oral surgery Archives - Page 3 of 4

Early Identification and Aggressive Intervention Improve Survival in Necrotizing Head and Neck Infections

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NOTE: GRAPHIC IMAGES Introduction Necrotizing soft tissue infections of the head and neck constitute a small proportion of all head and neck infections, but have significant morbidity and historically mortality rates of up to 50%. 1-4 Necrotizing infections may be of odontogenic or non-odontogenic origin. Common non-odontogenic sources of head and neck infections in healthy … Read more

Correction of Temporomandibular Ankylosis

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Trauma to the mandibular condyle or infection in the temporomandibular joint (e.g. septicaemia or chronic mastoiditis) in a paediatric patient can have a marked impact on facial development, particularly in the small percentage of patients that develop ankylosis. Ankylosis implies the loss of joint function due trans-articular fusion with bone (Fig. 1). Whilst it is … Read more

Development of a Rare Deep Temporal Space Hematoma Secondary to Blunt Facial Trauma in a Pediatric Patient

Introduction A hematoma is an abnormal collection of blood outside of a vessel that is still confined within a tissue space. A common cause of a hematoma is traumatic injury to a blood vessel wall. The location of the blood accumulation can have differing consequences depending on its compressive effects against adjacent anatomic structures. One … Read more

Lingual Nerve Injury: Surgical Anatomy and Management

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Introduction The Lingual nerve (LN) is a branch of the mandibular division of the trigeminal nerve (V3) that is responsible for general somatic afferent (sensory) innervation. It supplies the mucous membranes of the mandibular lingual gingiva, floor of the mouth and the ipsilateral two-thirds of the tongue. 1 It also carries specialized taste fibers and … Read more

Aesthetic Crown and Bridge Restorations Using a Fully Digital Workflow

Introduction: The Digital Revolution in Dentistry Whether or not a clinician is working under the model of an in-house chairside milling solution or a more traditional lab-based relationship, digital scanner capture for crown and bridge restorations offers significant advantages over impression based capture – especially when prescribing digitally manufactured restorations. Many esthetic restorative materials are … Read more

How Ransomware and Data Theft will Change the Face of Dentistry

If you have never heard of the Wannacry virus, it’s a story you need to know. On March 14, 2017, Microsoft issued a patch for a flaw in their operating system. A flaw that could allow a malicious actor to take control of a system over the internet. In fact, the tools to conduct the … Read more

The Role of the Dentist in Recognizing Orbital and Ocular Trauma

Introduction General dentists and dental specialists alike are often called upon by Emergency Department (ED) physicians to assess patients with dental injuries and concomitant maxillofacial trauma. Whether the assessment occurs in the ED, the hospital ward, or the private dental clinic, a full examination of the oral and maxillofacial structures is required to identify all … Read more

State-Of-The-Art Geriatric Dental Centre Now Part of Baycrest Campus

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As part of a recent centennial celebration, Baycrest revealed the latest donor-funded renovations and new spaces on campus, created to better serve the aging population. Among these spaces is the new Alpha Omega Dental Centre for Geriatric Care, a dental centre dedicated to the treatment of geriatric patients in the community who have complex medically … Read more

CAOMS Update

The Canadian Association of Oral and Maxillofacial Surgeons (CAOMS) is a not-for-profit organization that serves the needs of hundreds of Oral and Maxillofacial Surgeons across Canada. It is designed to support the ongoing practise requirements of OMFS and ensure that they are able to maintain excellence in their area of specialty – translating into the … Read more

Wisdom Tooth Removal: 25 Years Smarter?

In 1993, we wrote an editorial for Oral Health entitled “Wisdom Teeth: To Extract or Not?” and our accompanying two-part review on the current concepts and controversies involving third molar surgery. The articles provided a discussion of the indications for third molar removal and the influences of a variety of factors upon the surgical outcome. … Read more

BEGO Semados® Trays Optimised for Safe Handling

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The new plastic surgical trays are manufactured in a two-component injection moulding process. The silicone stoppers for retaining the instruments are firmly attached to the tray base as a result. This considerably reduces the time needed for processing because it is no longer necessary to remove and replace the silicone stoppers for cleaning. The tray … Read more

Not All Occlusal Splints Are Created Equally

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Splint therapy has become one of the most prevalent aspects of dentistry over the last number of years. Patients are presenting with multiple reasons for needing this type of dental intervention. From TMJ pain to severely wearing away the enamel of their natural teeth, the devastation and destruction that bruxing and clenching (parafunction) can cause … Read more

A Rare Complication of a Retrobulbar Hematoma Formation

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Following the Extraction of an Impacted Maxillary Wisdom Tooth The on-call team of Oral and Maxillofacial Surgery was notified to assess and treat a complication of retrobulbar hemorrhage and hematoma following the extraction of a left impacted maxillary wisdom tooth. This case is unusual as an ophthalmologic complication secondary to a dental extraction is very … Read more

An Unusual Penetrating Injury of the Cheek

Foreign bodies in the cheek, face or oral cavity may be the result of traumatic injuries, self-inflicted or iatrogenic dental or surgical procedures. Penetrating pencil and pen injuries have been reported in the literature, most commonly in children, with the head and neck being the most common site. 1 Injuries from pens and pencils can … Read more

Surgical Misadventures: The Broken Needle

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The retrieval of a broken dental needle demands a detailed knowledge of the relevant anatomy and the application of a meticulous surgical technique. These factors are emphasized in the following article. Case Report Our oral surgery office received a phone call from a dental office regarding a needle that broke off at the hub while … Read more

Oral Injury as a Source of Tetanus Inoculation

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Abstract Tetanus is a serious, life threatening infection caused by the bacterium, Clostridium tetani. Due to almost widespread vaccination against tetanus toxoid the incidence in the developed world is extremely low. Vaccination in childhood does not result in lifelong immunity and requires “booster” doses of the vaccination every ten years. In the United States, the … Read more

Teeth Displaced: Teeth at the Time of Surgery

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Abstract Inadvertent displacement of teeth or fragments of teeth beyond the tooth socket during extraction is an uncommon occurrence. In this paper, we present two cases of displacement of impacted third molars, one maxillary and one mandibular. We outline our removal technique as well as some general management considerations, should this situation arise. Most importantly … Read more

Radiofrequency Ablation for Management of Mental Nerve Neuropathy

Often referred to as “numb chin syndrome”, mental nerve neuropathy is a sensory neuropathy characterized by an altered sensory perception along the distribution of the mental nerve. Patients may present with anesthesia, paresthesia, dysesthesia, neuropathic pain or a combination of these symptoms. The impact that these symptoms can have on a patient cannot be underestimated. … Read more

CAOMS, An Acronym: What’s In It?

It behooves me to talk about CAOMS as a recently appointed executive director to the organization. Let me first mention I’ll be as excited as uncomfortable trying to walk in shoes quite larger in size than my small footprint. So happens when one follows Chris Robinson in a task. Back at consonants and vowels: C … Read more

At the Root: The Curious Case of the Cranky Comrade

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Middle age, for me, has produced all kinds of wonderful little miracles – like hair growing out of my ear, and a sporadic weird eye twitch. These, although not exactly pleasing, have been expected. One thing that I hadn’t expected was the onset of cranky friends. These are people, for whom, life has been pretty … Read more