Oral Surgery

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What are the general principles to consider when performing surgical extractions?

Preoperative Assessment Prior to extraction, dentists must review the patient’s medical and social history and take stock of any medications he/she may be taking. The preoperative evaluation will include both a clinical as well as radiographic examination to assess any challenges that may be encountered during the procedure. Clinical Examination The clinical examination should include an evaluation of how accessible the tooth is in the dental arch. Assess whether the patient has a restricted opening, the tooth’s positioning in the arch, as well as crowding which may interfere with access and extraction of the tooth. Large carious lesions or large ...

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What are some common mistakes that dentists make when performing surgical extractions?

Surgical extractions involve the removal of a tooth after elevation of a soft tissue flap, removal of bone with or without sectioning of the tooth. At times, surgical extractions may be less traumatic and more conservative than non-surgical extractions. However, there also instances when surgical extractions may not proceed as planned. Some common mistakes that are made during these procedures are listed below. Even after evaluation of the tooth and the determination that a surgical extraction is indicated, dentists may still try to use forceps to remove the tooth. This can result in coronal fractures which may be helpful in ...

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CDA Oasis Resource: A refresher on surgical extractions

This resource is provided courtesy of Wiley Publishing. Read and download the resource in PDF       Watch the video presentation (9 mins)    

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Implant-Related Nerve Injuries: Avoidance Strategies and Management

This summary is based on the article published in Dental Clinics of North America: Implant-related Nerve Injuries (April 2015) Ricardo A. Boyce, DDS, FICD; Gary Klemons, DDS Context Nerve injuries in the maxillofacial region may happen as a result of trauma, neoplasms, infections, or secondary to a surgical procedure. Because of the limitations of such investigations there is a large range in the rates of injury reported from study to study.1 To complicate the issue further, the data are usually stratified, separating transient impairment from permanent loss of function, and only occasionally is the presence or absence of painful neuralgias ...

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What are the dentists’ responsibilities when providing human allogeneic transplants or allografts to their patients with respect to Health Canada regulations?

This question was submitted by a general dentist: What are the dentists’ responsibilities when providing human allogeneic transplants or allografts to their patients with respect to Health Canada regulations? The response is based on the CDA Guidance Document for Dentists Provinding Human Allogeneic Transplants. Context Many dentists routinely use a wide range of transplant products during surgeries, including autograft, allograft, xenograft and alloplastic products. In April 2009, the Health Products and Food Branch of Health Canada adopted a document titled Guidance Document for Cell, Tissue and Organ Establishments – Safety of Human Cells, Tissues and Organs for Transplantation based on regulations ...

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How effective are periodontal plastic surgery procedures in the treatment of localized facial gingival recessions? A systematic review

This summary is based on the article published in the Journal of Clinical Periodontology: Efficacy of periodontal plastic surgery procedures in the treatment of localized facial gingival recessions. A systematic review (April 2014) Cairo F, Nieri M, Pagliaro U.     Context The treatment of gingival recessions with periodontal plastic surgery procedures is possible request in modern dentistry (1). The ultimate goal of these procedures is the complete root coverage (CRC) and pleasant aesthetic outcomes (2, 3). Purpose of the Review The aim of this Systematic Review was to assess the clinical efficacy of periodontal plastic surgery procedures in the ...

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What are the outcomes of auto-transplanted teeth with complete root formation? A systematic review

This summary is based on the article published in the Journal of Clinical Periodontology: Outcomes of auto-transplanted teeth with complete root formation: a systematic review and meta-analysis (April 2014) Chung W-C, Tu Y-K, Lin Y-H, Lu H-K. Courtesy of Wiley Publishing, access the full-text article for the next three months here Context Unlike an immovable osseointegrated dental implant, tooth auto-transplantation provides vital periodontium and continuous skeletal growth (1). Many factors could influence the longevity of and incidences of complications with tooth auto-transplantation and failure rates (FRs) reported in the literatures are not identical. Incidences of infection-related root resorption and ankyloses ...

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What are the local and systemic interventions for the prevention of dry socket? An evidence-based update

This summary is based on the article published in the British Dental Journal: Interventions for the prevention of dry socket: an evidence-based update (July 2014) M. O. Sharif, B. E. S. Dawoud, A. Tsichlaki and J. M. Yates       Context Infection control and knowledge of common infectious agents is a cornerstone of safe dental practice. Alveolar osteitis (AO) or ‘dry socket’ is a relatively common post-operative complication that is reported to be associated with up to 37% of dental extractions. (1) The condition develops when a blood clot fails to form or becomes dislodged from the socket of ...

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