Archive for the ‘ Oral Surgery ’ Category
DOES ORTHOGNATHIC SURGERY AFFECT BREATHING?
The technical question would be “does orthognathic surgery affect the upper airways?” There is a favorable effect of orthognathic surgery in the upper airways regardless of the surgical approach. Bimaxillary (upper and lower jaws together) advancement and counterclockwise rotation of the mandibular occlusal plane are the most significant contributors. (J Oral Maxillofac Surg 79:450-462, 2021). […]
IS SOFT TISSUE GRAFTING (ATTACHED MUCOSAL GRAFTING) NEEDED AROUND DENTAL IMPLANTS?
IS SOFT TISSUE GRAFTING (ATTACHED MUCOSAL GRAFTING) NEEDED AROUND DENTAL IMPLANTS? Yes. This is true of any site, but especially true in compromised sites such as patients who have undergone treatments including radiation therapy or major jaw reconstruction (J Oral Maxillofac Surg 79:560-574, 2021). Around our healthy teeth there is a band of tissue that […]
ANXIETY DURING THIRD MOLAR EXTRACTION
In our practice, removal of third molar teeth (wisdom teeth) is most commonly performed under IV anesthesia. This is appropriate and I feel necessary for this treatment to be a positive experience for most patients. With intravenous anesthesia you are completely relaxed, you have no anxieties and your jaw muscles are relaxed – it makes […]
DOES THE CONE BEAM SCAN (CONE BEAM COMPUTED TOMOGRAPHY) CHANGE THE TREATMENT DECISION TO REMOVE IMPACTED THIRD MOLAR TEETH?
The main reasons why I recommend a cone beam scan (CBCT) for third molar extractions is when there is significant risk to the nerve in the lower jaw (inferior alveolar nerve) or when there are significant lesions (typically cysts or tumors) associated with the jaw and/or teeth. For me, the cone beam scan has never […]
IS BONE GRAFTING NEEDED AFTER THIRD MOLAR (WISDOM TOOTH) EXTRACTIONS?
First off, as I have blogged before, get wisdom teeth out at an early age – about 15 years old – and you avoid 99% of the problems that tend to occur including the problems talked about in this article. But assuming that you are older and still have your wisdom teeth, as a rule, […]
HOW SHOULD WE MANAGE THRID MOLAR TEETH?
As an oral and maxillofacial surgeon and one who is experienced and expert in the treatment of and removal of third molar teeth, I read with great interest the article titled “Management of Third Molars” in the Dental Academy of CE.com’s magazine. I will first reference you to our article on the subject which is […]
IS YOUR FACE CROOKED?
I apologize up front if you are drawn to this blog to seek a solution to a crooked face. We do perform orthognathic surgery in our practice which can address this; however this blog is directed at an article comparing observers-variations in how facial asymmetry is seen. (J Oral Maxillofac Surg 73:1606-1614, 2015). Our training […]
A FOUNDATIONAL FRAMEWORK FOR ANDRAGOGY IN ORAL and MAXILLOFACIAL SURGERY/THE USE OF SOCRATIC TEACHING
Ok, if you are reading this blog entry you are certainly a one percenter. Maybe you are even a part of the problem or part of the solution. At any rate andragogies also called “medical pimping” has been a part of medical and surgical training forever (at least my forever). (J Oral Maxillofac Surg 77:1101-1102, […]
CORONECTOMY and THE NEED FOR REOPERATION
If you have read my blogs on the subject you know that I am almost completely opposed to the procedure of coronectomy as a treatment for impacted third molar teeth. I base this on a number of factors including – we rarely have problems with complete removal in the first place; the procedure leaves “the […]
REMOVAL OF IMPACTED SUPERNUMERARY TEETH USING A DYNAMIC SURGICAL NAVIGATION SYSTEM
There are systems available for computer guided techniques to approach difficult-to-visualize structures such as dental implant sites, the temporomandibular joint (TMJ), and impacted teeth such as supernumerary teeth. (J Oral Maxillofac Surg 77:1130-1134, 2019) I have had the opportunity to train in and try these techniques and use this equipment. In most cases, as it […]