Oral Surgery

Head and neck cancer part 2: the patient journey

Biopsies of suspicious lesions are vital in the grading and staging of cancers, giving an indication of the type, prognosis and rate of spread of the lesion.4 This is generally more straightforward...

Local anaesthesia in dentistry – achieving effective painless injections

The pain associated with delivering an injection is complex and multi-factorial (depending on the dentist, the patient and the equipment used), and is not only caused by the procedure itself, but...

Routine exodontia: preventing failed extractions

Despite many universities aiming to make all undergraduate (UG) dentists able to undertake routine exodontia, ability remains limited.2 A substantial number of extractions are required to enable...

Head and Neck cancer part 1: diagnosis and classification

Knowledge of the common risk factors for head and neck cancer can enable dental practitioners to consider the individualized risk levels of their patients and enable them to offer specific and...

Autologous blood products and their role within dentistry

Autologous blood products can be classified based on the methods used in their production, namely if they are derived with or without the use of an anti-coagulant, or whether they undergo one...

Unusual presentation of a tooth associated with an adenomatoid odontogenic tumour

A 15-year-old African-Caribbean male patient presented, having been referred by his orthodontist regarding an unerupted upper left first premolar (UL4) to a joint orthodontic/oral surgery clinic. The...

Facial palsy: aetiology, diagnosis and management

A good understanding of anatomy is essential for interpreting the presenting signs and symptoms. The facial nerve, cranial nerve number VII, develops from the second pharyngeal arch and, as such,...

The prevention and management of distal cervical caries of the mandibular second molar

Distal cervical caries forms on the distal cervical area of the second molar in the region of the amelo-cemental junction (Figures 1 and 2). The unsuccessful eruption and subsequent partial eruption...

Surgical/orthodontic management of a large mandibular odontogenic keratocyst (OKC)

A fit and well 12-year-old boy presented to his GDP with a large palpable bony swelling on the buccal aspect of the right body of the mandible. The patient had been aware of the swelling for...

Inferior dental blocks versus infiltration dentistry: is it time for change?

There are five questions that we should first address in critiquing existing LA practice and assess if there is need for improvement..

Cemento-Osseous dysplasia-related jaw necrosis − a case report and literature review

A 68-year-old female patient of Arabic descent had been referred by her GDP regarding an area of exposed bone in the mandible. She attended the Oral Surgery department in February 2017 with a one-year...

Bilateral dentigerous cysts: an updated literature review and report of a case with associated root resorption

A literature search was performed to review all published case reports of bilateral dentigerous cysts. The databases Ovid EMBASE, Ovid MEDLINE, PubMed, Cochrane and search engine Google Scholar were...

Prevention and Optimal Management of Peri-Surgical Pain in Dentistry

Effective odontogenic pain management and post-operative pain management is fundamental to quality dental care. Conventional analgesics act by interrupting ascending nociceptive information or...

Are Changes in Specific Landmark Anatomy on a Panoramic Image Suggestive of Maxillary Sinus Disease?

Radiological assessment of the maxillary sinuses requires a thorough examination, including the degree of aeration and alteration of the bony outlines of the maxillary sinuses. There are three key...

Effects of music on patient anxiety during surgery: literature review

The aim of this study was to review critically published literature in the field regarding the effects of music on patient anxiety levels during surgical and dental procedures..