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Oral Surgery

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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Diagnosis and Treatment of the BRONJ Case

Revisit the Case Presentation and Clinical Evaluation This case is presented by:  Dr. Eric T. Stoopler, D.M.D., FDS RCSEd, FDS RCSEng Dr. Juan M. Bugueno, D.D.S. Dr. Kevin Sweeney, D.D.S. Dr. David C. Stanton, D.M.D., M.D., F.A.C.S  We would like to thank all our dentists who submitted their responses to the diagnosis and treatment challenge. Case Diagnosis The Clinical diagnosis was bisphosphonate-related osteonecrosis of the maxilla. Treatment The patient’s oncologist discontinued the ZA therapy. The patient was evaluated by an oral and maxillofacial surgeon who recommended surgical debridement of the affected areas and the patient underwent the procedure five months after cessation ...

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What’s the most effective way to surgically remove mandibular wisdom teeth?

This is a summary of the Cochrane Systematic Review: Surgical techniques for the removal of mandibular wisdom teeth (Review, 2014) Coulthard P, Bailey E, Esposito M, Furness S, Renton TF, Worthington HV Full-text of the Systematic Review (PDF) Summary of the Systematic Review  Context This research assesses the benefits and harms of the different ways to surgically remove wisdom teeth from the lower jaw. Removing wisdom teeth is one of the most common operations in dental surgery. Various techniques have been developed to carry this out, but which is the most effective? The review considered the following risks from surgery: pain ...

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What’s your diagnosis of this case?

This case is presented by:  Dr. Eric T. Stoopler, D.M.D., FDS RCSEd, FDS RCSEng Dr. Juan M. Bugueno, D.D.S. Dr. Kevin Sweeney, D.D.S. Dr. David C. Stanton, D.M.D., M.D., F.A.C.S  Click here to view the BRONJ Case Diagnosis and Treatment Case Presentation A 64-year-old Caucasian female presented for evaluation of symptomatic exposed bone of a two-year duration post extraction of maxillary teeth with immediate placement of four dental implants. Medical history: Is at stage IV breast adenocarcinoma treated with surgery and trastuzumab. Received intravenous zoledronic acid (ZA) 4 mg monthly for approximately two years for metastatic bone disease. Underwent dental surgery ...

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How effective is preemptive analgesia on postoperative pain following third molar surgery? Review of literatures

This summary is based on the article published in the Japanese Dental Science Review: Effectiveness of preemptive analgesia on postoperative pain following third molar surgery? Review of literatures (November 2013) Akira Yamaguchi and Kimito Sano  Context  Surgery to remove the mandibular third molar is relatively invasive and is often associated with postoperative pain, swelling and trismus, which are frustrating for both patients and surgeons. In particular, postoperative pain increases the patient’s suffering and anxiety, and can disrupt the homeostasis of the circulatory and endocrine systems (1—3). Since it is also reported that postoperative pain can have a negative influence on wound healing, reliable and fast-onset analgesia is ...

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When is it a good time to manage facial fractures? A systematic review

This summary is based on the article published in the International Journal of Oral and Maxillofacial Surgery: The effect of treatment timing on the management of facial fractures: a systematic review (August 2014) M. J. L. Hurrell, M. D. Batstone   Context Facial fractures are a common presentation to hospitals worldwide. Their treatment has evolved dramatically in recent decades, particularly since the introduction of open reduction and internal fixation. However, many uncertainties remain. The relevance of delay from injury to treatment is commonly disputed amongst surgeons and in the literature. Intuitively, delaying the treatment of facial fractures could increase the risk of infection, the likelihood of technical difficulties, and the discomfort experienced ...

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Osteoradionecrosis: New concepts and a proposed classification

This summary is based on the article published in the British Journal of Oral and Maxillofacial Surgery: Osteoradionecrosis—A review of current concepts in defining the extent of the disease and a new classification proposal (May 2014) Andrew Lyons, Jona Osher, Elinor Warner, Ravi Kumar, Peter A. Brennan Context Osteoradionecrosis (ORN) is potentially a debilitating and serious consequence of radiotherapy to the head and neck. Although it is oftendefined as an area of exposed bone that does not heal, it can also exist without breaching the mucosa or the skin. Currently, 3 classifica-tions of ORN are in use, but they depend on ...

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How are bisphosphonates used in children? Review of the literature and guidelines for dental management

This summary is based on the article published in the Australian Dental Journal: The use of bisphosphonates in children: review of the literature and guidelines for dental management (March 2014)

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