Oral Health Group

Oral Surgery

Dr. Simon Weinberg is Emeritus Professor of Oral and Maxillofacial Surgery, Faculty of Dentistry, University of Toronto. He was the former Oral and Maxillofacial Surgery Consultant to the Editorial Board of Oral Health and is currently a Contributing Consultant.
June 1, 2013 Feature DentistryOral Surgery

Minor Surgery

by Dr. Simon Weinberg

The traditional classification of exodontia as minor surgery is often unwarranted considering the potential for the development of serious and unusual intra and post-surgical complications. Indeed, few situations in dentistry generate as much fear and anxiety as those precipitated by

Figure 33. One week follow-up for suture removal.
June 1, 2013 Feature DentistryOral Surgery

Surgical Management of Basal Cell Carcinoma

by Nicholas J. V. Hogg, BSc, MSc, DDS, MD, MSc, FRCD(C)

INTRODUCTIONThe incidence of skin cancer appears to be increasing around the world.1 Basal cell carcinoma (BCC) accounts for the majority of non-melanoma skin cancers (NMSC) and is the most common cancer in humans.  The actual incidence of BCC is likely

Figure 7. Post-surgery panorex showing tooth #28 displaced into the left sinus.
June 1, 2013 Feature DentistryOral Surgery

Complications During and After Surgical Removal of Third Molars

by Hans Ulrich Brauer, DDS, Dr Med Dent, MA; Robert A. Green, DDS, MD, Msc, FRCD(C); Bruce R. Pynn, Ms

INTRODUCTIONThird molar surgery is one of the most common procedures performed in oral and maxillofacial surgery offices.1-6 Nevertheless, this procedure requires accurate planning and surgical skills. With surgical procedures in general, complications can always arise. The reported frequencies of complications

MOREHOUSE School of Medcine
July 18, 2012 News DentistryGeneral PracticeOral HealthOral Surgery

Former Surgeon General David Satcher Says Oral Health Epidemic Persists; Calls For Pursuing Options To Expand Access – Including Midlevel Providers, Dental Therapists

by Morehouse School of Medicine (MSM)

Disparities in Oral Health Are Profound, Especially Among Poor Children and Children of Color; Oral Health Provisions Under ACA Critical to Expanding Care to Children

Figure 10. 3D Reconstruction showing a pathologic fracture through the left mandibular angle and #38 extraction site.
July 1, 2012 Feature DentistryOral Surgery

Chronic Osteomyelitis as an Unusual Complication of Third Molar Surgery

by Katie Gilbertson RDH, DH BS, Daisy Chemaly DMD, MSc(D), FRCD(C), Gordon B Wong MSc, DDS, MRCD(C)

A series of 5 Cases

Figure 5. Incisional biopsy of what proved to be highly malignant adenoid cystic carcinoma. The mucosa was intact and the mass not frighteningly large!
June 1, 2012 Feature DentistryOral Surgery

Beware of Palatal Swellings

by Archie Morrison, DDS, MS, FRCD(C) and Curtis Gregoire, BSc, DDS, MD, MS, FRCD(C)

By way of introduction of the topic I will relay a case history of a 50 year old male who presented in 1999 with a very small pedunculated asymptomatic soft tissue lesion in the right midpalatal region of his mouth.

June 1, 2012 Feature DentistryOral Surgery

Assessment and Management of Dental Patients with Mental Health Issues

by Kevin J. McCann, BSc, DDS, FRCD(C)

For every body system there are readily observable characteristics that can be used to assess the structure and function of that system, and to distinguish the healthy from pathologic state. As an example, the cardiovascular system can be assessed through

Figure 26.
June 1, 2012 Feature DentistryOral Surgery

Placing Posterior Composites: A New, Practical, Efficient Technique

by Ronald D. Jackson, DDS, FACD, FAGD, FAACD

INTRODUCTIONLet’s face it, placing successful posterior composites is exacting, tedious and time consuming. The process includes achieving the necessary isolation, selecting and placing an appropriate matrix, precise execution of the adhesive steps, the placement of a flowable resin or resinionomer

Figure 52.
June 1, 2012 Feature DentistryOral Surgery

Immediate Custom Implant Provisonalization: A Prosthetic Technique

by Gerard J. Lemongello Jr., DMD

Surgical and restorative techniques that can reduce the loss of hard and soft tissues are desirable. The use of a custom fabricated provisional will provide a mechanism by which preservation of hard and soft tissue can be achieved. This article

Dr. Sands is an oral and maxillofacial surgeon and is in private practice in Woodbridge, Ontario.
June 1, 2012 Feature DentistryOral Surgery

Patients and Patience

by Tim Sands, DDS, DipOMS

Okay, I admit, I have always had a type ‘A’ personality, I prefer multitasker, and I do not believe Oral Health would print what my kids call it. For years, I had a to-do-list scrawled on a piece of paper

June 1, 2012 Feature DentistryOral Surgery

Antibiotic Prophylaxis and Dental Treatment in Patients with Hip and Knee Arthroplasty

by Kurt P. Droll, MSc, MD, FRCS(C) and Bruce R. Pynn, MSc, DDS, FRCD(C)

Total hip and knee arthroplasty surgery has been found to significantly improve health-related quality of life.1 Over one million total hip and knee arthroplasties are estimated to be performed in the United States annually, with this number projected to increase

Figure 3B. The cyst was lined bykeratinizing stratified squamous epithelium with granular cell layer.
June 1, 2012 Feature DentistryOral Surgery

Midline Submental Dermoid Cyst: A Case Report

by R.A. Green, DDS, MSc, MD, FRCD(C), A.J. Turner, MD, FRCS(C), M. Kennedy MD, FRCP(C), and B.R. Pynn,

CASE REPORT A 21-yr-old male initially presented to emergency department (ED) of the hospital with pericoronitis (pain, buccal and submandibular swelling) related to his impacted teeth. He was given antibiotics for a week until the wisdom teeth were removed in

Figure 5 - Post operative panorex showing anterior tooth loss with extensive alveolar bone loss making prosthetic reconstruction a challenge.
June 1, 2011 Feature DentistryOral Surgery

Dentistry’s Role in Repair of the Facial Trauma Patient: A Case Report

by Archie Morrison, DDS, MS, FRCD(C)

IntroductionTraumatic facial injuries are commonplace in North America. Interpersonal violence, falls, motor vehicle crashes and sport related injuries make up the majority of etiologies for these injuries.1 Since the advent of seat belts and air bags, there has been a

June 1, 2011 Feature DentistryOral Surgery

Methadone: A Review

by Robert Green, DDS, MD, MSc, FRCD(C) and Bruce R. Pynn, MSc, DDS, FRCD(C)

INTRODUCTION Methadone is a synthetic opioid that was developed as an analgesic by German scientists during World War II. It has been used as part of the treatment for opioid addicted patients since the 1960s. More recently, methadone has been

Figure 2 - Simulation of the use of a Modified Nasal Trumpet (Left Nasal) and fiberoptic intubation through a Split Naso Pharyngeal Airway (Right Nasal).
June 1, 2011 Feature DentistryOral Surgery

Airway Management in Maxillofacial Trauma-Alternative Techniques of Intubation and Modifications of Nasal Airways

by Naveen Eipe, MBBS, MD (Anesthesiology) and Taylor McGuire, DDS, MSc, FRCD(C), Dip. ABOMS

INTRODUCTIONAirway management for maxillofacial trauma is often complicated by distortion of the airway from the injury, emergent management for impending compromise, and other serious co-existing injuries. While traditionally the use of nasal intubations and tracheostomies are preferred, we discuss the

Figure 7 - One-month post-operative photograph of lower lip.
June 1, 2011 Feature DentistryOral Surgery

Squamous Cell Carcinoma of the Lower Lip

by Benjamin A. Lin, BSc, DDS, FRCD(C), Dip. ABOMS

Carcinoma of the lips is the most common malignant tumour of the oral cavity.1 In a large review of 1,252 patients, 96.7 percent were found in males and 95.6 percent of cases involved the lower lip.2 Prolonged exposure to sunlight

Submucosal mass
June 1, 2011 Feature DentistryOral Surgery

Lumps and Bumps

by Oral Health

A Practical Guide to the Differential Diagnosis of Submucosal Lesions

Bruce R. Pynn, DDS, MSc, FRCDC , Oral and Maxillofacial surgery, Thunder Bay, ON. He is the oral and maxillofacial surgery board member for Oral Health.
June 1, 2011 Feature DentistryOral Surgery

Evolving Scope of Practice

by Bruce R. Pynn, MSc, DDS, FRCD(C), FICD

Since the Second World War, the scope and complexity of Oral and Maxillofacial Surgery in North America has steadily progressed beyond the practice of exodontia. Significant advances were made in the medical and surgical management of victims of trauma, temporomandibular

Figure 3--Histopathology of WHO grade 1 meningioma showing a very vascular tumor with cells which have spindle shaped morphology,elongated hyperchromatic nuclei and infiltrates of fibrocollagenous and skeletal muscle tissue. (H&E, 100x).
June 1, 2010 Feature Oral Surgery

Extracranial meningioma mimicking a temporomandibular joint disorder

by Bruce R Pynn, MSc, DDS, FRCD(C), Stephen McCluskey, DDS, MD, FRCS(C) and Simon Weinberg, DDS, FRCD(C

Pain is often the commonest presenting symptom of temporomandibular joint disorders (TMDs) and can manifest as headaches, facial and jaw pain, dental pain, neck and associated muscle pain. TMD may also be be accompanied by other common symptoms including clicking

Figure 14--a. A patient with an anterior open bite malocclusion, poor chin prominence, poor submental esthetics and increased lip-chin-throat angle with a moustache camouflage. b. The improved facial esthetics following treatment and removal of the moustache. Note the increased chin prominence and decreased adipose tissue following submental liposuction. c. The surgical treatment plan involved: A multi piece le Fort I osteotomy to close the open bite, mandibular advancement by means of bilateral sagittal split osteotomy, an advancement genioplasty, and submental liposuction. d. Post treatment cephalometric tracing. Note the submental soft tissue change.
June 1, 2010 Feature Oral Surgery


by Johan P. Reyneke, BChD, MChD, FCMFOS (SA), PhD

The human face has enchanted mankind for a very long time. Psychological studies have shown that even as babies we are drawn to faces and that nine minutes after being born, when we can barely focus our eyes, we prefer