Controversial Topics in Oral and Maxillofacial Surgery, An Issue of Dental Clinics of North America

1st Edition, Volume 68-1 - November 14, 2023
Editor: Harry Dym
Language: English
Hardback ISBN:
9 7 8 - 0 - 4 4 3 - 1 8 3 0 8 - 9
eBook ISBN:
9 7 8 - 0 - 4 4 3 - 1 8 3 0 9 - 6

In this issue of Dental Clinics, guest editor Dr. Harry Dym brings his considerable expertise to the topic of Controversies in Oral and Maxillofacial Surgery. Evidence-base… Read more

Controversial Topics in Oral and Maxillofacial Surgery, An Issue of Dental Clinics of North America

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In this issue of Dental Clinics, guest editor Dr. Harry Dym brings his considerable expertise to the topic of Controversies in Oral and Maxillofacial Surgery. Evidence-based dentistry based on high-quality research is essential to help develop new treatments and alternative options. This issue tackles clinically relevant controversial subjects and helps present cogent, clear information for the clinician to determine the best possible solution or approach.

Cover image
Title page
Table of Contents
Copyright
Contributors
Forthcoming Issues
Preface
Acknowledgments
Controversies in Sleep Apnea
Key points
Introduction
Epidemiology of OSA
Controversies of diagnosis
Controversies of management
First-line management
Surgical management
Adjunctive therapy
Discussion
Summary
Disclosures
Clinics care points
Controversies in Stoppage of Antiplatelet and Anticoagulant Medications Prior to Oral Surgery
Key points
Introduction
Vascular injury (secondary hemostasis: coagulation cascade)
Anticoagulant medications
Reversal agents
Laboratory testing
Antiplatelet medications
Vascular injury (primary hemostasis: platelet plug formation)
Cyclooxygenase inhibitors
P2Y12 inhibitors
Single, double, triple antiplatelet therapy (SAPT), (DAPT), (TAPT)
Assessment of bleeding risk
Perioperative management for antithrombotic therapy
Perioperative management for antiplatelets
Perioperative management for vitamin K antagonist
Perioperative management for direct oral anticoagulants
Direct oral anticoagulants without interruption strategy
Post-op bleeding outcome assessment (direct oral anticoagulants vs warfarin)
Post-op bleeding outcome assessment (direct oral anticoagulants vs vitamin K antagonist vs antiplatelets vs low molecular weight heparin vs no medications)
Discussion
Summary
Clinics care points
Disclosure
Short Implants: Their Role in Implant Reconstruction
Key points
Introduction
What is a short implant?
Advantages of short implants
Factors for success
Patient selection
Long-term success rates of short versus long implants
Summary
Clinics care points
Disclosure
Applications of Cone Beam Computed Tomography Scans in Dental Medicine and Potential Medicolegal Issues
Key points
Background
Cone beam central tomography and dental implant planning
Cone beam central tomography and virtual surgical planning
Cone beam central tomography and endodontics
Cone beam central tomography and pathology
Discussion
Disclosure
Treatment of Medication-Related Osteonecrosis of the Jaw: Controversies in Causality and Therapy
Key points
Introduction
Literature search
Controversies in the epidemiology of medication-related osteonecrosis of the jaw
Controversies of etiologies/causality of disease
Controversies with pathophysiology of medication-related osteonecrosis of the jaw
Controversies in staging of medication-related osteonecrosis of the jaw
Controversies with drug holidays and medication-related osteonecrosis of the jaw
Controversies with nonsurgical versus surgical management for medication-related osteonecrosis of the jaw
Controversies in clinical management of medication-related osteonecrosis of the jaw by the oral health care provider
Summary/future directions
Clinics care points
Disclosure
One Provider Anesthesia Model in Oral and Maxillofacial Surgery
Key points
Introduction
Summary
Clinics care points
Disclosure
Indications for Antibiotic Prophylaxis for Dentoalveolar Procedures
Key points
Introduction
Infective endocarditis prophylaxis
Prosthetic joints
Third molars
Dental implants
Summary
Clinics care points
Disclosure
Management of Burning Mouth Syndrome
Key points
Introduction
Epidemiology
Clinical findings
Causes
Classification
Pathophysiology
Treatment
Topical medication
Capsaicin
Systemic medication
Alpha lipoic acid
Gabapentin
Catuama
Behavioral therapy
Clinics care points
Disclosure
Medication Management of Neuropathic Pain Disorders
Key points
Introduction
Neuropathic pain pathophysiology
Episodic neuropathic pain
Carbamazepine
Gabapentin and pregabalin
Other agents
Continuous neuropathic pain
Summary
Clinics care points
Treatment of Oral Dysplasia
Key points
Introduction
Discussion
Clinics care points
Disclosure
Controversies in Dental Traumatology
Key points
Introduction
Epidemiology
Types of dental trauma
Primary dentition
Lateral and extrusive luxations
Permanent dentition
Alveolar fractures
Antibiotics and analgesics
Pain management
Summary
Clinics care points
Disclosure
Diagnosis and Treatment of Periimplant Mucositis and Periimplantitis: An Overview and Related Controversial Issues
Key points
Introduction
Pathway to periimplantitis
Risk factors
Classification
Clinical and radiographic presentation
Bone defect morphology
Prognostic factors
Goals of treatment
Treatment options
Nonsurigcal therapy
Mechanical debridement
Curettes
Ultrasonic devices
Rotary brushes
Air-abrasive system
Physical decontamination
Adjunctive therapy
Local chemotherapeutics
Local antiseptic
Other
Systemic chemotherapeutics
Laser therapy/air-abrasive system/ultrasonic device and adjunctive chemical and physical agents versus mechanical debridement for nonsurgical treatment of periimplant mucositis
Laser therapy/air-abrasive system/ultrasonic device versus mechanical debridement ± chemical agents for treatment of nonsurgical periimplantitis
Open flap debridement with or without adjunctive antibiotics
Bone graft materials used for regenerative surgery
Regenerative surgery versus open flap debridement
Biologically active materials used for regenerative surgery
Membrane used for regenerative surgery
Alternative and adjunctive means for regenerative surgery
Outcome of regenerative surgery for specific bone defect morphology
Outcome of regenerative surgery for different implant surface types
Outcome success for regenerative surgery short- and long-term
Summary
Risk factors for periimplantitis
Summary
Clinics care points
Disclosure
Immediate Restoration of an Endosseous Implant
Key points
Introduction
History
Definition
Advantages
Prerequisites to immediate loading
Rationale
Bone remodeling process
Preventing failure
Immediate load: single implants
Immediate load: full arch
“All-on-4”
Guided immediate load
Summary
Clinics care points
Disclosure
Post-Procedure Analgesic Management
Key points
Introduction
Background
Acetaminophen and non-steroidal anti-inflammatory drugs
Local anesthetics and liposomal formulations
Ketamine and dexmedetomidine
Multimodal analgesia and enhanced recovery after surgery protocol
Non-pharmacologic therapies
Clinics care points
Summary
Disclosure