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DEPARTMENT OF DENTISTRY

The department of dentistry of TH Kandy has been providing its various services to the community and we have achieved almost all the treatment facilities to provide good oral and dental health care to the community.

The department consists of following units

  1. Orthodontic Unit
  2. Oral and Maxillofacial Surgery (OMF)
  3. Restorative Dentistry
  4. Dental OPD

Oral and Maxillofacial Surgery (OMF) unit provides surgery to treat a wide variety of diseases, injuries and defects in the head, neck, face and jaws utilizing the very latest protocols, science and technology to enhance patient. The orthodontist provides the expertise, the treatment plan, and the techniques to straighten teeth and align the jaws. We provide specialist services for children and adults requiring correction of their mal-aligned teeth and jaws.

 


ORTHODONTIC UNIT

Overview

   

Orthodontics is the dental specialty that deals with malocclusions (irregularity of teeth) and abnormalities of jaws. Orthodontic treatment includes preventive, interceptive and corrective procedures to establish esthetics, function and stability of the dentition and facial contours.

The Orthodontic unit at the Teaching Hospital Kandy provides a consultant-led service for the treatment of patients with a wide range of malocclusion. We work closely with other dental specialties such as maxillofacial surgery, restorative dentistry and pediatric dentistry to provide more comprehensive care for our patients..

Academic Program

The Orthodontic unit at the Teaching hospital Kandy is an accredited training center for the MD(Orthodontics) training program conducted by the Post Graduate Institute of Medicine, University of Colombo.

Performance

 

Staff

A) Our referral base

  • Dental out patients department of Teaching Hospital, Kandy.
  • General, Base and Divisional hospitals with no Orthodontic Units
  • Faculty of Dental Sciences
  • School Dental Clinics
  • Adolescent Dental Clinics
  • Mobile Dental service

B) Our work schedule

  • New patients are registered and screened on every Friday from 8.00am to 12.00noon and from 2.00pm to 4.00pm.
  • Treatments are delivered from 8.00am to 12.00 noon and from 2.00pm to 4.00pm from Monday to Thursday.
  • Oral hygiene revision and education is conducted on every Saturday from 8.00am to 12.00 noon and on Tuesdays and Thursdays from 2.00pm to 4.00pm.

C) Statistics (an average figure for a month)

  • Number of new patients screened - 400
  • New admissions for treatment -120
  • Patients seen for appliance delivery and adjustments – 1500
 

Dental Unit

 

 Consultant
 Dr (Mrs.) D. P. Wettasinghe
 BDS, MS(Orthodontics), DOrthRCS (EDINBUROH) Wettasinghe

Senior Registrar 1
Registrar 2
Senior House Officers 1
House Officers 4
Nursing Officers 7
Health Care Assistants 7

 

Dental Laboratory

Overview

The Dental Laboratory at the Teaching Hospital, Kandy serves Orthodontic, Maxillofacial and Restorative Dentistry units by constructing Orthodontic appliances, full and partial dentures and other prosthetic appliances.

 

Staff

Dental Technicians 3
Health care Assistants 2

 

Statistics (an average monthly figure)

Removable Orthodontic appliances 64
Accessories for fixed appliances 14
Appliance repairs 45
Partial Dentures 12
Full Dentures 12
Acrylic special trays 07
Obturators 01

 

   

Milestones / Special Events

   
     

Future Goals

   
  • Capacity building of staff
  • Outreach services
   

 

 


RESTORATIVE UNIT

Overview

   

Restorative Dentistry is the dental specialty that deals with diagnosis and management of diseases of teeth and their supporting structures and rehabilitation of the dentition to functional and aesthetic requirements of the individual. The replacement of missing teeth and supporting tissues by means of prostheses such as Dentures, Bridges and Implants are also integrated with it.

The Restorative Dentistry Unit at the Teaching Hospital Kandy provides a wide range of treatments starting from simple restorations, Root canal treatments (Endodontics), crowns, dental trauma management to different kind of prostheses such as dentures, obturators and dental bridges. We closely work with Oral and Maxillofacial Surgery and Orthodontic units to provide comprehensive care for our patients. We also provide the dental care for those patients awaiting cardiac surgeries, transplant surgeries, Radiotherapy and other specialized medical treatments.

Academic Program

The Restorative Dentistry Unit at the Teaching Hospital Kandy is a training center for the PDHDP training program conducted by the Post Graduate Institute of Medicine, University of Colombo.

Performance

 

Staff

A) Our referral base

  • Dental Out Patient Department of Teaching Hospital, Kandy.
  • Surgical units, Cardiology Unit, Nephrology and other medical units of Teaching Hospital Kandy.
  • General, Base and Divisional hospitals with no Restorative Dentistry Units.
  • School Dental Clinics.
  • Adolescent Dental Clinics.

B) Our work schedule

  • New patients are registered and screened on every Tuesday and Friday from 8.00 am to 12 noon.
  • Treatments are delivered from 8.00 am to 12.00 noon and 2.00 pm to 4.00pm from Monday to Friday.
  • A special clinic for children is conducted every Saturday from 8.00 am to 12.00 noon.
 

Dental Unit

 

 Consultant
 Dr. W. N. Kularathna
 BDS, MD(Restorative Dentistry)

House Officers 03
Nursing Officers 04
Health Care Assistants 04

 

Dental Laboratory

Overview

The Dental Laboratory at the Teaching Hospital, Kandy serves Orthodontic, Maxillofacial and Restorative Dentistry units by constructing Orthodontic appliances, full and partial dentures and other prosthetic appliances.

 

Staff

Dental Technicians 3
Health care Assistants 2

 

Statistics (an average monthly figure)

 

Physiotherapy Unit

Year   2017  2016

RCT

ANTERIOR

653

583

PREMOLAR

523

630

MOLAR

653

585

                                      Total 

1829

1795

Restoration

LCC

1629

1400

AMALGAM

120

83

GIC

119

36

                                       Total

1868

1519

Trauma

RTA

145

99

ACCIDENTAL

149

152

ASSULT

78

67

                                       Total

372

418

Crown and Bridge

45

46

Scaling

478

480

ESD

118

91

Denture

107

113

Obturators

5

5

Consultation

1077

1438

 

Statistics

Year 2017 2016
  Male Female Male Female
First Visit 798 875 873 1091
Second Visit 2188 3007 1856 2759
   

Milestones / Special Events

   
     

Future Goals

   
  • Capacity building of staff
  • Outreach services
   

 

 

 


ORAL AND MAXILLOFACIAL SURGERY (OMF) UNIT

Overview

   

OMF UNIT provides services to deal various aspects of disease and conditions related to  oral cavity, jaws and head and neck  region Here we are adopting latest protocol in surgical and medical science   in dealing with oral malignancy (Oral Cancer), developmental abnormalities such as hair lip and palate and facial abnormalities to enhance the aesthesis and function.

In addition the unit has a main role in assisting surgical management of dento-alveolar pathology. More over this specialty play a main role in managing Facial Trauma which cause damage to the facial soft tissue and jaw bones. Our unit also assist in various specialty to manage their own patient who needs oral care as a part of their management.

Procedures in the Clinic

Procedures in the Clinic

 

  1. Management of dento-alveolar trauma Such as
    • Suturing of extensive facial lacerations which need specialized management.
    • Splinting of avulsed (loose) teeth.
    • Fixation of fractured alveolar bone (tooth bearing bone).
  2. Removing of buried teeth inside the bone - impacted wisdom, canine and other teeth which are not fully erupted. And transplantation of teeth to close the gaps in dental arch.
  3. Surgical management of Dento Alveolar infection Such as oral and facial abscess a, and tissue space infection.
  4. Laser treatment for oral and facial lesion such as Lichen planus, moles and small vascular lesion.
  5. Biopsy for all kind of oral lesion.
  6. Surgical excision of oral lesion under Local Anesthesia (LA) - (small lump and bumps) such as small soft tissue tumors and hard tissue tumors, growth, cystic lesion, total excision of pre malignant lesion.
  7. Management of Temporo-mandibular joint (TMJ) disorders.
    • E.g. - Jaw dislocation, TMJ Pain Dysfunction syndrome, Arthrocentesis, injection of DEPO Preparation and PRP, introduction of bite raising appliances.
  8. Botox injection – Masseter hypertrophy, Hyper-salivation, facial spasm.
  9. Procedures in relation to Salivary gland.
    • E.g. - Removal of calculi, removal of small tumors under LA and other form salivary gland disorders.
  10. Management of facial pain.
    • E.g. - Neuralgic pain, decompression of nerve, sectioning of peripheral nerve to relieve intractable pain.
  11. Certain procedure to improve facial aesthesis.
  12. Management oral ulceration.
  13. Management of medically compromised patients who need Basic Dental procedures Referred from OPD, Cardiology, Nephrology, Hematology and General Medicine etc.
  14. Implants.

Procedures in the Surgical Theater

 

Staff

  • Fixation of fractured Maxilla Mandible (jaw Bones) nasal bone, Zygomatic Bone (check bone), frontal bone (forehead) using Titanium mini plates and Screws.
  • Correction of Orbital Blow out fracture to relieve visual disturbances.
  • TMJ procedures - Rehabilitation of jaw joint by open procedures such as reliving of ankylosed (Fused)    joint to improve function, Shaving off growth centers to arrest hypertrophied and hyperplastic mandible, fixation of fractured Jaw joint.
  • Grafts - Soft (Flaps) and hard tissue (bone) grafts, and Allo-plastic material in reconstruction surgery to improve aesthesis, function and rehabilitation following ablative surgical procedures and tissue loss due to various traumatic injuries.
  • Surgical Management of Oral malignancies (oral Cancer) and other oral Tumors - such as Danto - alveolar, Vascular, Soft and Hard tissue Tumors.
  • Surgical excision of Salivary gland tumors- parotid, sub mandibular salivary Glands (Parotidectomy) and other procedures in related to Salivary Glands pathology - Calculi removal, Ductoplasty.
  • Correction of Cleft lip and Palate, Rhinoplasty – Development Defects.

                                                                      

OMF clinic provide service from 8am to 12 noon and 2 pm to 4 pm on OPD basis, in addition on call services available from 12 noon to 2 pm and after 4 pm till next day 8am for emergency management and admissions.

 

 

Dental Unit

 

 Consultant
 Dr. (Mrs.) W. M. S. D. Abeyrathna
 BDS, MS(DS)SL

Dental Surgeons 07
Nursing Sisters OMF Clinic - 04
Ward 21    - 11
Ward 22    - 13
Supporting Staff OMF Clinic - 04
Ward 21    - 07
Ward 22    - 07

 

Clinical Services provided and work schedule

   
  • Routine clinic on Tuesday and Friday.
  • Minor operation on Thursday and Saturday.
  • Major operation in theater D on Monday and Wednesday.
  • Team   is available for emergency care on demand every day during off hours.
  • Entertain wide range of referral from various specialties, medical and dental OPD.
  • Provincial and Base Hospital and, Peripheral Hospitals.


Our unit closely work with Neuro Surgical, Eye, Orthopedic Plastic, ENT, Vascular, and General Surgical, Cardiology, Nephrology, Oncology Pediatric, General Medicine units and departments.

Academic interest     –    Under Graduate and Post Graduate training
   

Milestones / Special Events

   
  • 2015 - Expansion of Theater Sessions and shifting to a new Theater Complex
  • 2017 - Opening up a Laser Unit
   

Future Goals

   
  • Opening up a residential OMF Surgeon Post.
  • Establishment of a second unit with fully pledged facilities for a second consultant.
  • Expansion of Theater Facilities and other infra-structure requirements for Micro Vascular and Reconstructive Surgery
   

 

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