Oral and Maxillofacial Surgery Clinics Oral and Maxillofacial Surgery Clinics RSS feed.
- Contentson 01/11/2021 at 12:00 am
Franci Stavropoulos and Jennifer E. Woerner
- Contributorson 01/11/2021 at 12:00 am
RUI P. FERNANDES, MD, DMD, FACS, FRCS(Ed)
- Copyrighton 01/11/2021 at 12:00 am
- Gender and Diversity in Oral and Maxillofacial Surgeryby Franci Stavropoulos, Jennifer E. Woerner on 01/11/2021 at 12:00 am
ORAL AND MAXILLOFACIAL SURGERY CLINICS OF NORTH AMERICA
- Forthcoming Issueson 01/11/2021 at 12:00 am
Clinical Pharmacology for the Oral and Maxillofacial Surgeon
- Trends in Diversity Related to Gender and Race in the Surgical Specialties and Subspecialties Inclusive of Oral and Maxillofacial Surgeryby Brett L. Ferguson, Maria Morgan, Susan B. Wilson on 01/11/2021 at 12:00 am
Medical training in the United States has undergone multiple evolutions and maturations. The Flexner Report and its effects, written in 1910, still has significant impact on modern professional education in the medical and dental arenas. The National Academy of Medicine (Institute of Medicine) in 2003 documented the need for diversity in the health care workforce, and the Association of American Medical Colleges additionally looked at Medical Education and health care through the lens of Academic Medicine. Both these reports reflected that health care institutions, providers, educators, students, and surgical residents are mandated to improve the health of the nation.
- Pharmacology of Aesthetic Medicinesby Natalie Dunlop, Shelly Abramowicz, Elda Fisher on 25/10/2021 at 12:00 am
The realm of aesthetic medicine is broad, and there are countless medications and topical agents used in the practice of aesthetic medicine. The most commonly used injectable medicines include botulinum toxin for mimetic lines and hyaluronic acid fillers for deeper facial rhytids and volume rejuvenation. Topical aesthetic medicines are useful adjuncts for facial rejuvenation and commonly include tretinoin, hydroquinone, growth factors, and vitamin C, as well as a wide range of chemical peels
- Update on Management of the OMFS Patient on Corticosteroidsby Michael H. Chan on 25/10/2021 at 12:00 am
Corticosteroids have been the cornerstone for treatment of many inflammatory and immune disorders with these beneficial effects well recognized by the medical community. It also possesses many undesirable clinical adverse effects that can occur within 2 weeks of use. Moreover, in the past decade, chronic users of corticosteroids have been linked to skeletal (vertebral and hip) osteoporosis/osteonecrosis with some patients requiring adjunctive antiresprotive medications to counteract fracture prevention. Additionally, two case reports have implicated daily prednisone user to cause osteonecrosis of the mandible. This chapter highlights current adrenal suppression classifications, pathophysiology, drug interactions, and perioperative surgical and anesthesia management.
- A Review of Sedation Agentsby Hillel Ephros, Sneha Shah, Robert J. Herrod on 22/10/2021 at 12:00 am
The oral and maxillofacial surgery model of anesthesia delivery is the subject of some controversy. However, a long track record of patient safety provides compelling support for the dual role of the oral and maxillofacial surgeon as proceduralist and anesthetist. Among the elements critical to continued success is a clear understanding of the pharmacology of the agents used to produce sedation and general anesthesia. This review highlights 6 sedation agents used as part of a balanced anesthesia technique in oral and maxillofacial surgery.
- Update on Medications for Oral Sedation in the Oral and Maxillofacial Surgery Officeby Monica Hanna, Peter Chen, Earl Clarkson on 21/10/2021 at 12:00 am
Dental anxiety is a leading cause of postponing treatment and/or complete avoidance of professional oral care. Therefore, effective sedation and pain control are integral components of dental care for the fearful and anxious patient. The application of oral sedation aids the trained practitioner to provide care to the anxious dental patient and remains the safest, most established, and most commonly used route of drug administration. Proper training and understanding of pharmacologic properties allows for safe and effective application of analgesics and sedatives for oral sedation.
- Appreciationby Harry Dym on 21/10/2021 at 12:00 am
I am privileged and honored to once again have had the opportunity to edit another issue of Oral and Maxillofacial Surgery Clinics of North America. It is truly a pleasure working with Mr John Vassallo, associate publisher of the Oral and Maxillofacial Surgery Clinics of North America and Dental Clinics of North America, as well as Jessica Canaberal, the very capable developmental editor for Oral and Maxillofacial Surgery Clinics of North America. I have worked with John for decades, and what began as a formal and professional relationship has evolved into a strong friendship for which I am truly grateful.
- Medication Management of Selected Pathological Jaw Lesionsby Yijiao Fan, Allen Glied on 30/09/2021 at 12:00 am
Most jaw lesions are treated surgically. Areas of abnormal proliferation or destruction in bone are commonly treated by regional curettage, excision, or resection. However, surgery is invasive and leaves a defect where the lesion was removed. Surgical trauma to adjacent healthy tissue, including vital neurovascular bundles is often unavoidable, and can be especially traumatizing to the pediatric patient. Select jaw lesions with well-studied nonsurgical pharmaceutical treatments are presented here.
- Update on Management of the Oral and Maxillofacial Surgery Patient on Selective Serotonin Reuptake Inhibitorsby Natasha Bhalla, Michael H. Chan on 30/09/2021 at 12:00 am
Selective serotonin reuptake inhibitors (SSRIs) have been the cornerstone for the treatment of depression, anxiety, obsessive-compulsive disorder, and panic disorder for a wide spectrum of age groups. Although the beneficial therapeutic properties are well recognized by the medical community, it also possesses many undesirable adverse effects with clinical manifestations. Some of the effects can be severe. This chapter highlights use of SSRIs, the mechanism of action, medication dosages, common drug to drug interactions, and recommendations on management of the oral and maxillofacial surgery patient on SSRIs.
- Updates on Topical and Local Anesthesia Agentsby Junaid Mundiya, Edward Woodbine on 30/09/2021 at 12:00 am
Use of topical and local anesthesia (LA) is the workhorse of all aspects of dentistry. There was a time in the past when dentistry was performed without any local pain control. Owing to this there are patients with dental anxiety and fear of a dental office. The media portraying dentistry as being painful, or showing a dentist with needles, enlists fear and distrust of dentists. In contrast, pain is what brings the patient to the dental office and with local pain control measures a dentist is able to alleviate the patient's cause of pain.
- Emergency Drugs for the Oral and Maxillofacial Surgeon Officeby Joel Rosenfeld, Harry Dym on 28/09/2021 at 12:00 am
This article illustrates the indications and mechanism of action of core emergency medications as well as emergency medications for intravenous sedation in the oral and maxillofacial surgeon office. The recognition of medical emergencies and comprehensive knowledge of pharmaceutical medical intervention can prevent deterioration in medical emergencies. In addition, this article also reviews common dosages as well as administration techniques that should be regularly reviewed and be fundamental knowledge to the oral surgeon and staff.
- Pharmacologic Treatment for Temporomandibular and Temporomandibular Joint Disordersby Amanda Andre, Joseph Kang, Harry Dym on 28/09/2021 at 12:00 am
Temporomandibular joint disorder is defined by pain and/or loss of function of the temporomandibular joint and its associated muscles and structures. Treatments include noninvasive pharmacologic therapies, minimally invasive muscular and articular injections, and surgery. Conservative therapies include nonsteroidal anti-inflammatory drugs, muscle relaxants, benzodiazepines, antidepressants, and anticonvulsants. Minimally invasive injections include botulinum toxin, corticosteroids, platelet-rich plasma, hyaluronic acid, and prolotherapy with hypertonic glucose. With many pharmacologic treatment options and modalities available to the oral and maxillofacial surgeon, mild to moderate temporomandibular joint disorder can be managed safely and effectively to improve symptoms of pain and function of the temporomandibular joint.
- Hyposalivation and Xerostomia and Burning Mouth Syndromeby Jaykrishna P. Thakkar, Christopher J. Lane on 28/09/2021 at 12:00 am
In this chapter, the authors review the benefits of saliva and the destructive consequences of its loss. It is hoped that this will help their colleagues identify and treat patients before development of symptoms. Xerostomia is the subjective complaint of dry mouth or sensation of oral dryness. Hyposalivation is the actual decrease in measured salivary outflow. The authors discuss a compiled list of highly cited medications commonly used today that are linked with xerostomia and hyposalivation. There are numerous treatment modalities that are present, such as saliva substitutes, mouth rinses, sugar-free candy, and pilocarpine among others.
- Gender and Diversity in Oral and Maxillofacial Surgeryby Franci Stavropoulos, Jennifer E. Woerner on 31/08/2021 at 12:00 am
Oral and maxillofacial surgery emerged as a specialty in the first decade of the twentieth century and, sparked by scientific and technological developments, while being buffeted by social, economic, and political forces, has followed a winding path to its current robust status. Despite the specialty’s many successes, diversity concerns have remained a perennial challenge. Ingrained traditions within professional education continue to inhibit progress toward equality among ethnic groups, women, LGBTQ, and people with disabilities.
- Gender Issues and Oral and Maxillofacial Surgery Advanced Education Program Accreditationby Pamela J. Hughes on 10/08/2021 at 12:00 am
The author explores gender issues related to oral and maxillofacial training programs and the role that accreditation should have to ensure gender equity, antidiscrimination, and support of women in the profession of oral and maxillofacial surgery.
- Where Are the Womenby Jane A. Petro on 05/08/2021 at 12:00 am
Women emerged against significant obstacles in the nineteenth century to claim a right to participate in the health professions. Women were excluded from many areas of medical and dental practice until well after the 1964 Civil Rights Act forbade discrimination on the basis of sex. Their entry has been, and continues to be, blocked by discrimination, misogyny, and harassment both personal and institutional. The formation of women-specific surgical subspecialty organizations has improved access to mentoring, sponsorship, and acceptance. This article reviews the history of some of the older organizations with recommendations for OMFS women’s action.
- The Diversity Bonus in Oral and Maxillofacial Surgeryby Catherine Haviland, Justine Sherylyn Moe on 05/08/2021 at 12:00 am
The diversity bonus theorem developed by Scott Page postulates that in specific environments, diversity is an absolute necessity to creating the most successful team. The theorem dispels the myth that institutions must choose between diversity and excellence. Within oral and maxillofacial surgery, this bonus is captured through expanded access to care, more equitable and relevant research, and attracting the best and brightest to the specialty. To capture the bonus, oral and maxillofacial surgery must invest in policy changes to admissions and hiring practices, and offer training in communication, cultural competency, and implicit bias.
- The Odyssey of Mentoringby Leslie R. Halpern on 05/08/2021 at 12:00 am
The role of a mentor has metamorphosed from the traditional Halsteadian model to a more “mosaic mentor” with innovative strategies specific to the mentee. The contemporary mentor continues to be faced with the challenges of a new breed of oral and maxillofacial surgeons. This article accompanies the reader on an “odyssey” of surgical mentorship beginning with historic origins, followed by a series of definitions of what a mentor is and is not, the dynamics of evolutionary change with respect to style of surgical mentoring, and evidence-based studies in the tools now applied to mentor our future oral and maxillofacial surgeons.
- Work–Life Balance for Oral and Maxillofacial Surgeonsby Sara Hinds Anderson, Justine Sherylyn Moe, Shelly Abramowicz on 04/08/2021 at 12:00 am
Oral and maxillofacial surgeons experience high levels of stress and work–home conflict, which predispose them to burnout. There is emerging evidence in support of work–life integration to prevent burnout; interventional strategies exist on an individual and organizational level. This article explores the current evidence on promoting work–life integration for improved surgeon satisfaction, performance, and efficiency. Work–life integration initiatives can help promote the recruitment and retention of a diverse surgical workforce in oral and maxillofacial surgery.
- Developing a Research Careerby Andrea B. Burke on 02/08/2021 at 12:00 am
Research is crucial to train the next generation of academic surgeons. Formal training builds research skills, starting with the ability to generate hypotheses, formulate questions, and address gaps in knowledge. Essential factors that are important to a research pathway include a supportive environment, experienced mentorship team, work-life balance, and a source of funding. Oral and maxillofacial surgery must make diversity a top priority, and protocols must be implemented to retain members of underrepresented groups throughout their careers.
- The Gender Pay Gap in Oral Surgeryby Lauren Bourell on 14/07/2021 at 12:00 am
Men and women receive unequal pay for equal work, a gap of approximately 20% to 30% in income across most professions, including medicine and surgery. Inequality also exists in academic advancement, with far fewer women holding positions as full professors, program directors, or department heads. Women may be discouraged from pursuing surgery as a career, and they face unique challenges related to gender expectations in their role as surgeons. Steps to identifying gender bias and correcting the pay gap are important to ensure the growth and vitality of the specialty.
- Effects of the COVID-19 Pandemic on the Professional Career of Women in Oral and Maxillofacial Surgeryby Rachel Bishop, Jennifer E. Woerner, Franci Stavropoulos on 05/06/2021 at 12:00 am
The COVID-19 pandemic altered all facets of society on a fundamental level, impacting work, mental health, and family life. Female surgeons experienced gender inequity and bias before COVID; therefore, women in oral and maxillofacial surgery (OMS) were affected disproportionately by the repercussions of the pandemic. Well-established inequalities are intensified during times of crisis. This article enlightens readers regarding the preexisting inequalities in the OMS specialty, how the COVID-19 pandemic exacerbated these ubiquitous issues, and how the specialty should accommodate these inequities moving forward.
- Μενού Περιοδικών
- The New England Journal of Medicine
- Journal of Oral and Maxillofacial Surgery
- International Journal of Oral and Maxillofacial Surgery
- Journal of Cranio-Maxillofacial Surgery
- British Journal of Oral and Maxillofacial Surgery
- Oral and Maxillofacial Surgery (DGMKG)
- Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
- Oral and Maxillofacial Surgery Clinics
- Oral Oncology
- Clinical Oral Implants Research
- Otolaryngology — Head and Neck Surgery
- Implant Dentistry
- Head & Neck
- American Journal of Orthodontics and Dentofacial Orthopedics