scholarly journals Evaluation of the knowledge of the university students about oral and maxillofacial surgery

Author(s):  
G. Campos ◽  
J. Laureano Filho ◽  
B. Vasconcelos
Author(s):  
Guillermo Pardo-Zamora ◽  
Yanet Martínez ◽  
Jose Antonio Moreno ◽  
Antonio J. Ortiz-Ruíz

Medication-induced jaw osteonecrosis (MRONJ) is a rare and serious disease with a negative impact on patients’ quality of life, whose exact cause remains unclear and which may have a multifactorial origin. Although there are different therapeutic protocols, there is still no consensus. This case series evaluated three patients diagnosed with staged 2 MRONJ treated at the University of Murcia dental clinic according to the protocols described by the Spanish Society of Oral and Maxillofacial Surgery and the American Association of Oral and Maxillofacial Surgeons. Within 12 months of the application of therapeutic protocols, the lesions were completely healed in all cases. Radiography showed slow but progressive healing with normal bone structure. Conservative treatment with antibiotics, chlorhexidine rinses and minimally invasive surgical intervention with necrotic bone resection is effective in treating stage 2 of MRONJ. In cases of refractory osteonecrosis, the application of platelet and leukocyte-rich fibrin (PRF-L) in the surgical approach improves the outcome in soft tissue healing and bone regeneration but further research is needed to confirm its effectiveness.


2017 ◽  
Vol 10 (2) ◽  
pp. 099-105 ◽  
Author(s):  
Constantinus Politis ◽  
Alexandra Kluyskens ◽  
Titiaan Dormaar

The aim of this study is to evaluate the incidence of ophthalmic complications following midfacial fractures and investigate its relation to surgical or nonsurgical treatment. This article is a retrospective study, describing the spectrum and incidence of ophthalmic injury in 106 patients presenting with midfacial fractures at the Department of Oral and Maxillofacial Surgery of the University Hospitals Leuven over a period of 16 months (January 2013 to April 2014). The mean age of the patients was 45.6 years with a gender distribution of 68 men and 38 women. The main cause of trauma was road traffic accidents. Forty-one patients suffered an ophthalmic injury following the fracture. Twelve of them had a persistent ophthalmic problem. Ophthalmic examination is necessary during the initial management. The time window for preservation of sight is small and treatment should be started immediately. Development of an emergency trauma scale that includes fractures, symptoms of visual impairment, and patient history is recommended and should stimulate a multidisciplinary approach of complex cases.


2006 ◽  
Vol 64 (12) ◽  
pp. 1713-1714
Author(s):  
Joseph E. Van Sickels ◽  
Richard H. Haug ◽  
Jeffrey Dembo ◽  
Larry L. Cunningham

2018 ◽  
Vol 11 (2) ◽  
pp. 104-110 ◽  
Author(s):  
Robert Nadeau ◽  
Kristopher Hasstedt ◽  
Ashley Brooke Sunstrum ◽  
Chad Wagner ◽  
Harold Tu

Prescription opioid medications continue to be abused on an epidemic level and have been shown to be a “gateway” drug to heroin abuse. Individuals experimenting with opioids commonly fall in the 10- to 19-year age range in which dentists are the highest prescribers. To reduce the number of excess opioids, the Department of Oral and Maxillofacial Surgery, University of Minnesota, developed and implemented an evidence-based opioid prescribing policy. Data were collected via electronic health record for the previous year and compared with the year following the protocol implementation. The results showed a drastic decrease (>46%) in the number of prescriptions given over a 1-year period. All departments reported a decrease in opioid prescriptions and the average number of tablets per prescription. The concern of undertreating pain was not found to be significant, as there was no increase in after-hours calls, recall appointments, or documentable emergency room visits. The results support the efficacy of an opioid prescribing policy's ability to lower the frequency and number of opioids given to patients, while still adequately treating patients’ pain. Continued evaluation and modifications of the protocol and close monitoring of prescriber habits will enhance patients’ pain control while also limiting the number of opioids available for abuse.


Author(s):  
Tobias Moest ◽  
Rainer Lutz ◽  
Arne Eric Jahn ◽  
Katharina Heller ◽  
Mario Schiffer ◽  
...  

Abstract Objectives This retrospective study evaluates intraoral surgical and conservative treatment need in patients with a chronic kidney end-stage disease, depending on the duration of dialysis treatment and the causative nephrological disease. Material and methods This study is based on data of patients referred to the Department of Oral and Maxillofacial Surgery of the University Hospital Erlangen, Germany, prior to kidney transplantation between January 2015 and March 2020. The necessity for oral surgical or dental therapy was determined by clinical and radiological examinations. Data on renal replacement therapy, cause of underlying renal disease, lifestyle, and general health were collected. Results Data of N = 89 patients demonstrated that surgical treatment need depends on dialysis duration (p = 0.042). Patients, who had been dialyzing for 2 to 3 years showed the highest need for surgical intervention (80.0%; p = 0.024), followed by dialysis patients with a dialysis time of more than 3 years (48.1%). Similarly, dialysis patients in the second or third year of dialysis had the highest need for conservative treatment (73.3%; p > 0.05), followed by 55.6% of dialysis patients in the third year of dialysis. Conclusions Operative and conservative treatment is essential to optimize subsequent kidney transplantation. The greatest necessity could be detected for patients in the second and third years of dialysis. Clinical relevance Oral health addressing surgical and conservative treatment need depends on the duration of dialysis in patients with a chronic kidney end-stage disease.


2017 ◽  
Vol 21 (1) ◽  
pp. 19-23
Author(s):  
Katerina Veneti ◽  
Stavros Stafylidis ◽  
Theodora Kafkia ◽  
Mixalis Kourakos ◽  
Konstantinos Antoniades ◽  
...  

Summary Background: Throughout the financial crisis in Greece, health expenditures have been significantly reduced. As a result, patients’ accessibility to various health care providers has been significantly reduced. The aim of the present study was to determine the profile of patients visiting a maxillofacial clinic in Northern Greece and the patients’ accessibility to the specific healthcare. Material and Methods: Data were collected from 481, out of the 600, patients visiting for the first time the University Maxillofacial Clinic of a hospital in Northern Greece during 2013 and 2014. The sample was called to answer to an anonymous self-reference questionnaire with questions regarding their demographic and clinical characteristics, the pattern of their referral to the specific clinic, their city of residence, as well as information regarding their hospitalization. Results: The majority of patients (53.4%) were referred by a physician, while 38.4% by a dentist. More than half (51.4%) were admitted to the specific clinic with admission diagnoses such as Benign Lesions-Cysts (25.2%), Masticatory Myalgia-Temporomandibular Joint Dysfunction (21.6%), Infections (19.5%) and Fractures (18%). The median time to seek to hospital evaluation/treatment, from the initial diagnosis, was 30 days. Nine out of ten patients stated that there was no Maxillofacial Surgery Clinic in their area of residence, while 80.3% reported using a private means of transport to access the clinic. Conclusions: The results indicated a delay with respect to the final diagnosis, as well as difficulty in patients’ accessibility, something that could contribute to an increase in morbidity and subsequently in the cost for managing patients’ maxillofacial problems.


2010 ◽  
Vol 36 (3) ◽  
pp. 239-245 ◽  
Author(s):  
Joseph E. Van Sickels ◽  
Ted P. Raybould ◽  
E. Preston Hicks

Abstract A 15-year-old girl with ectodermal dysplasia who had been treated previously with minimal orthodontic intervention and removal prosthesis was seen and evaluated at the General Practice Program at the University of Kentucky. After consultations with orthodontics and oral and maxillofacial surgery, an interdisciplinary staged treatment plan was developed to address her skeletal and dental issues. The authors briefly review the literature with respect to current therapy for patients with ectodermal dysplasia and present the case as an example of the coordinated care provided for a patient with complex skeletal and dental issues.


2019 ◽  
Vol 10 (1) ◽  
pp. 30-34
Author(s):  
Mike Yiu Yan Leung ◽  
Wing Shan Choi ◽  
Peter Thomson

We have reported previously on the organisation of oral and maxillofacial surgery (OMFS) services in Hong Kong, and the role of the academic discipline within the Faculty of Dentistry at the University of Hong Kong. 1 This article reviews OMFS involvement in the management of dental and facial deformity, with particular reference to the treatment needs of the local population.


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