Oral Surgery

To retrieve or not to retrieve the coronectomy root – the clinical dilemma

Coronectomy is slowly emerging as a realistic alternative to mandibular third molar extraction in those patients judged at risk of IDN injury. The elective retention of the root remains a source of...

Minimally-invasive tooth extraction: doorknobs and strings revisited!

Perhaps our forefathers with their doorknobs and strings were on to something after all. It just took us a hundred years to finally realize!.

An ectopic tooth concealing an odontogenic myxoma

A 13-year-old female had noticed a gradually increasing swelling around the right cheek. She was sufficiently concerned to visit her general dental practitioner, where a peri-apical radiograph was...

Management of patients with dental disease and mitochondrial disorders

A 50 kg, 21-year-old male with Leigh's disease caused by a mitochondrial DNA mutation presented to the department following referral from community dental services. The reason for referral was for...

Management of bleeding disorders in the dental practice: managing patients on anticoagulants

Warfarin is commonly prescribed for prophylaxis or therapeutic treatment of thrombo-embolic disease and arrhythmias. It acts as a vitamin K antagonist so it affects the synthesis of active factors II,...

Bleeding disorders seen in the dental practice

A number of classifications are in use for bleeding disorders.1,2 Some are based on the main three processes of halting bleeding (such as the vasoconstriction, gap-plugging by platelets and the...

An interesting potential reaction to warfarin

In September 2008 a referral was made to the Maxillofacial Department in Altnagelvin Hospital regarding an 86-year-old gentleman suffering from suspected oral candidiasis that was unresponsive to...

Dislodged lower right third molar tooth into the parapharyngeal space

A 56-year-old man, accompanied by his GDP, attended the Hospital's Accident and Emergency Department following the displacement of the lower right third molar into the lingual and/or parapharyngeal...

Practical considerations for treatment of patients taking bisphosphonate medications: an update

Bisphosphonates are frequently prescribed, with alendronate being the 43rd most prescribed drug in the United States in 2009, with a greater number of prescriptions written than for omeprazole or...

Schwannoma presenting in the soft palate of a nine-year-old boy

A healthy 9-year-old boy was urgently referred to the Paediatric Dental Department at the Charles Clifford Dental Hospital in Sheffield by his General Dental Practitioner with a 3-week history of a...

Suturing: an update for the general dental practitioner

The suture thread material can be natural or synthetic, absorbable or non-absorbable, mono-filament or multi-filament. Absorbable sutures are eliminated by different types of degradation, according to...

Conservative management of a case of plexiform ameloblastoma

A 9-year-old boy was referred from a local hospital to the Department of Paedodontics, Government Dental College, Trivandrum with pain and swelling in relation to the right side of the lower jaw. The...

Coronectomy of third molar: a reduced risk technique for inferior alveolar nerve damage

The relationship between the roots of mandibular teeth and the inferior alveolar nerve can often be assessed radiographically, particularly with a panoramic radiograph. Computed tomography scanning...

Importance of quality in referral letters sent for potentially malignant oral, head and neck lesions

The aim of this retrospective audit was to assess the quality of referrals sent to our department for potentially malignant oral, head and neck lesions and to analyse how the quality of the referral...

Chronic periapical periodontitis containing mature human hair shaft: a case report

A 44-year-old male was referred by his general dental practitioner for the apicectomy of his upper left lateral incisor (UL2). The patient was concerned about persistent pus discharge associated with...