Archive for the ‘ Oral Surgery ’ Category

TEACHING THE NEXT GENERATION OF ORAL and MAXILLOFACIAL SURGEONS

This blog entry is based on an article with the title “Standing on the Shoulders of Giants” (J Oral Maxillofac Surg 78: 12-17, 2020). The implication is that those who have gone before us are “giants” and are due a certain amount of awe. I guess there is a great deal of truth in that […]

ESSENTIAL OILS IN ORAL SURGERY

Talk about misinfodemics! (J Oral Maxillofac Surg 77:2466.e1-2466.e7, 2019). Ok, now please do not berate me and bombard me with all kinds of opine-blasts. I understand how sensitive many of you are about your essential oils and the proclaimed medical benefits of these. I do recognize that there are certainly many essential oils, especially aromatics, […]

MULTIPLE TRAUMA PATIENTS WITH FACIAL FRACTURES

With the use of seatbelt restraints, airbags, and protective equipment such as helmets, we have seen a significant reduction in the number of multiple trauma incidents and facial fractures associated with traumatic brain injury. High speed automobile accidents and multiple trauma incidents such as plane or train crashes often bring in much more complicated cases, […]

TREATMENT OF ATYPICAL MIDFACIAL PAIN WITH A MAXILLARY SINUS LIFT PROCEDURE

I have found that atypical facial pain in the upper jaw is often related to a bone defect in the sinus wall which has healed with tissue ingrowth. This typically occurs as the result of dental trauma or a surgical defect after tooth extraction or orthognathic surgery, as examples. (J Oral Maxillofac Surg 72:2453.e1-2453.e5, 2014). […]

SHOULD WE GET CONE BEAM SCAN (CBS) IMAGES PRIOR TO THRID MOLAR REMOVAL?

Every once in awhile I read an article in a responsible medical or dental journal that just floors me in its stupidity. The article I reference here is one of these (JADA 148(8) 575-583). This article is nothing more than an analysis of other articles written on the subject which draws a completely stupid conclusion […]

GENIOPLASTY-CHIN REDUCTION AND ADVANCEMENT

Over the years, I have used a number of different procedures for genioplasty procedures. I have watched my colleagues use various implant materials, but (I feel) luckily I have shied away from them. I have also avoided the use of metal bone screws and plates for these procedures as these have shown to cause long […]

SURGICALLY ASSISTED PALATAL EXPANSION

Surgically assisted palatal expansion, also called rapid palatal expansion, is a common orthognathic procedure that can be done on individuals of any age. (J Oral Maxillofac Surg 72:2278-2288, 2014). In the younger patient it involves just a loosening of the structures. In the teen and older patient I typically do a complete osteotomy as it […]

CAN ORTHODONTICS BE USED TO REDUCE THE RISKS OF WISDOM TOOTH REMOVAL?

There was an article in our journal in August 2019, from a Chinese source studying the use of orthodontic traction to help erupt wisdom teeth that have a high risk of nerve injury. (J Oral Maxillofac Surg 77:1575.e1-1575.e6, 2019) There are certain cases where I feel this could be used and I would be happy […]

GARDNER SYNDROME, OSTEOMAS (EXOSTOSES) and COLORECTAL CANCER

In our practice we have never seen a case of Gardner Syndrome – at least any that we have been aware of (J Oral Maxillofac Surg 77:1617-1627, 2019)  Gardner Syndrome is characterized by uncountable adenomas throughout the colon and rectum, with a high risk of developing colorectal cancer (CRC). If left untreated it has almost […]

IS IT SAFE TO REMOVE TEETH IN TRANSPLANT PATIENTS WITHOUT ANTIBIOTICS?

This question is posed in an article in JOMS August 2019. (J Oral Maxillofac Surg 77:1557-1565, 2019) As long as patients understand the concerns and risks associated with treatment with or without antibiotic coverage I am happy to provide care either way. We have a great deal of experience in providing care under both scenarios. […]