Oral Health Group

Oral Surgery

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

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

June 1, 2010 Feature Oral Surgery

Emerging Natural Therapies for Oral Care: Reflections on Oral Health from a Holistic Perspective

by Keith Condliffe, BA., ND

Patients increasingly seek integrated and preventative approaches to their healthcare. In this changing health environment, oral healthcare specialists can leverage and expand their long-standing commitment to the preventative care model. The preventative care model in dentistry focuses on education and

Dr Pynn practices oral and maxillofacial surgery in Thunder Bay, Ontario.
June 1, 2010 Feature DentistryOral Surgery

You’re Only a Dentist…

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

I was relaxing on the plane during a recent transatlantic flight; deeply focused on my book when I heard, “is there a doctor on board”? As no one responded, my wife, Tania, sitting across from me, gave me the look

Figure 5
June 1, 2010 Feature Oral Surgery

Effective Post-Surgical Pain Management

by William L Frydman DDS MSc, FRCD(C)

Abstract The inroads made over the last decade have greatly increased our knowledge in pain conduction and perception. This has lead to pain management protocols that place excellent pain control modalities in the hands of the clinician. Trigeminal anatomy, the

Figure 5 a,b,c,d,e,f,g,h--38 year old female with PSS (progressive systemic sclerosis). Note the absence of condyles, anterior open bite and the stiff board like facies. Bilateral total joint reconstruction in combination with orthognathic surgery led to a significant improvement in occlusion, functional range of motion and esthetics.
June 1, 2010 Feature Oral Surgery

Replacement of the Temporomandibular Joint

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

While dentists deal with aspects of, or problems with and related to the temporomandibular joint every week in our practices, we do not often meet patients who are in need of replacement of their mandibular condyle or fossa or both.

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

Figure 22-Centrals Retracted 1:1 two week Post-op.
March 1, 2010 Feature General PracticeOral Surgery

Aesthetic Diastema Closure Utilizing a Novel Matrix System

by Michael Pollak, DDS

Abstract Diastema closure is a frequently requested, technique sensitive cosmetic procedure. When performed correctly, enhanced dental-facial aesthetics can result, with psychological and social benefits to our patients. If incorrectly done, poor contacts, poor contour, increased plaque retention, and gingival irritation

June 1, 2007 Feature Oral Surgery

Are You Looking But Not Seeing?

by Howard S. Glazer, DDS, FAGD

It is well accepted that no dental examination is complete without an examination of the oral mucosa for oral cancer. The incidence of oral cancer is on the rise amongst women, younger adults, non-alcoholics, and non-smokers.1-6 Oral cancer can be

June 1, 2007 Feature Oral Surgery

Cleidocranial Dysplasia: An Insight Into Genetics and Dental Management

by Tania P. Pynn, BScN, RN, MHS and Reijo E. Peltoniemi, DDS, Dip Ortho

With a frequency rate of one in one million individuals, cleidocranial dysplasia (CCD) is considered a rare disorder.1 CCD (also known as cleidocranial dysostosis) is a well defined disorder of bone development with characteristic clinical manifestations presenting in an autosomal

June 1, 2007 Feature Oral Surgery

Cone Beam Volumetric Tomography

by Martin Bourgeois, DDS, Dip. Oral Rad. M Ed; Paula Sikorski DDS, MSc, FRCD(C), Dip ABOMR; Sarah Taylo

Cone Beam Volumetric Tomography (CBVT) also known as Cone Beam CT was first commercially introduced to the dental profession in 2001. Cone beam CT is an imaging modality that produces volume imaging in an easier and quicker fashion than conventional

FIGURE 9--Three years post-operative panaromic radiograph (April, 2002).
June 1, 2006 Feature Oral Surgery

Multiple Multilocular Dentigerous Cysts with Intra-osseous and Extra-osseous Third Molar Displacement: A Case Report

by Kevin E Lung, BSc, DDS, MSc, FRCD(C); Seema Ganatra, BSc, DDS, MSD, FRCD(C); Christopher E. Robinson

ABSTRACT The dentigerous cyst with extra-osseous tooth displacement is a rare presentation for one of the most common odontogenic (developmental) cysts. Association with an impacted third molar is the most common finding for a dentigerous cyst but actual displacement of