Oral and Maxillofacial Surgery

The Maxillary Sinus: What the General Dental Team Need to Know Part 4: Dental Implant Treatment and the Effect on Maxillary Sinus Function

While the proximity of the maxillary sinus is important in exodontia and endodontic treatment, a 3-dimensional understanding is vital when placing implants in the posterior maxilla. The shape and...

The Maxillary Sinus: what the general dental team need to know part 3: maxillary sinus disease of endodontic origin

Inflammatory changes of the paranasal sinus lining are generally of an allergenic nature, although these may also occur due to localized or atmospheric irritants. Changes are often identified via...

Is Less More? A conservative multidisciplinary approach to ameloblastoma

CH, a 22 year-old woman, presented via her general dental practitioner (GDP) with an asymptomatic swelling, which was noted on routine examination. There was no relevant medical history and no family...

The Maxillary Sinus: What the General Dental Team Need to Know Part 2: Removal of Teeth; Avoidance and Management of Complications

Dentists will only be aware of a close relation of a tooth to the maxillary sinus through radiographic assessment. Faculty of General Dental Practice guidelines do not support routine radiography...

The Maxillary Sinus: What the General Dental Team Need to Know Part 1: Paranasal Sinus Physiology, Infective Disease and Diagnosis of Pain

The paranasal sinuses are named after the bones within which they lie develop as epithelial outgrowths from the nasal cavity. Named after the maxillary, ethmoid, sphenoid and frontal bones, the...

Glandular Odontogenic Cyst – a Case Report

A 42-year-old Caucasian male was referred to the Oral and Maxillofacial Surgery Department at Barnet Hospital, London, UK for assessment of ‘a painful recurrent bony cyst affecting the lower right...

A case of granular cell ameloblastoma presenting as a non-healing socket

A medically fit 46-year-old female was referred to the Oral and Maxillofacial Surgery department with a non-healing socket from the lower right second molar (LR7). On clinical examination, there was...

Primary B-Cell lymphoma of the mandible: a potentially difficult diagnosis

A 34-year-old fit and well male presented initially to the Emergency Department complaining of pain from his ‘mouth, gums and ear’, and he had also observed a complete numbness of his right lip and...

The bigger picture: a gorlin-goltz case report

A fit and healthy 53-year-old Afro-Caribbean male was referred to the Oral and Maxillofacial Surgery at Queen's Hospital by his dentist regarding a ‘strange sensation’ in the lower left canine and...

Referring to the on-call oral and maxillofacial surgery team – what, when and how to refer emergency conditions

For patients who seek care for post-operative discomfort, a thorough history will direct the clinician toward the source of pain. Prolonged pain following extraction should prompt the clinician toward...

Botox: It's Not Just About The Wrinkles

Botulinum toxin is produced from the bacterium Clostridium botulinum and is a neurotoxin of which there are seven subtypes, ranging from A–G.2 The most common forms of this toxin are Types A and B,...

A case of poorly-differentiated squamous cell carcinoma following dental extractions

Gingival SCC can be challenging to diagnose which, when delayed, can lead to more invasive treatment and greater morbidity, as seen in this case. In this instance, dentists play a pivotal role in the...

Arteriovenous malformation of the jaws: a black hole for the GDP – a case report

A 3-year-old Caucasian female presented to the Maxillofacial Department with a three-week history of swelling of the left cheek. On examination there was a bony hard swelling buccal to the lower left...

An overview of the surgical correction of dentofacial deformity

Most osteotomies in healthy, non-syndromic individuals are planned following cessation of active facial growth,1,2,3 which is generally accepted to be at approximately 19 years of age in boys and 17...

A pathological fracture of the mandible due to osteomyelitis following a full dental clearance

A 58-year-old female patient presented at an oral and maxillofacial outpatient clinic with a nine-month history of pain, swelling and draining fistulas at the right angle of mandible and submental...