Bacha Khan Dental Section

10/09/2026

4 surgeries in 3 months

Patient went for health, but came back with a completely normal-looking face

Patient suffering from TMJ/
sleep apnea now able to breathe & sleep comfortably with a fully functional mouth opening

Date: September 9/2026
In a landmark display of complex craniofacial reconstruction, a patient suffering from debilitating temporomandibular joint (TMJ) ankylosis and severe obstructive sleep apnea has successfully completed a rigorous three-month surgical journey.

The patient undergone 4 surgeries in three months. The intricate series of operations were performed by renowned Maxillofacial Surgeon (BKDC) Professor Dr. Sartaj Khan, restoring both vital respiratory function and significant jaw mobility to the patient. He was assited by Anesthesia team including Anesthetic Assistant Prof Dr Salman Malik and ENT doctors.

​The individual, a resident of Sargodha currently living in the United Arab Emirates, had endured severe TMJ ankylosis for 15 years, a debilitating condition that left him with a restricted mouth opening of only five to six millimeters alongside chronic obstructive sleep apnea. Due to the severity of the pathology, a highly structured, multi-stage surgical plan was required to systematically address the airway obstruction and the fused jaw joints.

​The treatment regimen commenced with a tracheostomy to secure a stable airway, immediately followed by bilateral mandibular distraction osteogenesis to gradually lengthen the lower jaw bone. In the second stage, the surgical team performed acute open callus manipulation and fixation, which involved removing the initial distractors, mobilizing the newly formed regenerate bone, properly repositioning the mandible, and securing it with bilateral reconstruction plates. The third and final surgical phase encompassed bilateral gap arthroplasty to release the fused joint spaces, paired with an advancement genioplasty to further optimize airway dimensions and structural support.

​Following more than three months of comprehensive treatment and rehabilitation, the patient has returned home.

He is now able to breathe and sleep comfortably without the hindrance of sleep apnea and possess a fully functional mouth opening. Although the primary objective of the surgical intervention was functional restoration rather than aesthetic enhancement, the resulting improvement in facial harmony has provided an equally rewarding outcome for the patient and the medical team alike.

The surgeries fixed his breathing and sleeping problems, but they also straightened out his facial features. He went in for his health/complications he was facing, but came back with a completely normal-looking face.

Dr Sartaj Khan said that team approach was adopted as to achieve this reaulst was not possible without anesthesia and Ent colleagues.

04/05/2020

بچھڑا کچھ اس ادا سے کہ رت ہی بدل گئی

اک شخص سارے شہر کو ویران کر گیا ۔۔۔

01/05/2020

Must Read😢

PESHAWAR: A noted dental surgeon and founding principal of Bacha Khan Dental College Mardan Prof Umar Khitab breathed his last after protracted illness.
A large number of people belonging to different walk of life, mostly doctors, attended his funeral prayer offered in Sheikh Maltoon in Mardan on Thursday and latter laid fo rest in the family graveyard.

Prof Umar Khitab’s life was full of hard struggle and complications but he never let it to affect his professional career or teaching.
He belonged to a village near Shankar in Mardan and was the first in family to become a doctor.

After his graduation from Khyber College of Dentistry (KCD) Peshawar in 1987, he went to the United Kingdom and qualified his post-graduation in Maxillofacial surgery.
Upon his arrival from UK, Dr Umar Khitab joined KCD and started teaching there.

While in KCD, he earned his reputation as a polite, hard worker and patient friendly doctor.

He was was the pioneer in establishing professional dentistry in his native Mardan and quickly became famous when he opened his private clinic there.

Later when a coalition government of Awami National Party (ANP) and Pakistan People’s Party (PPP) the first medical college in Mardan, Bacha Khan Medical College (BKMC), he was appointed as head of the dentistry department there.

Soon after joining the dentistry department, his dream was to establish a dental college in Mardan and started efforts to make his dream true.

It was not an easy task but his firm belief and continuous struggle made it happen.
Prof Umar Khitab faced lots of hurdles in but never lose heart. He single handedly efforts got Mardan a dental college but it deprived Prof Umar Khitab his health. He had almost forgotten himself and would always work for the college. He had to spend his own resources to buy equipment to the college before final inspection of Pakistan Medical and Dental Council (PMDC) for its recognition.
That night he never slept as he was enthusiastic and worried about the PMDC inspection next day to his newly established college.

It was his prime desire and the last achievement of his life long struggle was recognition of dental college.

Unfortunately on the day of inspection, Prof Umar Khitab collapsed and was taken to hospital.

When investigated, he was diagnosed with brain tumour.
Prof Umar Khitab was aware of his disease and that’s why he had accelerated his struggle for the college to be recognised.

Prof Ghulam Rasool, also a senior dental surgeon and former Dean KCD and close colleague of late Prof Umar Khitab, remember his words, “it’s better to get my college recognised before some thing happen to me.”

“Dr Umar Khitab was a thorough gentleman. He has been a source of motivation and supportive to everyone,” said Prof Ghulam Rasool.

People close to him were aware of how he used his medical profession for social service.

Dental treatment is considered very expensive allover the world and is almost beyond the reach of poor patients.

But Prof Umar Khitab would never charge poor patients in his clinic.

He used to help poor students of his native area and those referred to him for financial assistance.

He had developed a trust and used to support education expenses and books of 300 students out of his pocket.
Some of these students graduated engineering and Medicine/ Dentistry even upto FCPS.

“I have never seen a pandeeon like him. Being a poor person himself in his early age, he was always ready to help others,” said Prof Ghulam Rasool.

He termed his death is an irreversible loss to the medical profession.

“He had a great contribution to the profession specially he was the founder of Bacha Khan Dental College right from developing an idea, convincing the political leadership, development of the present huge infra structure, recognition by PMDC. I was remember that PMDC inspection team, he had purchased equipment worth Rs2.8 million out of his pocket for the government college. He sacrificed a lot for profession. He was fully devoted and has always preferred his professional goals over his family. His family suffered,” recalled Prof Ghulam Rasool.

He was suppotive to everyone. Personally I reached to the peak of profession because of Dr Umar Khitab.
“In two turning points in my life I cannot forget his driving role. First during entry to the profession he compelled me to join this profession and secondly he compelled me to leave my practice and my family and go for higher studies in the late stage,” he said.

“I can’t explain his countless qualities, contributions, sincerity and his grater support to everyone💜

14/05/2019

14/05/2019

Dr Ziauddin Asst professor of KTH after attacked and beaten up by Health minister KPK himself and his guards at Khyber teaching hospital KPK.CCTVs recordings everywhere on Facebook.

Look at him and be ashamed.
This is what tabdeli looks like.
This is what will happen to us.
This is how we treat our doctors.
This is how Law prevailed in KPK.

Minister thinks he is GOD and his guards and police are his personal army.
This is what PM pakistan and his foreign cuzin Mr berki is building in kpk.
Look at the picture and imagine if it was you, your father or your friends.
This is state terrorism.

14/05/2019

**A simplified leaflet below- for patients about apical periodontitis. Could be useful for those patients who come for a consult and want more reading info**

Your dentist has diagnosed you with APICAL PERIODONTITIS

What is this ??
Apical periodontitis is inflammation or irritation of the bone, ligament and parts of the body surrounding the tooth. Apical refers to the end of the root and periodontitis means inflammation of the periodontal tissues (gum, cementum, bone and ligament which holds the tooth in the jaw).

What causes it?
Many things can cause apical periodontitis but the most common cause for ongoing apical periodontitis is bacterial infection of the root canal.

How do bacteria cause apical periodontitis?
Bacteria create colonies inside the root canals and then their waste products which have an unpleasant odour come out the tip of the root. The body recognises these toxins and mounts an immune response against them. Unfortunately the body’s response leads to a build up of pressure between the root and the bone and this pressure is what causes the pain of tooth ache.

How can we treat apical periodontitis, caused by bacteria living in the root canals?
There are generally two major options
1. Removing the tooth removes much of the bacteria and allows the body to heal. But the tooth has been lost
2. Root canal treatment- removes and reduces the number of bacteria in the root canals to a level where the body no longer feels the bacteria in the root canals pose a threat to the body and the inflammation subsides (heals). This is a way to keep the tooth.

14/05/2019

**A leaflet for patients with asymptomatic apical disease **

Your dentist has diagnosed you with asymptomatic apical periodontitis

What does this mean?
It means that the bacteria within your root canal is above the level at which the body would be happy to tolerate.
So there has been bone loss at the tip of the root on the radiograph (x-ray) which indicates the area under the tooth is inflamed (irritated)

If I have no pain does this mean there is no disease?

Absolutely not!! Apical periodontitis is not unique amongst diseases many diseases cause no pain until the immune system reaches the stage of ‘panic’.
Pain is the immune system notifying the brain that something is wrong.

How can I have apical periodontitis and no pain ??

You may have less bacteria in the canals than you need to cause pain or the type of bacteria within the root canal may be a kind that is less associated with pain. Or your pain threshold may be slightly higher. But not having pain does not mean absence of disease- this is important to understand.

What options do I have??
No treatment - There is an option to monitor the tooth and not have treatment. It may be many months or years before any pain develops, but it can be very uncomfortable when it develops.

Extraction of the tooth - this will remove the bacteria and the cause of the inflammation. But will leave you with no tooth.

Root canal treatment- location of all the root canals and removing and reducing the number of bacteria within the root canals, in a significant number of cases will allow the inflammation to heal. The healing can often be visualised by taking a radiograph (x-ray) many months later.

13/05/2019

**Dry socket**

Common Causes of Dry Socket:
-Dilodgement of the clot
-Lysis of clot
-Smoking
-Bad oral hygiene/food habit post extraction

Prevention of Dry Socket:
-Proper socket cleaning after extraction (curettage/irrigation)
-Inducing fresh bleeding to properly fill the socket before applying pressure pack (I personally do this when pressure pack is given. For suturing, the prick itself induce bleeding)
-Soaking pressure pack with saline before applying. Noticed less clot adhering to pressure pack if soaked with saline.
-Removing pressure pack within a reasonable time of 30-45 min. Many a times pt remove pressure pack after 2-3 hrs thinking it will help in good hemostasis, but actually in such long duration the clot many a times gets adhered to the pressure pack and is dislodged along with the clot.
-Proper oral hygiene and food habits. Avoid hard/sharp food particles of which might get forced within the socket. Once noticed 3-4 mustered seeds within the socket of a dry socket pt.
-Avoid forceful oral rinsing.
-Strictly No smoking for about 3-4 days post extracted.

Management of Dry Socket:
-1st visit: Proper Cleaning of socket in 1st visit, may be judicial curettage and proper irrigation. Inducing fresh bleeding from surrounding gingiva to decently fill the socket. Soak small cotton pellet with eugenol and place at gingival level and cover it with ZnOE dressing including the adjacent tooth support to hold it in place.
Eugenol has no other role other than just an irritant to induce bleeding.
Prescribe analgesic sos
Antibiotic usually not needed.
-Recall visit: on 3rd day, Change the cotton pellet and cover again. No irrigation, no curettage, no disturbance to the healing socket.
-Repeat on 5th day if needed!!!