Ninian Peckitt FRCS FFD RCS FDS RCS
Director National Centre for Aesthetic Facial and Oral Surgery
St Chadís House
Hooton Pagnell Doncaster DN5 7BW
Tel: Fax +44 1977 658988
Oral and Maxillofacial Surgery is the surgical specialty concerned with the diagnosis and treatment of conditions and diseases affecting the mouth, jaws, face and neck. Consultant specialists working in this area are variously termed:
The specialty is unique in requiring a dual qualification in medicine and dentistry and is a recognised international specialty which within Europe is defined under the medical directives. The scope of the specialty is very large and includes facial injuries, head and neck cancers, salivary gland diseases, facial disproportion and deformity, cosmetic facial surgery, facial pain, temporomandibular joint (TMJ) disorders, impacted teeth, cysts and tumours of the jaws as well as numerous problems affecting the oral mucosa such as mouth ulcers and infections. Oral and maxillofacial surgeons frequently work alongside other specialists including orthodontists, oncologists, neurosurgeons, plastic surgeons, and ENT surgeons.
Following medical graduation and general surgical training, specialist training is a continuum lasting five years with an exit FRCS examination taken in the last year of specialist training. This, together with successful completion of an additional assessment, results in a Certificate of Completion of Surgical Training (CCST) in Oral & Maxillofacial Surgery and Consultant status. Surgeons are registered with the United Kingdomsís General Medical Council (GMC) General Dental Council (GDC) and also with the specialist list in Oral & Maxillofacial Surgery held by the GMC.
Currently, interface groups in relation to cleft lip and palate and head and neck surgery are developing CCST training requirements in these sub-speciality interests.
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The National Centre for Aesthetic Facial and Oral Surgery is currently setting up an International Centre of Excellence within the United Kingdom. The NCAFOS will evolve to conduct regular training workshops, live surgical demonstrations and visiting fellowships for those surgeons practicing Cosmetic Facial Surgery.
Maxillofacial surgeons with a cosmetic facial surgery interest have extensive expertise in both hard and soft tissue surgery and the treatment deformities of the face mouth and jaws. This experience is valuable as part of a team approach because many facial anomalies have an association with or may be caused by skull and jaw discrepancies.