Vertical and horizontal alveolar bone loss follows tooth removal. Maintaining good alveolar ridges has an impact on future treatment options. As a consequence a range of approaches have been investigated with a view to ridge preservation. The aim of this review was to determine the effect of socket grafting to prevent post-extraction ridge volume loss [read the full story…]
The keratocystic odontogenic tumor (KCOT) is a benign but locally aggressive tumour and accounts for 2-11% of jaw cysts and can occur at any age. Historically they have been referred to as odontogenic keratocyst (OKC) and primordial cyst. A range of treatment approaches have been suggested for KCOTs but preferred option is still debatable. The [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…]
Yesterday I looked at a systematic review of biodegradable plates for orthognathic surgery. One of the trials included in the review (Buijs et al) had reported outcomes at 8 weeks. Recently the authors of that study have reported 2-year results (van Bakelen et al). The original aim of the study was to compare the clinical [read the full story…]
Internal fixation for orthognathic surgery is commonly performed using titanium plates and screws although in recent years there has been an increase in the use of bioresorbable fixation systems. However there are concerns about the stability of fixation. The aim of this review was to include all publicly available literature on the skeletal stability of [read the full story…]
