oral and maxillofacial surgery covers the surgical treatment of the mouth, jaws and face. Two qualified Oral and Maxillofacial Surgeons practise here - Dr. Ankush Mahajan and Dr. Lakshay Gupta - which means procedures that many clinics refer out are carried out in-house, by specialists who do this work rather than by a general dentist attempting it.
That said, not everything belongs in a dental clinic. Major facial trauma, jaw realignment surgery and anything needing general anaesthesia belongs in a hospital, and we will say so plainly rather than stretch to keep the case.
Oral and maxillofacial surgery is a separate specialisation, not an extension of general dentistry. A surgeon completes dental training and then several further years of surgical training in the mouth, jaws and face. It is the reason a difficult impacted wisdom tooth, a cyst in the jaw or a bone graft is a different proposition in a clinic that has one than in a clinic that does not.
The most common reason people are referred for surgery is a tooth that will not come out simply - a wisdom tooth lying sideways, roots that are curved or fused to bone, or a tooth that has fractured at the gum line. These are technique problems rather than force problems, and the difference between a surgeon and an optimistic general dentist tends to show in how long you take to heal.
The other common reason is preparing for implants. Where a tooth has been missing for years the bone has usually resorbed, and there may not be enough of it to hold an implant. Bone grafting and sinus lift procedures rebuild that foundation. Having the surgeon and the implant planning under one roof means the grafting is designed around the implant that is actually going in, rather than done in isolation and worked around later.
What matters as much is knowing where the line is. Corrective jaw surgery, major facial trauma and anything under general anaesthesia belongs in a hospital with an anaesthetist and theatre support. A clinic that offers those in a dental chair is a clinic to be cautious of.
Why patients choose us for this
Specialists, not generalists
Surgical cases are handled by qualified maxillofacial surgeons who do this work routinely, not by a dentist working at the edge of their training.
Fewer referrals out
Impacted teeth, difficult roots, bone grafting and soft tissue procedures are done here rather than sending you elsewhere and starting again.
Honest about the limits
Cases that need a hospital setting or general anaesthesia are referred, and told to you as such. Nobody is kept in-house for the sake of it.
Endodontist first opinion
Because the practice is endodontist-led, teeth are assessed for whether they can be saved before surgery is considered. Surgery is not the default answer.
What to expect
- 01
Consultation and imaging
Examination and X-rays, and a scan where the case needs one - particularly for impacted teeth close to a nerve.
- 02
The plan and the risks
What is proposed, what the alternatives are, and what can go wrong. Surgical risks are explained before you consent, not afterwards.
- 03
The procedure
Most procedures are carried out under local anaesthetic at the clinic. Cases needing a hospital setting are arranged accordingly.
- 04
Review and healing
Aftercare instructions, and a review appointment to check healing rather than leaving you to judge it yourself.
Your options
Surgical extraction of impacted teeth
Wisdom teeth and other buried or sideways teeth, where the tooth has to be reached and often sectioned rather than simply lifted out.
Difficult extractions and retained roots
Fractured teeth, curved or fused roots, and roots left behind by previous extractions elsewhere.
Bone grafting and sinus lift
Rebuilding bone volume where a tooth has been missing long enough for the ridge to resorb, so an implant has something solid to hold.
Cysts and soft tissue lesions
Removal of jaw cysts and soft tissue lesions, with the specimen sent for laboratory examination.
Biopsy
Taking a tissue sample for diagnosis, which is what settles the question when a screening or examination finds something that needs an answer.
Referred to hospital
Corrective jaw (orthognathic) surgery, major facial trauma, and any case needing general anaesthesia. These are arranged in a hospital setting rather than attempted here.
How long it takes
A consultation and imaging first, then the procedure booked separately - surgery is not done on the day you first walk in, because planning and consent matter. Most procedures take under an hour under local anaesthetic. Swelling peaks around day two or three and settles over the following week, with a review appointment to check healing.
What it costs
Quoted in writing after the consultation, once the imaging shows what the case actually involves. Surgical difficulty varies enormously between two teeth that look similar on the surface, which is why a figure before assessment would be a guess.
Get a written estimateAfterwards
What the next few days actually look like, so nothing comes as a surprise.
- Swelling and stiffness peak at about day two or three. That is the normal course, not a complication.
- Cold compresses for the first day, then warm afterwards. Do not rinse vigorously on the first day - it dislodges the clot.
- No smoking. It is the single biggest avoidable cause of a painful dry socket and delayed healing.
- Finish any antibiotics prescribed, and take painkillers before the anaesthetic wears off rather than waiting for pain to arrive.
- Call if bleeding will not settle with pressure, if swelling is worsening after day three rather than improving, or if you develop a fever.
Surgery offered too readily
The most expensive mistake in this area is a tooth removed that could have been saved. Extraction is quicker, cheaper on the day, and permanent - and once a tooth is gone, replacing it costs several times what saving it would have. That is precisely why an endodontist-led practice is a useful place to have this conversation: teeth here are assessed for whether they can be kept before surgery is discussed. If a tooth has been recommended for extraction elsewhere, it is worth a second look before you agree to it.
Frequently asked questions
Who performs surgery at the clinic?
Dr. Ankush Mahajan and Dr. Lakshay Gupta, both Oral and Maxillofacial Surgeons. Dr. Shipra Jain, who leads the practice, is an endodontist - surgical cases are handled by the surgeons rather than by her.
What is done here and what is referred out?
Surgical removal of impacted and buried teeth, difficult extractions and retained roots, bone grafting and sinus lift for implants, biopsies, and cyst or soft tissue lesion removal are carried out here. Major facial trauma, corrective jaw (orthognathic) surgery, and anything requiring general anaesthesia are referred to a hospital setting.
Will I be asleep during the procedure?
Most procedures are done under local anaesthetic, so you are awake but the area is fully numb. If your case genuinely needs general anaesthesia, that requires a hospital and would be arranged there rather than here.
Is a maxillofacial surgeon different from a dentist?
Yes. An oral and maxillofacial surgeon completes dental training and then a separate postgraduate surgical specialisation in the mouth, jaws and face. It is a different specialty from endodontics, orthodontics or prosthodontics.
How long is recovery?
It depends entirely on the procedure. A straightforward surgical extraction usually means a few days of swelling and soreness. Bone grafting and larger procedures take longer, and you will be given a realistic timeline for your case beforehand rather than a general one.
Why does the clinic have maxillofacial surgeons if it is led by an endodontist?
Because they are different specialties that complement each other. Dr. Shipra Jain's work is saving teeth; Dr. Ankush Mahajan and Dr. Lakshay Gupta handle the cases where surgery is genuinely required. Having both means the decision between saving and removing a tooth is made by people who each argue their own side of it.
Do you take biopsies here?
Yes - biopsy is a surgical procedure and is carried out by the maxillofacial surgeons. The specimen goes to a laboratory, which is what provides the diagnosis.
Can I have surgery on the same day as my consultation?
Not usually, and that is deliberate. Imaging needs reviewing, the plan needs explaining, and you should have the chance to consider it rather than consent to surgery in the same hour you first heard about it. Genuine emergencies are handled differently.
Will my face swell?
Some swelling after surgical extraction or grafting is normal and expected, peaking around the second or third day. What is not normal is swelling that keeps increasing after day three, or that comes with fever - call us if that happens.