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Oral Surgery

oasisImage of the Week: Why can’t he feel his forehead?

A 35-year old man develops a serious infection from an impacted 2.8. The tooth is extracted and the infection is drained but he develops a serious bleed 3 days after surgery (from the internal maxillary artery) which requires neuroradiology embolization. One month later, he has recurrent swelling around the left temple and TMJ but also complains he feels numbness in the entire trigeminal nerve, including V-1. Attached is a slice of the MRI and an intraoperative shot. Why can’t he feel his forehead?

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Misplaced tooth #1.3

Clinical Cases Update: How would you design the surgical flap for this case? The ectopic canine

Ian Furst, Oral & Maxillofacial Surgeon, Coronation Dental Specialty Group The solution we used; The consensus from the comments is that most would have waited for the tooth to erupt.  In this case, the orthodontist had asked that tooth 1.4 be extracted and the 1.3 be further exposed and bonded.  Because we are a multi-disciplinary practice, I had the luxury of having the periodontist I work with take a look as well.  Both of us were concerned that tooth 1.3 would develop recession on traction.  Because there would be a good band of keratinized tissue between 1.3 and the extraction site of 1.4, I ...

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Does use of local antibiotic as an adjunct to flap surgery confer benefit?

(Content under development) The following question was submitted by a practising dentist: What is consensus on using local antibiotic with or without flap involvement? Is raising a flap and using antibiotics significantly better than without? JCDA Editorial Consultant Dr. Debora Matthews of Dalhousie University provided this initial response for consideration: When we talk about using antibiotics for our patients we have to think about the risk/benefit ratio. While the risk of systemic side effects is low, other potential risks exist, including increasing bacterial resistance, and the potential for allergic reactions. It is important to ask ourselves if these risks (for ...

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