Re-Infection Concern I stopped using drains for severe odontogenic infections about 15 years ago. I am concerned that drains may actually act as a path for re-infection. (J Oral Maxillofac Surg 71:42-46, 2013). Perhaps, with an under-educated or less cooperative patient population it may be appropriate, but I think that the population I serve tends […]
Surgical root tip surgery (apicoectomy and retrofill) has been a common procedure for us my entire career. Although it is a tedious and meticulous procedure, I actually enjoy it. In many cases, it is a last-ditch effort to save a failing tooth. Because of this, and with the advancement of implant treatment, it is often […]
With the use of better and better sensors for our radiographic scans, we are now able to take a 3D Cone Beam Scan with less radiation exposure than we used to use for a panoramic film. Certainly, all radiation exposure is a concern and we continue to strive to provide the best care with a […]
Third molar or wisdom tooth impaction is a common clinical issue for us as oral surgeons to deal with. We are experts in it and we are able to assess, plan, and appropriately treat these concerns. In the past several years, the cone beam scan has been a part of our assessment and examination for […]
When we perform tooth extraction in patients who may have an immune compromised state such as diabetes (IDDM) or patients on chemotherapy, there is an increased risk of poor healing, poor bone fill, and infection.
We have been using Piezosurgery (ultrasonic frequency bone cutting technology) for a number of years. It is clean, precise, and has the advantage that it helps to minimize injury to soft tissue structures as the cutting mechanism with this technology selectively cuts hard tissue and tends to spare soft tissue.
Root tip (periapical) surgery has been a standard procedure for oral and maxillofacial surgeons for many years and has been an area of expertise for me throughout my practice life. Basically, the procedure is used as the “ultimate root canal.” We approach the root tip surgically and seal off the root canals at the point […]
In the years during which I have been in practice as an oral surgeon, we have experienced quantum leaps in bone grafting techniques, materials, and methods. The use of various bone products, PRGF, PRP, and titanium mesh, to name a few, have greatly enhanced our ability to gain bone height in areas where it has […]
Advances in medical and surgical care over the years have resulted in a continual increase in life expectancy and individuals surviving who have more significant healthcare concerns. It is very common to see patients with various disease states requiring blood thinners (anticoagulants). Many of these patients are significantly anticoagulated (INR > 2.5). As an oral […]
Grinding and clenching of teeth have been studied extensively and clearly have multiple causes. In most cases, there are multiple overlapping and layered causes. In some cases, it is a normal physiologic activity (such as a child naturally responding to a changing bite during development). In many cases, it is a natural response to a […]
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