Tag Archives | aaoms

AAOMS Issues New Position Paper on Medication-related Osteonecrosis of the Jaw

Earlier in 2014, the American Association of Oral and Maxillofacial Surgeons issued a new position paper on Medication related Osteonecrosis of the Jaw (MRONJ) see http://www.aaoms.org/docs/position_papers/mronj_position_paper.pdf?pdf=MRONJ-Position-Paper. The condition in the past has been called Bisphosphonate-related Osteonecrosis of the Jaw but both antiresorptive and antiangiogenic therapies are associated with it so the name has been updated. MRONJ appears as non-healing exposed bone in the mouth and may affect patients undergoing intravenous cancer-related therapy or those treated with oral or IV bisphosphonates for osteoporosis. The paper states that patients may be considered to have MRONJ if the following characteristics are present: Current or previous treatment with antiresorptive or antiangiogenic agents; Exposed bone or bone that can be probed through an intraoral or extraoral fistula(e) in the maxillofacial region that has persisted for more than eight weeks; No history of radiation therapy to the jaws or obvious metastatic disease to the jaws. Most patients on antiresorptive or antiangiogenic agents who develop MRONJ do so after a dental procedure, such as a tooth extraction. The position paper cites several studies which has shown that between 52% to 61% of patients report tooth extraction as the precipitating event who develop MRONJ. It is estimated that […]

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The Culture of Safety in Oral and Maxilofacial Surgery

Previously in a post over at http://blog.teethremoval.com/upcoming-changes-to-joms-and-aaoms-in-2014/, I discussed how the Journal of Oral and Maxillofacial Surgery is introducing a new perspectives section which “…will offer essays written on topics of interest to our specialty, including health policy, clinical controversies, and education and research matters, as examples.” On of the first perspectives section is written by Suzanne Morse Buhrow and titled “Promoting a Culture of Safety in Oral and Maxillofacial Surgery: The Time Is Now!” in the February 2014 Journal of Oral and Maxilofacial Surgery, pp. 239-240. The article opens by discussing the origins of the patient safety movement in the 1980s after the Institute of Medicine said 98,000 patients will die and 1.5 million will be injured every year from preventable medical errors in the United States. The article mentions how the National Practitioner Data Bank in the U.S. shows over 10% of all malpractice payments are from dental procedures. The article mentions a study from 2010 which said only 43% of oral and maxillofacial surgeons have reported a wrong site tooth extraction, mentioned as a leading preventable error. Further the article says only 60% of physicians share and report adverse events. The article applauds the American Association of […]

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Dental Malpractice and Inflation Adjusted Updates

I wanted to alert readers that several pages on this site have been updated lately regarding dental malpractice as it relates to wisdom teeth removal. I updated the inflation adjusted calculations and figures on the dental malpractice page http://www.teethremoval.com/dental_malpractice.html.The calculations using up to the latest CPI-U from September 2013 have been updated. Interestingly I have calculated an annual return of around 4.25% needed to keep up with inflation since 1970. This is higher than any risk-free investment vehicle (bond, CD, savings) currently being offered. In addition, to this page I have added a few comments (reworded) recently provided by Lewis N. Estabrooks who is chairman of the board of OMSNIC. He has recently said the following (OMSNIC. Lewis N. Estabrooks, DMD, MS. Board Message. Monitor, vol. 24, no. 5, October 2013.) “Our statistics show approximately 78% of the claims are denied because there is no negligence. About 12% are settled with the doctor’s consent, usually after the cases are reviewed by a claims committee of six OMS peers. The remaining 10% represent liability cases taken to trial, where OMSNIC and the doctor have a favorable outcome 94% of the time.” A few weeks ago I updated the figures and the […]

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When Abstinence is Evidence-Based

I came across a 2012 talk Jay W. Friedman gave titled “When Abstinence is Evidence-Based: The Case Against Prophylactic Third Molar Extractions,” at the 2012 National Oral Health Conference. The PowerPoint for the talk is located over at http://www.nationaloralhealthconference.com/docs/presentations/2012/05-02/Jay%20Friedman.pdf (I have mirrored it over at http://www.teethremoval.com/When_abstinence_is_evidenced_based.pdf). For those not aware of Jay W. Friedman you can start by reading the post American Journal of Public Health Author Jay W. Friedman is 2009 Author of the Year and Looking at the Concept of Prevention in Dentistry. Some interesting graphics appear in the talk, a few which I have included in this post. The talk is very concise and to the point and very informative for anyone considering whether or not to extract wisdom teeth (third molars). I will now provide a brief overview of the talk, but encourage you to look at the full talk yourself. Like usual (see http://www.teethremoval.com/controversy.html) several jabs are taken at AAOMS (the American Association of Oral and Maxillofacial Surgeons). For instance, he mentions how AAOMS placed a 4 page ad in USA Today in 2007 and didn’t mention any potential complications from extraction. He says that even though AAOMS has changed the language on their website […]

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Upcoming Changes to JOMS and AAOMS in 2014

I wanted to update readers on some of the upcoming changes which will be taking place in the world of oral and maxillofacial surgery in 2014. The first change has to deal with JOMS (Journal of Oral and Maxillofacial Surgery). These updates are addressed in the editorial in the September 2013, JOMS, by  James Hupp titled, “The Journal’s Performance and Upcoming New Features” (J Oral Maxillofac Surg., vol. 71, pp. 1481-1483, 2013). In brief, JOMS has managed to decrease the time it takes to get accepted in the journal from 12 to 18 months to just 3 to 6 months. This improves the time for new updates to permeate throughout the field. Furthermore, when articles are accepted they are available rapidly for viewing online (although editing still has to occur). Several interesting developments are occurring: A) Soon, AAOMS Press Releases will be developed for selected articles in JOMS. A press release will be written by AAOMS staff and allow for wider dissemination of ideas to the general public. B) A new perspectives section will be included “It will offer essays written on topics of interest to our specialty, including health policy, clinical controversies, and education and research matters, as examples.” […]

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