Tara Renton

Professor of Oral Surgery, King's College London; Honorary Consultant in Oral Surgery, King's College Hospital NHS Foundation Trust and Guy's and St Thomas' NHS Foundation Trust, London

Risk assessment of M3Ms and decisions on ordering a CBCT and prescribing a coronectomy

The main justification for considering a coronectomy is based upon the assessed risk of IANI related to M3M surgery and its prevention. It is well recognized that, after dry socket, nerve injury is...

Articaine-only buccal infiltrations for mandibular molar extractions: an alternative to inferior dental nerve blocks

This was a prospective study of 112 patients that was carried out over a 3-month period at the Department of Oral Surgery, King's College Hospital (KCH). The selection criteria included patients over...

Pain part 10: headaches

Sudden-onset headaches are defined as headaches that reach maximum severity within minutes of onset. This type of headache may be the presenting symptom of a number of potentially serious pathologies...

Pain part 9: trigeminal autonomic cephalalgias

The revised International Classification of Headache Disorders (ICHD-II) describes cluster headache (CH) as a rare primary headache characterized by attacks of severe, strictly unilateral pain which...

Relevance of bisphosphonate therapy in osteoporosis and cancer – no cause for alarm in dentistry

Bones contain collagen (protein), calcium and other minerals and each one is made up of a strong inner mesh, known as trabecular bone, and a thick outer shell, known as cortical bone. Trabecular bone...

Pain part 8: burning mouth syndrome

Eliciting a good clinical history from the patient is essential in diagnosing burning mouth syndrome. Most patients report an increase in pain intensity from morning to night, similar to other...

Pain part 5b: non-odontogenic dysfunctional pain

This is defined as pain that is present one year or longer post-surgical procedure, that is unexplained by local factors and is best described as neuropathic in nature..

Pain part 5a: chronic (neuropathic) orofacial pain

Facial pain can be associated with pathological conditions or disorders related to somatic and neurological structures.1 There are a wide range of causes of chronic orofacial pain and these have been...

Pain part 3: acute orofacial pain

The management of acute trigeminal pain can be divided into three areas: intra-operative, post-operative and acute symptomatic pain (usually acute infection)..

Pain paper 2b: classification of orofacial pain and an update on assessment and diagnosis

There have been several attempts to classify chronic orofacial pain (OFP) conditions by pain associations. The most used main categories have either been topographical (odontogenic versus...

Pain part 2a: trigeminal anatomy related to pain

The trigeminal nerve supplies general sensory supply to the face, scalp and mouth (Figure 1). A vast proportion of the sensory cortex represents the trigeminal input (over 50%).1.

Pain part 1: introduction to pain

Pain is defined as ‘an unpleasant sensory and emotional experience associated with actual or potential tissue damage or described in terms of such damage’.2 This is an over-simplification of the...

Update on coronectomy. a safer way to remove high risk mandibular third molars

The prevention of inferior alveolar nerve injuries during third molar surgery may be possible by:.