We present a case that developed a few weeks after a head injury, and its subsequent management. (Source: The British Journal of Oral and Maxillofacial Surgery)
Patients with a low socioeconomic status suffer disproportionately from trauma, and have a high incidence of mandibular fractures. To explore how deprivation affects the incidence of facial fractures in the north east of England, we reviewed 1096 patients who were admitted to the oral and maxillofacial surgical (OMFS) unit at Sunderland Royal Hospital for treatment of a facial fracture between December 2013 and December 2017. Levels of socioeconomic deprivation, which were obtained from postcodes...
Drug interactions can be fatal. A thorough evaluation of medical history and regular medications is essential before the prescription of drugs by all clinicians, nurse practitioners, and pharmacists. Topical medications can be erroneously considered as safer alternatives when drug interactions are known. (Source: The British Journal of Oral and Maxillofacial Surgery)
Dry socket (alveolar osteitis) is a complication of dental extractions that can present as severe pain and halitosis between one to three days postoperatively.1 (Source: The British Journal of Oral and Maxillofacial Surgery)
We present the unusual case of a patient who had developed recurrent infection and pain that was associated with its use. (Source: The British Journal of Oral and Maxillofacial Surgery)
Supernumerary teeth exist throughout the dental arch and are more common in the maxilla than in the mandible.1,2 Impacted supernumerary teeth are usually extracted before orthodontic treatment,3,4 but it is difficult to remove those in the mandible that are located low on the lingual side. (Source: The British Journal of Oral and Maxillofacial Surgery)
We describe a new technique that uses ultrasound guidance to reduce operating time by rapidly locating implants that are not palpable. (Source: The British Journal of Oral and Maxillofacial Surgery)
Cemento-osseous dysplasia is a well-known condition in which healthy bone becomes sclerotic. Hypovascularity of the lesion (caused by cementum-like deposits) increases the risk of secondary infection and osteomyelitis, which can also be induced by the placement of implants. (Source: The British Journal of Oral and Maxillofacial Surgery)
The Adult Comorbidity Evaluation (ACE)-27 is a validated scoring system for comorbid conditions. We have evaluated the correlation between it and the duration of hospital stay, readmission within 30 days, complications, and two-year survival in patients having primary surgical treatment for squamous cell carcinoma (SCC) of the head and neck. We studied patients with SCC who had selective neck dissection, resection of the tumour, and reconstruction between 2007 and 2013. Patients who had palliative...
Swelling of the lips has many causes and therefore diagnosis is always challenging. An accurate history and evaluation of the course of the disease provide important clues to its aetiology. (Source: The British Journal of Oral and Maxillofacial Surgery)
Alveolar osteitis is a common reason for dental emergencies after the extraction of teeth. Dentists are well-equipped and educated to manage it and have a range of options with which to relieve the symptoms. (Source: The British Journal of Oral and Maxillofacial Surgery)
Many indices and scoring systems exist for assessing skeletal patterns and malocclusion but none have been universally adopted by teams providing orthognathic surgery in the UK. Using a standardised objective measure of a patient 's condition is important both for service provision, treatment allocation, and other clinical governance domains. The Severity and Outcome Assessment tool (SOA) developed by the British Orthodontic Society (BOS) and British Association of Oral and Maxillofacial Surgeons...
We describe the potential uses of diagrammatic mapping in patients with facial pain or temporomandibular dysfunction (TMD) to help plan both treatment and operation, which follows a recent initiative at Leeds Teaching Hospital Trust. (Source: The British Journal of Oral and Maxillofacial Surgery)
An orofacial cleft may have an appreciable psychosocial impact on patients that could affect their social lives, including the choice of who they marry. We retrospectively reviewed the impact of repair of cleft lip on marriage in adult patients in our institution by questioning a group of patients treated from July 2009-June 2017. There were 120 adult patients who had cleft lips repaired, of whom 17 (14%) patients changed their marital status. The mean (SD) ages of the 17 were 32 (1), range 20 –41,...
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