Edward Nguyen - Oral and Maxillofacial Surgeon

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Springvale, VIC
Edward Nguyen - Oral and Maxillofacial Surgeon

Consulting in Springvale, Footscray and Docklands

Services include removal of wisdom teeth, surgical extractions, dental implants, corrective jaw surgery, oral cancer, salivary gland pathology and facial trauma

21/10/2025

This young woman had a class III skeletal dentofacial discrepancy. She was unable to eat with her front teeth effectively and self conscious about her profile.

After a period of orthodontic decompensation, she underwent double jaw (bimaxillary) surgery. With the use of 3D technology, we were able to plan and execute her surgery with precision using custom plates which also reduces operative time and infection risk.

The goal is to achieve a class I occlusion that is stable and functional. It is also important to optimize facial balance and breathing.

In this case, the maxillary advancement also improved upper lip support and nasal tip projection while maintaining favorable Invisalign show. The counterclockwise movement softened her long dolicofacial profile.

At her 1 year review, she is debanded and we can see a nice balanced class I occlusion with coincident dental and facial midlines.

29/09/2025

It has certainly been a while between posts. Here is a story of a remarkably resilient patient and I’ve been fortunate to be involved in her care from start to finish line.

She had a relatively asymptomatic aggressive tumour grow in her right mandible.

The tumour extends from the right condyle ramus unit to the second premolar.

Biopsy confirmed desmoplastic fibroma. This is rare and locally aggressive with high rates of recurrence. Imaging showed a loculated intrabony lesion which eroded through the cortical bone. The anterior limit was difficult to ascertain the difference between normal and abnormal bone. Treatment of choice is en-bloc resection to minimize the risk of recurrence. As such the condyle was sacrificed along with a 2cm anterior margin.

She had a tracheostomy, access neck dissection and segmental mandibulectomy with dysarticulation of the TMJ. The missing hemi-mandible was reconstructed with fibula bone, and dental implants were placed at the same time. She had a prosthesis constructed to restore her occlusion, facial form and lip support.

I tried to minimize scarring, and as such there was a lot of traction on the facial nerve. It is improving but you can see the marginal mandibular nerve weakness. Her facial form and contour is preserved and relatively symmetrical.

An interval OPG shows good bony union at the osteotomy segments. She also needs the 28 removed but wishes to restore it.

Given the risk of recurrence, regular surveillance will be required along with interval MRI scans. Overall despite the extensive surgery and time taken to manage this tumour, the patient has an excellent functional and aesthetic result. This is a great example of multidisciplinary care at its best.

10/11/2024

Impacted wisdom teeth.

Most surgeons are proactive about removal of impacted wisdom teeth at a younger age - to avoid food impaction and difficulties maintaining adequate oral hygiene, to prevent decay and periodontal issues of adjacent teeth, as well as cystic or tumour formation.

When patients are less than 25 years old, the risks including nerve damage are significantly lower, the recovery is often better and periodontal healing around the adjacent tooth is also better.

Although I don’t document this as much, wisdom teeth actually form the bulk of surgical practice. And most colleagues I’m sure would agree that wisdom teeth surgery can be the most challenging and humbling of surgeries at times.

This is a distoangular impacted #48. Its removal involved raising an envelope flap, buccal trough of bone removal, 3/4 sectioning the crown to allow a favourable exit path (don’t lose the purchase point), elevating the roots, saline lavage, and closure.

23/12/2022

My motto in life is to treat people the way you want to be treated - at work, this means listening to and making patients feel comfortable. Fortunately I’m surrounded by a great team who are caring and dedicated to looking after our patients and the practice. I’m grateful for the year of growth. Thank you to everyone for the support this year. Time to recharge for 2023. Happy Holidays

12/11/2021

Head and neck surgery is one of my biggest passions in oral and maxillofacial surgery.

This weekend we held the inaugural KLS Martin Head and Neck Surgery Course.

To have the opportunity to organise and work together with my colleagues and train the future of OMS was both a privilege and dream, and the highlight of my professional career.

Many thanks to our sponsors and

Also thank you Victorians for getting vaccinated so we could actually hold the course.

Thank you Felix, Roland, Ken and Adrian! Not bad for our first shot

Address

Springvale, VIC

Telephone

+61390203778

Website

http://www.edwardnguyen.com.au/

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