Introduction

The department of dental surgery is regularly providing OPD based services; OPDs are open in all working days. This department provides oral and dental services to the patients attending dental OPD with its super speciality services in the field of Oral Medicine and diagnosis, Conservative and Endodontics, Oral and Maxillofacial surgery, Orthodontics and Dentofacial Orthopaedics, Periodontology and Oral Implantology and Prosthodontics. This department has been running post graduate programme in MDS Periodontology and Oral Implantology, MDS in Prosthodontics, MDS in Conservative and Endodontics, MDS in Oral and Maxillofacial Surgery and MDS in Orthodontics and Dentofacial Orthopaedics.

At present we have twenty permanent faculties in various dental sub specialities, one faculty on contract basis, five dental surgeons on contract, few dental surgeon under ministry of Education contract, one senior auxullary health worker, six permanent dental assistants, three permanent dental hygienists, one X ray dental assistant, one dental lab assistant and two dental assistants on contract, four office assistants and fifteen MDS residents.

The department continues to provide services in oral and dental consultation, restotations, root canal therapy, crown and bridges, full and partial dentures, intra and extraoral radiographs, orthodontic treatment, scaling and periodontal therapy, extraction and major and minor oral surgical procedures and dental implants.

_{Services Provided by the Department of Dental Surgery}  

1. Oral Medicine and Radiology: New patients and old follow up patients are first examined in this department and referred to respective department as per the need of the patient.

2. Conservative and Endodontics: Restorations and root canal treatments are done.

3. Oral and Maxillofacial Surgery: Minor oral and dental surgeries are carried out through out the week. Major surgical procedures are carried out in major OT once a week each in Bir Hospital and National Trauma Center. Nature of surgeries include management of maxillofacial trauma, facial deformities correction, open TMJ surgeries, TMJ arthroscopy, oral and maxillofacial tumors, dental implants, oral vascular lesions etc. Advanced surgical services are being provided with latest technologies like virtual surgical planning and 3D printing, and intraoperative navigation technology.

4. Orthodontics: Correction of malaligned teeth is done. Also post graduate program MDS (Orthodontics) is running with two residents.

5. Prosthodontics: Replacement of missing teeth, crown and bridge, obturators are done.

6. Periodontology and Oral Implantology: Scaling and treatment of gingival diseases are done. Dental implants are placed for replacement of missing teeth.

Conservative dentistry and Endodontics Unit

Conservative dentistry and Endodontics unit deals mainly with restorations and root canal treatments of damaged and decayed teeth .We also provide esthetic treatment like bleaching, veneers and composite build-ups. We get in average of 25-35 patients daily in our OPD for consultation. We do around 20-25 patients daily on appointment basis.which includes root canal treatments, restorations and esthetic dental treatments.Apart from that we also do emergency pain management, emergency treatment of traumatic injuries of teeth when required.

We have five consultant endodontists, three dental surgeons , two dental assistants and one helper in the unit. MDS programme was started since 2017. Currently there are two residents out of which one in second year and one in first year. We have eight dental chairs in the department. We also do microscopic endodontics in our department.

Periodontology 

All the patients with complaints of bad breath, bleeding and swollen gums, loosening of teeth, pockets around teeth are taken care in this speciality. This speciality has 10 dental chairs with two separate surgery rooms. One Chief Consultant Dental Surgeon (Professor) and two Senior Consultant Periodontists along with MDS residents are providing specialist services. The treatment of patients who require replacement of missing teeth with implants are carried out in this section in collaboration with other specialists.

Name of Consultants

1.Prof.Dr Shaili Pradhan ( HOD, Department of Dental Surgery)

2.Assoc Prof. DrRanjita Shrestha Gorkhali

3.Asist. Prof Dr Pramod Kumar Koirala (Section chief Periosection)

1. Dental Surgeons- X

2. Chair side dental assistants-Ms Sarala Maharjan

3. Dental Hygeinist
1.Mr Saput Maharjan
2.Mr Abanish Jha

4. Helper- Indira Ghimire

 Job description

1. Consultant

a. Dental OPD Consultations

b. Perio OPD Consultations

c. Patient Treatment/ Nonsurgical

d. Surgeries, Dental Implant Placement

e. Dept. Management

2. Dental surgeon-X

3. Chair side Dental Assistant-Appointments and assistance,Instrument

Sterilisation and arrangements

4. Dental Hygienist- Scaling and Oral hygiene instructions

5. Helper- Cleaning and storage, Patient calling and other help requested by staff and incharge

Orthodontics Unit:

This unit deals with the diagnosis, prevention, and corrections of dental and facial bones /Jaw bones. This unit also focuses on the proper growth and development of the face, jaw and mouth and uses techniques to correct jaws imbalance and growth and promotes proper facial development. This unit has been providing the latest technology in treating craniofacial asymmetries and jaw deformities including orthognathic surgery (jaw surgery) using virtual simulations, 3D analysis and 3D printing. 

Service provided:

Preventive orthodontics:

• Early assessments of a child’s dental development, identifies potential problems, and tracks their progress over time.

• Guide jaw and tooth developments so that they are properly aligned and functional.

• Orthodontic appliances such as spacers, expanders, retainers etc. are given to prevent more serious orthodontic problems from developing or to reduce their severity if they do occur. 

Interceptive orthodontics:

• Deals with dental and jaw problems in their early stage when they are easier to treat before they become difficult to treat.

• Seeks to correct imbalances in growth and development of the jaws and facial bones that may lead to more complex orthodontic problems in the future.

• Use of braces, expanders, retainers to guide the growth and development of the jaws and teeth for function and esthetics.

Corrective Orthodontics:

• Correction of complex orthodontic problems such as misaligned teeth, bite, jaws, and jaw joints

• Comprehensive braces treatments, functional appliances, temporary anchorage devices etc.

• Correction of forwardly placed chin or deviated chin.

Surgical orthodontics:

• Correction of severe orthodontic problems that cannot be treated with simple braces such as cleft lip and palate, severe facial asymmetries, severe jaw deformities, syndromic patients etc.

The orthodontic unit has been regularly using cutting-edge technology such as virtual simulation,3 D analysis and printing for the delivering top-notch care to the patient.

Currently, there are 3 post graduate residents.

 _{Academic program:}

NAMS has established its own postgraduate program in various faculties including various fields of dentistry. This has been a great achievement with NAMS being the first institute to start a program of such kind in dentistry in Nepal. Though there are more than 1700 dental surgeons registered in Nepal Medical Council, there was no postgraduate program in the country till NAMS started MDS in Orthodontics in the year 2065 under able guidance of Prof Dr Praveen Mishra, with two candidates. In the year 2066 two more specialities in dentistry i.e., Periodontics and Prosthodontics started with one intake each, giving way for the graduates in their own country for post graduation. Before this program every dental graduate had to go abroad to do post graduation. MDS Periodontics is co-ordinate by Prof Dr Shaili Pradhan and MDS Prosthodontics by Prof Dr Sarita Joshi. This postgraduate program has undoubtedly upgraded the standard of dental care and treatment in the department.

OPD days

Sunday-Friday (09:00 am to 4:00 pm)

Oral and Maxillofacial Surgery

OPD days: Sunday-Friday

OT days: Thursday (Bir Hospital), Friday (National Trauma Center)

Department of Dental Surgery

Periodontology and Oral Implantology

1.Prof.Dr Shaili Pradhan, MDS Periodontology and Oral Implantology ( HOD, Department of Dental Surgery)

Chief Consultant Dental Surgeon, 11th level

 2. Asist. Prof Dr Pramod Kumar Koirala, MDS Periodontology and Oral Implantology (Section chief Periosection)

Chief Consultant Dental Surgeon, 11th level

3. Assoc Prof. Dr Ranjita Shrestha Gorkhali, , MDS Periodontology and Oral Implantology

Senior Consultant Periodontist, 10th level

4. Dr Rashmee Dhakal, BDS Dental Surgeon

 Conservative and Endodontics

 1.Assoc. prof. Dr Asha Thapa, MDS Conservative and Endodontics (Section chief Conservative and Endodontics)

 Senior Consultant Dental Surgeon, 10th level

 2.Prof. Dr Reema Joshi, MDS Conservative and Endodontics

 Senior Consultant Endoodontist, 10th level

 3Assoc. Prof. Dr Ritu Shrestha, MDS Conservative and Endodontics

 Consultant Endodontist

 4.Asist. Prof. Shikha Bantawa, MDS Conservative and Endodontics

 Consultant Endodontist, 9th level

 4. Dr Ranjan Thapaliya, MDS Conservative and Endodontics

 Dental Surgeon, 8th level

 5.Dr Perisha Khadka, BDS Dental Surgeon

Oral and Maxillofacial surgery

 1. Prof. Dr Bandana Khanal, MDS Oral and Maxillofacial surgery(Section chief Oral surgery)

 Senior Consultant Dental Surgeon, 10th level

 2. Asist. Prof. Dr. Ishfa Banu Haque, MDS Oral and Maxillofacial surgery

 Consultant Oral Surgeon

 3. Asist. Prof. Dr Kishor Bhandari, MDS Oral and Maxillofacial surgery

 Senior Consultant Oral Surgeon, 10th level

 4.Lecturer Dr. Gaurav Karna, MDS Oral and Maxillofacial surgery

 Senior Consultant Dental Surgeon, 10th level

 5. Dr Niraj Pokhrel, MDS Oral and Maxillofacial surgery

 6,Dr. Ashish Timilsina, BDS Dental Surgeon

 Prosthodontics

 1. Assoc. Prof. Dr Pragya Shrestha, MDS Prosthodontics (Section chief Prosthodontics)

Consultant Prosthodontist

2. Asist. Prof. Dr Sanjay Sah, MDS Prosthodontics

 Senior Consultant Prosthodontist, 10th level

3. Asist. Prof. Dr Anand Verma, MDS Prosthodontics

Consultant Prosthodontist

4. Dr. Manisha Shrestha, MDS Prosthodontics

Consultant Prosthodontist

 6. Apexya Shrestha, BDS Dental Surgeon

  Orthodontics and Dentofacial Orthopaedics

 1. Assoc. Prof. Dr Manish Bajracharya, MDS Orthodontics and Dentofacial Orthopaedics

 Consultant Orthodontist

 2. Asist. Prof. Dr. Abhilasha Khanal, MDS Orthodontics and Dentofacial Orthopaedics

 Senior Consultant Orththodontist 10th level

  3. Dr. Purna Khanal, MDS Orthodontics and Dentofacial Orthopaedics

 Senior Consultant Orththodontist 10th level

 4. Dr Nisha Shrestha, MDS Orthodontics and Dentofacial Orthopaedics

  Consultant Orththodontist

Assoc. Prof. Dr. Asha Thapa

Prof. Dr. Reema Joshi

Assoc. Prof. Dr Ritu Shrestha

Asist. Prof. Shikha Bantawa

Dr Perisha Khadka

Dr Ranjan Thapaliya

Prof. Dr Bandana Khanal

Asist. Prof. Dr. Ishfa Banu Haque

Asist. Prof. Dr Kishor Bhandari

Lecturer Dr. Gaurav Karna

Dr Niraj Pokhrel

Dr. Ashish Timilsina

Prof. Dr. Shaili Pradhan

Asist. Prof Dr Pramod Kumar Koirala

Assoc Prof. Dr Ranjita Shrestha Gorkhali

Dr Rashmee Dhakal

Assoc. Prof. Dr Pragya Shrestha

Asist. Prof. Dr Sanjay Sah

Asist. Prof. Dr Anand Verma

Dr. Manisha Shrestha

Apexya Shrestha

Assoc. Prof. Dr Manish Bajracharya

Asist. Prof. Dr. Abhilasha Khanal

Dr. Purna Khanal

Dr Nisha Shrestha