Oral Surgery

Management of patients on oral anticoagulants in dental practice

As clinicians we treat patients with a number of comorbidities. In understanding the need for anticoagulation, the causes for coagulopathy must be considered..

Foreign body surgery in the inferior alveolar nerve canal following endodontic treatment

Root canal treatment is a commonly employed modality of treatment undertaken by dental practitioners to treat and preserve teeth that have lost vitality. Endodontic therapy involves the removal of the...

The true cost of dental implant tourism: A case report

There appears to be an increase in the number of patients travelling abroad for dental treatment, coined by some as ‘dental tourism’.1,2 The drive for ‘dental tourism’ appears to be multifactorial;...

Coronectomy: not just for Wisdom Teeth

Consideration of coronectomy is almost synonymous with high risk mandibular third molars, but it is an important treatment option when any extraction poses a high risk of IANI..

Rhinosinusitis update

Rhinosinusitis is a condition of inflammation of the nose and paranasal sinuses. Rhinosinusitis is divided into acute and chronic forms. In Acute Rhinosinusitis (ARS) symptoms resolve within 12 weeks...

Displacement of Lower Third Molar into the Parapharyngeal Space during Extraction

A 44-year-old man was referred to the Emergency Department of Queen's Medical Centre, Nottingham in June 2017 following a failed extraction by his General Dental Practitioner (GDP). During the...

Intraligamentary Local Anaesthesia for Posterior Mandibular Extractions

The use of ILA was described in France in the early 20th century as a novel and effective method for achieving local anaesthesia in dentistry, but the technique did not become universally adopted...

Consent in Oral Surgery: a Guide for Clinicians

Coronectomy is a procedure used to manage high risk lower third molars, although its use has been described on other teeth.18 The goal of treatment is to reduce the risk of iatrogenic damage to the...

Surgical Wound Healing in the Oral Cavity: a Review

Oral surgery usually involves both bone and soft tissues. The modes of recovery of these respective tissues differ..

Nasopalatine Cyst or Apical Pathology? A Diagnostic Dilemma and How to Manage It

A 53-year-old male, with a non-contributory medical history, was referred to the oral surgery department with a suspected cyst associated with the UL1. The symptoms began while the patient was on...

Accidental Administration of Auto-Injectable Adrenaline into a Digit

A 36-year-old male, who was otherwise fit and well, managed to discharge the EpiPen® into his right thumb whilst undergoing training in anaphylaxis. He immediately informed the trainer of the...

Head and neck cancer part 3: dental management

Head and neck cancer can result in significant short- and long-term complications which can affect function, aesthetics and social wellbeing. As discussed in the previous paper in this series, there...

Head and neck cancer part 2: the patient journey

Biopsies of suspicious lesions are vital in the grading and staging of cancers, giving an indication of the type, prognosis and rate of spread of the lesion.4 This is generally more straightforward...

Local anaesthesia in dentistry – achieving effective painless injections

The pain associated with delivering an injection is complex and multi-factorial (depending on the dentist, the patient and the equipment used), and is not only caused by the procedure itself, but...