Department of Oral and Maxillofacial Surgery: Faculty Research and Presentations
Permanent URI for this collectionhttps://hdl.handle.net/10675.2/623047
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Item Open Access Injection of Tumescent Solution into Maxillary Sinuses During LeFort I Osteotomies for Reduction of Intra-operative Blood Loss(Augusta University, 2019) Zastrow, Stephanie; James, Jeffrey; Department of Oral and Maxillofacial SurgeryOrthognathic surgery is a treatment option for many dentofacial deformities that cannot be treated with orthodontics or minor surgeries alone. Repositioning of the maxilla, mandible, chin, or a combination of the three can have a significant effect on a patient’s occlusal function, facial appearance, and self-esteem. Successful, comprehensive treatment usually requires a collaborative approach between an orthodontist and oral and maxillofacial surgeon.Item Open Access Investigation of the Clinical Feasibility of Incorporating Dexmedetomidine into the Outpatient Anesthesia Regimen of Oral & Maxillofacial Surgery(Augusta University, 2019) Taylor, D. Craig; Ferguson, Henry W.; Department of Oral and Maxillofacial SurgeryThe purpose of this investigation is to evaluate incorporating a Dexmedetomidine infusion into an established IV Sedation regimen in terms of clinical efficiency (Anesthesia time), Patient subjective experience, and physiologic response to the infusion in comparison to a control appointment without the infusion.Item Open Access DNA Sequencing of Extensive Odontogenic Keratocysts with Possible Therapeutic Implications(Augusta University, 2019) Abdelsayed, Macarius; Kolhe, Ravindra; Abdelsayed, Rafik; Department of Oral and Maxillofacial PathologyPurpose of this research is: to perform DNA sequencing on a group of previously diagnosed OKC of the jaws which demonstrated clinical aggressive behavior; Compare the genetic profile of the aggressive OKC cases with the genetic profile of a similar number of OKC cases which did not demonstrate aggressive clinical behavior; Evaluate the possibility of therapeutic implications of genetic mutations noted in OKCsItem Open Access Clinical Guide for Intraosseous Pathology(Augusta University, 2019) Malik, M; Kalathingal, S; Cullum, A; Buchanan, A; Abdelsayed, A; Kurago, Z; Department of Oral Biology & Diagnostic Sciences, Center for Instructional InnovationTo provide a reference database for dental students to describe and analyze intra osseous pathology that aid to develop a list of differential diagnoses for various diseases affecting the maxillofacial region on patients treated in student clinics. The online database will serve as a resource for descriptive terminology and samples to demonstrate the origin of the lesion, radiographic appearance, borders, contents, effects on adjacent structures, etc. which are the fundamental elements that guide a clinician in developing an impression and formulate the differential diagnosis. Histopathologic evaluation that provides the final diagnosis of each disease process will also be included to demonstrate that radiographic presentation of various disease categories may be similar, however, clinical management is ultimately decided by the tissue sample from the biopsy specimen. The interactive database will have various features that enable the user to access a comprehensive glossary list, word- defined searches, a brief overview of the most common diseases affecting dento-alveolar regions and learn about the management strategies.Item Open Access Time To Open Repair Of Mandible Fractures And Associated Complications(Augusta University, 2019) James, Jeffrey; Farrell, Thomas; Faigen, Alex; Anderson, Jessica; Department of Oral and Maxillofacial SurgeryThe aim of this study is to determine whether a correlation exists between the time from injury to repair of mandible fractures and the development of post operative complications.Item Open Access POST-PLACEMENT IMPLANT CERVICAL BURNOUT(Augusta University, 2019) Faigen, A; James, J; Stevens, M; Department of Oral and Maxillofacial SurgeryLifetime implant success, in both esthetic and functional categories is a multifactorial process. Connective tissues, hard and soft, play a major role in the health of an implant platform and its associated restoration. While bone loss around the crestal portion of the implant up to 2.0mm within the first year of use is expected. We desire to determine factors which predict bone loss and overall implant success.. Many of the factors which can be used to account for such bone loss are inappropriate stresses and force distribution, trauma during surgery, micromechanical movement, infection, and multiple other patient factors. Bone loss has not been linked to a single implant type, placement procedure, or specialty, but remains a significant challenge in the long-term success of implants.Item Open Access Does Time to the Operating Room Affect Outcomes in Odontogenic Infection Patients?(Augusta University, 2019) Brown, Kiara; James, Jeffery; Department of Oral and Maxillofacial SurgeryDiagnosis and treatments of odontogenic infections is arguably one of the most important responsibilities of the Oral and Maxillofacial Surgeon. With a command of the complex anatomy of the head and neck region and armed with knowledge of the dentition that feeds into the physiopathology of the infection, oral and maxillofacial surgeons find themselves one of the only head and neck specialists able to treat this disease. Several decades ago, odontogenic infections were a significant source of morbidity at rates greater than 50% in some reports. The current trend in an increase in unsponsored patients seeking treatment. This trend has cost hospital centers upwards of millions of dollars per year. While some factors, such as patient medical complexity and increasing antibiotic resistance are known factors in increasing costs, a surgeon and facility dependent factor- time to the operating room- has not been studied. Understanding the effect of delayed surgical intervention is critical to fully understanding ways to mitigate costs associated with odontogenic infection patients.Item Open Access Adjunct Post-Operative Analgesia Following Uncomplicated 3rd Molar Removal(Augusta University Libraries, 2019) Benton, Bryan; James, J; Department of Oral and Maxillofacial SurgeryExtraction of 3rd molars is a routine procedure performed in Oral and Maxillofacial Surgery practices. Postoperative analgesia and recovery is a primary concern for patients undergoing removal of 3rd molars. Uncontrolled postoperative pain has been shown to interfere with quality of life, delay recovery, and even contribute to long term unfavorable sequelae of surgery such as chronic pain. Extraction of 3rd molars is widely performed on an outpatient basis and thus postoperative analgesia is patient directed, often with assistance from narcotic analgesics, NSAIDs, or a combination of these. Prescription drug abuse is a public health crisis in the United States. In 2016, 42,249 persons died of an opioid related drug overdose. Narcotic use following surgical procedures can lead to dependency and addiction. In 2016, new persistent opioid use after surgical procedures was 5.9% - 6.5%, this was similar for both minor and major surgical procedures.