Archive for September, 2016

SAFETY SUCCESS OF MODERATE SEDATION VERSUS DEEP SEDATION/GENERAL ANESTHESIA

We have been practicing oral and maxillofacial surgery for over 25 years. I was specially trained in anesthesia with an additional anesthesia residency beyond the typical OMS. Even with basic training I feel that OMS’s to be the most comprehensively trained subspecialty in anesthesia, but all of the training that exists does not reduce the […]

THREE DIMENSIONAL PRINTING IN ORAL AND MAXILLOFACIAL SURGERY

I do not have a 3D printer in my office yet. Many of my dental colleagues are using CAD-CAM milling of crowns which is the opposite, but similar technology. We have used off-site manufacturers of 3D molds for various applications. Our guided surgery templates up to this point are largely made of acrylic, but not […]

BONE GRAFTING HELPS PREVENT BONE LOSS AFTER TOOTH EXTRACTION

A “critical summary” in the March 2016 Journal of the American Dental Association addressed the positive effects of grafting at the time of dental extraction. (JADA 2016:147:204-206). I have been doing this type of grafting for about 30 years and as the technology and materials have improved, the results continue to be even better. The […]

TREATMENT OPTIONS AFTER UNSUCCESSFUL INITIAL ROOT CANAL CARE

  I am not sure that this is such a big debate from a treatment standpoint. The question is; “what should we do when root canal treatment has failed”. (JADA 2016:147(3):214-220). The truth is that every case is unique and the person who did the root canal treatment in the first place probably has the […]