Consent in Oral Surgery: a Guide for Clinicians

Dental Update ◽  
2020 ◽  
Vol 47 (2) ◽  
pp. 92-102
Author(s):  
Mohammed M Dungarwalla ◽  
Edmund Bailey
Keyword(s):  
Surgical Procedures ◽  
Secondary Care ◽  
Clinical Relevance ◽  
Oral Surgery ◽  
Clinical Care ◽  
Consent Process ◽  
Oral Surgical Procedures ◽  
Informed Decisions ◽  
The Law

The consent process remains a pillar of excellent clinical care. The changes in the law after the Montgomery ruling in 2015 has changed the shape of consent, and now, taking adequate consent can be extensive and sometimes confusing for clinicians and patients. Dentists are sometimes faced with the unenvious task of weighing up what patients should know versus what they want to know. This paper aims to describe the consent process for more common oral surgical procedures, helping clinicians to allow their patients to make informed decisions. CPD/Clinical Relevance: To assist primary and secondary care clinicians in taking adequate consent for oral surgical procedures.

scholarly journals Conduta Clínica Frente a Comunicação Oro-Antral: Uma Revisão de Literatura / Clinical Conduct Facing Oroantral Communication: A Literature Review

2021 ◽  
Vol 15 (57) ◽  
pp. 907-919
Author(s):  
João Wesley Duca Dantas ◽  
Raysa Aung Araújo Amorim ◽  
Milton D’Almeida Ferreira Neto
Keyword(s):  
Maxillary Sinus ◽  
Surgical Procedures ◽  
Oral Surgery ◽  
Valsalva Maneuver ◽  
Descriptive Analysis ◽  
Oral Surgical Procedures ◽  
Dental Office ◽  
Publication Time ◽  
Oroantral Communication

Resumo: Inúmeras complicações podem ocorrer durante procedimentos cirúrgicos odontológicos, sendo a comunicação oro-antral uma das mais abordadas na literatura. Esta condição é resultante, principalmente, em exodontias de elementos dentários superiores posteriores, visto sua proximidade com o seio maxilar. O seu diagnóstico é feito basicamente por meio da manobra de Valsalva e análise do fragmento, contudo exames complementares podem evidenciar essa condição. A literatura considera, também, que a conduta de tratamento pode ser bastante diversificada. Objetivo: Apresentar por meio de uma revisão narrativa da literatura, as possibilidades técnicas de condutas clínicas para casos de comunicação oro-antral. Metodologia: A pesquisa bibliográfica foi online, com inclusão de artigos em português, inglês e espanhol, publicados nos últimos 10 anos, exceto àqueles fundamentais a respeito do tema, com tempo maior de publicação. Foram excluídos, também, cartas ao editor e editoriais. Foi, então, confeccionada uma análise descritiva dos artigos e os dados foram organizados de forma a subsidiar os profissionais da odontologia a intervir de forma segura diante desta complicação. Considerações finais: A comunicação oro-antral é uma realidade que pode ocorrer no consultório odontológico. Suas consequências são bastante variadas, cabendo ao Cirurgião-Dentista, além de evitar e diagnosticar, saber intervir quando necessário de forma eficaz. Haja vista que suas complicações podem limitar a qualidade de vida do paciente. Palavras-chave: Seio maxilar; Cirurgia bucal; Procedimentos Cirúrgicos Bucais. Abstract: Numerous complications can occur during dental surgical procedures, and oroantral communication is one of the most discussed in literature. That condition results mainly from extractions of posterior superior dental elements, given its proximity to the maxillary sinus. Its diagnosis is basically made through the Valsalva maneuver and analysis of fragment, however complementary exams can demonstrate that condition. The literature also considers the treatment approach can be quite  diversified. Objective:   Topresent, through a narrative review of literature, technical possibilities of clinical approaches for cases of oroantral communication. Methodology: The bibliographic research was online, including articles in Portuguese, English and Spanish, published in the last 10 years, except for those fundamental on the topic, with longer publication time. Letters to editor and editorials were also excluded. A descriptive analysis of articles was then carried out and the data were organized in order to support dentistry professionals to intervene safely in face of that complication. Final Considerations: Oroantral communication is a reality that can occur in the dental office. Its consequences are quite varied, and it is up to the dental surgeon, in addition to avoiding and diagnosing, to know how to intervene effectively when necessary, given that its complications may limit the patient's quality of life. Keywords: Maxillary sinus; Oral surgery; Oral Surgical Procedures.

scholarly journals Management of Impacted Third Molars

2021 ◽  
pp. 299-328
Author(s):  
George Varghese
Keyword(s):  
Surgical Procedures ◽  
Oral Surgery ◽  
Third Molar ◽  
Radiographic Evaluation ◽  
Oral Surgical Procedures ◽  
Basic Principles ◽  
Good Healing ◽  
Minor Oral Surgery ◽  
Oral And Maxillofacial Surgeon ◽  
The Right

AbstractThird molar impactions is one of the commonest minor oral surgical procedures in the realm of the oral and maxillofacial surgeon. Many basic principles of minor oral surgery have to be applied in a logical manner to attain a good healing. The assessment, clinical and radiographic evaluation plays an important role in selecting the right technique to ensure good results. This chapter aims to go through the basics of third molar impactions in a sequential way to guide the clinician to take the right decisions.

scholarly journals Oral Surgery and Dental Treatment for Hemophiliacs

1977 ◽  
Author(s):  
Bruce E. Evans
Keyword(s):  
Surgical Treatment ◽  
Surgical Procedures ◽  
Dental Treatment ◽  
Oral Surgery ◽  
Preoperative Evaluation ◽  
Postoperative Management ◽  
Oral Surgical Procedures ◽  
Antifibrinolytic Therapy ◽  
Management Of Complications ◽  
Dental Needs

The dental needs of hemophilic patients should be managed routinely by conventional dental treatment. Unfortunately many patients do not receive optimal dental care. Consequently such patients develop complications requiring oral surgical procedures. Management of oral surgery for the hemophiliac is based on:1. Thorough preoperative evaluation in conjunction with the hematology service.2. Surgical treatment including antifibrinolytic therapy and local hemostatic measures.3. Postoperative management of complications and followup.

scholarly journals Three dimensional technique of imaging in orthodontics: A review

2021 ◽  
Vol 7 (2) ◽  
pp. 94-97
Author(s):  
Lalita Sheoran ◽  
Nasir Ul Sadiq ◽  
Farhan Hussain ◽  
Akshun S Gupta ◽  
Syed Tousif Ulla ◽  
...  
Keyword(s):  
Treatment Planning ◽  
Surgical Procedures ◽  
Tooth Movement ◽  
Oral Surgery ◽  
Three Dimensional ◽  
Two Dimensional ◽  
Bone Morphology ◽  
Oral Surgical Procedures ◽  
Three Dimensional Imaging ◽  
Root Curvature

The process of deploying the two dimensional data in to the three dimensional format is three dimensional imaging. Now a days three dimensional imaging is developing as an emerging factor in the field of dentistry. Three dimensional imaging is useful in the field of orthodontics, to view the anatomy along with the morphology of the bone for desired tooth movement, it is useful in the field of prosthodontics to check or verify the bone morphology, exact height and width of the bone for the process placing implant, three dimensional imaging is quite useful in the field of endodontics along with oral surgery to view the anatomy of the root curvature, to confirm the presence of accessory canals to confirm the bony architectural defect in oral surgical procedures. So in present days three dimensional imaging plays an important role in diagnosis as well as treatment planning in the field of dentistry.

scholarly journals Oral surgical procedures and prevalence of oral diseases in Oral Surgery Department in Faculty of Dentistry Sarajevo

2013 ◽  
Vol 3 (3) ◽  
pp. 210-215 ◽  
Author(s):  
Sadeta Šečić ◽  
Samir Prohić ◽  
Sanja Komšić
Keyword(s):  
Surgical Procedures ◽  
Oral Surgery ◽  
Dental Health ◽  
Interdisciplinary Approach ◽  
P Value ◽  
Oral Diseases ◽  
Oral Surgical Procedures ◽  
Impacted Teeth ◽  
Common Diagnosis ◽  
Clinical Diagnoses

Introduction: The aim of this study is to determine prevalence of oral diseases and oral surgical procedures at Department of Oral Surgery, Faculty of Dental Medicine, University in Sarajevo.Methods: The current study is retrospective analysis of oral surgical procedures performed from January 2011 to December 2012 at Department of Oral Surgery, Faculty of Dental Medicine, University in Sarajevo. The data were statistically analyzed by T-test of independent samples and using Chi-squared test. P value lower than 0,001 was considered to be statistically significant.Results: A total of 1299 patients were included in study. The age range is from 18 to 84 years, with mean age ± SD= 35±15 years. There were 42 different clinical diagnoses, and 13 diagnoses appeared in more than 1% of all patients. Impacted and semi-impacted teeth, periapical lesions and retained roots are the most frequent diagnoses and represent 68% of all diagnoses. Embedded and impacted teeth (35%) and diseases of pulp and periapical tissues (31%) are the most frequent diagnoses with respect of ICD-10. Impacted teeth is the most common diagnosis and removal of impacted third molars is the most common oral surgical procedure.Conclusion: Study points out variety of dentoalveolar patology and complexity of dental health care that often requires interdisciplinary approach in order to achieve optimal outcome for patient.

scholarly journals Patient-reported experience and outcomes from orthodontic treatment

2020 ◽  
Vol 47 (2) ◽  
pp. 107-115
Author(s):  
Elizabeth Bradley ◽  
Andrew Shelton ◽  
Trevor Hodge ◽  
David Morris ◽  
Hilary Bekker ◽  
...  
Keyword(s):  
Secondary Care ◽  
Orthodontic Treatment ◽  
Clinical Care ◽  
Patient Treatment ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Fixed Appliance ◽  
Treatment Experience ◽  
Patient Reported ◽  
Pre Treatment

Objective: To measure patient-reported impact of orthodontic treatment in terms of pre-treatment concerns, treatment experience and treatment outcome. Setting: Four sites in Yorkshire, including two secondary care settings (Leeds Dental Institute and St Luke’s Hospital, Bradford) and two specialist orthodontic practices. Design: Cross-sectional survey. Participants: NHS orthodontic patients (aged 12+ years) who have completed comprehensive orthodontic treatment, excluding orthognathic surgery and craniofacial anomalies. Methods: Participants were opportunistically identified by the direct clinical care team during scheduled appointments and those eligible were invited to participate. Data were collected using the Orthodontic Patient Treatment Impact Questionnaire (OPTIQ), a validated 12-item measure with questions relating to pre-treatment experience, impact of treatment and outcome from treatment. Results: Completed questionnaires for analysis included 120 from primary care and 83 from secondary care. The most common pre-treatment concerns were alignment (89%) and being embarrassed to smile (63%). The most common expectations from orthodontic treatment were improved confidence to eat (87%) and smile (72%) in front of others, improved appearance of teeth (85%) and reduced teasing/bullying (63%). Only 67% respondents recalled receiving written information and the lowest recall related to retainer type and length of retention. The most commonly reported complications were sore mouth (68%), fixed appliance breakage (61%) and gingivitis (39%). Treatment caused greatest impact in relation to pain, limitations in eating and effect on speech. Overall satisfaction with orthodontic treatment was reported by 96% of respondents, 87% would have orthodontic treatment again (if needed) and 91% would recommend treatment to a friend. Conclusions: The OPTIQ is a useful patient-reported tool to identify pre-treatment concerns and expectations, treatment experience and outcome. Orthodontic treatment leads to high levels of satisfaction.

Technique tips: the lap-to-lap (knee-to-knee) examination in paediatric dentistry

Dental Update ◽  
2021 ◽  
Vol 48 (6) ◽  
pp. 508-509
Author(s):  
Nikita Dzyuba ◽  
Laura Reynolds ◽  
Siobhan Barry
Keyword(s):  
Secondary Care ◽  
Clinical Relevance ◽  
Paediatric Dentistry

CPD/Clinical Relevance: The lap-to-lap technique is very useful and can greatly help all dentists in conducting dental examinations in young and uncooperative patients, in both primary and secondary care settings.

scholarly journals Gloves Perforations in Minor Oral Surgical Procedures: A Comparison of Latex and Nitrile Gloves

2021 ◽  
Vol 30 (02) ◽  
pp. 103-106
Author(s):  
Ajeet Kumar ◽  
◽  
Naveed Iqbal ◽  
Javaria Farooq ◽  
Saad Uddin Siddiqui
Keyword(s):  
Local Anesthesia ◽  
Surgical Procedures ◽  
Statistical Significance ◽  
Descriptive Analysis ◽  
P Value ◽  
Dominant Hand ◽  
Chi Square ◽  
Oral Surgical Procedures ◽  
Latex Gloves ◽  
Chi Square Test

OBJECTIVE: This study was performed to compare incidence of perforations in Latex and Nitrile examination gloves during Minor Oral surgical procedures performed under local anesthesia. METHODOLOGY: 100 pairs of latex and 100 pairs of Nitrile examination gloves where used to perform 200 minor oral surgical procedures under local anesthesia. After completion of every minor oral surgical procedure each gloves was examined by Water Inflation method to observe presence or absence of Perforations. A data sheet was used to collect data including type of Gloves used (Latex or Nitrile) presence of perforations, sites of perforations and nature of minor oral surgical procedures. Data was entered and analyzed using SPSS version 20. Descriptive analysis was conducted to calculate frequency and percentages of Number and sites of perforations for both Nitrile and latex examination gloves. Chi Square test was used to find out statistical significance of difference of perforations rate between Nitrile and Latex gloves. P value of < 0.05 was considered significant. RESULTS: Out of 200 latex gloves 23 (11.5) had 29 perforations whereas out of total 200 Nitrile gloves 28 (14%) had 22 perforations. Nitrile gloves had a statistically significant higher rate of perforations as compared to Latex gloves. (P value 0.043). For both Nitrile and Latex gloves left non dominant hand had highest frequency of perforations Latex 18 (81.81%) perforations and Nitrile 18(62.06%). Index finger and thumb were most frequent sites of perforations in both Latex and Nitrile gloves. CONCLUSION: Gloves perforations were more common in Nitrile examination gloves however total number of perforations was more in Latex examination gloves.

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