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 the address Fontanka River embankment, 106 (entrance from Zagorodny Prospekt, 47).
In 2001, the building was included by 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 the peoples of the 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 Military Medical Academy named after S. M. Kirov - Gennady Aleksandrovich Grebnev (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 Russian Ministry of Defense, Doctor of Medical Sciences. In the position of head of the department (head of the clinic) - since 2012.
The candidate of medical sciences defended his dissertation for an academic degree in 1989, and the doctor of medical sciences - in 2009.
Participated in the peacekeeping operation in Kosovo Polje (Federal Republic of Yugoslavia) as part of the Russian military contingent of the peacekeeping forces as the head of the dental office of a separate special-purpose medical detachment of the peacekeeping forces. For completing a task during a peacekeeping operation, he was awarded the Order of Military Merit by Decree of the President of the Russian Federation No. 887 of May 18, 2000.
He 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.
In 2008, the department staff published the textbook “Military Dentistry”, edited by prof. G. I. Prokhvatilova.
The employees of the department provide great assistance to dentists and maxillofacial surgeons of military medical institutions of military districts (fleets), branches of the Armed Forces, branches of the military, main and central departments of the Ministry of Defense, as well as civilian healthcare. Every year, over 1,500 people receive inpatient treatment at the department’s clinic, over 1,200 operations are performed and about 1,800 consultations are carried out for complex dental patients.
The scientific heritage of the department and clinic staff is summarized in more than 40 monographs, textbooks and manuals, 10 collections, more than 3,500 scientific papers published in periodicals, and BME manuals. 26 doctoral and 122 candidate dissertations were completed and defended.
The department is one of the country's leading scientific teams developing theoretical and practical problems of maxillofacial surgery and dentistry.
In 2014, the department (clinic) celebrated its 85th anniversary. From June 1, 2015 to the present, the clinic is based on the premises of the 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 anesthesiology and intensive care unit.
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 Russian Defense Ministry for a comprehensive study of the problems of military dentistry and maxillofacial surgery.
The experience of the department and clinic staff is summarized in 35 monographs, textbooks and manuals, 10 collections, more than 3,500 scientific papers published in periodicals, manuals and BME. 26 doctoral and 118 candidate dissertations were completed and defended.
Every year, over 1,700 people receive inpatient treatment at the department’s clinic, more than 1,600 operations and about 1,800 consultations are performed, including complex dental patients.
Structure of the Clinic of Maxillofacial Surgery and Dentistry:
- Department of Maxillofacial Surgery and Dentistry (Emergency Surgery);
- Department of Maxillofacial Surgery and Dentistry (with wards for patients with purulent diseases);
- Department of Surgery (plastic and reconstructive surgery);
- Department of Anesthesiology-Resuscitation (with resuscitation and intensive care wards);
- Dental department (with a dental laboratory).
Clinic rooms:
- Ultrasound diagnostic room;
- X-ray room;
- Surgical office (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;
- Injuries of the maxillofacial area;
- Tumors and tumor-like diseases (cysts);
- Periodontal and mucous membrane diseases;
- Difficulty in tooth eruption;
- Defects and deformations, congenital and acquired, their consequences;
- Diseases of the TMJ, salivary glands, maxillary sinuses;
- Other (specific diseases, diseases of the nerves of the maxillofacial area, infectious diseases of the maxillofacial area).
Promising areas of the clinic’s activities
Maxillofacial Surgery:
Reconstructive operations for congenital and acquired deformities of the maxillofacial region using intra- and extraoral methods:
- improvement and implementation of new methods of bone tissue transplantation;
- 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 treating jaw fractures;
- expanding the range of use of endovideotechniques in the treatment of odontogenic and non-odontogenic maxillary sinusitis, pathology of the temporomandibular joints, diseases of the salivary glands;
- Improving the treatment of tumor-like and tumor-like diseases using modern plastic methods (plasty of the defect with local tissues, including the use of expanders, replacement of defects with various flaps on vascular anastomoses, plastic surgery of the defect with a free skin graft, replacement of defects using the Filatov round-stem flap).
Surgical cosmetology:
- cosmetic surgeries on the face: blepharoplasty, excision of excess facial skin, liposuction of the maxillofacial area, lipofilling;
- operations on the mammary glands: breast enlargement using implants; reduction mammoplasty; mastopexy;
- abdominal surgery: liposuction; excision of excess abdominal skin.
Orthopedic dentistry:
- aesthetic ceramic veneers, inlays, onlays;
- all-ceramic crowns;
- ceramic crowns and bridges on zirconium dioxide;
- removable and non-removable structures with fixation on implants;
- arched prostheses of varying complexity with clasp and lock fixation;
- plate prostheses with a nylon base;
- production of removable dentures from Acry-free material.
Periodontology:
- introduction of a method of targeted bone tissue regeneration using platelet-rich plasma;
- introduction of minimally invasive therapy of periodontitis with the Vector system.
Consultative reception: Wednesday and Friday from 10:00 to 12:00.
For consultation you must have the following documents:
- referral from a unit or clinic (at the place of attachment);
- documents confirming the right to provide free medical care in medical institutions of the Ministry of Defense of the Russian Federation (identity card of a military personnel, pension certificate, certificate for family members of military personnel and PMO);
- passport;
- insurance policy;
- SNILS.
In 1996 he graduated from the Faculty of Training of Doctors of the Military Medical Academy named after. S.M.Kirova. From 1996 to 1997 – completed an internship in surgery at the Department of Thoracic Surgery of the Military Medical Academy named after. S.M.Kirova. 1998 – primary specialization in surgical dentistry at the Department of Maxillofacial Surgery and Dentistry of the Military Medical Academy. In 2003, he defended his PhD thesis at the Military Medical Academy named after S.M. Kirov on the topic: “The use of hyperosiolar substances of prolonged action for the local treatment of purulent-inflammatory diseases of the maxillofacial area.” Associate Professor of the Department of Maxillofacial Surgery and Surgical Dentistry of Northwestern State Medical University.
– Why did you decide to connect your destiny with the medical profession? What influenced your choice?
– I had a clear understanding that I would be a doctor already at the age of 10, and this was associated with a living example: my father is a surgeon. I was interested in what he was doing, and I asked him to show me how the operation was performed. Thus, my first visit to the operating room occurred 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
What is the most important thing in the profession of a maxillofacial surgeon or implantologist?
– Our profession today is developing at a tremendous pace and is high-tech. Typically, there are several possible treatment options. Therefore, I consider it most important for me to feel and understand the patient. Feel his pain and needs, and understand the most suitable way for him to solve problems. Only in this way, from a large number of possible treatment plans, can one emerge that is suitable for him.
– What treatment methods and technologies do you most like to use in your work and why? What do you think is your main strength?
– 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 (diagnosis) and choose the most optimal treatment option (surgery planning). This does not replace basic surgical skills and manipulations, but becomes an important support for the surgeon to achieve optimal treatment results. And of course, the main benefit of teaching is the opportunity to constantly communicate with colleagues and exchange experiences with the world's leading doctors.
The history of oral 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 periods of 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 clear confirmation of this is the USSR State Prize, which in 1981 was awarded to hospital specialists led by Professor P.Z. Arzhantsev for the methods they developed for reconstructive surgery of the lower jaw and temporomandibular joint in order to restore chewing function. The accumulated experience is still being actively increased by specialists from the center of maxillofacial surgery of the hospital.
Today the center continues to develop rapidly, becoming increasingly famous beyond the borders of our country. The center's calling card continues to be reconstructive surgery of the face and jaws in victims with tissue defects and in patients with malignant diseases. Particular attention is paid to high-tech operations for primary plastic surgery of extensive tissue defects after radical removal of malignant tumors, which allows not only to significantly reduce the duration of treatment for operated patients, but also to restore important lost functions of the affected organs and prevent severe disability in patients.
The hospital provides comprehensive treatment of cancer patients using radiation and chemotherapy in the hospital's radiology center.
Rapid progress in the treatment of specialized cancer patients was the result not only of the highest professionalism, creativity and perseverance of the specialists of the center for maxillofacial surgery and dentistry, but also the result of excellent technical equipment. The latest equipment available at the center allows surgeons to perform operations using microsurgical techniques necessary to perform the most complex plastic surgeries. For prosthetics, treatment and aesthetic restoration of teeth, the most modern technologies and materials from the world's leading manufacturers are also used.
The center includes departments of maxillofacial surgery, reconstructive and microvascular surgery, an operating department, a department of therapeutic and orthopedic dentistry, a denture laboratory, and a surgical office.
Main activities
- Combined treatment of cancer patients with malignant tumors of the face, oral cavity and jaws
- Reconstructive plastic surgery in patients with acquired defects and deformities of the face and jaws
- Surgical treatment of patients with benign tumors of the head and neck, inflammatory diseases and injuries of the maxillofacial area and neck
- Installation of dental implants and prosthetics on them
- Painless treatment of dental caries and its complications
- Aesthetic dental restoration
- Reconstructive operations on the alveolar processes of the jaws
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