i) INTRODUCTION

Oral and maxillofacial surgery is a surgical specialty focusing on diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region.

ii) BACKGROUND

Oral and Maxillofacial Surgery Department was officially formed in 1961. Since then, the department has extended with formation of Oral Medicine and Oral Pathology, Special Needs Dentistry and Forensic Odontology Units.

The department is undertaken by our Head of Department and our staffs include consultant/oral surgeons, dental officers, dental technicians, dental surgery assistants, dental nurses and attendants.

iii)VISION

To provide a good and conducive working environment which is sensitive to the needs of the patients by producing  a high quality service with the aid of the latest technologies in the management of all patients.

iv) MISSION

To be the establishment referral center of choice for all oral and maxillofacial surgeries.

v) OBJECTIVE & FUNCTION

To provide holistic and comprehensive care which includes diagnosis, treatment and rehabilitation to all patients with oro-facial and dental problems with the objective of successfully restoring the function ,aesthetics and also elevating the quality of life through the orally fit concept.

The Oral & Maxillofacial Surgery Department is proud to be part of Hospital Kuala Lumpur, the largest hospital in this region which also serves as a tertiary health care provider .We serve the Klang Valley and its littoral communities.

vi) CLIENT CHARTER

CLIENT  CHARTER

We promise to provide professional, safe, friendly, caring & quality service.

We will give priority to patients referred from the Accident and Emergency Department in the matter of registration and treatment.

Patients will be given appropriate information on procedures ,treatment and payment by a specialist or Dental Officer.

Patients who need medication for dental problems will be given a prescription for medication that needs to be taken at the Kuala Lumpur Hospital Pharmacy.

Confidentiality of personal information, illness and treatment provided to patients is guaranteed.

Clean, comfortable and safe facilities and environment are provided.

CUSTOMER  RESPONSIBILITY

Provide required documents such as identity card, doctor’s reference letter, departmental Guarantee Letter (government employees).

Provide the necessary information accurately such as home address, telephone number and so on.

Understand that treatment priority will be given to patients who are in an emergency.

vii) ORGANIZATION  CHART

Organization Chart Oral & Maxillofacial Surgery Department

 

The outpatient of Oral & Maxillofacial Surgery unit are seen and managed in Specialist Complex Ambulatory Care Centre while the inpatient and the three other units services are available in the Satellite Clinic in the main block.

There is a full complement of consultant/oral surgeons, dental officers, dental technicians, dental surgery assistants, dental nurses and attendants. We also have a receptionist coordinating the counter services. Day to day business management is undertaken by our Head of Department whereas our specialists and senior dental officer takes charge of general clinical management.

Our treatment area of both clinics includes dental units for officers and specialists.Both clinic also has its own central sterilization room and supply room and also x-ray room. Our clinic setting is a unique combination of newly refurbished rooms that functions together seamlessly, promoting smooth flow of operations.

REGISTRATION COUNTER

Main Block	Specialist Complex Ambulatory Care Centre (SCACC)

CENTRE STERILE SUPPLY UNIT (CSSU)

Main Block	SCACC

DENTAL UNIT

X-Ray ROOM

PROSTHETIC LABORATORY (SCACC)

 

ORAL AND MAXILLOFACIAL SURGERY DEPARTMENT

Oral and Maxillofacial Surgery Department operated in 2 clinics:

- Level 2 in Specialist Complex Ambulatory Care Centre (SCACC)

- Outpatient refrerral and treatment

Satellite Clinic in main block level 1

Inpatient referral and treatment

Outpatient referral and treatment for Oral Medicine and Oral Pathology, Special Needs Dentistry and Forensic Odontology

Our department provides a wide range of services, encompassing most facets of the Oral & Maxillofacial specialty. They include:

1. Trauma involving oral and maxillofacial region

2. Minor oral surgery such as surgical removal of impacted wisdom tooth, dental implant and other minor surgeries.

3. Management of oral and maxillofacial lesion including cancer and temporomandibular joint disorder.

4. Management of dentoalveolar/dentofacial deformity and orthognathic surgery.

5. Conservative treatment

Basic conservative dental treatment is rendered depending on individual needs especially to  patients with medical problems complicating oral rehabilitation. Patients requiring more extensive treatment will be referred to satellite dental clinics within Kuala Lumpur.

6. Construction of Oral and Maxillofacial Prostheses

Besides the provision of dentures and splints, Oral & Maxillofacial Surgery Department is

responsible for the fabrication and provision of maxillofacial prostheses referred from various disciplines such as Opthal, ENT, O&G and Plastic & Reconstructive. These prostheses include maxillary obturators, eye and ear prostheses.

Ear Prosthesis	Nose Prosthesis

7. Special Needs Dentistry

Also known as Special Care Dentistry is a specialty of dentistry concerned with the oral health of people who have intellectual disability or are affected by other medical, physical disabilities or psychiatric issues.

8. Oral Medicine and Oral Pathology Clinic

This is organized with visiting Oral Pathologists from the Institute of Medical Research (IMR)

twice a week for all Oral Medicine and Oral Pathology cases. Cases discussed range from oral ulcers, facial pain to oral manifestations of systemic diseases.

9. Forensic Odontology

Forensic Odontology is the proper handling, examination and evaluation of dental evidence which will then be medicolegal cases presented. The evidence that may derived from teeth is the age & identification of the person to whom the teeth belong to.

10. Combined Clinics

Oral surgery cases that require combined management with other disciplines before commencement of treatment.

a. Orthodontic Combined Clinic

b. Prosthodontic Combined Clinic

c. Oncology Combined Clinic

d. Continuing Professional Education (CPE)

The Oral & Maxillofacial Surgery Department participates in the Hospital Kuala Lumpur Wednesday clinical meetings. Every Monday evening from 2.00pm till 4.00pm,there will be pre-op discussion held in level 2 Seminar Room, SCACC attended by oral surgeons and dental officers of Oral & Maxillofacial Surgery Department.

Clinic Schedules

Oral & Maxillofacial Surgery SCACC

Day	Time	Activities
Monday	8.00am-1.00pm 2.00pm-5.00 pm	Referrals from Emergency Department (Walk-in) and Out Patient Department & IJN CME for specialists and officers
Tuesday	8.00am-1.00pm 2.00pm- 5.00 pm	Operation in Operating Theatre SCACC / Gen.OT Referrals from Emergency Department(Walk-in)
Wednesday	8.00am-9.00am 9.00am-1.00pm 8.00am-5.00 pm	CME at Main Auditorium for specialists and officers Operation in Operating Theatre in Gen. OT Referrals from Emergency Department (Walk-in)
Thursday	8.00am-1.00pm 2.00pm-5.00 pm	Referrals from Emergency Department (Walk-in) and Out Patient Department & IJN Operation in Operating Theatre SCACC/Appointments
Friday	8.00am-12.15pm 2.45pm-5.00 pm	Referrals from Emergency Department (Walk-in)and Out Patient Department & IJN CME in SCACC / Satellite Clinic for all staffs

Oral & Maxillofacial Surgery –Satellite Clinic / Main building

Day	Time	Activities
Monday- Thursday	8.00am-1.00pm 2.00pm-5.00 pm	Ward  Referrals and Ward Appointments Ward Referrals and Ward Appointments
Wednesday	8.00am-9.00am 8.00am- 5.00pm	CME for specialists and officers at Main Auditorium Ward Referrals and Ward Appointments
Friday	8.00am-12.15pm 3.00pm-5.00pm	CME in SCACC / Satellite Clinic for all staffs

*Lunch break : Monday till Thursday - from 1.00pm - 2.00pm ;           

                         Friday  - from 12.15pm - 2.45pm

** All urgent referrals from Emergency Department will be entertained in Oral Surgery Clinic SCACC for Walk-in patients and ward patients at Satellite Clinic during office hours and by oncall officers after office hours.

Forensic  Odontology – Satellite Clinic/ Main Building

Day	Time	Activities
Monday - Friday	8.00am – 5.00 pm	Open for referrals
Wednesday	8.00am - 9.00am	CME for specialists and officers at Main Auditorium
Friday	3.00pm - 5.00pm	CME in SCACC / Satellite Clinic for all staffs

*Oncall specialist and officers are available throughout the year and after office hours

Special Needs in Dentistry – Satellite Clinic/ Main Building

Day	Time	Activities
Monday : 1st,2nd,3rd,5th week                   4th week	8.00am-5.00 pm 8.00am- 5.00pm	Appointments and referrals Preparation for Operating Theatre cases
Tuesday : 2nd week 4th week	8.00am- 5.00 pm	Appointments and referrals Operating Theatre in Daycare OT Operating Theatre in Main OT
Wednesday	8.00am- 9.00am 9.00am- 5.00pm	Hospitals CME Appointment and referrals
Thursday	8.00am- 1.00pm 2.00pm-5.00pm	Geriatric multidisciplinary meeting Appointments and referrals
Friday	8.00am-12.15pm   3.00pm -5.00pm	Behaviour Day Appointments and referrals Meetings and CME

Oral Pathology  & Oral Medicine – Satellite Clinic/ Main building

Day	Time	Activities
Tuesday	8.00am – 1.00 pm	Appointments and referrals
Wednesday	8.00am - 9.00 am 9.00am - 1.00pm	CME at Main Auditorium Appointments and referrals
Monday & Thursday	8.00am – 5.00pm	Open for urgent outpatient / ward referrals
Friday	8.00am - 12.15pm   3.00pm - 5.00pm	Open for urgent outpatient / ward referrals CME in SCACC / Satellite Clinic for all staffs

*Lunch break : Monday till Thursday - from 1.00pm - 2.00pm

                     Friday - from 12.15pm - 2.45pm

 

 

 

TYPES OF TRAINING

NO	SUBJECT	PERIOD OF TRAINING
1.	Main training center for pre-gazettement Oral & Maxillofacial surgeons in Malaysia	4 to 6 months
2.	Clinical rotation of Master in Clinical Dentistry, M.Clin.Dent (Oral & Maxillofacial Surgery)students	4 to 6 months
3.	Local training programme for future Oral & Maxillofacial Surgeons conducted by the University of Malaya	4 to 6 months
4.	Provides exposure in hospital dentistry to new dental graduates (New Dental Officer Programme NDOP)	1 month
5.	Training place for post-graduate students from other surgical specialities eg: Dept. of ORL and Plastic & Reconstructive Surgery	1-2 months
6.	Training of support staffs: a)Dental, Oral & Maxillofacial Technicians b)Dental Surgery Assistants during their clinical attachment period	3 months 1-2 months
7.	Provide attachment to final year dentistry students from abroad (Elective student)	2 weeks-1 month