Oral and Maxillofacial Surgery

Author(s):  
Nicholas Longridge ◽  
Pete Clarke ◽  
Raheel Aftab ◽  
Tariq Ali

Oral and facial surgery has been practised in some form for millennia. Hippocrates himself has described reducing jaw dislocations, and Sushtra was performing reconstructive local facial flaps in India as early as sixth century BC. The modern practice of oral and maxillofacial surgery (OMFS) can be traced back to the battlefields of northern Europe in the early twentieth century. Industrialized warfare produced horrific facial injuries that were treated by frontline oral surgeons, and so the specialty of OMFS, as a crossover between medicine and dentistry, developed. It became evi­dent that both medical and dental education was necessary in order to manage increasingly complex facial surgery that was being undertaken. It can be argued that OMFS has evolved to be a truly general surgical specialty, manipulating the hard and soft tissues of the head and neck and having the skills to operate on neurovascular, glandular, and airway struc­tures. There is variable exposure to OMFS during dental undergraduate education and scarce exposure during medical undergraduate training. Opportunities for postgraduate training in OMFS for dentists who are not entertaining a career in the discipline are also limited. Knowledge of the scope of OMFS practice is a bare minimum for any practising dentist, as this can inform the limits of their individual competency, as well as ensure a safe transfer of care for their patients. The questions in this section are there to target the most commonly tested and encountered aspects of OMFS for most junior dentists, focusing on oral surgery, oral pathology, management of the medically compromised patient, and trauma of the facial skeleton. OMFS is an enormously satisfying endeavour and is recommended to all junior dentists. It can form a granite-like foundation of skills upon which to build a career in clinical dentistry. Key topics include: ● Trauma ● Oral surgery and exodontia ● Oral pathology ● Orthognathic surgery ● Temporomandibular joint surgery ● Cleft lip/ palate repair ● Craniofacial surgery ● Salivary disease ● Head and neck oncology and microvascular reconstruction ● Skin cancer ● Facial aesthetics.

2019 ◽  
Vol 36 (2) ◽  
pp. 109-123 ◽  
Author(s):  
Kristina Feigin ◽  
Bonnie Shope

Platelet concentrates, mostly represented by platelet-rich plasma and platelet-rich fibrin, have gained significant interest in various medical and oral disciplines because of their potential to stimulate and boost regeneration of hard and soft tissues. Prepared from the patient’s own blood, they have been tested and used in various different surgical fields including oral and maxillofacial surgery. The effects of these biomaterials are described to be a result of the large concentration of platelets which contain a wide range of growth factors. The aim of this article is to introduce the principle and function of these platelet concentrates, to review their preparation, and to provide a comprehensive examination of the published oral and maxillofacial literature on this subject.


2020 ◽  
Author(s):  
Essam Al-Moraissi ◽  
Endi Lanza Galvão ◽  
Nikolaos Christidis ◽  
Saulo Gabriel Falci

Abstract Background : The aim of this bibliometric research was to identify and analyze the top 100 cited systematic reviews in the field of oral and maxillofacial surgery. Methods : Using the Web of Science-database without restrictions on publication year or language, a bibliometric analysis was performed for the five major journals of oral and maxillofacial surgery: International Journal of Oral and Maxillofacial Surgery, Journal of Oral and Maxillofacial Surgery, Journal of Cranio-maxillofacial Surgery, British Journal of Oral & Maxillofacial Surgery and Oral Surgery Oral medicine Oral pathology Oral radiology. Discussion : The most top-cited systematic review was published in 2015 with a total of 200 citations on survival and success rates of dental implants, consistent with the finding that “pre- and peri-implant surgery and dental implantology”, and “craniomaxillofacial deformities and cosmetic surgery” were the most frequently-cited topics (22% each). The International Journal of Oral and Maxillofacial Surgery displayed both most citations in total and in average per publication. The outcome of this article can be used as a source of information not just for researchers but also for clinicians and students, and of which areas have a large impact on the field of oral and maxillofacial surgery but cannot reflect the quality of the included systematic reviews.Systematic review registration: not applicable


2019 ◽  
Vol 70 (6) ◽  
pp. 1988-1991
Author(s):  
Carmen Gabriela Stelea ◽  
Iulian Constantin ◽  
Cristian Budacu ◽  
Alexandra Lorina Platon ◽  
Mihail Balan ◽  
...  

The pathology of the oro-maxilo-facial territory comprises a vast chapter of diseases with primary or secondary infectious etiology, the mouth being the natural cavity of the organism with the most varied and variable flora of bacterial contamination. By the continuity solutions created by the mechanical act of mastication, decubitus of defective prosthetic works, local dento-periodontal infectious processes, but especially of dental or small-scale interventions, open gates and possibilities of penetration into the blood circulation of the microorganisms, which cause the transient bacteria. The study included 243 randomly selected patients, with the address of the Oral and Maxillofacial Surgery Clinic in the period 2016-2018. The inoculation of microorganisms in the oral cavity in circulating blood as a result of oral surgery or dental care procedures is much more common than in other areas of the body. Aggressive dental maneuvers that create solutions of continuity of oral mucosa, gingiva, periodontal surgery, periodontal surgery techniques can cause bacteria.


2020 ◽  
Author(s):  
Essam Ahmed Almoraissi ◽  
Endi Lanza Galvão ◽  
Saulo Nikolaos Christidis ◽  
Gabriel Moreira Falci

ABSTRACTThe aim of this bibliometric research was to identify and analyze the top 100 cited systematic reviews in the field of oral and maxillofacial surgery. Using the Web of Science-database without restrictions on publication year or language, a bibliometric analysis was performed for the five major journals of oral and maxillofacial surgery: International Journal of Oral and Maxillofacial Surgery, Journal of Oral and Maxillofacial Surgery, Journal of Cranio-maxillofacial Surgery, British Journal of Oral & Maxillofacial Surgery and Oral Surgery Oral medicine Oral pathology Oral radiology. The most top-cited systematic review was published in 2015 with a total of 200 citations on survival and success rates of dental implants, consistent with the finding that “pre- and peri-implant surgery and dental implantology”, and “craniomaxillofacial deformities and cosmetic surgery” were the most frequently-cited topics (22% each). The International Journal of Oral and Maxillofacial Surgery and Journal of Oral and Maxillofacial Surgery displayed have got most citations in total and in average per publication. The outcome of this article can be used as a source of information not just for researchers but also for clinicians and students, and of which areas have a large impact on the field of oral and maxillofacial surgery but cannot reflect the quality of the included systematic reviews.


2019 ◽  
Author(s):  
Thorakkal Shamim

Background: There is a paucity of information about the dental sciences related articles published in an Otorhinolaryngology journal from India. This bibliometric study aimed to audit the dental sciences related articles published in Indian Journal of Otolaryngology and Head and Neck Surgery (IJOHNS) from 2014 to 2016 over a 3 year period.Materials and Method: Bibliometric analysis of issues of IJOHNS from 2014 to 2016 was performed using web-based search from Pubmed Central. The articles published were analyzed for topic of dental sciences, type of article, type of study, international collaborations, source of funding, number of authors and authorship trends.Results:Out of the total 60 published articles related to dental sciences, original articles (42), clinical reports (14),short communication(3) and review articles(1) contribute the major share. Regarding the relationship with dental sciences, the maximum number of published articles were related to oral and maxillofacial surgery (53) followed by oral pathology and microbiology (44), oral medicine and radiology (37), prosthodontics (17) and community dentistry (3).Among the articles published in IJOHNS, oral cancer (14) followed by diseases of salivary gland (13), oral mucosal lesions (6) and reconstructive surgery (5) form the major attraction of the contributors. The largest numbers of published articles related to dental sciences were received from Gandhi Medical College, Bhopal, Madhya Pradesh (5) and Basavatarakam Indo American Cancer Hospital and Research Centre, Hyderabad, Andhra Pradesh (3).Conclusion: This paper may be considered as a baseline study for the bibliometric information regarding dental sciences related articles published in an Otorhinolaryngology journal from India. IJOHNS have published dental sciences related articles based on the merit of the topic irrespective of the speciality of the author.


2009 ◽  
Vol 91 (5) ◽  
pp. 175-175 ◽  
Author(s):  
Louis McArdle

Oral and maxillofacial surgery (OMFS) has undergone a major transformation over the last two decades. This has resulted in the redefining of OMFS as a medical specialty and the categorisation of oral surgery as a dental specialty. Oral surgery includes dentoalveolar surgery, orthodontic surgery, intraoral soft tissue surgery, management of diseases of the jaws and oral implantology. OMFS also includes these areas of practice but has tended to focus on the management of more complex conditions such as orofacial malignancy and cleft-lip and palate surgery. Salivary gland disease, orthognathic surgery and facial trauma, although within the remit of OMFS, also fall within the extended competencies of the oral surgery curriculum and as such, will be part of the practice of some oral surgeons.


2020 ◽  
Vol 4 (1) ◽  
pp. 47-51
Author(s):  
Sana Iqbal ◽  
Sufyan Ahmed ◽  
Zahid Ali ◽  
Mehwash Kashif ◽  
Ayesha Aslam

Background: Oral and Maxillofacial Surgery department is a diverse field in dentistry. Record maintenance has been established as one of the key factors in the success and integrity of health care institutes.Objective: The objective of the study was to evaluate the records of oral and maxillofacial surgery cases reported to oral and maxillofacial surgery department, Abbasi Shaheed Hospital and oral surgery OPD of Karachi Medical and Dental College.Methods: Cross sectional study was conducted in at ASH and KMDC from July 2019 to September 2019. The data from January 2017 to July 2019 was retrospectively noted through electronic surgical record of ASH and records of the Oral Surgery OPD of KMDC. Inclusion criteria was patients records of both genders of 5–70 years age, having complaint of any oral or dental pathology or pathologies, trauma and impactions. Data was calculated manually by calculating frequencies and percentages for the trauma, impaction and pathology cases of patients.Results: In 2017, 239 cases were treated under general anesthesia from which trauma 11. 45% (n=11), followed by 48. 11% (n=115) cases of oral pathologies, total 11.7% (n=28) cases of complicated exodontias. In 2018, among 211, 51.1% (n=108) cases were trauma followed by 39.3% (n=83) cases of oral pathologies, whereas, total 9.4% (n=20) complicated exodontias cases were observed. During 2019 (January to July), 168 cases 36.2% (n=62) cases were diagnosed as trauma, in oral pathology, overall 36.2% (n=62) cases were surgically excised. Total 23.2% (n=39) complicated exodontias. In 2017, 25122 cases were reported in Surgery OPD of Karachi Medical and Dental College. Total 36.2% (n=9097) teeth were extracted from which 1.93% (n=486) cases were surgical impaction. On the other hand, 1.65% (n=416) patients were treated through minor oral surgeries. In 2018, 29008 cases were reported in Surgery OPD. Total 42.7% (n=12377) teeth were extracted from which 0.92% (n=268) cases were surgical impaction. On the other hand, 0.71% (n=208) patients were treated through minor surgeries. In 2019, January till July 13028 cases were reported in Surgery OPD. Total 42.6% (n=5559) teeth were extracted from which 0.66% (n=87) cases were surgical impaction. On the other hand, 0.68% (n=89) patients were treated through minor surgeries.Conclusion: It has been concluded that evaluation of the records of oral and maxillofacial surgery cases reported to oral and maxillofacial surgery department, Abbasi Shaheed Hospital and oral surgery OPD of Karachi Medical and Dental College were high and appropriate measures should be taken in order to manage these problems timely and effectively.


BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mohammad Kamal ◽  
Mohammad Abdulwahab ◽  
Ahmed Al-Zaid

Abstract Background Oral and maxillofacial surgery specialty has grown rapidly in Kuwait in recent years. However, the general public and healthcare professionals remain unaware of its expanding scope of practice. The aim of the study is to assess public and professional (dental and medical) perception of the oral and maxillofacial surgical specialty in Kuwait. Methods This is a cross-sectional study evaluating responses of dental professionals, medical professionals, and general public in Kuwait toward the oral and maxillofacial surgical specialty using a previously validated survey instrument with 100 participants in each group. Participants were asked to choose the most appropriate specialist to treat certain procedures across 4 disciplines: reconstruction, trauma, pathology, and cosmetic. Statistical comparison was conducted between dentists and medical doctors using Fisher’s exact test with a p-value of < 0.05. Results Disparities were noted each group’s responses. Oral and maxillofacial surgery was preferred overall for most clinical scenarios in trauma (p < 0.001), pathology (p < 0.001), and reconstructive surgery (p < 0.001). Plastic surgery was preferred for cosmetic surgeries (p < 0.001). Conclusions This study indicates the need to increase awareness especially towards cosmetic surgery procedures, and conduct health campaigns regarding oral and maxillofacial surgery among healthcare professionals, especially medical doctors, and the general public.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Junya Kusumoto ◽  
Atsushi Uda ◽  
Takeshi Kimura ◽  
Shungo Furudoi ◽  
Ryosuke Yoshii ◽  
...  

Abstract Background In Japan, oral third-generation cephalosporins with broad-spectrum activity are commonly prescribed in the practices of dentistry and oral surgery. However, there are few reports on the appropriate use of antibiotics in the field of oral surgery. This study aimed to evaluate the appropriateness of antibiotic use before and after an educational intervention in the Department of Oral and Maxillofacial Surgery, Kobe University Hospital. Methods The use of oral antibiotics was investigated among inpatients and outpatients before and after an educational intervention conducted by the antimicrobial stewardship team. Additionally, the frequency of surgical site infection after the surgical removal of an impacted third mandibular molar under general anesthesia and the prevalence of adverse effects of the prescribed antibiotics were comparatively evaluated between 2013 and 2018. Results After the educational intervention, a remarkable reduction was noted in the prescription of oral third-generation cephalosporins, but increased use of penicillins was noted among outpatients. There was reduced use of macrolides and quinolones in outpatients. Although a similar trend was seen for inpatients, the use of quinolones increased in this population. Despite the change in the pattern of antibiotic prescription, inpatients who underwent mandibular third molar extraction between 2013 and 2018 did not show a significant increase in the prevalence of surgical site infections (6.2% vs. 1.8%, p = .336) and adverse effects of drugs (2.1% vs. 0%, p = .466). Conclusions This study suggests that the judicious use of oral antibiotics is possible through conscious and habitual practice of appropriate antibiotic use. However, further investigation is required to develop measures for appropriate use of oral antibiotics.


2009 ◽  
Vol 46 (5) ◽  
pp. 529-531 ◽  
Author(s):  
Mahmoud Al-Dajani

Objective: To evaluate the prevalence of dental caries in patients with cleft lip and/or palate and their cleft-free sibling controls. Methods: The two subject groups (patient and control) comprised 106 participants. The former group consisted of 53 patients with cleft lip and/or palate, aged 12 to 29 years, who visited the Oral and Maxillofacial Surgery Hospital at Damascus University of Syria. The control group consisted of the patients’ siblings who had no clefts, and they were sex matched to the patient group. Dental caries were examined clinically and were reported using the decayed, missing, and filled permanent teeth (DMFT) index. The DMFT scores were compared between the two groups. Results: The author found an overall association of dental caries with the presence of cleft lip and/or palate (odds ratio  =  2.52; 95% confidence interval  =  1.389–4.574; p < .05). The DMFT index scores were proportionally higher in patients with cleft lip and/or palate compared with the control group (p < .001). Conclusion: Subjects with cleft lip and palate are susceptible to dental caries independently of socioeconomic status.


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