Outcomes Data Registry for Dentistry

Using large amounts of data from many different dentists or surgeons is a way to improve the quality of healthcare. From such clinical data registries in healthcare many things can be gleaned regarding information about individual surgeries or medical devices. The American Association of Oral and Maxillofacial Surgeons (AAOMS) has recently launched OMS Quality Outcomes Registry or OMSQOR for short which is discussed on pages 7-12 of the March/April 2019 issue of AAOMS Today. The groundwork for OMSQOR actually began in 2014 and OMSQOR officially launched in January 2019. The way OMSQOR works is that treatment data from all members who participate will be collected in a national registry that will be used to help improve the quality of care and patient outcomes. Such quality data will allow for tracking surgical outcomes, complications, and possible gaps in treatment. OMSQOR will … Read more

Difference Between Oral Surgeons and Dentists

If a patient is in need of dental treatment there are different specialists to consider. Depending on the type of dental treatment being received a patient may be better off seeing a dentist or may be better off seeing an oral surgeon. Thus it is important to better understand the types of treatments a dentist and oral surgeon performs to be able to determine who to seek out. Treatments Performed by Dentists General dentists provide preventative care and maintenance. Preventive care includes performing dental cleanings, taking and interpreting x-rays, performing oral examinations, and monitoring the growth and development of teeth and jaws. Maintenance includes performing fillings of cavities, root canals for teeth that can not be restored, placing crowns, and other surgical procedures of the teeth, bone and soft tissues of the oral cavity. By seeing a dentist patients are … Read more

Profit Motives in Oral and Maxillofacial Surgery Utilizing Sedation

Recently on this site it was discussed how guidelines have come out from the American Academy of Pediatric Dentistry (AAPD) and American Academy of Pediatrics (AAP) recommending when deep sedation or general anesthesia is given to children in dental offices there should be two trained individuals present. One individual should provide the dentistry and the other individual is responsible to administer the sedation or anesthesia and to observe the patient for any adverse events. This goes against the single provider model that has been advocated by the American Association of Oral and Maxillofacial Surgeons (AAOMS) and is typically utilized for wisdom teeth removal in the United States of America, where the oral surgeon performs both the dentistry and the administration of sedation or anesthesia. Some have criticized the AAOMS position of a single provider model for its focus on profit … Read more

Improving the Mental Health of Oral Surgeons

Before on this site mental health of dentists has been discussed and particularly addressing mental health issues early on such as during dental education see for example the posts A Counseling Model for Dental Students, Designing a Predoctoral Dental Curriculum To Help With Therapy Issues such as Stress Management and Suicide Prevention, and Medical Students Are At Risk For Suicide. However, many oral surgeons are still afraid to own up to any mental health issues they may have. This is discussed in the editorial titled “Time to change the narrative” appearing in Oral Surgery in 2018 (vol. 11, pp. 97–97). The editorial discusses how oral surgery is increasing a stressful profession. This is because of increasing threats of litigation along with patients increasing having higher expectations of surgical outcomes. The traits that define a good surgeon are those who put … Read more

The Death Rate Among Patients being Treated by Oral Surgeons in Massachusetts

In the past on this site death surrounding wisdom teeth removal and other dental procedures has been discussed. It has been estimated that the death rate in dentistry occurs in 1 out of every 400,000 cases. Due to a new article in 2019, the mortality rate in dentistry page at http://www.teethremoval.com/mortality_rates_in_dentistry.html has been updated.  This article is written by Wardius et al. titled “Outpatient Anesthesia Morbidity and Mortality Experience Among Massachusetts Oral and Maxillofacial Surgeons” and published in the Journal of Oral and Maxillofacial Surgery in 2019. It is worthwhile exploring the details of this article. The article discusses the results of a mailed questionnaire that was sent to active members of the Massachusetts Society of Oral & Maxillofacial Surgeons who practiced using the single–operator-anesthetist model in the years 2015 and 2016. A total of 288 oral and maxillofacial surgeons were included … Read more