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 … Read more

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 … Read more

Improving Patient Safety: Updates on Oral and Maxillofacial Surgery

In a recent blog post I discussed how a few new videos have appeared in recent months related to oral and maxillofacial surgery Videos Related to Oral and Maxillofacial Surgery. The American Association of Oral and Maxillofacial Surgeons (AAOMS) has also updated several sections of their website in the last year or so. They now have a section titled Orthodontics and Oral Surgery where they have videos related to showcasing various techniques that oral and maxillofacial surgeons and orthodontists perform. In addition they have updated and written a new page titled “Culture of Safety“. The page is a welcome addition and discusses how safety is the number one priority in the oral and maxillofacial surgery office. Now I wanted to take a moment to respond to this page and some other developments I have seen lately across the blogosphere. 1) … Read more

Dental Patients Warned of Possible HIV and Hepatitis Exposure Due to Oral Surgeon’s Practices

Previously in this post Oral Surgeon Investigated for Reusing Needles and Syringes it was discussed how last summer in 2012 an oral surgeon in Colorado was investigated for re-using syringes and needles while performing various oral and facial surgery procedures. Around 8,000 patients were told to be tested for potential HIV, hepatitis B, and hepatitis C. Recently, in Oklahoma around 7,000 patients were told to be tested for potential HIV, hepatitis B, and hepatitis C who were treated by an oral surgeon due to his potentially rusty instruments and lax sterilization procedures. A complaint by the Oklahoma  Board of  Dentistry was filed against the oral surgeon on March 26, 2013. It is located over at http://ftpcontent.worldnow.com/ktul/documents/Harrington_Complaint_OBD.pdf. The complaint says that an unidentified patient who was treated by the oral surgeon tested positive for HIV and hepatitis C shortly after being … Read more

Politics of Dental Anesthesiology

A recent article titled “Dental anesthesiology falls short of becoming ADA specialty,” by Rob Goskowski, Nov. 1, 2012, located at http://www.drbicuspid.com/index.aspx?sec=sup&sub=rst&pag=dis&ItemID=311903, discusses a recent vote that took place at the House of Delegates during the 2012 American Dental Association (ADA) Annual Session. The House of Delegates voted against recognizing Dental anesthesiology as the 10th ADA recognized specialty. Steven Ganzberg, a clinical professor and the chair of dental anesthesiology at UCLA says: “This action by the ADA confirms that the ADA process of specialty approval is fatally flawed….This was clearly an effort by the ADA, through AAOMS [the American Association of Oral and Maxillofacial Surgeons], to restrict professional activities that specialty recognition would have provided.” Dr. Ganzberg and some other supporters were hoping that the specialty would be approved as they felt it would lead to increased training and emergency preparedness … Read more