Oral Surgery

Denosumab, an alternative to bisphosphonates but also associated with osteonecrosis of the jaw – what is the risk?

Remodelling of bone is essential for reshaping of the growing skeleton and healing of bone during injury, for example tooth extraction. Bone remodelling is controlled by systemic and local factors:.

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...

Osteochondroma of the mandibular condyle: an unusual case of dentofacial asymmetry

A 32-year-old female presented with a six-month history of increasing dento-facial asymmetry. This was associated with intermittent pain and crepitus of her left temporomandibular joint and limited...

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...

Haemostasis part 2: medications that affect haemostasis

Prescribed medications are used to reduce the risk of a thrombo-embolic event. A thrombus is most likely to occur within a damaged vessel or heart wall. The pathologist Rudolph Virchow adopted a triad...

Haemostasis part 1: the management of post-extraction haemorrhage

A sound knowledge of the physiology of haemostasis is important in understanding how haemorrhage may occur. A full description of the process is outside the remit of this paper; however, several key...

The importance of early intervention in the treatment of dental infection

A common theme among these cases is airway compromise due to aggressive infection spreading through the soft tissue spaces in the oropharynx and neck. Figures 1 and 2 demonstrate several of the...

The risk of bisphosphonate-related osteonecrosis of the jaw in children. a case report and literature review

A 12-year-old Caucasian girl was referred to the oral and maxillofacial unit at Kent and Canterbury Hospital in April 2010 as her dentist was concerned about the delayed eruption of her permanent...

The characteristics of bisphosphonate patients developing bisphosphonate-related osteonecrosis of the jaw attending an OMFS department

Patients were considered to have BRONJ if all of the following three characteristics are present:2.

The application of clinical audit to improve pain control following third molar surgery

The demographics of patients recruited to the three audits are shown in Table 1 and the levels of pain that they experienced in Table 2..

The indicator of sedation need (IOSN)

Some patients are more anxious than others about life events in general, including attending for dental treatment. This is described as trait anxiety.3 State anxiety is the heightened anxiety for a...

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:.