Surgeon of 1,000 papers or a surgeon of 1,000 surgeries?

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Balancing publishing with a demanding surgical practice is one of the most challenging aspects of an academic surgeon’s career. Clinical responsibilities—emergency surgeries, patient rounds, administrative duties, and on-call obligations—can easily consume most of a surgeon’s time and energy. Yet hiring and academic advancement hinge heavily on scholarly productivity, including publishing in peer-reviewed journals, presenting at … Read more

The tooth fairy: A cautionary tale!

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Case report An 8-year-old boy was referred to an ENT specialist with acute pain in the right ear. The patient had initially been treated conservatively by a general practitioner, but upon further inspection with an otoscope, a “tooth” was found lodged deep in the auditory canal. The parents explained that the child had left the … Read more

The Use of Artificial Intelligence in Third Molar Surgery Risk Assessment

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Abstract Third molar removal complication rates can be as high as 30%. Risk assessment tools may lower these rates. Artificial intelligence (AI) driven prediction models are a promising approach to predict possible unfavorable outcomes and cone-beam computed tomography imaging may play an important role. AI prediction models are showing excellent results in research settings. To … Read more

I Can Do it All by Myself…

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“Teamwork makes the dream work.” – John Maxwell Dentists practice in varied settings. They could be in the community or hospital, general or specialty, or individual or group practices. Regardless of the setting, each of us is called on to make decisions on the fly, manage complications, and deal with what may come, usually in … Read more

Weekly Wisdom: Bisphosphonates and Extractions…What to do?

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Your patient is taking bisphosphonates and needs an extraction. Dr. Sanj Mohanta walks through how to handle the situation. Subscribe to Oral Health’s weekly e-newsletter to have the latest episode delivered straight to your inbox every week!

Oral and Maxillofacial Surgery Medical Missions: A Noble Cause

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Six thousand seven hundred and eighty-three; the number of miles from Lahore, Pakistan, to Winnipeg, Manitoba. It’s the journey I took in September of 2009 to embark on a new challenge in my professional career as an OMFS. Accompanying me was a wide and diverse repertoire of clinical and surgical skills gained, accumulated, and refined … Read more

W&H Launches the Piezomed Module: A True Breakthrough in Oral Surgery

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W&H is revolutionizing the surgical workflow with the new Piezomed module. This easy add-on solution for the Implantmed is creating entirely new treatment options for patients – a true game changer in piezo surgery. This impressive product innovation in the periodontal and oral surgery specialties as well as for the dental implant surgery field, with … Read more

Lessons Learned

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I’m sitting at my desk on a Sunday afternoon in March, contemplating the past 24 months. It was around this time in 2020 that I travelled to Malaysia for an annual academic meeting at IMU, our partner university in Kuala Lumpur. I had a slight concern about a newly emerging respiratory virus but believed that … Read more

Altered Facial Sensation: Diagnostic Considerations

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Introduction Altered sensation in the head and neck can be associated with a broad array of local, regional, and systemic etiologies. Though there are multiple cranial and cervical peripheral nerves supplying the craniofacial region, neurosensory disturbance of the inferior alveolar nerve (IAN), its terminal branches, and the lingual nerve are most likely to present in … Read more

Medication-related Osteonecrosis in the Oncology Patient: Inter-professional Communication in Addressing Lesion Stability May Be More Important in Management Than Lesion Resolution

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Abstract Patients who are diagnosed with MRONJ while being treated with bone modifying agents(BMAs) at oncologic doses, there is insufficient evidence to support or refute the discontinuation of BMAs. Administration of the BMA may be deferred at the discretion of the treating physician, in conjunction with discussion with the patient and the dental specialist. The … Read more

Tumors and Pseudotumors of the Temporomandibular Joint

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The mandible is the only movable bone of the facial skeleton, as the condyle portion articulates with the temporal bone to form the temporomandibular joint (TMJ). A myriad of benign and malignant lesions (Tumours/Pseudotumours) may affect the TMJ, and many remain undiagnosed until they become symptomatic or are incidentally discovered through imaging. Further complicating diagnosis … Read more

Oral Cancer Prevention: An Important Free Learning Resource

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The prevention of oral cancer has been a key topic in oral health care for many years, as many oral cancer patients still present de novo at an advanced stage, often thereby jeopardising their ultimate prognosis. Lesion size at presentation remains a key factor in management outcome. Similarly, the main etiological factors still remain present, … Read more

COVID-19, Oral and Maxillofacial Surgery and TMD

Cannabinoid Medicine

Oral and maxillofacial surgeons and, indeed, all of the dental profession have been living with the COVID-19 pandemic for over sixteen months. The first few months were particularly difficult. Oral and maxillofacial surgical care, and dental care in general, was limited to emergency management only. Despite lockdown and severe restrictions, the ethical commitment in our … Read more

Burnout in Canadian Oral and Maxillofacial Surgeons

Cannabinoid Medicine

INTRODUCTION Studies on occupational stress in healthcare professionals are not new, however limited information is available on stress impact and ultimately burnout in oral and maxillofacial surgeons and residents.1,2 Occupational stress is the outcome of the clash between job-related factors interacting with personal factors with a resulting change to the individuals’ physical or psychological state.2 … Read more

The Future of Cannabis/Cannabinoid Medicine and Orofacial Pain

Cannabinoid Medicine

Cannabis and cannabinoid medicine has been around for centuries. A growing number of countries have created a legal framework within which cannabis and its plant extracts are now legally accessible. Although it would be great to embrace cannabis today as the molecule that might revolutionize medicine and improve the lives of millions of Canadians suffering … Read more

Out of Africa: Surgical Skills & Life Experiences

Postoperative Complications

In the 1990s, I initiated a resident exchange between our program at the University of Toronto and the same Oral & Maxillofacial Surgical program at the University of Witswatersrand in Johannesburg, South Africa (RSA). The registrar (resident) from their university (“Wits” for short) and I would switch posts for 3 months, performing the duties we … Read more

An End? Or Simply a Transition…

Postoperative Complications

Viewpoint: As we entered 2020, many of us were looking forward to future travel plans, CAOMS courses and events, using our recently purchased tools and keeping on with our routines. In a few short months, we have been inundated with chat boards, editorials, news media, web blasts, and our government updates. Differing opinions, inconsistent information, … Read more

COVID-19 Increases Value of Oral Appliance Therapy for Sleep Apnea

Postoperative Complications

Viewpoint: Everyone knows that breathing is mandatory to sustain life, yet we rarely think about it, and often take it for granted! However, the current Flu Pandemic has certainly made us all too aware of its importance. Obstructive Sleep Apnea (OSA) involves compromised breathing during sleep and is most often managed with Positive Airway Pressure … Read more