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TMJ Arthrocentesis What is Jaw Joint Arthrocentesis? TMJ / Jaw Joint Arthrocentesis (the washing out of the jaw joint space) is a procedure during which the jaw joint is washed out with sterile saline ± anti-inflammatory steroids, long-acting local anæsthetics, painkillers or collagen components. TMJ / Jaw Joint Arthrocentesis reduces jaw joint pain, improves…

MEDICAL EMERGENCIES AND THEIR ALGORITHMS RESPIRATORY LARYNGOSPASM Administer 100% oxygen Suction foreign material Push on chest, listen for air Attempt positive-pressure ventilation Administer succinylcholine (Anectine) 10 to 40mg IV BRONCHOSPASM Provide positive-pressure oxygen Provide Albuterol inhaler Administer Epinephrine 5 ml 1:10, 000 Solution (0.3-0.5 mg 1:1, 000 solution) EMESIS AND ASPIRATION Allow patient to…

OMS Resident Progression of Responsibilities Year Level/Chief Resident The Oral and Maxillofacial Surgery chief resident is responsible for making certain that he attends all assignments, rotations, conferences, and lectures as assigned by the program Director. The Oral and Maxillofacial Surgery chief resident is responsible’ for writing clearly and, legibly on all hospital official records.…

Double Jaw Surgery Introduction to the problem of sequencing bimaxillary surgery: With traditional bimaxillary surgery techniques, the LFI operation is done prior to the sagittal osteotomy. This sequencing began out of necessity with wire fixation in the early 1970’s. With wire fixation the maxilla was easily stabilized and the mandible was then moved to…

7 Step Cephalometric Treatment Plan correct Mx incisor axial inclination: (female 56.8 ± 2.5 degrees) (male 57.8 ± 3.0 degrees) to Mx occlusal plane correct Md incisor axial inclination: (female 64.3 ± 3.2 degrees) (male 64.0 ± 4.0 degrees) to Md occlusal plane autorotate Md to 3.2 mm incisor overbite when the following occurs…

A problem often arises in the application of cephalometric pre-surgical planning to clinical reality in orthognathic surgical cases. Basically, the problem arises from the fact that that cephalometric planning works too simply. Without this appreciation of the situation, it is easy to be misled when examining and planning changes to the maxillofacial skeleton based…

Views You Can Use Published on Sunday, 31 January 2010 18:00 by Ahmad Abdelkarim, DDS, MS, and Dipak Chudasama, BDS, MSc, MORTH RCS, MBA What orthodontists should be looking for in cone beam CT scans Cone beam computed tomography (CBCT) allows the clinician to view the maxillofacial region in three planes and eliminate superimposition,…

Surgery First Published on Wednesday, 31 August 2011 19:00 by Flavio Uribe, DDS, MDentSc; Aditya Chhibber, BDS, MDS; and Carlos Villegas, DDS Eliminating presurgical orthodontics can decrease treatment time in adult patients with severe dentofacial deformity Figure 1A: Pretreatment extraoral images show the patient’s combination of a retrognathic maxilla and prognathic mandible. Figure 1B:…

Can Beauty Be Quantified? Published on Monday, 31 August 2009 19:00 by Michael J. Gunson, DDS, MD; G. William Arnett, DDS, FACD; and Dipak Chudasama, BDS, MSC, MORTH RCS, MBA Developing clinical criteria to objectively judge aesthetic outcomes Michael J. Gunson, DDS, MD G. William Arnett, DDS, FACD Dipak Chudasama, BDS, MSC, MORTH RCS,…

What is OMS? (from CALAOMS) Oral and Maxillofacial Surgery (OMS) is the specialty of dentistry, which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and aesthetic aspects of the bone and soft tissues of the oral and maxillofacial region. The term “maxillofacial” refers to the areas…