Clinic of Maxillofacial Surgery and Surgical Dentistry of the Military Medical Academy named after CM

The Clinic of Maxillofacial Surgery and Dentistry of the S.M. Kirov Military Medical Academy is located in the historical center of St. Petersburg in the building of the former Obukhov hospital at 106 Fontanka River Embankment (entrance from Zagorodny Prospekt, 47).

In 2001, the building was included by the KGIOP in the "List of newly identified objects of historical, scientific, artistic or other cultural value".

The building is included in the Unified State Register of Cultural Heritage Objects (Historical and Cultural Monuments) of Nations Russian Federation as an object of cultural heritage of regional significance.

Head of the Department (Head of the Clinic) of Maxillofacial Surgery and Dentistry of the S.M. Kirov Military Medical Academy - Grebnev Gennady Aleksandrovich (b. 1957)

Head of the Department (Head of the Clinic) of Maxillofacial Surgery and Dentistry, Doctor of Medical Sciences, Professor G.A. Grebnev

Chief dentist of the Ministry of Defense of Russia, Doctor of Medical Sciences. As head of the department (head of the clinic) - since 2012.

Candidate of Medical Sciences defended his thesis for a scientific degree in 1989, Doctor of Medical Sciences - in 2009.

He took part in the peacekeeping operation in Kosovo Pole (Federal Republic of Yugoslavia) as part of the Russian military contingent of the peacekeeping forces as head of the dental office of a separate special-purpose medical unit of the peacekeeping forces. For completing the assignment during the peacekeeping operation, he was awarded the Order of the President of the Russian Federation No. 887 of May 18, 2000, the Order for Military Merit.

She is the author of more than 150 scientific works, including 1 textbook, 8 teaching aids, 2 chapters in manuals for doctors, 4 inventions and patents for inventions of the Russian Federation, as well as more than 80 rationalization proposals.

The staff of the department in 2008 published the textbook "Military Dentistry", edited by prof. G.I. Prokhvatilov.

The staff of the department is of great help to dentists and maxillofacial surgeons of military medical institutions of military districts (fleets), branches of the Armed Forces, military branches, main and central departments of the Ministry of Defense, as well as civil health. Every year in the clinic of the department receive hospital treatment over 1500 people, over 1200 operations and about 1800 consultations of complex dental patients are carried out.

The scientific heritage of the staff of the department and clinic is summarized in more than 40 monographs, textbooks and manuals, 10 collections, more than 3500 scientific papers published in periodicals, manuals of BME. Completed and defended 26 doctoral and 122 candidate dissertations.

The department is one of the leading scientific teams of the country, developing theoretical and practical problems of maxillofacial surgery and dentistry.

In 1996 he graduated from the faculty of training doctors of the Military Medical Academy. S.M. Kirov. From 1996 to 1997, he completed an internship in surgery at the Department of Thoracic Surgery of the V.I. S.M. Kirov. 1998 - primary specialization in surgical dentistry at the Department of Maxillofacial Surgery and Dentistry of the Military Medical Academy. In 2003 he defended his Ph.D. thesis at the Military Medical Academy named after S.M. Kirov on the topic: "The use of hyperosiolar substances of prolonged action for local treatment purulent-inflammatory diseases of the maxillofacial region ”. Associate Professor of the Department of Maxillofacial Surgery and Surgical Dentistry, Northwestern State Medical University.

- Why did you decide to link your fate with the profession of a doctor? What influenced your choice?

- I had a clear understanding that I would be a doctor already at the age of 10, and this was due to a living example: my father is a surgeon. I was interested in what he was doing, and I asked him to show how the operation was going. Thus, my first visit to the operating room happened when I was still a child, and left a vivid impression that I carry with me throughout my life.

- Please formulate your motto. What do you think is the most
the main thing in the profession of a maxillofacial surgeon, implantologist?

- Our profession today is developing at a tremendous pace, it is high-tech. There are usually several options possible treatment... Therefore, I consider it important for myself to feel and understand the patient. Feel his pain and needs, and understand the most appropriate way of solving problems for him. Only in this way, out of a large number of possible treatment plans, one can arise that suits him.

- What methods of treatment and technologies do you most like to use in your work and why? What do you think is your main strong point?

- Since, in addition to my medical practice, I also teach at the University, I have to constantly monitor the development of my profession, everything new that appears in world practice. And today it is necessary to recognize that serious additional opportunities arise for a doctor with the introduction of digital technologies. Their appearance makes it possible to better study the patient's clinical situation (diagnostics), and to choose the most optimal treatment option (surgery planning). This does not replace basic surgical skills and manipulation, but it becomes an important support for the surgeon to achieve an optimal treatment result. And, of course, the main teaching aid is the opportunity to constantly communicate with colleagues, exchange experience with leading world doctors.

In 2014, the department (clinic) celebrated its 85th anniversary of its foundation. From June 1, 2015 to the present, the clinic is based on the area of \u200b\u200bthe surgical building 442 VKG.

The total area occupied by the clinic is about 1700 m2. The clinic has 7 wards with a total bed capacity of 37 beds, and 3 beds in the department of anesthesiology and intensive care.

For many decades, the Department (Clinic) of Maxillofacial Surgery and Surgical Dentistry of the Military Medical Academy has been and remains the main educational, methodological, clinical and scientific center of the RF Ministry of Defense for a comprehensive study of the problems of military dentistry and maxillofacial surgery.

The experience of the staff of the department and clinic is summarized in 35 monographs, textbooks and manuals, 10 collections, more than 3500 scientific works published in periodicals, manuals and BME. Completed and defended 26 doctoral and 118 master's theses.

Every year in the clinic of the department more than 1,700 people receive inpatient treatment, more than 1,600 operations and about 1,800 consultations are carried out, including complex dental patients.

The structure of the clinic of maxillofacial surgery and dentistry:

• Department of Oral and Maxillofacial Surgery and Dentistry (Emergency Surgery);
• Department of Oral and Maxillofacial Surgery and Dentistry (with wards for patients with purulent diseases);
• Surgical department (plastic and reconstructive surgery);
• Department of Anesthesiology and Reanimation (with resuscitation and intensive care wards);
• Dental department (with dental laboratory).

Clinic offices:

• Ultrasound diagnostics cabinet;
• X-ray room;
• Surgical room (dental implantology).

The clinic is licensed for nine types of activities:

• therapeutic dentistry;
• surgical dentistry;
• orthopedic dentistry;
• orthodontics;
• maxillofacial Surgery;
• plastic surgery;
• ultrasound diagnostics;
• radiology;
• anesthesiology and resuscitation.

Nosological forms:

• Inflammatory diseases;
• Chlo injuries;
• Tumors and tumor-like diseases (cysts);
• Periodontal and mucous membrane diseases;
• Difficult tooth eruption;
• Defects and deformities, congenital and acquired, their consequences;
• TMJ diseases, salivary glands, maxillary sinuses;
• Other (specific diseases, diseases of the nerves of the chlo, infectious diseases ChLO).

Promising directions clinic activities

Maxillofacial Surgery:

Reconstructive recovery operations with congenital and acquired deformities of the maxillofacial region by intra- and extraoral methods:

• improvement and implementation of new methods of transplantation bone tissue;
• planning and carrying out reconstructive operations using sterolithography;
• development and implementation of new methods of focal and extrafocal osteosynthesis;
• introduction of low-traumatic methods of treatment of jaw fractures;
• expanding the range of endovideo technology use in the treatment of odontogenic and non-odontogenic maxillary sinusitis, pathology of the temporomandibular joints, diseases of the salivary glands;
• Improvement of the treatment of tumor and tumor-like diseases using modern methods plastics (plastic defect with local tissues, including with the use of expanders, replacement of defects with various flaps on vascular anastomoses, plastic defect with a free skin graft, replacement of defects with Filatov's round-stem flap).

Surgical cosmetology:

• cosmetic surgery on the face: blepharoplasty, excision of excess facial skin, liposuction of the maxillofacial area, lipofilling;
• breast surgery: breast enlargement with implants; reduction mammoplasty; mastopexy;
• abdominal surgery: liposuction; excision of excess skin of the abdomen.

Orthopedic dentistry:

• aesthetic ceramic veneers, inlays, onlays;
• all-ceramic crowns;
• ceramic crowns and zirconium dioxide bridges;
• removable and non-removable structures with fixation on implants;
• arch prostheses of varying complexity with clasp and lock fixation;
• lamellar prostheses with nylon base;
• making removable dentures from Acry-free material.

Periodontics:

• introduction of the method of directed regeneration of bone tissue using platelet-rich plasma;
• introduction of minimally invasive periodontitis therapy with the Vector system.

Consultation reception: Wednesday and Friday from 10:00 to 12:00.

For consultation, you must have the following documents:

• referral from the unit or clinic (at the place of attachment);
• documents confirming the right to provide free medical care in hospitals Ministry of Defense of the Russian Federation (ID card of a serviceman, pension certificate, certificate for family members of military personnel and PMO);
• the passport;
• insurance policy;
• SNILS.

The history of maxillofacial surgery and dentistry at the hospital dates back to 1907, when the first dental office was opened. Its subsequent development is closely related to the treatment of injuries to the face and jaws of numerous wounded during wars and military conflicts throughout the 19th century.

The work of the medical staff of the Department of Maxillofacial Surgery has always been distinguished by innovative trends. A vivid confirmation of this is the USSR State Prize, which in 1981 was awarded to the hospital specialists headed by Professor P.Z. Arzhantsev for the methods of reconstructive surgery developed by them lower jaw and the temporomandibular joint to restore chewing function. The accumulated experience is actively multiplied by the specialists of the center of maxillofacial surgery of the hospital.

Today, the center continues to develop rapidly, gaining more and more widespread fame beyond the borders of our country. Reconstructive and restorative surgery of the face and jaws in patients with tissue defects and in patients with malignant diseases remains the hallmark of the center. Particular attention is paid to high-tech operations for the primary plastic surgery of extensive tissue defects after radical removal of malignant tumors, which allows not only to significantly reduce the duration of treatment of operated patients, but also to restore important lost functions of the affected organs, to prevent severe disability of patients.

The hospital carries out complex treatment oncological patients with the use of radiation and chemotherapy in the conditions of the radiological center of the hospital.

The rapid progress in the treatment of specialized oncological patients was the result of not only the highest professionalism, creativity and perseverance of the specialists of the center of maxillofacial surgery and dentistry, but also the result of excellent technical equipment. The latest equipment available in the center allows surgeons to perform operations using microsurgical techniques necessary to perform the most complex plastic surgery... In prosthetics, treatment and aesthetic restoration of teeth, the most modern technologies and materials from the world's leading manufacturers.

The center includes departments of maxillofacial surgery, reconstructive and microvascular surgery, an operating department, a department of therapeutic and orthopedic dentistry, a dental prosthetics laboratory, and a surgical room.

Main directions of activity

• Combined treatment of cancer patients with malignant tumors face, mouth and jaws
• Reconstructive plastic surgery in patients with acquired defects and deformities of the face and jaws
• Surgery patients with benign tumors head and neck, inflammatory diseases and injuries of the maxillofacial region and neck
• Installation of dental implants and prosthetics on them
• Painless treatment dental caries and its complications
• Aesthetic dental restoration
• Reconstructive operations on the alveolar processes of the jaws