Dentistry’s Role in Repair of the Facial Trauma Patient: A Case Report

Figure 5 - Post operative panorex showing anterior tooth loss with extensive alveolar bone loss making prosthetic reconstruction a challenge.

IntroductionTraumatic facial injuries are commonplace in North America. Interpersonal violence, falls, motor vehicle crashes and sport related injuries make up the majority of etiologies for these injuries.1 Since the advent of seat belts and air bags, there has been a significant decline in severe facial trauma as was seen in the ’60s, ’70s and ’80s.2 … Read more

Methadone: A Review

INTRODUCTION Methadone is a synthetic opioid that was developed as an analgesic by German scientists during World War II. It has been used as part of the treatment for opioid addicted patients since the 1960s. More recently, methadone has been used as an analgesic for the management of various chronic pain conditions. Methadone’s special pharmacologic … Read more

Airway Management in Maxillofacial Trauma-Alternative Techniques of Intubation and Modifications of Nasal Airways

Figure 2 - Simulation of the use of a Modified Nasal Trumpet (Left Nasal) and fiberoptic intubation through a Split Naso Pharyngeal Airway (Right Nasal).

INTRODUCTIONAirway management for maxillofacial trauma is often complicated by distortion of the airway from the injury, emergent management for impending compromise, and other serious co-existing injuries. While traditionally the use of nasal intubations and tracheostomies are preferred, we discuss the use of retromolar and submental intubation techniques as alternative airway management strategies. Additionally, we will … Read more

Squamous Cell Carcinoma of the Lower Lip

Figure 7 - One-month post-operative photograph of lower lip.

Carcinoma of the lips is the most common malignant tumour of the oral cavity.1 In a large review of 1,252 patients, 96.7 percent were found in males and 95.6 percent of cases involved the lower lip.2 Prolonged exposure to sunlight and outdoor occupations are known major etiological factors for squamous cell carcinoma of the lips.3,4 … Read more

Lumps and Bumps

Submucosal mass

A Practical Guide to the Differential Diagnosis of Submucosal Lesions

Evolving Scope of Practice

Bruce R. Pynn, DDS, MSc, FRCDC , Oral and Maxillofacial surgery, Thunder Bay, ON. He is the oral and maxillofacial surgery board member for Oral Health.

Since the Second World War, the scope and complexity of Oral and Maxillofacial Surgery in North America has steadily progressed beyond the practice of exodontia. Significant advances were made in the medical and surgical management of victims of trauma, temporomandibular disorders, and treatment of dentofacial deformities, infections and oral pathology, as well as reconstructive procedures … Read more