Oral Surgery

Trigeminal nerve injuries related to restorative treatment

Prevention and management of trigeminal nerve injuries related to:.

Mandibular radiolucencies – how to refer and manage appropriately

A 46-year-old lady was referred by her dentist due to an unknown left mandible radiolucency, associated with mobility of her LL7. She was a smoker but medically fit. Extra-oral examination was...

Multiple myeloma as a mandibular radiolucency – a difficult diagnostic challenge

A male patient with a non-vital lower left first molar was referred to an oral and maxillofacial department with a large radiolucency associated with the distal root. The tooth was non-vital but had...

Dental infection as a cause of bacteraemia in infective endocarditis

A 45-year-old male presented to hospital with an 8-week history of fever, malaise, shortness of breath and weight loss. Bloods were taken and his CRP level on admission was 130 mg/L (Normal range 0−5...

Medication-related osteonecrosis of the jaw (MRONJ): realities, risks and responsibilities

Many advances in medicine, while they are generally to be welcomed, have led to some unpredicted problems becoming apparent as the ‘law of unintended consequences’7 manifests itself over time and in...

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...

Migration of bone graft material into the maxillary sinus: a case report

A 48-year-old, fit and healthy, non-smoking male presented to the Oral and Maxillofacial Surgery department with symptoms of chronic sinusitis, including congestion, pain and tenderness of the left...

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...

Implant-supported prosthetic rehabilitation after surgical management of an odontogenic tumour of the mandible

A 25-year-old female was referred to the Department of Oral and Maxillofacial Surgery by her general dental practitioner with a complaint of a painless swelling in the premolar region of the left...

Radicular cyst expansion over a 10-year period – a case report

Literature linking tooth fracture and odontogenic cyst development is limited.1 Despite the patient's cyst establishment reaching a 10-year history, the relevant procedure had not been carried out due...

Surgical emphysema following third molar extraction in a patient with gilles de la tourette's syndrome

A 54-year-old man was referred to the Oral Surgery department of Bristol Dental Hospital by his General Dental Practitioner for extraction of an unrestorable carious lower right third molar. His past...

Post-transplant kaposi's sarcoma: an unusual presentation and review of clinical presentation, histology and management

A 65-year-old white female patient was referred from gastro-enterology to the oral medicine out-patient clinic at Bristol Dental Hospital presenting with a severe, sharp pain bilaterally on the...

The value of cone beam computed tomography in the management of dentigerous cysts – a review and case report

The dentigerous cyst (DC) is the second most common odontogenic cyst of the jaw, after the radicular cyst, and accounts for 20–30% of all jaw cysts. The cysts are thought to arise from the reduced...

Surgical emphysema: a rare complication of a simple surgical dental extraction without the use of an air-driven rotor

A 35-year-old male was referred to the accident and emergency department (A+E) at 04:00 with bilateral neck, left submandibular and left facial swelling. Twelve hours previously he had undergone a...

Treatment planning for mandibular third molars

In March 2000 the National Institute for Health and Care Excellence (NICE) issued guidance on the extraction of wisdom teeth. This guidance stressed the discontinuation of prophylactic surgical...