Oral Surgery Podcast

In this episode I discuss Christine's training pathway and how she has developed a sub specialist interest in paediatric oral surgery.  Instagram - @dr.christine.wanisTwitter - @ChristineWanisCoptic Dental Society

In this podcast I discuss common complications in oral surgery with my colleague and friend Judith Stocker. Judith is a Consultant Oral & Maxillofacial Surgeon based in the UK and has ov er 30 years experience in the specialty.  We cover key topics including the management of pain, swelling, bleeding, infection, antral issues, iatrogenic injuries and nerve injuries.Links to papers mentioned are below:Management of Nerve Injuries in the UK - A Cross Sectional StudyOrchard A, Adatia A, Moore RJ, Prabhu S2022 BJOMSAn evaluation of sepsis in DentistryDave M, Barry S, Coulthard P, Daniels R, Greenwood M, Seoudi N, Walton G, Patel N.BDJ; 2021 8:32-39Scottish Clinical Clinical Effectiveness Programmehttps://www.sdcep.org.ukCauses of subcutaneous emphysema following dental procedures: a systematic review of cases 1993-2020Jones A, Stagneel S, Renton R, Aggarwal VR, Moore RJBDJ 2021; 231:493-500

I am joined by Dr Ferhan Ahmed a prolific full arch implant and peripatetic implant dentist in the UK. We discuss his pathway into full arch surgery and the key aspects of mentorship and training in full arch cases. 

Revision podcast covering key aspects of bleeding and management.

In this episode I am joined by  Dr Sami Stagnell, we discuss the uses of piezo-surgery in oral surgery and how he has integrated this into his clinical practice. We are both Key Opinion Leaders for the Acteon Cube Piezosurgery Unit.

In this podcast I am joined by Dr Bradley Lander, a periodontology resident at Penn - The University of Pennsylvania.Although not exclusively oral surgery based, I discuss Brad's career pathway from an undergraduate in the UK through foundation training to specialist training and residency in the US. We also discuss some of his research interests with regards to phenotyping and periodontics. 

Provision of antibiotic prophylaxis has been a hot topic in the implant world for many years. I discuss with Robbie his research into this area in the UK and the evidence that exists with regards to antibiotic prophylaxis and implant placement.Useful papers/linksKasha H, Hilon J, Rasoul MH, FribergInfluence of a single preoperative dose of antibiotics on the early implant failure rate. A randomised clinical trial.Clin Implant Dent Related Res 2019; 21(2):278-283Momand P, Becktor JP, Naimi-Akbar A, Tobin G, Gotik BEffect of antibiotic prophylaxis in dental implant surgery: A multi-centre placebo-controlled double-blinded randomised clinical trialClin Implant Dent Relat Res 2022;1-9Antimicrobial Prescribing in Dentistry - FGDP GuidelinesWilliams R. Antibiotic prophylaxis during dental implant placement in the UKBr Dent J 2020 229(12):787-792Esposito M, Coulthard P, Oliver R, Thomsen P, Worthington HVAntibiotics to prevent complications following dental implant treatmentCochrane Review 2003

Removal third molars are one of the commonest procedures carried out by oral surgeons and therefore a significant part of our work. In this podcast myself and Dr Imran Suida discuss some of the literature relating to third molars. Follow Dr Suida on instagram @learnoralsurgerywithmePapers discussed:1.     Houndsome et al. 2020. Prophylactic removal of impacted mandibular third molars: a systematic review and economic evaluation. NIHR Health Technology Assessment. 2.     AAOMS 2016. White paper on third molar data.3.     Pitros et al 2020. A systematic review of the complications of high-risk third molar removal and coronectomy: development of a decision tree model and preliminary health economic analysis to assist in treatment planning. BJOMS.4.     V. Toedtling et al. 2019. Prevalence of distal surface caries in the second molar among referrals for assessment of third molars: a systematic review and meta-analysis 5.     Renton et al 2005. A randomised controlled clinical trial to compare the incidence of injury to the inferior alveolar nerve as a result of coronectomy and removal of mandibular third molars. BJOMS6.     Renton 2017. Risk Assessment of M3Ms and Decisions on Ordering a CBCT and Prescribing a Coronectomy. Dental Update.7.     Loesche et al. 2003. Nerve Damage and Third Molar Removal. Dental Update.8.     Dharanjani and Smith 20189.     N Patel et al 2019. Coronectomy of mandibular third molar teeth with caries or resorption ‘at-risk' of inferior dentoalveolar nerve injury. Oral Surgery.10.  Cle-ovejero et al 2017. Does 3-dimensional imaging of the third molar reduce the risk of experiencing inferior alveolar nerve injury owing to extraction? A meta-analysis. JADA.11.  Korkmaz et al 2017. Does additional cone beam computed tomography decrease the risk of inferior alveolar nerve injury in high-risk cases undergoing third molar surgery?Does CBCT decrease the risk of IAN injury? IJOMS12.  Shiratori et al 2013?13.  Leung and cheung 2009. Safety of coronectomy versus excision of wisdom teeth: A randomized controlled trial. OOOOE 14.  Martin et al 2015. Coronectomy as a surgical approach to impacted mandibular third molars: a systematic review 15.  Marcussen et al 2016 A Systematic Review on Effect of Single-Dose Preoperative Antibiotics at Surgical Osteotomy Extraction of Lower Third Molars. J Oral Maxillofac Surg.16.  Allen et al 2009 The mesioangular third molar – to extract or not to extract? Analysis of 776 consecutive third molars. BDJ.17.  McCardle 2019. The Prevention and Management of Distal Cervical Caries of the Mandibular Second Molar. Dental Update18.  McCardle and Renton 2012 The effects of NICE guidelines on the management of third molar teeth. BDJ.19.  Rapaport et al 2020 – lingual nerve retraction20.  Matzen and Berkhout 2019. cone beam CT imaging of the mandibular third molar: a position paper prepared by the european Academy of DentoMaxilloFacial Radiology (eADMFR). Dentomaxillofacial Radiology

I am joined by Dr Rhian Jones, a specialist oral surgeon in South Wales working exclusively in primary and President Elect of the British Association of Oral Surgeons. Rhian discusses her career pathway from specialist training through to the day to day challenges of primary care oral surgery.

Dr Wendy Thompson  joins Richard, from the University of Manchester who is an NIHR Clinical Lecturer in Primary Care. Her research interests and PhD focused on antibiotic prescribing and the issues surrounding this in Dentistry. They share a frank discussion about issues surrounding prescribing with a focus on antibiotics in oral surgery. 

The Oral Surgery Podcast focuses on all aspects of oral surgery practice including both discussions and revision notes. Richard Moore hosts this podcast and is joined by colleagues and friends giving their expert opinions on key topics. In addition to this he will cover some key areas useful for revision for both undergraduates and postgraduates. If you are keen to be part of this then email richard@drrichardjmoore.com.