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Plastic Surgery/bone/face change right side - dental implant

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Question
This will sound odd but unfortunately has happened to me and I am physically miserable and looking for help. My facial features have drooped through the nose area and right side of my face from the temple  to my chin. I had a dental impant removed a month ago from my upper right front tooth area after 8 years of dealing with it. I now know it was placed too deep and a second crown I had put on it was very wrong. I started experiencing slight pain in upper teeth area and my right cheekbone when talking after second crown placed. Told dental specialists I felt it was pulling on my right cheekbone. I was told they did not recommend removing it and was diagnosed with atypical trigeminal neuropathy and orofacial pain. So for years took a lot of meds and local injections and went to dental specialists and neurologists. All the time still telling them I felt like the bone was getting pulled on. Was told this was nerve pain spreading as I began to experience pain in my right temple, forehead, nose and ear. Felt like my front teeth were being pulled on and my right jaw pulled down. Finally pain started on right side of my skull and got so bad I found another dentist and oral surgeon and demanded this implant be taken out. Immediately the pain in my front teeth area was gone and pressure on skull eased. However, I knew then that my bone really has been changed. I am still in a lot of pain with my right face and temple. When I talk especially it is painful and my eye on the right side has downward pressure on it from my forehead and temple. My right cheekbone is a lot more pronounced than my left and face is assymetrical and looks different than how it used to look. My right eye is bigger than the left. My whole face looks like it has drooped down and to the left. My nose has turned up and there is a lot of pressure on my nose from between my eyes. My jaw has dropped down in front and on the right side. I don't know where to turn for help. I am hoping a craniofacial specialist may be able to help me. The pressure on right side of my face from the forehead to chin is making it very hard to function at all and I am very scared of what is happening. Any recommendations of what to do and where to get help would be greatly appreciated.

Answer
hello cheryll,
sorry for the delay in replying ,i had been contemplating on your problems it is unusual but not unknown,what you have seems like a rombergs disease,you can google and read in detailthen ask me any questions you may have,it will be useful if you send me a pic ,ill be able to help you better
Dr.Ayyappan

Plastic Surgery

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Dr.Ayyappan.Thangavel

Expertise

CAN ANSWER:Dr.Ayyappan has more than 20yrs of professional experience in Cosmetic&Plastic Surgery.He has been teaching and training Plastic Surgeons in a prestigious teaching institute in India.Dr.Ayyappan can answer ALL TECHNICAL QUESTIONS,Give SECOND OPINION,Perform REVISION SURGERIES,He is an Expert in managing ALL COSMETIC&PLASTIC SURGERIES including complications by vitue of his huge experience in a University teaching institute attached to Government Hospital.Presently he is Director&Head SAL Hospitals International an accredited premier private hospital group.Dr.Ayyappan is gentle,kind and gives time to answer all your questions.

Experience

At present, I am Head ,Department Of PlasticSurgery SAL HOSPITAL&MEDICAL INSTITUTE& Director LaDiva Center ofExcellence for Cosmetic,Plastic,Laser&HairTransplant,MY FOCUS IS ON COSMETIC SURGERY WITH SPECIAL EMPASIS ON LIPOSUCTION,BODY CONTOURING,ANTIAGING SURGERIES,COSMETIC SURGERIES OFBREAST FACELIFT,RHINOPLASTY ETC.I HAD BEEN A CONSULTANT WITH APOLLO HOSPITALS FOR 4YEARS. Prior to that I was an Associate Professor with the Department of Burns & Plastic Surgery at B.J.Medical College & Civil Hospital, Ahmedabad, India. This institute is a 2000 bedded Government funded University Teaching Hospital. The Department has a30 bedded Burns Centre and a 70 bedded Plastic Surgery unit, performing a wide range of Plastic & Reconstructive Surgery including Acute Burns and Post Burn reconstructions ,Polytrauma, lower limb reconstruction , Hand ,Micro & Brachial plexus surgery, Congenital anomalies including Cleft surgery . I was on a sabbatical for a year, working as a Plastic Surgeon with Division of Plastic Reconstructive & Surgery, Prince of Wales Hospital (Chinese University of Hong Kong).During this period I had attended teaching programmes /academic activities and was appointed twice as an Examiner (Undergraduates) for the Chinese University of Hong Kong..I participated in a Curriculum Retreat ( Chinese University of Hong Kong) with the focus on the New Curriculum ,Clinical Assessment Methods& Quality Improvement (Sep 2005). I am Co-investigator for a research project titled “Towards skin reconstitution:a study of epithelial-mesenchymal(bone marrow)cell interactions in a three dimensional acellular dermal matrix” submitted to Research Grants Council (2006/2007). I have gained significant experience on the use of Autologous Bone Marrow in varied clinical situations which I had pioneered and in the process of publishing my experience over a period of 4 years.

Organizations
BJMEDICAL COLLEGE &CIVIL HOSPITAL(INDIA),Associate Professor Department Of PlasticSurgery. PRINCE OF WALES HOSPITAL(HONGKONG),Chinese University of HongKong,Specialist/ClinicalTutor,Division of PlasticSurgery. APOLLO HOSPITALS INTL,SeniorConsultant,Department Of PlasticSurgery. SAL HOSPITAL&MEDICAL INSTITUTE Head ,Department Of PlasticSurgery Director LaDiva Center ofExcellence for Cosmetic,Plastic,Laser&HairTransplant.

Publications
INTERNATIONAL JOURNAL-PUBLICATIONS: • ANTIBIOTIC PROPHYLAXIS -HOBSON’S CHOICE? IN BURNS MANAGEMENT. PUBLISHED IN BURNS JOURNAL (U.K) JULY/AUG1998 • AXIAL APONUERO –FASCIO- CUTANEOUS GROIN FLAP -,AN EXTENDED CONCEPT PUBLISHED IN JOURNAL OF CRANIO FACIAL SURGERY(U.S.A) SEP/2001. • SUPER SURAL FLAPS IN ACUTE TRAUMATIC HEEL RECONSTRUCTIONS PUBLISHED IN PLASTIC&RECONSTRUCTIVE SURGERY JOURNAL(U.S.A) JUNE/2002 • "MICROSURGICAL RECONSTRUCTION IN PAEDIATRIC BURNS .THE BRITISH JOURNAL OF PLASTIC SURGERY(2006) IN PRESS. • PEDIATRIC BURN PREVENTION:AN EPIDEMIOLOGICAL APPROACH Burns, Mar 2006. • DECOMPRESSION NOT ESCHAROTOMY IN ACUTE BURNS Burns, May 2006 . NATIONAL JOURNAL-PUBLICATIONS • NUEROFIBROMATOSIS –AN UNSOLVED RIDDLE PUBLISHED IN THE INDIAN PRACTITIONER.FEB/2001. • TOPICALLY APPLIED AUTOLOGOUS BONE MARROW IN HEALING OF CHRONIC NON HEALING RAW AREAS-INDIAN JOURNAL OF BURNS VOLUME 12/Issue 2001/Dec 2004.

Education/Credentials
Professional Qualification Title M.B.B.S {Bachelor Of Medicine & Bachelor Of Surgery} University University Of Madras Country India Month /Year April 1987 Speciality Professional Qualification Title Master Of Surgery{General Surgery} University Gujarat University Country India Month /Year January 1993 Superspeciality Professional Qualification Title {1} Master Of Chirugiae {Plastic Surgery} University Gujarat University Country India Month /Year March 1996 Superspeciality Professional Qualification Title {2} Diplomat Of National Board{D.N.B}{Plastic Surgery} University National Board Of Examinations Country New Delhi , India Month /Year December 1995 Superspeciality Professional Qualification Title {3} Member National Academy Of Medical Sciences{Plastic Urgery} University National Board Of Examinations Country New Delhi , India Month /Year December 2002

Awards and Honors
GOLD MEDAL CLINICAL SURGERY MADRAS UNIVERSITY 1985 MEMBER NATIONAL ACADEMY OF MEDICAL SCIENCES AWARDED IN 2002 GOLD MEDAL CLINICAL SURGERY MADRAS UNIVERSITY 1985 TOPPER OF MCh(PLASTIC SURGERY)UNIVERSITY EXAMS UNIQUE DISTINCTION OF BEING AWARDED “MEMBER NATIONAL ACADEMY OF MEDICAL SCIENCES(PLASTIC SURGERY)”IN 2002 REVIEWER OF REPUTED INTERNATIONAL JOURNALS…PRS(USA),BJPRAS(UK)

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