The amount of bone available in the upper jaw following the loss of teeth is reduced to alveolar bone loss and the presence of the maxillary sinus. Sinus lift procedures increase bone volume by augmenting the sinus cavity with autogenous bone or commercially available biomaterials, or both. This review is an update of the 2010 [read the full story…]
In treating orthodontic problems in late adolescents and adults there is pressure to shorten treatment time. Surgical techniques such as corticotomy and dental distraction have been proposed as potential approaches. The aim of this review was to address 3 questions; Does surgically facilitated orthodontic treatment significantly increase the velocity of tooth movement and shorten treatment [read the full story…]
Autotransplantation of teeth has been carried out for many years and the 1990s saw clarification of the prognosis and risk factors together with proposed standard surgical procedures. The aim of this review was to assess the outcomes of autotransplanted teeth with complete root formation and the effects of various influencing factors. Searches were conducted in [read the full story…]
Mandibular fractures are relatively common and about 12-40% involve the mandibular angle. The use of three-dimensional (3D) strut plates is increasingly being suggested as an alternative to conventional miniplates. The aim of this review was to assess whether there was a difference in clinical outcomes between standard and 3D miniplates in the management of mandibular [read the full story…]
The Scottish Intercollegiate Guidelines Network (SIGN) has just launched their updated guideline on antibiotic prophylaxis in surgery. SIGN’s first guideline of this topic (SIGN 45) was published in 2000 and updated in 2008. The guideline does not aim to provide every surgical speciality with a comprehensive text on preventing surgical site infection (SSI), but rather [read the full story…]
The lingual and inferior alveolar nerves are potential at risk of damage during some oral and maxillofacial surgery procedures. Fortunately the majority are temporary, with resolution taking place within 8 weeks. Injuries of 6 moths or greater are considered permanent and a range of techniques have used. The aim of this review was to evaluate [read the full story…]
Since the introduction of open reduction and internal fixation the management of facial fractures has changed dramatically. However many uncertainties remain and the importance of the time from injury treatment is one area of dispute. The aim of this review was to examine the effects of treatment delay on outcomes in the management of facial [read the full story…]
This new ADA-EBD critical summary looks at a 2011 systematic review by Pirklbauer et al. The review compared maxillomandibular advancement (MMA) surgery to conventional continuous positive airway pressure (CPAP) ventilation therapy for reducing signs and symptoms of obstructive sleep apnea syndrome (OSAS) The summariser highlights that although 39 studies and 1213 patients in total were [read the full story…]
Orthognathic surgery for the correction of dentofacial and craniofacial deformities has become a common a common procedure. Postoperative infection rates have been reported between 2-33%. The aim of this review was to provide evidence-based recommendations on the efficacy of different antibiotic regimens in preventing postoperative infections after orthognathic surgery Searches were conducted in Embase, Ovid [read the full story…]
Surgical removal of third molars is a very common procedure and postoperative pain is a major concern for patients. Non-steroidal anti-inflammatory drugs are (NSAIDs) frequently recommended to manage this pain. Ibuprofen and paracetamol commonly used and recently a combination analgesic containing both paracetamol and ibuprofen has become available in the UK. The aim of this [read the full story…]
