O.479 Evidence-based practice in oral and maxillofacial surgery. Audit of one training center

2006 ◽  
Vol 34 ◽  
pp. 129
Author(s):  
S.L. Lau ◽  
N. Samman
2019 ◽  
Vol 7 (2) ◽  
pp. 52 ◽  
Author(s):  
Robert Weiss ◽  
Andrew Read-Fuller

Cone Beam Computed Tomography (CBCT) is a valuable imaging technique in oral and maxillofacial surgery (OMS) that can help direct a surgeon’s approach to a variety of conditions. A 3-dimensional analysis of head and neck anatomy allows practitioners to plan appropriately, operate with confidence, and assess results post-operatively. CBCT imaging has clear indications and limitations. CBCT offers the clinician 3-dimensional and multi-planar views for a more accurate diagnosis and treatment without the financial burden and radiation exposure of conventional computed tomography (CT) scans. Furthermore, CBCT overcomes certain limitations of 2-dimensional imaging, such as distortion, magnification, and superimposition. However, CBCT lacks the detailed depiction of soft tissue conditions for evaluation of pathologic conditions, head and neck infections, and temporomandibular joint (TMJ) disc evaluation. This review evaluates the evidence-based research supporting the application of CBCT in the various fields of oral and maxillofacial surgery, including dentoalveolar surgery, dental implants, TMJ, orthognathic surgery, trauma, and pathology, and will assess the value of CBCT in pre-operative assessment, surgical planning, and post-operative analysis when applicable. Additionally, the significant limitations of CBCT and potential areas for future research will be discussed.


2021 ◽  
Author(s):  
Fadekemi Olufunmilayo Oginni ◽  
Nasser Alasseri ◽  
Oladunni Mojirayo Ogundana ◽  
Bamidele Adetokunbo Famurewa ◽  
Anthony Pogrel ◽  
...  

Abstract The effective management of odontogenic keratocyst (OKC) remains a subject of interest and confusion in the Oral and Maxillofacial surgery literature. Currently, there is a lack of consensus regarding the most appropriate treatment for patients with odontogenic keratocyst. Of the various treatment options available, no modality to date has been shown to demonstrate a zero-or near zero recurrence rates except wide resection with clear margins. With the prevailing dearth of evidence based surgical protocols for the management of patients with odontogenic keratocyst in the literature, this study aims to present a surgical algorithm, based on meta-analysis results, that hopefully will be beneficial in enhancing treatment of patients with this condition. Using parameters of; size, lesion type (primary or secondary), syndromic or solitary nature of the lesion, presence of cortical perforations, and locularity; we present a decision tree, to aid treatment planning and help attain the least chance of recurrence in the management of the odontogenic keratocyst.


2011 ◽  
Vol 69 (1) ◽  
pp. 252-257 ◽  
Author(s):  
Poramate Pitak-Arnnop ◽  
Alexander Hemprich ◽  
Niels Christian Pausch

Author(s):  
George Dimitroulis

AbstractWe have all been too quick to make up our minds and too slow to change them. In Oral and Maxillofacial Surgery, our opinions are slaves to our prior experience. Ignorant confidence is what defined early Surgery as there was a distinct lack of interest in proving and promoting what was effective. The “God complex” among early Surgeons meant that what they thought was true did not need scientific evidence. It is only in more recent times that Surgical practice has embraced evidence to guard against rumour, bias, misconceptions and misunderstandings. Indeed, just in the last few decades we have witnessed the gradual evolution of Surgery from eminence-based practice, the idea that senior experienced Surgeons held all the knowledge, to evidence-based practice, where fair tests are employed to compare one treatment against the other in order to find what works best. History has taught us that clinical research leads to reforms in the practice of Surgery while basic research leads to revolutions in Medicine.


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