The sagittal split osteotomy (SSO) is a common procedure for the correction of mandibular deformities. It was first introduced Schuchardt in 1942 the current technique which has been refined an popularised in subsequent years. Overall it is a safe procedure the an important intra-operative complication being an unfavourable fracture with incidences varying between 0.7-20% being [read the full story…]
Alveolar osteitis or dry socket is a common and painful complication of tooth extraction, occurring following about 5% of all tooth extractions. The aetiology of this complication is unclear and it has been associated with a wide range of risk factors. the aim of this study was to assess the relation between 8 risk factors [read the full story…]
Maxillary sinus floor elevation is commonly performed to create sufficient bone fraction to enable the placement of dental implants. The aim of this review was to assess the bone fraction and implant survival rate and to determine whether the bone fraction is affected by the grafting material or growth factor applied. The Medline and the [read the full story…]
There were more than 404,000 new cases of oral cancers worldwide in 2002. Oral cancer is the are the sixth most common cancer worldwide, accounting for an estimated 4% of all cancers. Incidence and mortality varies geographically. Surgery plays an important part of the management of oral cavity cancer with regard to both the removal [read the full story…]
This is a critical summary prepared by ADA Centre for Evidence-Based Dentistry of a systematic review originally published in 2010. The original review looked at which surgical modifications of the upper airway were most effective in reducing the apnoea-hypopnoea index (AHI) for patietns suffering with obstructive sleep apnoea (OSA). OSA is relatively common occurring in [read the full story…]
The trigeminal nerve is the fifth cranial nerve and one of the largest in the head. It provides sensation to the face and is called trigeminal because it splits into three main branches. When neuralgia (nerve pain) occurs in the trigeminal nerve it causes severe and sudden face pain. It has an incidence rate of [read the full story…]
This review was first published in 2009 . The American Dental Association Centre for Evidence-based Dentistry has now published a critical summary of this review. The original review included 12 clinical trials involving 1818 patients and concluded that a twice-daily regimen of Chlorhexidine gel (0.2 percent) applied every 12 hours for seven consecutive days can [read the full story…]
Choi in a trial in 2009 found that an intravenous bolus administration of tranexamic acid at 20 mg/kg reduces blood loss compared with placebo during bimaxillary osteotomy. The aim of this trial was to test whether the use of tranexamic acid in an irrigant fluid would decrease blood loss during orthognathic surgery Forty patients undergoing [read the full story…]
The use of illicit drugs or alcohol(substance using) is a most common precipitator of facial injuries among socioeconomically disadvantaged populations. Reducing these risky behaviours could improve outcomes and reduce potential for reinjury. The aim of this study was to assess whether a culturally competent, personalized motivational intervention incorporated into surgical care could significantly reduce existing [read the full story…]
Skeletal movements and changes in the position of the hyoid bone as a result of orthognathic surgery may have on the oropharyngeal airway. The aim of this article was to report the results from a meta-analysis of the scientific literature concerned with changes in the airway in human clinical trials in adult subjects submitted to [read the full story…]
