scholarly journals 1633 Developing Confidence in Dental Core Trainees; A National Review of The Trainee Experience

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
R Karia ◽  
S Miskry ◽  
K Fan
Keyword(s):  
Clinical Skills ◽  
Maxillofacial Surgery ◽  
Training Programme ◽  
Oral And Maxillofacial Surgery ◽  
Mandibular Fractures ◽  
Facial Fractures ◽  
National Review ◽  
Induction Process ◽  
Postgraduate Training Programme ◽  
Training Post

Abstract Aim In the U.K, Dental Core Training (DCT) is an elective postgraduate training programme. There are over 700 DCT jobs with the majority in Oral and Maxillofacial Surgery (OMFS). Our focus was to measure the confidence and skills of 103 DCTs, as they mature during a year in OMFS. Method OMFS DCTs answered questionnaires in month 1, 3 and 6 of their training post, regarding confidence and proficiency in assessment of dental infections, facial fractures, swellings, pathology, airway risk, imaging and performing suturing. Results In month 1, 55% of DCTs were ‘somewhat confident’ in performing intra-oral suturing and assessing dento-facial infection out of the skills assessed. Only 22% of DCTs were ‘extremely confident’ in any competencies. Specifically, DCTs felt ‘not at all confident’ with interpretation of scans (78%) and assessment of facial fractures (35%). Between month 1 and month 6 there has been an increase in confidence across all competencies. Notably, a 42% confidence increase in extra-oral suturing and 61% increase in assessing mandibular fractures. Conclusions We demonstrate that an OMFS training year improves confidence in clinical skills and that an adequate time in a post is required to attain that. Our results highlight areas where DCTs lack confidence early in their posts. These could be targeted at dental school, during the hospital induction process or through guided support and training in the initial phase of their jobs. This study adds clarity to both dentists and doctors contemplating a training year in OMFS and gives insight into how to support and train them.

scholarly journals The national dental undergraduate clinical skills competition known as the Guanghua Cup: an innovative and effective program that promoted undergraduate dental education in China

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Xiaolan Li ◽  
Yanbo Shan ◽  
Yangjingwen Liu ◽  
Yingwen Lin ◽  
Lin Li ◽  
...  
Keyword(s):  
Clinical Teaching ◽  
Clinical Skills ◽  
Dental Education ◽  
Maxillofacial Surgery ◽  
Dental Students ◽  
Oral And Maxillofacial Surgery ◽  
Teaching Resources ◽  
Self Evaluation ◽  
Geographical Regions ◽  
Dental Anatomy

Abstract Background The National Dental Undergraduate Clinical Skills Competition known as the Guanghua Cup was held in Guangzhou, China, for three consecutive years from 2017 to 2019 to promote the clinical teaching of undergraduate dental education and to enhance communication among different universities. The present study aimed to introduce the organization, procedures, and consequences of the competition, in addition to analyzing the influences of competition on the reform of undergraduate dental education. Methods By analyzing the descriptive statistics of the Guanghua Cup, the competitions’ organization, the participating students’ performances, and the outcomes of competitions were analyzed. After distributing questionnaires to all participants of the 2nd and 3rd Cups, their attitudes towards the competition and their evaluation of the role of the competitions in promoting undergraduate dental education were analyzed. Results A total of 24 schools participated in the 3 competition years. The contents of the competitions covered cariology, endodontics, periodontology, prosthodontics, oral and maxillofacial surgery, dental anatomy, and first aid (e.g., operative skills and theoretical knowledge). Compared with those of the 2nd Cup, the mean scores of the operative skills significantly improved in the stations related to periodontology, prosthodontics, and dental anatomy (p < 0.05) in the 3rd Cup. In addition, 338 valid questionnaires were collected, for a response rate of 87.79 %. Overall, the participants spoke highly of the Guanghua Cup. Based on their self-perception and self-evaluation, the majority of interviewees agreed that the competition helped develop collegiality and teamwork among the participating students, improved the students’ clinical skills and promoted the improvement of teaching resources (e.g., purchasing and updating equipment, models or experimental materials). Conclusions The competition enjoyed the widest coverage since it involved dental schools from all of the different geographical regions of China. Dental students could exhibit their clinical skills in a competitive environment and develop collegiality and teamwork. Future competitions should be optimized through their organization and contents. The education quality of the participating schools affected by such competition should be investigated in a more objective and comparable way.

Patterns of Pediatric Facial Fractures

2021 ◽  
pp. 194338752199173
Author(s):  
Kevin Hong ◽  
James Jeong ◽  
Yehudah N. Susson ◽  
Shelly Abramowicz
Keyword(s):  
Motor Vehicle ◽  
Maxillofacial Surgery ◽  
Maxillofacial Trauma ◽  
Oral And Maxillofacial Surgery ◽  
Facial Fractures ◽  
Inclusion Criteria ◽  
Motor Vehicle Collisions ◽  
Vehicle Collisions ◽  
Peak Incidence ◽  
Maxillofacial Fractures

Objective: The aim of this study was to assess patterns of maxillofacial trauma in the pediatric population in Atlanta. This information is important to help guide management and allocate resources for treatment of maxillofacial injuries at Children’s Healthcare of Atlanta (CHOA). Methods: This study was a retrospective chart review of children who presented from 2006 to 2015. Inclusion criteria were: (1) age 18 years old or younger, (2) presentation to emergency department, (3) diagnosis of maxillofacial fractures, and (4) evaluation by Oral and Maxillofacial Surgery, Otolaryngology, or Plastic Surgery services. Medical records were reviewed to record demographic, mechanism of injury, fracture location, and yearly incidence of injury. Descriptive statistics were computed to summarize findings and overall trends. Results: During the study period, 39,833 patients were identified. Of them, 1995 met the inclusion criteria. The majority were male (n = 1359, 68%) with an average age of 9.4 years old (range of 1 month to 18 years old). Mechanisms of injury were motor vehicle collisions (MVC) (n = 597, 29.9%), fall (n = 565, 28.3%), sports injury (n = 317, 15.9%), pedestrian struck (n = 215, 10.8%), assault/abuse (n = 204, 10.2%), other (n = 81, 4.1%), or gunshot wound (n = 16, 0.8%). Fracture sites were mandible (n = 519, 26%), complex (n = 479, 24%), nasal (n = 419, 21%), dentoalveolar (n = 279, 14%), orbital (n = 259, 13%), and maxilla (n = 40, 2%). Males had a higher incidence of assault than females (n = 185, 91% of assaults). The incidence of maxillofacial trauma increased with age with a peak incidence in 13 to 16-year-olds (n = 566, 28.3%). During the years examined, there was an upward trend in MVCs as the etiology with a peak incidence of facial fractures due to MVCs occurring in 2015. All other mechanisms remained constant during this time period. Conclusions: There was an increase in pediatric facial fractures secondary to motor vehicle collisions from 2007 to 2015 despite improvements in regulations, traffic safety, and technology.

Mandibular Bone Fractures in elderly patients with reference to etiology of trauma

2021 ◽  
Vol 15 (8) ◽  
pp. 1920-1922
Author(s):  
Nabeela Riaz ◽  
Samreen Younas ◽  
Ijaz Ur Rehman ◽  
Ahmad Abdul Haseeb ◽  
Saba Hanif ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Bone Fractures ◽  
Financial Burden ◽  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Mandibular Fractures ◽  
Mandibular Bone ◽  
Mandibular Injuries

Aim: to explore the mandibular bone fractures in elderly patients with reference to etiology of trauma. Methodology: This was a descriptive study conducted in the department of Oral and Maxillofacial Surgery KEMU/ Mayo Hospital Lahore. Elderly patients (age 60-100years) with mandibular bone fractures. Results: Aetiology of trauma leading to mandibular fractures was as follows; there were 79(65.83%) cases of RTA, 32(26.66%) falls, 4(3.33%) assaults and there were only 3(2.5%) cases of industrial injury. Conclusion: To conclude, this study depicts that road traffic accidents were the predominant cause of injury in the studied age group. Elderly patients need more care and attention, especially after traumatic incidents and lead to financial burden in hospitals Keywords: Maxillofacial trauma, Elderly population, Mandibular injuries, Elderly fractures

“AN ANALYSIS OF OPHTHALMIC INJURIES IN PATIENTS WITH MAXILLOFACIAL TRAUMA”

2021 ◽  
pp. 81-83
Author(s):  
Sharmila. S ◽  
Abhilash Balakrishnan ◽  
Saji Nair .A ◽  
Ajith Kumar.K
Keyword(s):  
Maxillofacial Surgery ◽  
Maxillofacial Trauma ◽  
Facial Trauma ◽  
Oral And Maxillofacial Surgery ◽  
Ocular Injury ◽  
Age Group ◽  
Facial Fractures ◽  
Periorbital Oedema ◽  
Maxillofacial Fractures ◽  
Ocular Injuries

PURPOSE OFTHE STUDY: To estimate the proportion and types of ophthalmic injuries in patients with maxillofacial fractures PATIENTS AND METHODS: All patients with maxillofacial trauma, who came to the Department of Oral and Maxillofacial surgery Government Dental college Thiruvananthapuram from November 2020 to June 2021were included in this study. The information and data collected included age, sex, mechanism of injury, type of maxillofacial fracture and type of ophthalmic injury. RESULTS: Ocular injury was sustained by 209 patients out of which 180 (86.1%) were males and 29(13.9%)were females. The largest age group of patients associated with ophthalmic injuries were 30-39 years. The etiology of facial fractures or ocular injuries showed that road trafc accidents more frequently resulted in ocular injuries 66.5% followed by assault 18.7% and self fall 14.8%. Ophthalmic injuries occurred mostly in association with orbital fractures 33.5% followed by Zygomatico maxillary complex fracture 26.8%and Maxillary sinus fractures 24.4%. Periorbital oedema was the most common ophthalmic injury accounting for 46.4%of cases followed by Periorbital ecchymosis 35.4% and Subconjuntival haemorrhage 17.2%. CONCLUSION: Mid facial trauma commonly causes ophthalmic injuries of varying degrees. Prompt ophthalmic examination of all patients with mid facial trauma is mandatory to prevent any blinding complications

Referral patterns of emergency physicians regarding head and neck pathology in Western Australia

2018 ◽  
Vol 9 (4) ◽  
pp. 147-150
Author(s):  
Jo Ann Ong ◽  
Dieter Gebauer ◽  
Estie Kruger ◽  
Marc Tennant
Keyword(s):  
Maxillofacial Surgery ◽  
Temporomandibular Joint Disorders ◽  
Scope Of Practice ◽  
Oral And Maxillofacial Surgery ◽  
Facial Fractures ◽  
Emergency Physicians ◽  
The Us ◽  
Head And Neck Pathology ◽  
Salivary Gland Disease ◽  
The Uk

Those dual qualified in oral and maxillofacial surgery (OMFS) in Australia have a scope of practice that includes dentoalveolar surgery, facial fractures, craniofacial deformities, salivary gland disease, temporomandibular joint disorders, and the treatment of oral and facial cancers with reconstruction. This differs from other countries such as the UK, the US, France and Brazil, which can lead to complexities of interaction when internationally trained health professionals, who may be unaware of this wide breadth of practice, are the ‘gatekeepers’ at tertiary health facilities. 1 – 3

scholarly journals Clinical and Epidemiological Study on Patients with Mandibular Fractures within the Oral and Maxillofacial Surgery Compartment in the Sibiu County Clinical Emergency Hospital between 2013-2018

2019 ◽  
Vol 24 (4) ◽  
pp. 68-72
Author(s):  
Bogdan Ioan Petraşcu ◽  
Dan Sabău
Keyword(s):  
Epidemiological Study ◽  
Accidental Falls ◽  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Mandibular Fractures ◽  
Etiological Factors ◽  
Emergency Hospital ◽  
Car Accidents ◽  
Clinical Emergency

Abstract Traumatology from the oral and maxillofacial area represents a very important and frequent pathology within this specialty, the mandibular fractures occupying the first place in terms of location and frequency due to the anatomical prominent position of the mandible. The first three etiological factors are represented by aggressions, accidental falls and car accidents. This article, accomplished in collaboration with the statistical service of the Sibiu County Clinical Emergency Hospital, aims at analysing the distribution by sex, origin environments, levels of studies, presentation of patients, analysis which was broken down by days of the week, frequent symptoms of these types of pathologies, for a period of 5 years, between 2013-2018.

scholarly journals GEOMETRICAL MODELS OF MANDIBLE FRACTURE AND PLATE IMPLANT

2018 ◽  
Vol 16 (3) ◽  
pp. 369 ◽  
Author(s):  
Karim Husain ◽  
Mohammed Rashid ◽  
Nikola Vitković ◽  
Jelena Mitić ◽  
Jelena Milovanović ◽  
...  
Keyword(s):  
Maxillofacial Surgery ◽  
Fracture Site ◽  
Oral And Maxillofacial Surgery ◽  
Mandibular Fractures ◽  
Anatomical Features ◽  
Mandible Fracture ◽  
Human Bones ◽  
Fixation Techniques ◽  
Bone Fragments ◽  
The Creation

In the oral and maxillofacial surgery, there is a requirement to provide the best possible treatment for the patient with mandibular fractures. This treatment presumes application of reduction and fixation techniques for proper stabilization of the fracture site. The reduction of the bone fragments and their fixation is much better performed when geometry and morphology of the bone and osteofixation elements (e.g. plates) are properly defined. In this paper, a new healthcare procedure, which enables application of personalized plate implants for the fixation of the mandibular fractures, is presented. Geometrical models of mandible and plate implants, presented in this research, were created by means of the Method of Anatomical Features (MAF), which has been already applied to the creation of accurate geometrical models of various human bones, plates and fixators. By using such geometrically and anatomically accurate models, orthopedic and maxillofacial surgeons can better perform pre-operative tasks of simulating and planning the operation, as well as an intraoperative task of implanting the personalized plate into the patient body.

scholarly journals Tratamento cirúrgico de fratura do complexo zigomatico orbital em paciente vítima de acidente desportivo: relato de caso

2020 ◽  
Vol 9 (6) ◽  
pp. 527-530
Author(s):  
José Jhenikártery Maia de Oliveira ◽  
Micaella Fernandes Farias ◽  
Flaviana Laís Pereira dos Santos ◽  
Artemisa Fernanda Moura Ferreira ◽  
Lucas Alexandre de Morais Santos
Keyword(s):  
Bone Fractures ◽  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Facial Fractures ◽  
Porto Alegre ◽  
Maxillofacial Fractures ◽  
Facial Edema ◽  
Nigerian Population ◽  
Non Surgical Treatment

Introdução: Fraturas no complexo zigomático orbital podem resultar em deslocamento ósseo com alteração do volume orbital e distúrbios funcionais. As complicações associadas aos traumas dessa região podem vir a interferir diretamente na qualidade de vida do indivíduo, dessa forma, faz-se necessário a cirurgia de reposicionamento anatômico do osso. Objetivo: Relatar um caso clínico de fratura do complexo zigomático orbital em paciente vítima de acidente desportivo. Relato de caso: Paciente do sexo masculino, leucoderma, vítima de acidente desportivo, compareceu a um serviço de Cirurgia Bucomaxilofacial da cidade de Recife-PE, apresentando alterações anatômicas visíveis na região zigomática do lado esquerdo da face. Ao exame clínico observou-se assimetria facial, edema, equimose periorbital, hemorragia subconjuntival, perda de volume do lado afetado e desconforto relado pelo paciente, sugerindo fratura do complexo zigomático orbital. A Tomografia Computadorizada mostrou perda da projeção anteroposterior do corpo do osso zigomático esquerdo, com fratura no arco zigomático e descontinuidade da sutura esfenozigomática esquerdas. O corte tomográfico coronal evidenciou aprisionamento do conteúdo orbital por fragmentos presentes no assoalho da órbita, e fratura do pilar zigomático-maxilar. Através de acessos cirúrgicos peri-orbitais (superciliar e subtarsal) foi instalada 1 mini-placa com parafusos (1 em cada acesso), nas regiões da sutura fronto-zigomática e da margem infraorbital. Pelo acesso intraoral foi fixada uma placa no pilar zigomático-maxilar. O tratamento cirúrgico buscou acesso ao esqueleto da órbita, redução anatômica e fixação interna estável com mini-placas e parafusos. Considerações finais: Após 10 dias, observou-se o restabelecimento anatômico da projeção anteroposterior do osso zigomático direto, procedendo à melhora estético-funcional. Descritores: Anatomia Regional; Traumatologia; Fraturas Orbitárias. Referências Obimakinde OS, Ogundipe KO, Rabiu TB, Okoje VN. Maxillofacial fractures in a budding teaching hospital: a study of pattern of presentation and care. Pan Afr Med J. 2017;26:218. Ugboko V, Udoye C, Ndukwe K, Amole A, Aregbesola S. Zygomatic complex fractures in a suburban Nigerian population. Dent Traumatol. 2005;21(2):70-5.  Zamboni RA, Wagner JCB, Volkweis MR, Gerhardt EL, Buchmann EM, Bavaresco CS. Epidemiological study of facial fractures at the Oral and Maxillofacial Surgery Service, Santa Casa de Misericordia Hospital Complex, Porto Alegre - RS - Brazil. Rev Col Bras Cir. 2017;44(5):491-97. Ramos JC, Almeida MLD, Alencar YCG, de Sousa Filho LF, Figueiredo CHMC, Almeida MSC. Estudo epidemiológico do trauma bucomaxilofacial em um hospital de referência da Paraíba. Rev Col Bras Cir. 2018;45(6):e1978. Wulkan M, Parreira Junior JG, Botter DA. Epidemiologia do trauma facial. Rev Assoc Med Bras. 2005;51(5):290-95. Knight JS, North JF. The classification of malar fractures: an analysis of displacement as a guide to treatment. Br J Plast Su1961;13:325-39. Mendonça JCG, Crivelli DMB. Tratamento de fratura cominutiva do complexo zigomático orbitário com utilização de fio de aço: relato de caso. Rev Bras Cir Cabeça Pescoço. 2012; 41(2):93-5. Hupp JR, Tucker MR, Ellis E.Cirurgia oral e maxilofacial contemporânea. 6. ed. Rio de Janeiro: Elsevier; 2015. p. 1099-1113. Oliva MA. Acesso subciliar para fraturas do complexozigomático-orbitári. Rev Bras Cir Cabeça Pescoço. 2013;42(2):106-8. Soares LP, Gaião L, Santos MESM, Pozza DH, Oliveira MG. Indicações da Tomografia Computadorizada no Diagnóstico das Fraturas Nasoórbito-etmoidais. Rev de Clin Pesq Odontol. 2004;1(1):29-33. Kurita M, Okazaki M, Ozaki M, Tanaka Y, Tsuji N, Takushima A, et al. Patient satisfaction after open reduction and internal fixation of zygomatic bone fractures. J Craniofac Surg .2010;21(7):45–9. Hammer B. Fraturas orbitárias: Diagnóstico, tratamento cirúrgico, correções secundárias. São Paulo: Santos; 2005. Panarello F, Chaves Júnior AC, Leles JLR, Oliveira MG. Análise dos materiais empregados para a reconstrução das fraturas orbitárias – Revisão de literatura. RBC: Rev Int Cir Traumatol Bucomaxilofacial. 2005;3(9):57-64. Kloss FR, Stigler RG, Brandstätter A, Tuli T, Rasse M, Laimer K, Hächl OL, Gassner R. Complications related to midfacial fractures: operative versus non-surgical treatment. Int J Oral Maxillofac Surg. 2011;40(1):33-7. Liedtke FS, Richinho KP, Pisanelli CH, Araf D. Fraturas do soalho da órbita do tipo ‘’Blow-out”: revisão de literatura. Revicience 2005;5(5):8-11.

In the emergency department

2018 ◽  
Author(s):  
Luke Cascarini ◽  
Clare Schilling ◽  
Ben Gurney ◽  
Peter Brennan
Keyword(s):  
Soft Tissue ◽  
Bone Fractures ◽  
Maxillofacial Surgery ◽  
Soft Tissue Injuries ◽  
Oral And Maxillofacial Surgery ◽  
Mandibular Fractures ◽  
Soft Tissue Infections ◽  
Penetrating Injuries ◽  
Orbital Floor Fractures ◽  
Zygomatic Fractures

This chapter discusses oral and maxillofacial surgery in the A&E department, including, The paediatric OMFS patient, Overview of maxillofacial trauma, Mandibular fractures, Zygomatic fractures, Orbital floor fractures, Maxillary fractures, Nose, naso-ethmoidal, and frontal bone fractures, Face and scalp soft tissue injuries, Penetrating injuries to the neck, Intra-oral injuries, Dento-alveolar trauma, Dento-alveolar infections, Post-extraction complications, Head and neck soft tissue infections, Salivary gland diseases, and Miscellaneous conditions

Oxford Handbook of Oral and Maxillofacial Surgery

2018 ◽  
Author(s):  
Luke Cascarini ◽  
Clare Schilling ◽  
Ben Gurney ◽  
Peter Brennan
Keyword(s):  
Maxillofacial Surgery ◽  
Dental Materials ◽  
Training Programme ◽  
Dental Students ◽  
Oral And Maxillofacial Surgery ◽  
Junior Doctors ◽  
Reference Guide ◽  
Surgical Trainees ◽  
Specialist Nurses ◽  
Current Guidelines

This new edition of Oxford Handbook of Oral and Maxillofacial Surgery has been fully updated to cover the current guidelines and research in the field of OMFS. Splitting vital knowledge into sections based on clinical areas, this handbook uses bulleted lists and summary boxes to make the information easily searchable. Chapters on ‘in the clinic’, ‘in the theatre’, and ‘on the ward’ cover all common complaints and presentations that the reader can expect to encounter in their daily activities, and a dedicated section to emergencies provides clear advice. Common drugs and dental materials are covered as a quick reference guide. With OMFS now part of the Core Training programme for surgical trainees, the handbook ensures a solid grasp of the basics and fundamentals to help support decision making for junior doctors, dental foundation trainees, specialist nurses, and medical and dental students.

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